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PATHWAYS TO PROGRESS Using Community-Based Research to Improve Rural Community Health Kenneth L. Stewart, Ph.D. Angelo State University.

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Presentation on theme: "PATHWAYS TO PROGRESS Using Community-Based Research to Improve Rural Community Health Kenneth L. Stewart, Ph.D. Angelo State University."— Presentation transcript:

1 PATHWAYS TO PROGRESS Using Community-Based Research to Improve Rural Community Health Kenneth L. Stewart, Ph.D. Angelo State University Presented to: 2017 Rural Health at the Crossroads Conference Managing Challenges and Disparities in Rural Health June 21-23, Amarillo Civic Center, Amarillo, Texas

2 Strategies for Development at Community Development Initiatives
The social health indexing project Monthly pathways to progress Community-Based Research PARTICIPATE IN COMMUNITY RESPONSES

3 The Social Health Indexing Project
The San Angelo Social Health Index: The flagship of the project assesses social problems challenging development in San Angelo. The index provides historical comparisons going back to the year 2000. The West Texas Violence Index: Assesses violent crime, domestic violence, and accidental deaths over a rolling five-year time frame. Compares San Angelo, Abilene, Midland, and Odessa. The Children of San Angelo Social Health Index: Compares the quality of life for children living in the city’s 20 Census Tracts. The Seniors of San Angelo Social Health Index: Measures the quality of life among elders in the city’s Census Tracts. The San Angelo Neighborhood Development Index: Compares the city’s Census Tracts on key socio-economic development factors. The ASU Women’s Health Index: Assesses the state of women’s health in San Angelo, Abilene, Midland, and Odessa. Expanding coverage to all West Texas metro areas. The San Angelo Opportunity Index: A new addition to the Social Health Indexing Project assesses neighborhood characteristics supporting (or hindering) the socio-economic opportunity and success of residents. Note: These projects involve tracking, annually collecting, calculating, evaluating, and reporting 118 specific statistical data point about San Angelo and other communities in West Texas. The different comparison frameworks – historical and geographic Focus on various vulnerable populations - children, elders, women. Idea to expand Women’s Index to all WT cities.

4 Opportunity Index Example Results

5 Monthly Pathways to Progress
Pathways to Progress is a monthly column published by the regional newspaper, the San Angelo Standard Times. Frequent use of Social Health Indexing Project data. Topical headlines for the first five months of thus year: Rights for disabled move; more needed. The importance of equal distribution. Progress made in poverty fight. Too much violence in West Texas cities. Celebrate the good and address the bad. The CDI page at ASU has an edited collection for Note: These materials along with Index reports, are supplied free-of-charge to community-based organizations – like a large business card for CDI. Also note the importance of translating for public consumption.

6 Letter to the Editor: Spreading wealth isn’t progress
Not Everyone Loves Us! Letter to the Editor: Spreading wealth isn’t progress This nation’s liberal mob is obviously not happy with just their treacherous habit of academically dumbing down America’s youth by teaching falsified history laced with atheistic Darwinian fantasies devoid of constitutional and Judeo-Christian principles. … professors [are] desperately trying to convince all Americans that equal distribution of wealth is an important pathway to progress even though most patriots know it is “progress” directly to the irresponsible rot of the socialistic swamp… Still, numerous community-based organizations are using our products for: Presentations, public outreach, education, and information. Grant applications. Planning, setting priorities, programming. Discourse in the “public square.”

7 Community-Based Research Projects
2016 Regional Coordination Transportation Plan, Concho valley Transit District and Concho Valley Council of Governments. 2016 Analysis of Impediments to Fair Housing Choice, City of San Angelo. A Survey on High School Equivalency and Adult Education and Literacy Service Needs in the Concho Valley, Howard College of San Angelo and the Concho Valley Workforce Development Board. Health and Behavioral Health Needs of the Poor and Extremely Poor in West Texas, a community-based community health needs assessment in 20 West Texas counties, San Angelo Health Foundation and Methodist Health Ministries of South Texas.

8 Methodist Healthcare Ministries of South Texas
Health & Behavioral Health Needs of the Poor & Extremely Poor in West Texas The generous support of Methodist Healthcare Ministries of South Texas and the San Angelo Health Foundation made this project possible. Principal Investigators Kenneth L. Stewart Community Development Initiatives Susan McLane Project Coordinator Cera Cantu Americorps vista Project assistant

9 Regions of the Study Area

10 Overview: County Health Profiles
Secondary Data: Community Economic Background Demographic Profile Featuring Vulnerable Populations Community Health Status Profile Survey of the Poor & Extremely Poor in West Texas Gap Analysis & Identification of Health & Behavior Health Needs County Level Prioritization of Health & Behavioral Health Needs

11 Survey of the Poor & Extremely Poor Instrument & Data Collection
Content Coverage Demographic characteristics Medical, dental, & mental health services access Morbidity experiences Obesity & related factors Mental health & substance use Immunization & preventative health screening 3 page, 32 item questionnaire yielding 178 variables 31 parallels to the 2013 Texas BRFSS Community Engaged Informal, face-to-face interviews in English or Spanish 145 Community Contacts 72 Collaborating Organizations 9 Group Training Sessions for Facilitators 64 Trained Community-Based Survey Facilitators Community-Based Needs Prioritization

12 Survey of the Poor & Extremely Poor Proportional Sampling
County of Residence Sample n Sample Percent ACS Percent Coke 5 0.80% 0.86% Concho 8 1.30% 1.18% Crockett 16 2.70% 1.58% Edwards 0.96% Irion 3 0.50% 0.35% Kimble 9 1.50% 2.21% Kinney 19 3.20% 2.18% Mason 3.44% McCulloch 22 3.70% 1.39% Menard 10 1.70% 1.28% Mills 1.56% Runnels 37 6.20% 5.64% San Saba 13 2.20% 2.10% Schleicher 1.89% Sterling Sutton 2 0.30% 0.74% Tom Green 275 46.10% 43.45% Upton 12 2.00% 1.40% Val Verde 124 20.80% 26.48% Poverty Status* Extremely poor 280 46.9% 37.3% Poor 278 46.6% 62.7% *The total sample size is 597. Frequencies and percentages for the poor and extremely poor do not sum to 597 & 100% because of missing data.

13 Gap Analysis of Elevated Risk
Mention additional finding on access problems to dental health and behavioral health.

14 Ten Prioritized Needs for Tom Green County
Prevention to Reduce COPD Reduction of PPH from Congestive Heart Failure Health Needs of Children & Seniors Prevention to Reduce Cancer Reduction of PPH from Influenza & Pneumonia Improved Case Management for Vulnerable Groups Promotion of Healthy Living to Vulnerable Groups Reduce Obesity in Vulnerable Groups Reduction of PPH from Diabetes Prevention to Reduce Heart & Vascular Diseases

15 Community Responses The Concho Valley VISTA Placement Program: CNCS, ASU, San Angelo Health Foundation Collaboration. A Texas Mission of Mercy Concho Valley Mobile Dental Clinic: Texas Dental Association Smiles Foundation Collaboration with Methodist Health Ministries Wesley Nurses for an annual mobile dental clinic event beginning in 2017. Laura W. Bush Institute for Women’s Health Institute Hispanic Initiative: Project to develop a community collaboration expanding public education and outreach events for the regional Hispanic community. The Concho Valley Children’s Advocacy Center Collective Impact Initiative: Project to build a collaborative network of community-based organizations providing child and family well-being services. The Concho Valley Rural Housing Initiative: Concho Valley Community Action Agency project to develop public-private partnerships for affordable, safe housing for low-income persons living in rural areas. The San Angelo Diabetes Coalition: Collaboration by ASU, the San Angelo Health Foundation, the city’s two regional hospitals, and the local FQHC to increase coordination of diabetes education and prevention services to the community.

16 Community Health Needs Assessment Website

17 Contact Information Kenneth l. Stewart, Ph.D. Director, Community development initiatives Angelo state university San Angelo, Texas (325) | Internet |


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