Informing Best Practice With Community Practice: The Community Change Chronicle Method for Program Documentation and Evaluation

2009 ◽  
Vol 10 (1) ◽  
pp. 102-110 ◽  
Author(s):  
Sheryl A. Scott ◽  
Scott Proescholdbell
Keyword(s):  
Health Promotion ◽  
Best Practice ◽  
Community Change ◽  
Evidence Based ◽  
Youth Empowerment ◽  
Community Practice ◽  
Health Departments ◽  
Environmental Strategies ◽  
Empowerment Model ◽  
Evidence Based Programs

Health promotion professionals are increasingly encouraged to implement evidence-based programs in health departments, communities, and schools. Yet translating evidence-based research into practice is challenging, especially for complex initiatives that emphasize environmental strategies to create community change. The purpose of this article is to provide health promotion practitioners with a method to evaluate the community change process and document successful applications of environmental strategies. The community change chronicle method uses a five-step process: first, develop a logic model; second, select outcomes of interest; third, review programmatic data for these outcomes; fourth, collect and analyze relevant materials; and, fifth, disseminate stories. From 2001 to 2003, the authors validated the use of a youth empowerment model and developed eight community change chronicles that documented the creation of tobacco-free schools policies (n = 2), voluntary policies to reduce secondhand smoke in youth hangouts (n = 3), and policy and program changes in diverse communities (n = 3).

scholarly journals Experiences From Healthcare and Community Organizations Delivering Evidence-Based Dementia Caregiving Programs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 8-8
Author(s):  
Rachel Schaffer ◽  
Alyssa Ciancibello ◽  
David Bass ◽  
Sara Powers
Keyword(s):  
Best Practice ◽  
Community Organizations ◽  
Evidence Based ◽  
Healthcare Organizations ◽  
Dementia Caregiving ◽  
Funding Sources ◽  
Perceived Impact ◽  
Strongly Agree ◽  
Evidence Based Programs ◽  
Successes And Challenges

Abstract Best Practice Caregiving surveyed 324 healthcare and community organizations that replicated one or more of the 44 evidence-based programs about delivery organization characteristics, delivery staff, caregivers and persons with dementia served, funding sources, delivery challenges, perceived impact, and satisfaction. 211 (65.1%) organizations completed surveys about 30 different evidence-based programs. The most common types of organizations that delivered programs were healthcare organizations (23.8%) and Area Agencies on Aging (23.8%). Results showed on average organizations delivered programs for 49 months and served 68 families/year. The most common program delivery challenges were marketing (69.8%) and engaging participants (66.3%). Organizations generally agreed that programs had positive impacts on caregivers (59.5% strongly agree) but were less positive about benefits for persons with dementia (25.1% strongly agree). Discussion provides insights into successes and challenges organizations face when adopting evidence-based dementia caregiving programs in their communities.

Implementation of Sexually Transmitted Infection Interventions

2016 ◽  
Vol 18 (2) ◽  
pp. 290-297 ◽  
Author(s):  
Melissa Tibbits ◽  
Mohammad Siahpush
Keyword(s):  
Best Practice ◽  
Intervention Development ◽  
After School Programs ◽  
After School ◽  
Evidence Based ◽  
Health Issues ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Evidence Based Programs ◽  
Multilevel Interventions

Although community-wide, multilevel interventions are widely regarded as the most effective method for addressing complex health issues such as sexually transmitted infections (STIs), there is a dearth of research about the implementation of interventions of this nature. The aim of this study was to determine the implementation of locally developed and evidence-based STI interventions across an urban community using the Institute of Medicine’s intervention spectrum as a framework, to highlight collaborations, and to identify barriers to the implementation of community-wide, multilevel interventions. Semistructured interviews were conducted ( N = 20) with staff from schools, after-school programs, community organizations, and clinics in a Midwestern metropolitan area. Results indicate that interventions were implemented at all levels of the Institute of Medicine’s intervention spectrum, although selective interventions that served a small number of youth were most common. Most interventions were locally developed or adapted from evidence-based programs. Despite reported collaboration between agencies, there was relatively little community-wide coordination of STI interventions due to factors such as community norms and competition for limited funding. These findings offer further insight into the gap between best practice recommendations and the implementation of community-wide, multilevel interventions. Implications for intervention development and implementation are discussed.

scholarly journals Outcome Priorities Among Evidence-Based Dementia Caregiving Programs: A Closer Look

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 8-8
Author(s):  
Sara Powers ◽  
Alyssa Ciancibello ◽  
Rachel Schaffer ◽  
David Bass ◽  
Morgan Minyo
Keyword(s):  
Best Practice ◽  
Service Use ◽  
Current Evidence ◽  
Evidence Based ◽  
Program Outcomes ◽  
Dementia Caregivers ◽  
Depressive Symptomology ◽  
Dementia Caregiving ◽  
Cognitive Behavioral Theory ◽  
Evidence Based Programs

Abstract Currently, the Best Practice Caregiving website provides information on 231 published studies from 44 dementia caregiving evidence-based programs that have demonstrated beneficial outcomes for dementia caregivers within health care and community-based settings. Across all programs, a total of 34 biopsychosocial outcomes were identified. Supported by the commonly used stress-related frameworks (e.g., Stress-Health Process, Cognitive Behavioral Theory) for which the programs were developed, the most frequently utilized program outcomes included: 1) Caregiver stress, strain, and/or burden (84.1%); 2) Caregiver depressive symptomology (79.5%); and 3) Caregiving efficacy, skills, and/or confidence (63.6%). The least common programmatic outcomes included: 1) Access to support information/Community service use (9.1%); 2) Unmet needs (6.8%); and 3) Respite/break from care (2.3%). The lesser utilized outcomes provide critical insight into current evidence-based programmatic priorities and ways in which professionals can seek to fill gaps in dementia caregiving interventions. Discussion will also focus on future directions of caregiver-related outcome assessments.

scholarly journals BEST PRACTICE CAREGIVING: DIFFERENCES AND GAPS AMONG DEMENTIA SUPPORT PROGRAMS FOR FAMILY & FRIEND CAREGIVERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S957-S957
Author(s):  
Julie H Rentsch ◽  
David Bass ◽  
Kathy Kelly ◽  
Katie Maslow ◽  
Alyssa Ciancibello ◽  
...  
Keyword(s):  
End Of Life Care ◽  
Best Practice ◽  
Service Organizations ◽  
Evidence Based ◽  
Dementia Caregivers ◽  
Social Service Organizations ◽  
Evidence Based Programs ◽  
Coping With Illness ◽  
Relationship Of ◽  
The Relationship

Abstract Family members and friends are the main providers of care for persons living with dementia. However, dementia caregivers are at greater risk than other caregivers of experiencing negative caregiving consequences. Despite the development of evidence-based programs to support dementia caregivers, few health or social service organizations offer any of these programs due, in part, to a lack of knowledge about their availability. Best Practice Caregiving is a newly launched website where professionals can get detailed information about these programs. Data collected to develop Best Practice Caregiving are analyzed for a sample of 42 evidence-based dementia caregiving programs to describe similarities and differences among programs including gaps in assistance available from these programs. Results show 64% of programs are delivered to caregivers only while the remaining are delivered to the caregiver and/or persons with dementia. Nearly half (43%) of the 42 programs are delivered in-person, 38% by phone, with 17% delivered all or in part online. Most programs are delivered by professionals (86%) followed by trained lay leaders (40%) and self-guided (12%). Most programs (95%) provide assistance with coping with illness/caregiving and the relationship of the dyad. Fewer than half of the programs assist caregivers with issues regarding finances (45%), end-of-life care (43%), and medical care (40%). Data from 233 delivery organizations show the most common challenge was getting caregivers to accept and complete the program (86%). Delivery sites reported more success with funding the program (mean=8.2 on a scale of 1-10) than with marketing and recruiting participants (mean=6.7).

Suggestions for Advancing Pragmatic Solutions for Dissemination: Potential Updates to Evidence-Based Repositories

2020 ◽  
pp. 089011712093461
Author(s):  
Samantha M. Harden ◽  
Abby Steketee ◽  
Trevin Glasgow ◽  
Russell E. Glasgow ◽  
Paul A. Estabrooks
Keyword(s):  
Health Promotion ◽  
Weight Loss ◽  
Evidence Based ◽  
Dissemination Strategy ◽  
Evidence Based Programs

Evidence-based program repositories (EBPR) report intervention characteristics and how to implement the intervention. These EBPR are a dissemination strategy to address questions such as, “I have cancer, what programs can I join?” or “What evidence-based programs for weight loss are a good fit for my community?” However, these EBPR fall short of realizing their potential and are not seen as particularly interactive, robust, or relevant to stakeholders who may benefit from their content. We propose 2 solutions for existing EBPR to enhance dissemination of evidence-based information. Addressing this critical dissemination need is one strategy for health promotion.

scholarly journals Description and Demo of the Best Practice Caregiving Database on 44 Research Proven Dementia Caregiving Programs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 7-7
Author(s):  
David Bass ◽  
Alyssa Ciancibello ◽  
Rachel Schaffer ◽  
Sara Powers
Keyword(s):  
Family Caregiving ◽  
Best Practice ◽  
Service Organizations ◽  
Evidence Based ◽  
Major Advance ◽  
Dementia Caregiving ◽  
Online Resource ◽  
Service Portfolio ◽  
Research Findings ◽  
Evidence Based Programs

Abstract A major advance in family caregiving has been the development, testing, and community delivery of research-proven, evidence-based support programs for family or friend caregivers of persons living with dementia. This presentation showcases and demos Best Practice Caregiving (BPC), a new online resource with comprehensive profiles for 44 of the top evidence-based dementia caregiving programs that are ready for scaling in communities. For these 44 programs, BPC is a database that presents key research findings with links to all its published articles, comprehensive program descriptions including all implementation features, and survey data on program delivery experiences from 324 healthcare and community organizations that offered the program as a regular part of their service portfolio 2019. BPC enables professionals to make side-by-side comparisons of the 44 programs, with the goal of increasing implementations of these evidence-based programs by healthcare and community service organizations.

scholarly journals An Innovative Approach for Building Health Promotion Program Capacity: A Generic Volunteer Training Curriculum

2007 ◽  
Vol 47 (3) ◽  
pp. 398-403 ◽  
Author(s):  
Ellen C. Schneider ◽  
Mary Altpeter ◽  
Nancy Whitelaw
Keyword(s):  
Health Promotion ◽  
Common Core ◽  
Best Practice ◽  
Evidence Based ◽  
Training Curriculum ◽  
Research Staff ◽  
Program Administrators ◽  
Core Content ◽  
Health Promotion Programs ◽  
The Matrix

Abstract Purpose: We examined the feasibility of creating a generic training curriculum for volunteers in health promotion programs for older adults by identifying common core content topics across 10 national programs. We also considered additional material that could augment common core content topics. Design and Methods: We reviewed in detail program manuals and associated materials from 10 national evidence-based or best practice health promotion programs for older adults that use volunteers. In Phase I, we created a spreadsheet matrix to track and tabulate the frequency of inclusion of elements across all 10 programs. We arrayed elements under appropriate topics, and program administrators reviewed and verified the information. In Phase II, we reviewed the matrix for comprehensiveness and added elements to augment the identified core topics. Program administrators again reviewed the matrix to ensure accuracy. Results: We found 67 elements of core content across 50% or more of the reviewed health promotion programs. We added 17 elements to enhance curriculum comprehensiveness; these included elements that were (a) in less than 50% of the reviewed programs but recommended by research staff, (b) introduced by research staff, or (c) recommended by program administrators. Implications: Although there are many steps, questions, and issues yet to consider, our findings identify a significant body of general core content that supports the feasibility of creating a generic training curriculum for volunteers as an approach to enhance capacity in evidence-based or best practice health promotion programs.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

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