Premium
Creating healthier policies, systems, and environments: Using the CDC CHANGE tool to evaluate the impact of a coalition provided community‐based wellness program
Author(s) -
Simpson Vicki
Publication year - 2020
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12748
Subject(s) - program evaluation , public health , disease control , intervention (counseling) , behavior change , nursing , gerontology , medicine , psychology , environmental health , political science , public administration , pathology
Objectives This manuscript describes policy, systems, and environments (PSE) changes made to support health secondary to a county‐based coalition nurse‐led program targeting vulnerable populations at five community‐based sites in a single rural Midwest county. Design A mixed‐methods pre–post approach was used to evaluate the PSE changes occurring over a 1‐year period secondary to wellness programming. Sample Five community sites including three predominantly manufacturing worksites and two faith‐based sites were included in this study. Measurements The Centers for Disease Control and Prevention Community Health Assessment aNd Group Evaluation tool was used to collect PSE data both at site initiation and 1 year later. Logs kept by program staff which included discussions with site leaders and program participants were also used to measure PSE changes. Intervention Monthly wellness programming which included intentional feedback to site leadership concerning participant feedback and coalition staff observations of the impact of site specific PSEs on healthy lifestyle behaviors. Outcomes Positive changes reflecting improvement in policy and environments were noted for 99.2% of the scores with a total of 13 PSE changes documented across the sites. The greatest change noted related to leadership, indicating increased commitment by site leadership to support health.