Promoting policy, systems, and environment change to prevent chronic disease: Lessons learned from the king county communities putting prevention towork initiative

12Citations
Citations of this article
87Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Context: Initiatives that convene community stakeholders to implement policy, systems, environment, and infrastructure (PSEI) change have become a standard approach for promoting community health. Objective: To assess the PSEI changes brought about by the King County, Washington, Communities Putting Prevention to Work initiative and describe how initiative structures and processes contributed to making changes. Design: The impact evaluation used a logic model design, linking PSEI changes to longer-term behavioral impacts in healthy eating active living and tobacco use and exposure. Qualitative methods, including stakeholder interviews and surveys, were used to identify initiative success factors. Setting: Communities Putting Prevention to Work activities occurred throughout King County, with a focus on 7 low-income communities in South Seattle/King County. Participants: The focus communities had a combined population of 652 000, or 35% of the county total, with lower incomes and higher rates of physical inactivity, tobacco use, poor diet, and chronic disease. Intervention: Twenty-four PSEI strategies were pursued by organizations in sectors including schools, local governments, and community organizations, supported by the public health department. There were 17 healthy eating active living strategies (eg, enhancements to school menus, city planning policies) and 7 tobacco strategies (eg, smoke-free policies in schools, housing, and hospitals). Main Outcome Measure: PSEI changes made and numbers of residents reached. Results: Twenty-two of the 24 strategies achieved significant progress toward implementing PSEI changes. The most common success factor was a "dyad" consisting of a dedicated technical assistance provider-either an outside consultant or public health department staff-working closely with a champion from the participating organizations to bring about PSEI changes. Conclusions: An initiative structure that creates and supports external consultant/internal organizational champion dyads in key community sectors offers a promising approach that may be adopted by similar community health efforts in the future.

References Powered by Scopus

An Ecological Perspective on Health Promotion Programs

5538Citations
N/AReaders
Get full text

An ecological approach to creating active living communities

2394Citations
N/AReaders
Get full text

Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation

966Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Diabetes and the Built Environment: Evidence and Policies

32Citations
N/AReaders
Get full text

Long-term exposure to residential surrounding greenness and incidence of diabetes: A prospective cohort study

16Citations
N/AReaders
Get full text

Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers

15Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Cheadle, A., Cromp, D., Krieger, J. W., Chan, N., McNees, M., Ross-Viles, S., … MacDougall, E. (2016). Promoting policy, systems, and environment change to prevent chronic disease: Lessons learned from the king county communities putting prevention towork initiative. Journal of Public Health Management and Practice, 22(4), 348–359. https://doi.org/10.1097/PHH.0000000000000313

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 42

75%

Researcher 10

18%

Professor / Associate Prof. 2

4%

Lecturer / Post doc 2

4%

Readers' Discipline

Tooltip

Nursing and Health Professions 18

37%

Social Sciences 17

35%

Medicine and Dentistry 12

24%

Agricultural and Biological Sciences 2

4%

Save time finding and organizing research with Mendeley

Sign up for free