Collaborative Data Collection Analysis and Dissemination June 26
Collaborative Data Collection, Analysis, and Dissemination June 26, 2013 Sandra J Winter, Ph. D, MHA Jylana L Sheats, Ph. D, MPH Dominique Cohen, MA, MFTI Stanford Prevention Research Center Stanford University School of Medicine
Overview • Icebreaker • Introductions – Us – You • Background to our project • Learning Objectives - working collaboratively to: – Collect data – Analyze data – Disseminate project results • Success: strategies and measures • Interactive section – Problem solving strategies – Challenges and Benefits – Lessons learned • Concluding thoughts © Stanford University, 2013 Stanford Prevention Research Center
ICEBREAKER © Stanford University, 2013 Stanford Prevention Research Center
Run around the table if……… • You did some type of physical activity in the past week • You came here using public transport • You have eaten fruits AND vegetables today • You had sufficient sleep last night © Stanford University, 2013 Stanford Prevention Research Center
Introductions © Stanford University, 2013 Stanford Prevention Research Center
Us • Sandra J Winter, Ph. D, MHA • Jylana L Sheats, Ph. D, MPH • Dominique Cohen, MA, MFTI © Stanford University, 2013 Stanford Prevention Research Center
You • • Name Your Organization Your CBPR experience What you hope to accomplish at this session © Stanford University, 2013 Stanford Prevention Research Center
Background © Stanford University, 2013 Stanford Prevention Research Center
Neighborhood Eating and Activity Advocacy Team (NEAAT) • Build capacity for change through community partnerships • Train seniors to be advocates for improved neighborhood designs that promote health • Disseminate findings to policy makers © Stanford University, 2013 Stanford Prevention Research Center
Community-Based Participatory Research San Mateo County Housing coalitions -health; aging; transportation; housing -Mid. Pen Housing Corp SPRC Housing management and residents Other community organizations -Housing Site A (EPA), - Housing Site B (Daly City) Funding Agency - Office of Community Health, Stanford University © Stanford University, 2013 Stanford Prevention Research Center
NEAAT Process • Initial Study Period – August 2010 – May 2011 • Formed Community Advocacy Teams (CAT) • CAT members: – Identified neighborhood features – Prioritized issues to tackle – Adopted a solution-oriented approach © Stanford University, 2013 Stanford Prevention Research Center
Setting • Two affordable senior housing sites, San Mateo Co – Housing Site A (74 units) - primarily African American – Housing Site B (77 units) - primarily Filipino • Managed by Mid. Pen Housing Corporation © Stanford University, 2013 Stanford Prevention Research Center
NEAAT CAT Demographics Housing Site A Housing Site B N (originally interested) N (sustained participation) Mean age (years) 24 12 71. 7 19 11 72. 3 Female (%) Black (%) Asian (%) Other (%) 83. 3 75 25 72. 1 27. 3 63. 6 9. 1 High school or less (%) More than high school (%) 58. 3 41. 7 36. 4 63. 6 © Stanford University, 2013 Stanford Prevention Research Center
Learning Objectives © Stanford University, 2013 Stanford Prevention Research Center
Learning Objectives 1. Describe different strategies guiding collaboration in data collection 2. Describe different strategies for collaborative data analysis 3. Describe different approaches to collaborative dissemination of project results © Stanford University, 2013 Stanford Prevention Research Center
Overview: Collaborative Data Collection • Types of Data Gathered by CAT members: • • Assessment of neighborhood built environment Assessment of neighborhood food environment Surveys of residents of housing sites Pedestrian and vehicle street counts © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Collection (4 total): #1: Assessment of Neighborhood Built Environment • Used mobile phones, hand held audio recorders and pen and paper notes • Led to the development of the Stanford Healthy Neighborhood Discovery Tool © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Collection: #2: Assessment of Neighborhood Food Environment • Perception that local stores did not stock fruits and vegetables • Conducted a survey of fruits and vegetables available in local stores • Based on a well validated research tool – the Nutritional Environmental Measures Survey (NEMS) © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Collection: #3: Surveys of Other Residents • How many times a week do you cross this street? • At what time of day do you usually cross this street? • What are the main reasons you cross this street? © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Collection: #4: Street counts • Partnered with a youth organization • Counted vehicle and pedestrian traffic • Different times of the day © Stanford University, 2013 Stanford Prevention Research Center
Overview: Strategies for Collaborative Data Analysis • Reviewing the data • Collective problem identification • Prioritizing the issues © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Analysis • Participants met to review all the data gathered • Wrote all issues noted on big post-it notes • Gave people stickers to vote on the issues they thought were most important © Stanford University, 2013 Stanford Prevention Research Center
Collaborative Data Analysis • Prioritized issues to address using the feasibility and importance table © Stanford University, 2013 Stanford Prevention Research Center
Example Issue Identified and Actions Taken • Unsafe to cross busy streets • Actions taken: – Surveyed residents about street use – Counted pedestrian and vehicle traffic – either themselves or in partnership with a local youth group – Got letter of support from local businesses – Engaged in dialogue with local city planners Stanford Prevention © Stanford University, 2013 Research Center
Example Issue Identified and Actions Taken • Limited access to fresh produce • Actions taken: – Reinvigorated a neglected backyard garden – Obtained “Fresh Checks” for local Farmers Market – Held cooking classes – Raised awareness of available fresh produce – Held “potluck” dinners to promote healthy eating © Stanford University, 2013 Stanford Prevention Research Center
Overview: Collaborative Dissemination of Project Results • Community meeting • Media coverage of the NEAAT project • Dialogue with policy makers © Stanford University, 2013 Stanford Prevention Research Center
Community Meeting • Hosted by the San Mateo County Health System • Attended by representatives from – Stanford University – various non profit organization – various healthcare systems • Residents from each housing site presented – 3 collectively identified issues – their solution oriented approach © Stanford University, 2013 Stanford Prevention Research Center
Media Coverage • Article about the • http: //med. stanford. e NEAAT project du/ism/2011/august/ produced by runnymede. html Spectrum and available on-line and in print in Inside Stanford Medicine • Video produced by Spectrum available on You. Tube © Stanford University, 2013 Stanford Prevention Research Center
Meetings with Policy Makers • Initial and ongoing dialogue with various City Planners Brent Butler, AICP, CFM City Planner for East Palo Alto Meeting with residents © Stanford University, 2013 Stanford Prevention Research Center
Success © Stanford University, 2013 Stanford Prevention Research Center
Strategies for Success • • Enlist a “Champion for Change” Develop community capacity and skills Foster community ownership of projects Build strong relationships Engage with policy makers Actively pursue sustainability Set realistic expectations for all © Stanford University, 2013 Stanford Prevention Research Center
Measuring Success Short-Term: Long-Term: • Residents learned advocacy skills • Partnerships developed • Initial engagement with policy makers • Allocation of government $ to tree planting, sidewalk improvements etc • On-going use of advocacy skills • Partnerships sustained • Continued dialogue with policy makers • Allocation of government $ to update the general plan so that public health is targeted in future planning © Stanford University, 2013 Stanford Prevention Research Center
Interactive Section © Stanford University, 2013 Stanford Prevention Research Center
Now it’s your turn …… In small groups discuss your CBPR projects • What challenges have you experienced? • What problem solving strategies did you employ? • What lessons did you learn? • What benefits does a CBPR approach offer? © Stanford University, 2013 Stanford Prevention Research Center
Conclusions • Data gathering – Develop partnerships at different levels – Gather data from various sources using mixed methods • Data analysis – Use simple decision making paradigms – Don’t underestimate community capabilities • Data dissemination – Harness communication skills of community members – Use multiple methods (on-line, print, social media, etc) © Stanford University, 2013 Stanford Prevention Research Center
Acknowledgements • • Abby C King, Ph. D Matt Buman, Ph. D Brent Butler, AICP, CFM Dominique Cohen, MA, MFTI Kevin Pieritti Cathleen Baker, MPP Rhonda Mc. Clinton Brown, MPH Jill Evans, MPH © Stanford University, 2013 Stanford Prevention Research Center
Project Funding • Principal Investigator: Abby C King, Ph. D • Funded by the National Center for Research Resources and the National Center for Advancing Translational Sciences, NIH, through UL 1 RR 025744 • Awarded through the Office of Community Health, Stanford University School of Medicine. © Stanford University, 2013 Stanford Prevention Research Center
Thank you © Stanford University, 2013 Stanford Prevention Research Center
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