Participatory Evaluation Projects

The AzPRC and Community Action Board Members have collaborated in the development and evaluation of numerous health promotion and disease prevention projects over the past 15 years.  A participatory model of evaluation ensures that both community and academic expertise are integrated in the process of identifying meaningful evaluation indicators and tracking them in a culturally appropriate and timely manner. Some of these projects are presented below.

Salud Si

Salud Sí is a promotora-driven health promotion program developed by the Mariposa Community Health Center designed to encourage physical activity, fruit and vegetable consumption and stress reductin among Mexican American women living in a US-Mexico Border community. Mariposa CHC and the AzPRC applied a participatory evaluation framework over a 10-year period thoughout the stages of program development, implementation and sustainability.  Evaluation activities documented significant change in health status, ability to manage stress and sustained healthy behaviors among participants, as documented in the Journal of Family and Community Health.

Ingram, Maia; Piper, Rosalinda; Kunz, Susan; Navarro, Cecilia; Sander, Alicia; Gastelum, Sylvia. Family & Community Health. 35(2):130-138, April/June 2012.

Campesinos Diabetes Management Program (CDMP)

The CDMP was created by Campesinos Sin Fronteras (CSF) in collaboration with the Sunset Community Health Center in Yuma, Arizona to address diabetes self management among farmworkers and their families.  The program sought to build community support by providing ongoing support to people with diabetes through home visits, weekly support groups, client advocacy services, and telephone support.  The AzPRC worked closely with CSF and SCHC in the development and evaluation of the program, which resulted in improved Glycemic Control among support group participants over a one-year period, as documented in the Diabetes Educator.

Maia Ingram, Emma Torres, Flor Redondo, Gail Bradford, Chin Wang, and Mary L. O'Toole.  The Diabetes Educator, June 2007; vol. 33, Supplement 6: pp. 172S-178S. http://tde.sagepub.com/content/33/Supplement_6/172S.

CSF promotores de salud used the participatory evaluation process to document their program in the Promotora Community Health Manual: Developing a Community-Based Diabetes Self Management Program that can be found at the CES-4 Health website. Finally CSF and AzPRC explored the impact of spiritual beliefs on diabetes self management among their participants and the role of promotora de salud as a spiritual helper.  The results of this evaluation study is document at: 

Torres E & Ingram M. Con el favor de Diós: The role of the community health worker as a natural spiritual helper. Counseling and Spirituality. 2009; 28(1):109-127.

Pima County Communities Putting Prevention to Work

Pima County Health Department and Activate Tucson have received a Communities Putting Prevention to Work Grant from the Centers of Disease Control to increase physical activity and improve nutrition in Pima County by ensuring that residents have convenient and affordable access to safe, high-quality parks and recreation facilities; residents have improved access to affordable, healthy, locally produced food through the fostering of private and community gardens, composting cooperatives, farmers markets, and food cooperatives; schools serve as centers of wellness for students, staff, and the surrounding neighborhoods; wellness education and health promotion practices are incorporated into workplaces, health and human services organizations, and faith-based settings; and residents enjoy restaurants that provide them with information that helps them make healthy food choices. The Arizona Prevention Research Center is the evaluation partner for the Pima County CPPW and will be working with local partners to answer the following evaluation questions:

1. How do locally-driven efforts to bring multi-faceted strategies, resources and connections to communities impact environmental and systems-level factors related to nutrition and physical activity? 2. How do locally-driven priorities and achievements influence broader policy and systems-level change at a district, city, county, state or Federal level?

In addition to the Pima County Health Department, CPPW partners include the the YMCA, the Community Food Bank, United Way, ProNeighborhoods, Carondelet Health Care, St. Elizabeth’s Health Center, the UofA Drachman Institute and the UofA Department of Nutritional Sciences.

CPPW Final Evaluation Reports

  1. Pima County CPPW Faith-Based Final Report
  2. Pima County CPPW Youth and Out of School Final Report
  3. Pima County CPPW Child Care Programs Final Report
  4. Pima County CPPW Schools Final Report
  5. Pima County CPPW Target Area Final Report
  6. Pima County CPPW Vending Final Report

School Health Assessment

As part of the CPPW initiative, a county-wide approach was used to foster the implementation of Coordinated School Health. These efforts included the use of several best practices, including the designation of Wellness Coordinator, formation of School Health Advisory Councils, and assessment of: 1) current health risk behaviors of Pima County high school students, 2) the health environment of Pima County schools, and 3) district Local Wellness Policies. 

  1. Pima 2010 Youth Risk Behavior Survey
  1. Pima 2010-2011 Wellness Self-Assessment Tool (WellSAT)

Community Health Profiles

  1. Ajo Community Profile
  2. Amphi/Mountain View Community Profile
  3. Balboa Heights, El Cortez, Coronado Heights, Keeling, Northwest, Miracle Mile Community Profile
  4. Doolen, Fruitvale & Dodge Flower Community Profile
  5. Flowing Wells Community Profile
  6. Garden District Community Profile
  7. Marana Community Profile
  8. Menlo Park Community Profile
  9. Sahuarita Community Profile
  10. South Park, Las Vistas & Pueblo Gardens Community Profile
  11. South Tucson Community Profile
  12. Summit View Community Profile
  13. Sunnyside – Elvira Community Profile
  14. Vail Community Profile
  15. Wakefield Community Profile

 

Salud Para Todos Evaluation

Salud Para Todos is a health promotion program funded by the Office Of Minority Health to Campesinos Sin Fronteras (CSF), located in Somerton, Arizona. In partnership with Sunset Community Health Center (SCHC), also a AzPRC partner, SPT incorporates four strategies to promote chronic disease prevention to farmworkers and their families, 1) outreach and education in agricultural workplaces; 2) family health promotion education in a 12 week curriculum 3) parent leadership and advocacy training and 4) building bridges between the community and the community health clinic to improve access to care. The Mel and Enid Zuckerman College of Public Health provides technical assistance in all aspects of the program and oversees evaluation activities. MEZCOPH, CSF and SCHC have engaged in participatory evaluation of the family health curriculum using pre/post tests, the parent leadership curriculum using retrospective pre tests and indepth interviews; and improved access to care through cultural competency training evaluation and patients satisfaction surveys. In addition MEZCOPH worked collaboratively with CSF to finalize the leadership and advocacy curriculum.

Mariposa Community Health Center Healthy Start Evaluation

The purpose of this contract is to provide technical assistance in program development and evaluation to the Mariposa Community Health Center (MCHC) in the development and implementation of Healthy Start, a promotora-based perinatal program. MEZCOPH assists with program development, conceptualization and realization of process and outcome evaluation, instrument development, data analysis and reporting. Activities include: Oversight of implementation of the evaluation plan, instrument development, data collection and management, and analysis and reporting; Development of a client database, staff training on data entry and data management, and ongoing maintenance of data management system.

Arizona Coordinated School Health

The Arizona Department of Education, in partnership with the Arizona Department of Health Services, was awarded funding by the Centers for Disease Control and Prevention’s Division of Adolescent and School Health in 2003 to promote Coordinated School Health in Arizona with a special emphasis on physical activity, nutrition and tobacco. The goals of the AzCSHP are to build infrastructure and capacity at the state, school, and community levels for Coordinated School Health, provide professional development opportunities, and to reduce health disparities amongst Arizona’s youth. The Center is a technical assistance and evaluation partner, contributing to strategic planning, work plan activities, professional development efforts, dissemination of surveillance data, and conducting local evaluation, as well as collaborating on technical assistance to schools and communities.

Yuma First Things First Parent Education

As part of First Things First efforts in Yuma County, the Yuma County Public Health Services (YCPHSD) was awarded funding to conduct outreach and education to parents of children ages 0 -5. The YCPHSD will provide education in homes and in the community setting. The Center is conducting technical assistance and local evaluation for this project.