Abstract
This study explores the extent to which teen participants in a youth development program had a greater empowerment self-connectedness, intrapersonal, and interpersonal skills after participating in the program. Findings from 2 years of a youth development program in East Cleveland, Ohio, are reported. A collaborative health navigator model was used to increase connectedness, empowerment, improve health care access, and ultimately prevent health disparities. Pre-test and post-test surveys covering two 10-month periods for two cohorts of teens collected standardized data on teens’ (N = 31) senses of empowerment and connectedness. Focus groups were conducted with both health navigators and teen ambassadors about their experiences with the program and its impact. The quantitative findings were mixed, but qualitative findings suggested that the program helped the teens develop a sense of personal empowerment through increased intrapersonal and interpersonal skills. While long-term research including control groups is needed, the findings suggest that targeted teen programming can be a useful tool in the battle against health disparities.
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Alberts, A., Christiansen, E., Chase, P., Naudeau, S., Phelps, E., Lerner, R. (2016). Qualitative and quantitative assessments of thriving and contribution in early adolescence: Findings from the 4-H Study of Positive Youth Development. Retrieved October 20, 2016, from https://www.researchgate.net/publication/228841358_Qualitative_and_quantitative_assessments_of_thriving_and_contribution_in_early_adolescence_Findings_from_the_4-H_Study_of_Positive_Youth_Development
Anderson, M., Smith, L., & Sidel, V. (2005). What is social medicine? Monthly Review,56, 27–34.
Bandy, T., & Moore, K. (2009). Non-participation of children and adolescents in out-of-school time programs: Child, family and neighborhood factors. Washington, DC: Child Trends.
Basch, C. (2011). Healthier students are better learners: A missing link in school reforms to close the achievement gap. The Journal of School Health,81, 593–598.
Bierman, A., & Dunn, J. (2006). Swimming upstream. Journal of General Internal Medicine,21, 99–100. https://doi.org/10.1111/j.1525-1497.2005.00317.x.
Bolland, J., & McCallum, D. (2002). Neighboring and community mobilization in high-poverty inner-city neighborhoods. Urban Affairs Review,38, 42–69. https://doi.org/10.1177/107808702401097790.
Catalano, R., Berglund, M., Ryan, J., Lonczak, H., & Hawkins, D. (2004). Positive youth development in the United States: Research findings on evaluations of positive youth development programs. The ANNALS of the American Academy of Political and Social Science,591, 98–124. https://doi.org/10.1177/0002716203260102.
Centers for Disease Control and Prevention. (2010). Establishing a holistic framework to reduce inequities in HIV, viral hepatitis, STDs, and tuberculosis in the United States. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention. (n.d.). Adolescent health. Retrieved February 23, 2017, from https://www.cdc.gov/nchs/fastats/adolescent-health.htm.
Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research. Thousand Oaks, CA: SAGE.
Dean, H., Williams, K., & Fenton, K. (2013). From theory to action: Applying social determinants of health to public health practice.Public Health Reports,128, 1–4.
Dymnicki, A., Menestrel, S., Boyd, M., Lauxman, L., Oberlander, S., & Osher, D. (2016). Developing a federal research agenda for positive youth development: Identifying gaps in the field and an effective consensus building approach. Journal of Youth Development,11, 5–19. https://doi.org/10.5195/jyd.2016.430.
Fiscella, K., & Kitzman, H. (2009). Disparities in academic achievement and health: The intersection of child education and health policy.Pediatrics,123, 1073–1080. https://doi.org/10.1542/peds.2008-0533.
Gottlieb, L., Fielding, J., & Braveman, P. (2012). Health impact assessment: Necessary but not sufficient for healthy public policy.Public Health Reports,127, 156–162. https://doi.org/10.1177/003335491212700204.
Horowitz, C., & Lawlor, E. (2008). Community approaches to addressing health disparities. Institute of Medicine, challenges and successes in reducing health disparities: Workshop summary (pp. 161–192). Washington, DC: The National Academies Press.
Irwin, A., & Scali, E. (2007). Action on the social determinants of health: A historical perspective. Global Public Health,2, 235–256. https://doi.org/10.1080/17441690601106304.
Iwasaki, Y. (2016). The role of youth engagement in positive youth development and social justice youth development for high-risk, marginalised youth. International Journal of Adolescence and Youth,21, 267–278. https://doi.org/10.1080/02673843.2015.1067893.
Jennings, L. B., Parra-Medina, D. M., Hilfinger-Messias, D. K., & McLoughlin, K. (2006). Toward a critical social theory of youth empowerment. Journal of Community Practice,14, 31–55. https://doi.org/10.1300/J125v14n01_03.
Karcher, M. (2011). The hemingway: Measure of adolescent connectedness (adolescent version 5.5): A manual for scoring and interpretation. San Antonio, TX: University of Texas.
Kreatsoulas, C., Hassan, A., Subramanian, S., & Fleegler, E. (2015). Social disparities among youth and the impact on their health. Adolescent Health, Medicine and Therapeutics,6, 37–45.
Lawrence, R., Gootman, J., & Sim, L. (2009). Adolescent health services: Missing opportunities. Washington, DC: The National Academies Press.
Link, B., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior. https://doi.org/10.2307/2626958.
Merzel, C., & D’Afflitti, J. (2003). Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health,93, 557–574. https://doi.org/10.2105/ajph.93.4.557.
Miller, D. B., & Townsend, A. L. (2005). Urban hassles as chronic stressors and adolescent mental health: The Urban Hassles Index.Brief Treatment and Crisis Invention,5, 85–94. https://doi.org/10.1093/brief-treatment/mhi00.
Mulye, T., Park, M., Nelson, C., Adams, S., Irwin, C., & Brindis, C. (2009). Trends in adolescent and young adult health in the United States. The Journal of Adolescent Health,45, 8–24. https://doi.org/10.1016/j.jadohealth.2009.03.013.
National Adolescent and Young Adult Health Information Center (NAHIC). (2014). A guide to evidence-based programs for adolescent health: Programs, tools, and more the national adolescent and young adult health information center presents. Retrieved January 7, 2020, from http://nahic.ucsf.edu/wp-content/uploads/2014/08/Evidence-Based-Guide.pdf.
Navarro, A., Voetsch, K., Liburd, L., Bezold, C., & Rhea, M. (2007). Recommendations for future efforts in community health promotion: Report of the national expert panel on community health promotion. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health.
Patton, M. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research,34, 1189–1208.
Ramirez, L., Baker, E., & Metzler, M. (2008). Promoting health equity: A resource to help communities address social determinants of health. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
Roth, J., & Brooks-Gunn, J. (2003). What exactly is a youth development program? Answers from research and practice. Applied Developmental Science,7, 92–109. https://doi.org/10.1080/10888691.2015.1113879.
Roth, J., & Brooks-Gunn, J. (2015). Evaluating youth development programs: Progress and promise. Applied Developmental Science,20, 188–202. https://doi.org/10.1080/10888691.2015.1113879.
Schorr, L. & Marchand, V. (2007). Pathway to children ready for school and succeeding at third grade. Pathways Mapping Initiative. Retrieved February 23, 2017, from http://first5shasta.org/wp-content/uploads/2013/07/PathwayFramework9-07.pdf.
Schuessler, K. (1982). Measuring social life feelings. San Francisco: Jossey-Bass.
Shell, D. F., & Husman, J. (2001). The multivariate dimensionality of personal control and future time perspective beliefs in achievement and self-regulation. Contemporary Educational Psychology,26(4), 481–506. https://doi.org/10.1006/ceps.2000.1073.
Sweet, M., & Moynihan, R. (2007). Improving population health: The uses of systematic reviews. New York: Milbank Memorial Fund.
Tarlov, A. (1999). Public policy frameworks for improving population health. Annals of the New York Academy of Sciences,896, 281–293. https://doi.org/10.1111/j.1749-6632.1999.tb08123.x.
Tountas, Y. (2009). The historical origins of the basic concepts of health promotion and education: The role of ancient Greek philosophy and medicine. Health Promotion International,24, 185–192. https://doi.org/10.1093/heapro/dap006.
Tucker, P. & Navarro A. (2007). Real-world challenges of promoting community health. Preventing Chronic Disease, 4. Retrieved February 21, 2017, from http://www.cdc.gov/pcd/issues/2007/jul/07_0010.htm.
U.S. Census Bureau. (2015). American FactFinder. Retrieved February 24, 2017, from https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml.
Viner, R., Ozer, E., Denny, S., Marmot, M., Resnick, M., Fatusi, A., & Currie, C. (2012). Adolescence and the social determinants of health.Lancet,379, 1641–1652.
Walker, J., Gambone, M., & Walker, K. (2011). Reflections on a century of youth development research and practice. Journal of Youth Development,6, 8–19.
Warnecke, R., Oh, A., Breen, N., Gehlert, S., Paskett, E., Tucker, K., … Hiatt, R. (2008). Approaching health disparities from a population perspective: The National Institutes of Health centers for population health and health disparities. American Journal of Public Health, 98, 1608–1615. https://doi.org/10.2105/ajph.2006.102525.
World Health Organization: About Social Determinants of Health. (2019). Retrieved August 28, 2019, from World Health Organization: Social determinants of health website. http://www.who.int/social_determinants/sdh_definition/en/.
World Health Organization: Constitution. (2019). Retrieved August 28, 2019, from World Health Organization: Constitution website. https://www.who.int/about/who-we-are/constitution
Acknowledgements
Funding for this work was provided by the Cleveland Clinic Foundation through the Kresge Foundation’s Safety Net Enhancement Initiative. We appreciate the assistance of Jess Rudolph at the Center on Urban Poverty and Community Development at Case Western Reserve University. We are grateful to Sarah May, Brad Powell, and Agnes Akite who assisted with data entry and data analysis.
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Kresge Foundation funded the original research.
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Collins, C.C., Sage, P., DeRigne, L. et al. Sense of Self, Empowerment, and Interpersonal Skills Among African American Teens in East Cleveland, Ohio. Child Adolesc Soc Work J 37, 137–152 (2020). https://doi.org/10.1007/s10560-019-00646-3
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DOI: https://doi.org/10.1007/s10560-019-00646-3