Abstract
To describe the participatory approach used to develop “Good For The Neighborhood” (GFTN), a community program to improve the health of four underserved communities. A core program was developed involving a “park and stay” approach to impact four underserved predominately minority communities (two predominately African American, 1 predominately Latino, and the Seneca Nation of Indians). The core program includes health screenings, risk assessments, health education, and exposure to health services. An extensive tracking and evaluation system was developed to determine participation and impact on the community. Multi-methods (key informant interviews, focus groups, surveys) were implemented to gain feedback from community partners and participants as to how to adopt the program to meet the needs of the community. GFTN has been sustained for over 3 years and has reached over 3,500 predominately minority individuals in four communities with 1/3 of participants engaging regularly in the program. The program has evolved in the four communities to meet specific needs. A “park and stay” approach in partnership with the community has led to a strong program that community partners and residents embrace. Community ownership and social networking, including word-of-mouth from residents is essential to establishing a successful program.
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Shi, L., & Macinko, J. (2008). Changes in medical care experiences of racial and ethnic groups in the United States, 1996–2002. International Journal of Health Services, 38(4), 653–670.
DeVoe, J. E., Wallace, L. S., Pandhi, N., Solotaroff, R., & Fryer, G. E., Jr. (2008). Comprehending care in a medical home: A usual source of care and patient perceptions about healthcare communication. J Am Board Fam Med, 21(5), 441–450.
Blustein, J., Valentine, M., Mead, H., & Regenstein, M. (2008). Race/Ethnicity and patient confidence to self-manage cardiovascular disease. Medical Care, 46(9), 924–929.
Smedley, B. D., Stith, A. Y., Nelson, A. R., & Institute of Medicine (US). (2003). Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal treatment : Confronting racial and ethnic disparities in health care. Washington, DC: National Academy Press.
Pan, L., Galuska, D. A., Sherry, B., Hunter, A. S., Rutledge, G. E., & Dietz, W. H. (1999). Differences in prevalence of obesity among black, white, and hispanic adults—United States, 2006–2008. Atlanta: Department of Health and Human Services.
Wagner, E. H., Austin, B. T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. Milbank Quarterly, 74(4), 511–544.
Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic illness? Eff Clin Pract, 1(1), 2–4.
Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Aff (Millwood), 20(6), 64–78.
Erwin, D. O., Ivory, J., Stayton, C., Willis, M., Jandorf, L., Thompson, H., et al. (2003). Replication and dissemination of a cancer education model for African American women. Cancer Control, 10(5 Suppl), 13–21.
Erwin, D. O., Spatz, T. S., Stotts, R. C., & Hollenberg, J. A. (1999). Increasing mammography practice by African American women. Cancer Pract, 7(2), 78–85.
Erwin, D. O., Spatz, T. S., Stotts, R. C., Hollenberg, J. A., & Deloney, L. A. (1996). Increasing mammography and breast self-examination in African American women using the Witness Project model. Journal of Cancer Education, 11(4), 210–215.
Sawyer, S. M., & Shah, S. (2004). Improving asthma outcomes in harder-to-reach populations: Challenges for clinical and community interventions. Paediatric Respiratory Reviews, 5(3), 207–213.
Wood, P., Tumiel-Berhalter, L., Owen, S., Taylor, K., & Kattan, M. (2006). Implementation of an asthma intervention in the inner city. Annals of Allergy, Asthma & Immunology, 97(1 Suppl 1), S20–S24.
Parker, E. A., Israel, B. A., Williams, M., Brakefield-Caldwell, W., Lewis, T. C., Robins, T., et al. (2003). Community action against asthma: Examining the partnership process of a community-based participatory research project. Journal of General Internal Medicine, 18(7), 558–567.
Centers for Disease Control and Prevention. (2005). Reducing childhood asthma through community-based service delivery, New York City, 2001-2004. MMWR Morbidity & Mortality Weekly Report, 54(1), 11–14.
Bishaw, A., & Semega, J. (2008). Income, earnings, and poverty: Data from the 2007 American Community Survey, Washington, DC.
US Census. American Fact Finder. http://factfinder.census.gov.
The Western New York Public Health Alliance. (2005). The Western New York Health Risk Assessment (HRA) Update, 2004–2005. Buffalo: State University of New York at Buffalo.
US Department of Health and Human Services. (2010). Healthy People. 2nd ed. With understanding and improving health and objectives for improving health, Vol. 2, Washington, DC.
Acknowledgments
The Good for the Neighborhood program is funded by Independent Health Association, The John R. Oishei Foundation, and Astra Zeneca. We would like to thank all community partners that have contributed to the success of GFTN especially West Side Community Services, The Niagara Falls Housing Authority, and the Seneca Nation of Indians. Most importantly, we’d like to thank the participants of the GFTN program.
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Tumiel-Berhalter, L.M., Kahn, L., Watkins, R. et al. The Implementation of Good for the Neighborhood: A Participatory Community Health Program Model in Four Minority Underserved Communities. J Community Health 36, 669–674 (2011). https://doi.org/10.1007/s10900-011-9358-6
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DOI: https://doi.org/10.1007/s10900-011-9358-6