Abstract
Introduction
Community-academic partnerships (CAPs) aim to improve neighborhood population health. Though measuring the impact of partnership activities at a population level can be difficult, evaluating indicators of wellbeing may increase understanding of how communities benefit from CAPs. This study examined child health indicators over time in two low-income, predominantly Black/African American and Hispanic communities where partnerships between an academic child development center and community coalitions were formed with the intention of improving child well-being.
Methods
Trends in three child wellbeing indicators (graduation rates, kindergarten readiness, and proportion of youth in school and/or employed) were compared between two CAP communities and several neighboring comparison communities. Data between 2011 and 2017 were analyzed to calculate percent change from baseline and mapped using ArcGIS to visualize trends by zip code. Proportions of youth meeting benchmarks were also determined.
Results
Kindergarten readiness and high-school graduation rates improved in CAP communities but not in geographically proximal and socioeconomically similar comparison communities. No improvements were found in the proportion of youth in school or employed.
Discussion
This study revealed population-level indicators improved over time in CAP communities. Because community-level child health and wellbeing are influenced by many factors, this correlation is not proof of a causal relationship. Assessing population level indicators can nonetheless provide insight into the benefit of CAPs, and the commitment to monitoring such outcomes can itself advance how academic and community partners plan activities and set long-term goals.
References
Altman, D. G. (1995). Sustaining interventions in community systems: On the relationship between researchers and communities. Health Psychology, 14(6), 526–536. https://doi.org/10.1037//0278-6133.14.6.526
ACS (American Community Survey). (2017). U.S. Census Bureau: Selected housing characteristics, 2012–2017. American Community Survey 5-Year Estimates. Retrieved from https://www.census.gov/programs-surveys/acs.
Barnett, M. L., Davis, E. M., Callejas, L. M., White, J. V., Acevedo-Polackovich, I. D., Niec, L. N., & Jent, J. F. (2016). The development and evaluation of a natural helper’s training program to increase the engagement of urban, Latina/o families in parent-child interaction therapy. Children and Youth Services Review, 65, 17–25.
Bergman, D. A., & Beck, A. (2011). Moving from research to large-scale change in child health care. Academic Pediatrics, 11(5), 360–368. https://doi.org/10.1016/j.acap.2011.06.004
Chou, T., & Frazier, S. L. (2020a). Supporting ethical practice in community-engaged research with 4R: Respond, Record, Reflect, and Revise. Ethics & Behavior, 30(5), 311–325. https://doi.org/10.1080/10508422.2019.1645665
Chou, T., & Frazier, S. L. (2020b). CORE: Compassion oriented reflection and engagement to guide academic-community partnership. Journal of Participatory Research Methods, 1(1), 13314. https://doi.org/10.35844/001c.13314
ConnectFamilias. (n.d.) ConnectFamilias: About us. Retrieved October 12, 2020 from https://www.connectfamilias.org/index.html.
Drahota, A. M., Meza, R. D., Brikho, B., Naaf, M., Estabillo, J. A., Gomez, E. D., Vejnoska, S. F., Dufek, S., Stahmer, A. C., & Aarons, G. A. (2016). Community-academic partnerships: A systematic review of the state of the literature and recommendations for future research. The Milbank Quarterly, 94(1), 163–214. https://doi.org/10.1111/1468-0009.12184
ESRI. (2011). ArcGIS desktop: Release 10. Redlands: Environmental Systems Research Institute.
Fagan, A. A., Bumbarger, B. K., Barth, R. P., Bradshaw, C. P., Cooper, B. R., Supplee, L. H., & Walker, D. K. (2019). Scaling up evidence-based interventions in US public systems to prevent behavioral health problems: Challenges and opportunities. Prevention Science, 20(8), 1147–1168. https://doi.org/10.1007/s11121-019-01048-8
FLDOE (Florida Department of Education). (2019a). PK-20 educational information portal: High school graduation rates. Retrieved from https://edstats.fldoe.org/SASPortal/main.do.
FLDOE (Florida Department of Education). (2019b). Florida kindergarten readiness screener. Retrieved from http://www.fldoe.org/accountability/assessments/k-12-student-assessment/flkrs/.
Llano, G., Kumnick, A., Bryant, J. P., Torres, N., Brosco, J., & Schenker, M. (2020). Changing needs of individuals with disabilities in the time of COVID-19 as observed by a family navigation program in Miami, FL. Developmental Disabilities Network Journal, 1(2), 6.
Natale, R., Sudduth, C., Dowling, M., Messiah, S., Nunez, C., & Schladant, M. (2020). The development of an assistive technology toolkit for early literacy instruction. Assistive Technology Outcomes & Benefits, 14, 36–51.
OCYC (Overtown Children and Youth Coalition). (2015). Overtown children and youth coalition master plan 2015–2025. Retrieved from https://overtowncyc.org/master-plan.
Pellecchia, M., Mandell, D. S., Nuske, H. J., Azad, G., Benjamin Wolk, C., Maddox, B. B., Reisinger, E. M., Skriner, L. C., Adams, D. R., Stewart, R., & Hadley, T. (2018). Community–academic partnerships in implementation research. Journal of Community Psychology, 46(7), 941–952. https://doi.org/10.1002/jcop.21981
Renaissance Learning. (2017). Star assessments for early literacy: Technical manual. Retrieved from https://help.renaissance.com/US/PDF/SEL/SELRPTechnicalManual.pdf.
Sanchez, A. L., Jent, J., Aggarwal, N., Chavira, D., Coxe, S., Garcia, D., LaRoche, M. & Comer, J. S. (2021). Person-centered cultural assessment can improve child mental health service engagement and outcomes. Journal of Clinical Child and Adolescent Psychology. https://doi.org/10.1080/15374416.2021.1981340.
Szilagyi, P. G., Shone, L. P., Dozier, A. M., Newton, G. L., Green, T., & Bennett, N. M. (2014). Evaluating community engagement in an academic medical center. Academic Medicine, 89(4), 585–595. https://doi.org/10.1097/ACM.0000000000000190
Taylor, Y. J., & Nies, M. A. (2013). Measuring the impact and outcomes of maternal child health federal programs. Maternal and Child Health Journal, 17(5), 886–896. https://doi.org/10.1007/s10995-012-1067-y
The Bridgespan Group. (2012). Needle-moving collective impact guide: Community collaborative life stages. Retrieved from http://www.bridgespan.org/Publications-and-Tools/Revitalizing-Communities/CommunityCollaboratives/Guide-Community-Collaborative-Life-Stages.aspx#.VlMp6emfu0s.
TCT (The Children’s Trust). (2018) The children’s trust fiscal year 2017–2018 annual report to the board of county commissioners Miami-Dade county as of December 2018. Retrieved from https://www.thechildrenstrust.org/sites/default/files/kcfinder/files/providers/analytics/reports/BOCC_2017-18_Statutory_Format_022719.pdf.
USDHHS (U.S. Department of Health and Human Services). (2020). Healthy people 2020 topics and objectives. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx.
Viswanathan, M., Ammerman, A., Eng, E., Garlehner, G., Lohr, K. N., Griffith, D., Rhodes, S., Samuel-Hodge, C., Maty, S., Lux, L., Webb, L., Sutton, S. F., Swinson, T., Jackman, A., & Whitener, L. (2004). Community-based participatory research: Assessing the evidence. Evidence Report/technology Assessment (summary), 99, 1–8.
Weaver, N. L., Thompson, J., Shoff, C. R., Copanas, K., & McMillin, S. E. (2017). A conceptual model for the pathways of effect for intermediary organizations: A case study from maternal and child health. Evaluation and Program Planning, 63(C), 69–73. https://doi.org/10.1016/j.evalprogplan.2017.03.006
Acknowledgements
We would like to thank the numerous individuals – clinicians, students, agency directors, program staff, and others – who form our partnerships and who rise to the constantly evolving challenges in our communities and tirelessly seek opportunities to collaborate in tackling them. We would also like to thank the anonymous reviewers for this journal, whose incisive comments led to a much-improved final version. There was no funding for this project.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Schmidt, R.D., Armstrong, F.D., Horigian, V.E. et al. Aiming High: Monitoring Population Level Indicators of Child Wellbeing as a Goal of Community-Academic Partnerships. Matern Child Health J 26, 970–977 (2022). https://doi.org/10.1007/s10995-021-03333-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-021-03333-x