Evaluation Design for the "Two Georgias Initiative": Assessing Progress toward Health Equity in the Rural South

Autor/inn/en	Kegler, Michelle C.; Hermstad, April; Haardörfer, Regine; Arriola, Kimberly Jacob; Gauthreaux, Nicole; Tucker, Samantha; Nelson, Gary
Titel	Evaluation Design for the "Two Georgias Initiative": Assessing Progress toward Health Equity in the Rural South
Quelle	In: Health Education & Behavior, 50 (2023) 2, S.268-280 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Kegler, Michelle C.) ORCID (Hermstad, April) ORCID (Haardörfer, Regine)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981211060330
Schlagwörter	Access to Health Care; Rural Areas; Health Promotion; Racism; Poverty; Social Bias; Community Programs; Social Change; Program Effectiveness; Readiness; Program Evaluation; Stakeholders; Knowledge Level; Attitudes; Skills; Agency Cooperation; Counties; Georgia + Suchen Sie Ihr Suchwort? Rural area; Ländlicher Raum; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Rassismus; Armut; Sozialer Wandel; Programme evaluation; Programmevaluation; Wissensbasis; Attitude; Einstellung; Verhalten; Skill; Fertigkeit
Abstract	As persistent inequities in health gained increased attention nationally due to COVID-19 and racial justice protests in 2020, it has become increasingly important to evaluate both the process and outcomes associated with coalition-based efforts to address health inequities. "The Two Georgias Initiative" supports coalitions in 11 rural counties to (1) achieve greater health equity, (2) improve health and health care, (3) build healthier rural communities and improve social conditions that impact the health of rural populations, and (4) build community, organizational, and individual leadership capacity for health equity. Rural communities suffer significant health disparities relative to urban areas, and also experience internal inequities by race and poverty level. The evaluation framework for "The Two Georgias Initiative" provides a comprehensive mixed methods approach to evaluating both processes and outcomes. Early results related to community readiness and capacity to address health inequities, measured through a coalition member survey (n = 236) conducted at the end of the planning phase, suggest coalitions were in the preparation stage, with higher levels of readiness among coalition members and organizations/groups similar to the coalition members' own, lower levels among public officials and other leaders, and the lowest levels among county residents. In addition, coalition members reported more experience with downstream drivers (e.g., access to care) of health than upstream drivers (e.g., affordable housing, environmental or racial justice). By providing a logic model, evaluation questions and associated indicators, as well as a range of data collection methods, this evaluation approach may prove practical to others aiming to evaluate their efforts to address health equity. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01