Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives
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Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives

Filetype[PDF-1.59 MB]


  • English
    • Details Supporting Files Datasets You May Also Like

    Details:

    • Alternative Title:
      BMC Public Health
    • Personal Author:
    • Description:
      Background

      Community health initiatives often do not provide enough supports for people with disabilities to fully participate in healthy, active living opportunities. The purpose of this study was to design an instrument that focused on integrating disability-related items into a multi-level survey tool that assessed healthy, active living initiatives.

      Methods

      The development and testing of the Community Health Inclusion Index (CHII) involved four components: (a) literature review of studies that examined barriers and facilitators to healthy, active living; (b) focus groups with persons with disabilities and professionals living in geographically diverse settings; (c) expert panel to establish a final set of critical items; and (d) field testing the CHII in 164 sites across 15 communities in 5 states to assess the instrument’s reliability.

      Results

      Results from initial analysis of these data indicated that the CHII has good reliability. Depending on the subscale, Cronbach’s alpha ranged from 0.700 to 0.965. The CHII’s inter-rater agreement showed that 14 of the 15 venues for physical activity or healthy eating throughout a community had strong agreement (0.81 – 1.00), while one venue had substantial agreement (0.61 – 0.80).

      Conclusion

      The CHII is the first instrument to operationalize community health inclusion into a comprehensive assessment tool that can be used by public health professionals and community coalitions to examine the critical supports needed for improving healthy, active living among people with disabilities.

      Electronic supplementary material

      The online version of this article (doi:10.1186/s12889-015-2381-2) contains supplementary material, which is available to authorized users.

    • Subjects:
    • Source:
      BMC Public Health. 15.
    • Pubmed ID:
      26462917
    • Pubmed Central ID:
      PMC4603756
    • Document Type:
      Journal Article
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    Datasets

      • Additional file 3: of Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives
        Dataset Icon
        Cite
        Filetype[HTM]
        Personal Author:
        Eisenberg, Yochai ;
        Fox, Michael H.
        ...
        2015 | NCBDDD
        12/16/2016
        Description:
        Expert Panel Results.xlsx: A database of the items kept and removed by the Expert Panel as part of the development of the CHII. (XLSX 25 kb)
        File Type:
        Filetype[HTM]
        File Type:
        Filetype[HTM]
        Additional file 3: of Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives
        Dataset Icon
        Cite
        Filetype[HTM]
        Personal Author:
        Eisenberg, Yochai ;
        Fox, Michael H.
        ...
        2015 | NCBDDD
        12/16/2016
        Description:
        Expert Panel Results.xlsx: A database of the items kept and removed by the Expert Panel as part of the development of the CHII. (XLSX 25 kb)
        File Type:
        Filetype[HTM]
        File Type:
        Filetype[HTM]

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