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Stanford Prevention Research CenterStanford University School of Medicine
Collaborative Data Collection, Analysis, and Dissemination
Sandra J Winter, PhD, MHA
Jylana L Sheats, PhD, MPH
Dominique Cohen, MA, MFTI
June 26, 2013
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Overview
• Icebreaker• Introductions
– Us – You
• Background to our project• Learning Objectives - working collaboratively to:
– Collect data – Analyze data– Disseminate project results
• Success: strategies and measures• Interactive section
– Problem solving strategies– Challenges and Benefits– Lessons learned
• Concluding thoughts
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ICEBREAKER
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Run around the table if………
• You did some type of physical activity in the past week
• You came here using public transport• You have eaten fruits AND vegetables
today• You had sufficient sleep last night
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Introductions
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Us
• Sandra J Winter, PhD, MHA• Jylana L Sheats, PhD, MPH• Dominique Cohen, MA, MFTI
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You
• Name• Your Organization• Your CBPR experience• What you hope to accomplish at this
session
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Background
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• Build capacity for change through community partnerships
• Train seniors to be advocates for improved neighborhood designs that promote health
• Disseminate findings to policy makers
Neighborhood Eating and Activity Advocacy Team (NEAAT)
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Community-Based Participatory Research
SPRC
San Mateo County-health; aging; transportation; housing
Housing coalitions-MidPen Housing Corp
Housing management and residents-Housing Site A (EPA), - Housing Site B (Daly City)
Other community organizations
Funding Agency- Office of Community Health, Stanford University
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NEAAT Process
• Initial Study Period– August 2010 – May 2011
• Formed Community Advocacy Teams (CAT)
• CAT members:– Identified neighborhood features– Prioritized issues to tackle– Adopted a solution-oriented approach
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Setting
• Two affordable senior housing sites, San Mateo Co– Housing Site A (74 units) - primarily African American– Housing Site B (77 units) - primarily Filipino
• Managed by MidPen Housing Corporation
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NEAAT CAT Demographics
Housing Site A Housing Site B
N (originally interested) 24 19
N (sustained participation) 12 11Mean age (years) 71.7 72.3
Female (%) 83.3 72.1
Black (%)Asian (%)Other (%)
75-25
27.363.6 9.1
High school or less (%)More than high school (%)
58.341.7
36.463.6
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Learning Objectives
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Learning Objectives
1. Describe different strategies guiding collaboration in data collection
2. Describe different strategies for collaborative data analysis
3. Describe different approaches to collaborative dissemination of project results
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Overview:Collaborative Data Collection
• Types of Data Gathered by CAT members:• Assessment of neighborhood built environment• Assessment of neighborhood food environment• Surveys of residents of housing sites• Pedestrian and vehicle street counts
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Collaborative Data Collection (4 total): #1: Assessment of Neighborhood Built Environment
• Used mobile phones, hand held audio recorders and pen and paper notes
• Led to the development of the Stanford Healthy Neighborhood Discovery Tool
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Collaborative Data Collection:#2: Assessment of Neighborhood Food Environment
• Perception that local stores did not stock fruits and vegetables
• Conducted a survey of fruits and vegetables available in local stores
• Based on a well validated research tool – the Nutritional Environmental Measures Survey (NEMS)
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Collaborative Data Collection:#3: Surveys of Other Residents
• How many times a week do you cross this street?
• At what time of day do you usually cross this street?
• What are the main reasons you cross this street?
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Collaborative Data Collection: #4: Street counts
• Partnered with a youth organization
• Counted vehicle and pedestrian traffic
• Different times of the day
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Overview:Strategies for Collaborative Data Analysis
• Reviewing the data• Collective problem identification• Prioritizing the issues
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Collaborative Data Analysis
• Participants met to review all the data gathered
• Wrote all issues noted on big post-it notes
• Gave people stickers to vote on the issues they thought were most important
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Collaborative Data Analysis
• Prioritized issues to address using the feasibility and importance table
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Example Issue Identified and Actions Taken
• Unsafe to cross busy streets• Actions taken:
– Surveyed residents about street use– Counted pedestrian and vehicle traffic –
either themselves or in partnership with a local youth group
– Got letter of support from local businesses– Engaged in dialogue with local city
planners
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Example Issue Identified and Actions Taken
• Limited access to fresh produce• Actions taken:
– Reinvigorated a neglected backyard garden– Obtained “Fresh Checks” for local Farmers Market– Held cooking classes– Raised awareness of available fresh produce– Held “potluck” dinners to promote healthy eating
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Overview:Collaborative Dissemination of
Project Results
• Community meeting• Media coverage of the NEAAT project• Dialogue with policy makers
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Community Meeting
• Hosted by the San Mateo County Health System
• Attended by representatives from – Stanford University– various non profit organization– various healthcare systems
• Residents from each housing site presented– 3 collectively identified issues– their solution oriented approach
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Media Coverage
• Article about the NEAAT project produced by Spectrum and available on-line and in print in Inside Stanford Medicine
• Video produced by Spectrum available on YouTube
• http://med.stanford.edu/ism/2011/august/runnymede.html
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Meetings with Policy Makers
• Initial and ongoing dialogue with various City Planners
Brent Butler, AICP, CFMCity Planner for East Palo AltoMeeting with residents
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Success
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Strategies for Success
• Enlist a “Champion for Change”• Develop community capacity and skills• Foster community ownership of projects• Build strong relationships• Engage with policy makers• Actively pursue sustainability • Set realistic expectations for all
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Measuring Success
Short-Term:• Residents learned
advocacy skills • Partnerships developed• Initial engagement with
policy makers• Allocation of government
$ to tree planting, sidewalk improvements etc
Long-Term:• On-going use of
advocacy skills• Partnerships sustained• Continued dialogue with
policy makers• Allocation of government
$ to update the general plan so that public health is targeted in future planning
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Interactive Section
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Now it’s your turn ……
In small groups discuss your CBPR projects
• What challenges have you experienced?• What problem solving strategies did you
employ?• What lessons did you learn?• What benefits does a CBPR approach offer?
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Conclusions
• Data gathering– Develop partnerships at different levels– Gather data from various sources using mixed methods
• Data analysis– Use simple decision making paradigms – Don’t underestimate community capabilities
• Data dissemination– Harness communication skills of community members – Use multiple methods (on-line, print, social media, etc)
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Acknowledgements
• Abby C King, PhD• Matt Buman, PhD• Brent Butler, AICP, CFM• Dominique Cohen, MA, MFTI• Kevin Pieritti• Cathleen Baker, MPP• Rhonda McClinton Brown, MPH• Jill Evans, MPH
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Project Funding
• Principal Investigator: Abby C King, PhD• Funded by the National Center for
Research Resources and the National Center for Advancing Translational Sciences, NIH, through UL1 RR025744
• Awarded through the Office of Community Health, Stanford University School of Medicine.
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Thank you