Evidence map›Paper›PMID 29309229›Full record

ArticleHealth affairs (Project Hope)2018

Evaluating Community-Based Health Improvement Programs.

Carrie E Fry, Sayeh S Nikpay, Erika Leslie, Melinda B Buntin

Abstract readEvaluation Study
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Is Living in a U.S. Coastal City Good for One's Health?International journal of environmental research and public health · 2021
    Article
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  12. Public Health Ambassadors: A Novel Participatory Community Health Awareness Program in Abu Dhabi.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Carrie E FryCarrie E. Fry ( carrie_fry@g.harvard.edu ) is a doctoral student in health policy at the Harvard Graduate School of Arts and Sciences, in Cambridge, Massachusetts.
Sayeh S NikpaySayeh S. Nikpay is an assistant professor in the Department of Health Policy at Vanderbilt University School of Medicine, in Nashville, Tennessee.
Erika LeslieErika Leslie is a postdoctoral fellow in the Department of Health Policy at Vanderbilt University School of Medicine.
Melinda B BuntinMelinda B. Buntin is a professor in and chair of the Department of Health Policy at Vanderbilt University School of Medicine.

Funding

Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

Increasingly, public and private resources are being dedicated to community-based health improvement programs. But evaluations of these programs typically rely on data about process and a pre-post study design without a comparison community. To better determine the association between the implementation of community-based health improvement programs and county-level health outcomes, we used publicly available data for the period 2002-06 to create a propensity-weighted set of controls for conducting multiple regression analyses. We found that the implementation of community-based health improvement programs was associated with a decrease of less than 0.15 percent in the rate of obesity, an even smaller decrease in the proportion of people reporting being in poor or fair health, and a smaller increase in the rate of smoking. None of these changes was significant. Additionally, program counties tended to have younger residents and higher rates of poverty and unemployment than nonprogram counties. These differences could be driving forces behind program implementation. To better evaluate health improvement programs, funders should provide guidance and expertise in measurement, data collection, and analytic strategies at the beginning of program implementation.

Indexed as

Community Health ServicesHealth PromotionAdolescentAdultAgedChildChild, PreschoolDelivery of Health CareHumansInfantInfant, NewbornMiddle AgedQuality ImprovementYoung AdultDeterminants Of HealthHealth Promotion/Disease PreventionPublic HealthTobacco/Smoking

Identifiers

PMID29309229
PMCPMC5845775

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.