LEAD-public health project

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 OVERVIEW   

 

 The LEAD-Public Health Project (Local Evidence for Affecting Decisions about Public Health) and LEAD 2 Scale-Up Project (Scaling-Up Capacity for Evidence-Based Public Health) examine the use of, barriers to, and methods for enhancing Evidence Based Programs and Policies (EBPP) in local health departments.

The practice of evidence-based public health EBPH iLEAD Resources Toolkit.pdfLEAD Resources Toolkit.pdfs an integration of science-based interventions  with com​munity preferences to improve population health. Using both quantitative and qualitative methods to achieve its four goals, this study will increase the knowledge of EBPH and the use of EBPPs in local health department decisions.


 
 

IMPORTANT RESOURCES


Article Briefs

Issue Briefs

Tools

LEAD-PH National Survey

  • Survey instrument used to conduct national survey of local health department directors to gather information about the current evidence base for evidence based public health in local health departments across the nation.

Administrative Evidence-based Practices (A-EBP's) Information Brief

  • First Issue brief in a series of briefs that are being used to disseminate information about administrative evidence based practices that can be implemented in local health departments to help improve performance. The series of issue briefs will provide practical solutions that can be put into practice within a short time period.

Case Study Qualitative Survey Guide

  • Survey instrument used to conduct interviews with local health department employees to gather information about the current evidence base for evidence based public health in local health departments in six different local health departments across the nation.


LEAD 2


Project Goals

  1. Scale-up a proven approach for building local-level EBPH capacity among LHDs in 12 states.
  2. Test the differences in effectiveness and reach for in-person versus web-based approaches for building capacity.
  3. Translate and disseminate findings to a wide variety of stakeholders with a particular focus on informing accreditation efforts.

Project Date 

May 2014-May 2017

Target Audience

Practitioners in Local Health Departments across the United States

Project Staff 

Ross Brownson, Katie Duggan, Kristelle Aisaka, Paul Erwin, Katherine Stamatakis, Carol Brownson

Program Partners 

University of Kentucky National Coordinating Center for PHSSR: The Center for Public Health Systems & Services Research (CPHSSR) seeks to explore the impact of specific public health strategies on the quality and performance of the United States public health system. The project team will work closely with the CPHSSR, linking with Dr. Paul Erwin and other team members.

Prevention Research Centers: The CDC supports 26 centers associated with schools of public health or medicine throughout the country. The PRCs work as an interdependent network of community, academic, and public health partners to conduct prevention research and promote the wide use of practices proven to promote good health. As a result, they are uniquely positioned as a resource for public health capacity building and training.29

Practice Based Research Networks (PBRN): The PBRN Program is a national program of the Robert Wood Johnson Foundation that supports the development of research networks for studying the comparative effectiveness, efficiency and equity of public health strategies in real-world practice settings.30

Public Health Training Centers: The Health Resources and Services Administration-funded PHTCs are partnerships designed to improve the Nation's public health system by strengthening the technical, scientific, managerial and leadership competence of current and future public health professionals.

National Association for County and City Health Officials: The National Association for County and City Health Officials represents the nation’s LHDs. For the current project, we will collaborate to disseminate study findings.

Public Health Accreditation Board (PHAB): PHAB works to promote and protect the health of the public by advancing the quality and performance of public health departments in the United States through national public health department accreditation.​
 

Funders and Grant Number 

Robert Wood Johnson Foundation, Grant No. 71704


​LEAD 


​​​Project Goals:

  1. Describe the evidence base for local evidence based public health EBPH in the United States using available literature and the data from a nationwide survey of local EBPH use by public health practitioners.
  2. Test the effectiveness of local-level EBPH capacity building in four states using data from the national survey as a base-line to compare to surveys completed after training and technical assistance has been conducted for local health departments by local prevention research centers.
  3. Conduct case studies to understand the contextual conditions such as political climate and partnerships that affect the implementation of EBPPs.  Use data on internal and external relationships within the local health departments chosen for case studies to map a network that will show differences in partner types and activity types between low and high evidence health departments.
  4. Translate and disseminate findings to a wide variety of stakeholders using traditional and non-traditional dissemination activities to best reach the target audience.


Project Date

June 2012 - December 2013


Target Audience

Practitioners in Local Health Departments across the United States


Implications for Research and Practice

Few of the existing studies examining Evidence Based Public Health were conducted in local health deparments.  This study will inform the development of guidance for effective public health administration and will provide the evidence base for what should be implemented at local levels.  It will identify administrative evidence based programs and policies, beginning to address the gaps in knowledge seen in EBPH at a local level.


Project Staff

Workgroup for Aim 1: Katie Stamatakis (Team Lead), Rodrigo Reis,Beth Dodson, Katie Duggan, Paul Erwin, Peg Allen, Ross Brownson, Jenine Harris, Robert Fields, Carson Smith

Workgroup for Aim 2:  Ross Brownson (Team Lead), Beth Baker, Katie Stamatakis, Paul Erwin, Katie Duggan, Rodrigo Reis, Robert Fields, Carson Smith

Workgroup for Aim 3:  Rachel Tabak (Team Lead), Jenine Harris, Amy Eyler, Beth Dodson, Katie Duggan, Ross Brownson, Dorothy Cilenti, Robert Fields, Carson Smith

Workgroup for Aim 4: Ross Brownson, Katie Duggan (Team Leads), Chris Casey, Jenine Harris, Amy Eyler, Paul Erwin, Robert Fields, Carson Smith


Project Partners

Aim 1: Carolyn Leep, National Association of County and City Health Officials (NACCHO)

Aim 2: Janet Canavese, Missouri Institute for Community Health (MICH); National network of PRCs; Practice Based Research Networks; and Public Health Training Centers

Aim 3: Janet Canavese, Kathleen Wojciehowski (MICH)

Aim 4: Kathleen Wojciehowski (MICH), Carolyn Leeep (NACCHO)


Funders and Grant Number

Robert Wood Johnson Foundation, Grant No. 69964


Partner Details

Robert Wood Johnson Foundation, PHSSR National Coordinating center (Public Health Systems and Services Research), NACCHO (National Association of County and City Health Officials)MICH (Missouri Institute for Community HealthUniversity of Washington Health Promotion Research CenterCase Western Reserve University Prevention Research Center for Healthy NeighborhoodsUniversity of Michigan Prevention Research Center of MichiganUniversity of North Carolina at Chapel Hill, Center for Health Promotion and Disease Prevention


List of Related Publications

Allen P, Brownson RC, Duggan K, Stamatakis KA, Erwin PC.  The makings of an evidence -based local health deparment: identifying administrative and management practices.  Frontiers in Public Health Services & Systems Research.  2012:  June, in press.

Brownson RC, Allen P, Duggan K, Stamatakis KA, Erwin PC. Fostering more effective public health by identifying administrative evidence-based practices.  American Journal of Preventive Medicine 2012:  September, in press.

Brownson R, Reis R, Allen P, Duggan K, Fields R, Stamatakis K, Erwin, P. “Understanding the process of evidence-based public health: Findings from a national survey of local health department leaders.” Am J Prev Med (in press).

Erwin P, Harris J, Smith C, Leep C, Duggan K, Brownson R. “Evidence-based public health practice among program managers in local public health departments.” J Public Health Manag Pract (in press).

Reis R, Duggan K, Allen P, Stamatakis K, Erwin P, Brownson R. Developing a tool to assess administrative evidence-based practices in local health departments. Frontiers in PHSSR. In press.


Presentations

Brownson, RC. “Translating the Evidence,” presented at Annual PHSSR Keeneland Conference, April 8-10, 2013, Lexington, KY. Proceedings available at Keeneland Conference 2013.

Duggan, K. Expanding Capacity for Evidence-Based Local Public Health. National Institutes of Health: National Library of Medicine Webinar. October 2, 2013.

Duggan, K., Cilenti, D., Erwin, P., Brownson, R., Smith, C., Fields, R., Reis, R. (2013) Using the Evidence-Base to Improve Local Public Health Practice.  Accepted for presentation at NACCHO Annual Conference 2013, July 10-12, 2013, Dallas, Texas.

Fields, R.P., Smith, C.E., Duggan, K., Reis, R., Stamatakis, K., Erwin, P., Leep, C., Allen, P., & Brownson, R.C. (2013). Examining Agency-level Conditions and Practices to Improve Decision-making in Public Health. Presented at the Public Health Systems and Services Research Keeneland Conference, April 8-11, 2013, Lexington, KY. Proceedings available at Keeneland Conference 2013.

Smith, C.E., Fields, R.P., Duggan, K., Reis, R., Stamatakis, K., Erwin, P., Leep, C., Harris, J., & Brownson, R.C. (2013).Factors Influencing the Spread of Evidence-based Decision Making in Local Health Departments in the United States. Presented at the Public Health Systems and Services Research Keeneland Conference, April 8-11, 2013, Lexington, KY. Proceedings available at Keeneland Conference 2013.

Stamatakis, K, Duggan, K., Smith, C., Fields  R., Brownson, R.C. (2013). Resources for best practices in decision making in US local health departments: Variation across program area. Submitted for presentation at the 141st American Public Health Association [APHA] Annual Meeting, November 2- 6, 2013, Boston, MA.​​​


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