Group 3: Community Health Intervention discussion (Nickel (2020) and Bunnel et al (2012) readings) by Andrew Springer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx en-us 2020-12-24 18:13:37 UTC 2026-07-09 21:33:15 UTC hello@padlet.com Explore the following questions. Use "sticky notes + function" to 'think, share & discuss'. Appoint a presenter to share back key points with larger group. andrewespringer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457119 1) Health Topics & Community Outcomes: Based on the Communities Putting Prevention to Work initiative (Bunnel et al, 2012) and Nickel & von dem Knesebeck (2020) review, what have been topic areas of past community health interventions (obesity? substance use?). What have been some of the main outcomes studied? 

2)Approaches: Describe examples of policy, systems & environmental approaches applied.  Any innovative approaches to highlight?

3)Positive yet limited effects: According to Nickel & von dem Knesebeck (2020) review: “Despite the high number of studies that found positive effects, the impact of the interventions seemed to be rather limited. This holds especially true for large-scale community programs.” What were the reasons given for limited effects? Other reasons? How can we enhance community health intervention practice & research?
]]> 2020-12-24 18:13:37 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457119 Health Topics & Community Outcomes Studied andrewespringer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457121 2020-12-24 18:13:37 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457121 Approaches andrewespringer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457122 2020-12-24 18:13:37 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457122 Reasons for Limited Effects andrewespringer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457123 2020-12-24 18:13:37 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457123 How can we enhance comm. health intervention research and practice? andrewespringer https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457124 2020-12-24 18:13:37 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1041457124 Bunnel https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1103397306 Health topics:
Tobacco prevention (use/second-hand smoke)
Obesity prevention (nutrition/physical activity)

Outcomes:
Policies (e.g., school and built environment)
Media campaigns (e.g. signage)

Framing approach: MAPPS (media, access, point-of-decision information, price, and social support)

Tobacco Prevention Approaches:
-Smoke-free policies implementation and expansion
-Pricing strategies (e.g. increased licensing fees)
-Limitations on free tobacco samples
Quitline/cessation services expansion

Obesity Prevention Approaches:
-Increase access and affordability to healthy foods
-Working with SNAP
-Point-of-purchase initiatives (e.g., product placement and signage)
-Built environment initiatives (e.g., sidewalk and bike lane creation)
-Policy creations and revisions (e.g.land use and workplace)
-Marketing campaigns (e.g., signage) to promote public transportation, bike lanes, physical activity)
-Social supports for safe routes to schools

Reasons for limited effects:
-Limited nature of national obesity priorities (compared to decades of sustained federal and state-level tobacco prevention programs and policies)
-Limited Use of time]]> 2021-01-19 20:58:34 UTC https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1103397306 Nickel https://padlet.com/andrewespringer/xndxi1jrs7ajkznx/wish/1103415580 Health topics:
Multiple health outcomes, including health literacy, physical activity, nutrition, and smoking, across the individual, group, and community level.

Approaches:
Education/counselling services, peer education, exercise provision, health promotion policies, media campaigns, walkability

Reasons for limited effects:
- Perhaps the interventions were not effective enough
- Modest intervention dose
- Some interventions were infeasible or not accepted by community
- Implementation may have been too brief
-Activities may not have been complete by the time of evaluation
-Methodological challenges - significant threats to internal validity




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