Format

Send to

Choose Destination
BMC Public Health. 2015 Oct 13;15:1050. doi: 10.1186/s12889-015-2381-2.

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

Author information

1
Institute on Disability and Human Development, 1640 W. Roosevelt Rd. M/C 626, Chicago, IL, 60608, USA. yeisen2@uic.edu.
2
University of Alabama at Birmingham/Lakeshore Foundation Research Collaborative, 4000 Ridgeway Dr., Birmingham, 35209, AL, USA. jrimmer@uab.edu.
3
University of Alabama at Birmingham/Lakeshore Foundation Research Collaborative, 4000 Ridgeway Dr., Birmingham, 35209, AL, USA. tapan@uab.edu.
4
Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E88, Atlanta, GA, 30333, USA. imv9@cdc.gov.

Abstract

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.

PMID:
26462917
PMCID:
PMC4603756
DOI:
10.1186/s12889-015-2381-2
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center