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Enhancing Community Health Impact through Strategic Dose Methodology

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This overview delves into a systematic methodology developed by the Center for Community Health and Evaluation for boosting community health strategies. By grouping strategies into clusters based on outcomes, we assess the reach and strength of each initiative. Key metrics, such as the percentage of the community exposed (reach) and lifestyle changes (strength), help calculate the overall impact. The goal is to maximize population-level health improvements by increasing the reach and effectiveness of health programs, particularly among youth physical activity initiatives.

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Enhancing Community Health Impact through Strategic Dose Methodology

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  1. HEALTHY DOSE: BOOSTING THE IMPACT OF COMMUNITY HEALTH STRATEGIES Center for Community Health and Evaluation www.cche.org

  2. Dose in communities

  3. Overview of dose methodology Group strategies into clusters by outcome Assess lives touched – reach – and impact on those lives – strength– for each strategy Calculate each strategy’sdose = reach x strength Add dose of all strategies in a cluster to calculate population dose–impact of these strategies on a behavior

  4. Measuring reach The percentage of people in the community who are exposed to a strategy REACH Number of people exposed Target population size

  5. Measuring strength Day-to-day lifestyle changes that increase activity or improve diet from a baseline level The percentage improvement in lifestyle behaviors (more minutes of physical activity, more fruit & vegetable servings)

  6. Calculating dose DOSE REACH STRENGTH Percent of people touched Impact for each person touched

  7. Low reach, high strength

  8. High reach, low strength

  9. High reach, high strength

  10. Estimating population-level impact Calculating dose for a cluster of youth physical activity strategies • Population level physical activity is changing in youth, and is high enough to be measurable in a population survey

  11. Ways to increase population dose Increase reach of existing strategies Increase strength of existing strategies Remove existing strategies Add strategies, across sectors

  12. Center for Community Health and Evaluation www.cche.org

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