Collaborative Research

“Leveraging Cross-institutional Academic Collaboration to Build Collective Impact within a Community-based Substance Misuse Coalition” From the American Public Health Association’s Annual Meeting 2020

Substance misuse continues to impact the health of communities across the United States, particularly in small metro and rural areas. While national policy evolves, community coalitions are forming to address substance misuse as people seek help for their family members, neighbors, and communities. These coalitions are typically comprised of grassroots organizations in need of technical support beyond the immediate community, but it is critical that the community maintain autonomy and decision-making power in order to effect sustainable change.

Through a grantmaking initiative to provide technical support to rural communities in North Carolina, the community-led McDowell County Substance Use Workgroup formed a collaborative relationship with academic partners from the North Carolina Institute for Public Health at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill (NCIPH) and the North Carolina Center for Health and Wellness at the University of North Carolina Asheville (NCCHW). As outside organizations, the academic partners reviewed community-developed reports and recommendations for implementation strategies to address substance misuse issues, synthesized the findings and facilitated strategic planning sessions to prioritize the implementation of selected strategies. In meetings facilitated by the community’s support partner (Rural Forward NC), this collaboration leveraged different partner strengths: the academic partners contributed community-engagement skills utilizing a Results-Based Accountability framework to magnify the collective voice of the workgroup in decision making, and the collection and synthesis of data and metrics to inform workgroup priorities and performance measures. The Workgroup brought their deep knowledge of their community, connections with stakeholders, their lived experience, and their understanding of context and place.

Collective impact relies on alignment of cross-sector stakeholders around a unifying goal to generate synergy and create community-based partnerships that are strong and sustainable. In contrast to academic approaches that prescribe interventions, this approach follows the community’s lead with the academic institutions playing a supportive role. The use of the collective impact and action framework is necessary for outside partners supporting grassroots community initiatives, ensuring that efforts will lift up community voices and guide them through implementation of initiatives that they choose through self-determination and sustain through self-efficacy.

You can view the slides from this presentation here.

 

“Racism is an Adverse Childhood Experience (ACE)”

The NCCHW contributed to this blog post in partnership with the UNC Chapel Hill School of Social Work Jordan Institute for Families.

 

“COVID-19 and Health Disparities in WNC”

The NCCHW contributed to the development of the WNC Health Network’s brief COVID-19 and Health Disparities in WNC in late spring of 2020. The data  highlights preliminary results from an exploratory data analysis of the WNC Healthy Impact Community Health Survey 2012, 2015, 2018 that illuminates inequities in our region. WNC Health Network chose to release this report to give communities information for use in COVID-19 planning and response and in hope these numbers will prompt deeper questioning into the root causes of these issues.

“Buncombe County Attitudes Towards Violence Survey”

The Attitudes Towards Violence Survey was developed from 2017-2020 through a partnership between the North Carolina Center for Health and Wellness, University of North Carolina Asheville, Mountain Area Health Education Center and nonprofit agencies including OurVoice, Helpmate, and the Mountain Child Advocacy Center. The format of the initial questionnaire was adapted from validated surveys from New Hanover County and the Illinois Rape Myth survey, and later additional questions were included from other validated sources. The purpose of the project is to longitudinally measure attitudes and perceptions about social norms, types of violence, and communities affected by violence in Buncombe County, North Carolina. The data that is collected annually from this survey informs targeted prevention, education, outreach, and advocacy activities. The final version of the survey is currently being distributed, and the data will be analyzed in the coming months. Here is a link to the survey in PDF.

If you are a Buncombe County resident, please complete the survey HERE:

If you are interested in implementing this survey in your community, please contact us for additional information.

For additional information about the survey and process of development, please see the attached slides from the October 2020 Oral Session presentation to the American Public Health Association National Conference entitled:

Cross-agency collaboration to develop the “attitudes towards violence survey” and inform prevention and treatment efforts

You can also see the Buncombe County specific fact sheets in more detail by clicking: the Buncombe County Sexual Assault Fact Sheet 2020, the Buncombe County DV Fact Sheet 2020, and the Buncombe County Child Abuse Fact Sheet 2020.

 

“Arts For Life Program Evaluation Methods and Results”

In 2019, Arts for Life (AFL) partnered with the Culture of Results (COR) Initiative of the North Carolina Center for Health and Wellness to complete a program evaluation. The COR team applied an empowerment model of evaluation to iteratively develop performance measures and draft a survey to evaluate AFL’s programs. The purpose of this evaluation was to understand how AFL services impact key customers and to support AFL in growing their programs, improving services, and building sustainability.

You can view the Final Report here.

“Verner Center for Early Learning Community Assessment”

The Verner Center for Early Learning partnered with Culture of Results Initiative of the North Carolina Center for Health and Wellness to complete the required 2019 “Community wide strategic planning and needs assessment.” This Assessment reports on the strengths, assets and needs of families currently or potentially served by Verner Center for Early Learning in Buncombe County, North Carolina. Through community engagement, key stakeholder input, and rigorous data collection and analysis, seven key focus areas were identified related to the well-being of pregnant mothers and families with young children in Buncombe County: education, health and mental health, food and nutrition, housing, income and employment, social services, and social support. Inequities in accessibility of services and outcomes, particularly for children and families of color, are evident throughout this community assessment.

Findings from community engagement and data collection were synthesized with previous community reports and other local sources to present recommendations for each key focus area in support of pregnant mothers and families with young children in the community.

Read the full assessment here

 

“Building the Bridge between Clinic and Community: Using Results-based Accountability to Help Improve Birth Outcomes”

The Culture of Results Initiative is co-presenting with our partners from Mothering Asheville and SistasCaring4Sistas at the All In Data for Health Conference. This presentation will provide an overview of how the Results-based Accountability (RBA) planning and evaluation framework was used to support the Mothering Asheville Movement over three years. The presenters will discuss and model the ways that RBA has helped advance Mothering Asheville efforts to plan strategically, evaluate impact, align community measures across partners, and communicate results effectively. Presenters will show how performance measures reflecting the work of community-based doulas, clinical shifts, and advocacy efforts are contributing to “turning the curve” on disparities in infant mortality rates in Buncombe County. The audience will learn about RBA tools and processes they can apply to their own work.

To view the full presentation, please click HERE.

View the full sample RBA Elevator Speech HERE.

View the full Performance Measures Grid HERE.

“Introduction to Results-based Accountability”

In May 2019, The NC Center for Health and Wellness partnered with the WNC Health Network and Results Work Consulting to provide an “Introduction to Results-based Accountability” training in three locations across the state. The trainings were arranged by the NC Department of Public Health and sponsored in part by the Foundation for Health Leadership and Innovation. Participants included health educators leading their community health assessments and improvement plans, direct service providers, administrators, systems strengtheners and others. Here are the slides and handouts from these trainings.

You can find the rest of the PowerPoint here.

The WNCHealthyImpact “My RBA Elevator Speech”: Telling Your Story in a Compelling Way

WNC Healthy Impact handout for "My RBA Speech"

To view full document, click here.

RBA Framework: Common Language For Today

RBA Common Language Slide

To view full handout, click here.

Performance Measures Grid

Performance Measure tool for RBA

To view full handout, click here.

 

“Beyond Awareness: Raising Resilience in WNC”

ACE Training was presented to WNC Healthy Impact partners (hospitals, health departments, and community health organizations) to accompany the Adverse Childhood Experiences data collected as part of the Community Health Assessment 2018. It focuses on how we can implement interventions across various levels of a socio-ecological model to bring a trauma informed lens to community health improvement.

To view full slideshow, click here.

 

“Maximize Your Health and Wellness: Health promotion on and off campus”

Jeanne Dairaghi, Healthy Aging NC Initiative of the NC Center for Health and Wellness, and Jordan Perry, Healthy Campus Initiative, partnered in February 2018 to provide a Brown Bag discussion on the UNC Asheville campus to discuss ways to support health and well-being on- and off-campus. Below is Jeanne’s presentation that focuses on healthy aging research, evidence-based programs, and community resources.

To view full slideshow, click here.

 

“The Joyful Complexity of Measuring Social Determinants of Health”

This presentation was provided to the NC Institute of Medicine Accountable Care Communities Task Force as they work to provide guidelines for communities across the state working to improve health and wellness. It provides an overview of how NC Center for Health and Wellness works to understand and address social determinants of health, the conditions that affect people where they live, learn, work, play and pray. We showcase several partnerships and approaches and provide some lessons learned and example measures.

To view full slideshow, click here.

 

“Data as Storytelling: Using Data to Improve Program Quality”

This presentation was provided to attendees of the National Council on Aging Healthy Aging Annual Meeting in Arlington, VA in 2018. The presentation detailed how Healthy Aging NC collaborates with the state health department and hospitals to identify areas of the state facing the greatest burden of falls-related injuries and deaths to support evidence-based program implementation and growth. In addition, the presentation shares how Healthy Aging NC captures programmatic data on Results-Based Accountability scorecards to share with funders and support sustainability of efforts.

To view full slideshow, click here.

 

“Communicating Resiliency”

Over the summer of 2018, Kenneth Roche produced this research as an intern with NCCHW in partnership with MAHEC. His project was to aid in producing a health communication campaign centered on raising awareness about trauma. This Powerpoint was presented to the Communicating Resiliency (CR) Advisory Group in order to prioritize the next steps and move the CR campaign forward. The Powerpoint contains information regarding state, regional, and local data and he is available to respond to any inquiries.

To view full slideshow, click here.

Click the links below to view the Communicating Resiliency Video Series:

 

“Getting Urban Kids in Nature: An Evaluation of the Kids in Parks TRACK Trail”

From 2014-2015, the NCCHW, Blue Ridge Parkway Foundation and Blue Cross Blue Shield NC Foundation partnered to assess the use of Kids in Parks Trails in Charlotte, NC. Please see the attached poster for key findings about the effects of program promotion.

To view enlarged poster, click here.

 

“A Training Academy Model: Bringing CDSME to the Community and State”

North Carolina was invited to present at the National Council on Aging’s Annual Conference on Healthy Aging in Washington DC. This presentation was presented by Jeanne Dairaghi, NCCHW; Stephanie Stewart, Land of Sky AAA; with input from Angel Stoy, Centralina AAA.

To view full slideshow, click here.

 

“Finding Focus in the Joyful Complexity”

This poster depicts methods and lessons learned in the partnership between the N.C. Center for Health and Wellness and Mothering Asheville to address health disparities and social determinants. It was presented at the Society for Public Health Education (SOPHE) National Conference and is a modified version of the full Joyful Complexity presentation linked below.

To view enlarged poster, click here.