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The Impact of Asthma on 3rd Grade Reading: An Equity-Based, Data-Driven Approach to Health and Learning Interventions Urban Strategies Council urbanstrategies.org 1720 Broadway, Oakland, CA 94610 Urban Strategies Council …is a social impact organization using tools of research, policy, collaboration, innovation and advocacy to achieve equity and social justice. • education • health • economic development • community safety and justice An Equity Lens on Health and Education • Addressing equity in the context of the relationship between health and learning • Focusing on the relationship between asthma and 3rd grade reading • Addressing Health Promotion component of First 5 Strategic Plan – “Health Literacy education focused on health promotion and chronic disease prevention” Why we are here today 1. Demonstrate how to apply the Equity Model 2. Get feedback on the model 3. Get advice on implementing the model The Equity Model 1. ESTABLISH OUTCOMES PROBLEM DEFINITION DATA ANALYSIS DETERMINE EXPECTED OUTCOMES PLANNING 2. DETERMINE SOURCES OF DISPARITIES 3. CONSIDER TARGETED & UNIVERSAL STRATEGIES COMMUNITY ENGAGEMENT AT ALL LEVELS ADAPTATION 4. APPLY INTERVENTIONS & POLICIES THAT INCREASE EQUITY AND OUTCOMES IMPLEMENTATION 5. CONTINUALLY ASSESS EQUITY AND OUTCOME - HOLD LEADERSHIP ACCOUNTABLE - CLEAR MARKERS OF PROGRESS - TRANSPARENCY OF INFORMATION ASSESSMENT Establish Outcomes • Problem definition: • Identify targeted outcomes 0-3rd grade in Fresno? How is asthma impacting learning in 1. What are the over-arching issue(s) that need to be addressed? 2. What are the underlying issues that bridge asthma to 3rd grade reading? What do we need to address to impact the over-arching issue(s)? • Data analysis Outcome Measurement Important Considerations • Improve overall outcomes & close gaps • Show early progress & longer-term outcomes • Clear, ambitious goals and targets to inspire, align, and focus efforts • Outcomes relevant to all effected groups Challenges • Competing camps over what outcomes they care about • Mismatch between what we can measure and what matters • Setting overly modest or unachievable goals and targets • Not addressing the experiences of different groups Using Data to Establish Outcomes • How is asthma impacting learning in young children in Fresno? • What are the over-arching issue(s)? What are the underlying issue(s)? • What will need to be measured? • How are the outcomes and experiences of different groups different? How might these influence the impact of asthma on learning? • • • • • • • • Language barriers (child or parent) Parent education levels Transportation Place of residence Income Medical costs/insurance Discrimination Other??? Strategies Exercise Criteria: 1. Which are more critical? a) To all children b) To particular vulnerable groups 2. Which are there more resources for? 3. Which are more supported by public will? Implementation: Interest in 3rd Grade Reading and Asthma Is there capacity/interest in the community to participate in a work group? Is there interest and excitement around 3rd grade reading and/or asthma? Are there allies that would help? Is there a saturation of “work groups” in the community? If so, is there an existing group whose work aligns? Is there an interest in equity issues? In asthma? Is there a saturation of people working on 3rd grade reading? Implementation: Community Engagement Which communities would need to be engaged? What communities would be most excited about the issue? Which would be more difficult to engage? What would be the barriers and how could we get around them? Implementation: Data Availability • Will it be possible to get data on a pilot school? • Individual level education data on students: asthma, attendance, CST scores, grades, addresses for geo-coding, demographics • Access to school personnel and caregivers for qualitative data collection: School nurse, office staff, principal, teachers, parents and caregivers • Who should we approach for data? • Who will champion our cause for getting data if we come across barriers? Implementation: Intervention What resources are available for an intervention? What political will is there around this topic to support which level of intervention (resource investment, political support, policy impact, advisory council)? Who will be supportive and ally with us? What public will is there around this topic to support an intervention (community support and engagement, participation in intervention)? How willing do you expect the pilot school to be to implement an intervention? Implementation: Evaluation What resources are available for evaluation of the effectiveness of the intervention? Is evaluation viewed as important by the Brain Trust? By the community? Who will be the proponents of evaluation? Junious Williams, CEO [email protected] Rebecca Brown, Ph.D., Research Coordinator [email protected]