The following sections describe the results of the survey and provide answers to the study’s main research questions. The Results Section is organized into two subsections, one for each of the initiatives. These sections parallel one another, and are organized according to the study’s major and minor research questions.
The study questionnaire was designed to be both short and simple to encourage the participation of busy government and tribal officials. Therefore, many questions were limited to multiple choice questions, which forced answers that may not have fully captured the variety of uses of the initiatives at the organization or the varying stages of integ
Data analysis focused on identifying results of the key research questions. In addition to answering this core set of questions, the analysis compared the key respondent groups and determined the extent to which certain characteristics of the organization seem to be related to the extent of awareness, the extent of use, the nature of use, and the
Of the 235 respondent organizations, 19 percent were state health agencies, 66 percent were local, and 15 percent represented tribal health organizations. Five of the respondent states are recipients of a Steps to a HealthierUS grant. The individuals completing the questionnaire at each organization varied. The majority of questionnaires (51%) wer
A letter was sent to the 45 selected respondents to alert them to the upcoming scheduling phone call and contact was attempted with all cases. To reach participants, NORC cross-referenced the record of calls from the initial survey to determine the best phone number to reach the selected users. Research assistants called respondents according to a
Fielding the survey entailed mailing the questionnaire along with a cover letter to the key staff member at each organization 8 . A self-addressed stamped envelope was included with each survey to facilitate the return the questionnaire directly to the researchers. A follow-up postcard mailing was sent to respondents two weeks after the initial ma
Exhibit 1 displays the overall response rates on the questionnaire, as well as the response rates for each key user group. Additional summary statistics for the respondent population are presented in the Study Respondents section.
The tribal list frame provided by IHS consisted of 385 records. This file also contained a code for the approximate size of Indian population, excluding urban Indian health agencies and a few other organizations. This classification system divided tribes into small (< 2,500 Indian population), medium (2,500 – 10,000), and large (> 10,000).
Assessment of the Uses and Users of Healthier US and Healthy People 2010. Local Health Organizations
The NACCHO list frame consisted of 2,807 records. However, we removed 49 “inappropriate” records and 37 “tribal” records so that our final sampling frame contained 2,623 organizations. Inappropriate records included duplicate records, records without title or agency name, as well as other inappropriate records such as public health consult
In addition to the census of state health directors, the sampling design utilized systematic samples with equal probability of selection (within organization type) and implicit stratification for the local and tribal respondents. Implicit stratification involves sorting the frame on certain variables so that the sample drawn is representative on t
The sample included 301 respondents from the 50 states, the District of Columbia, local health organizations, and Native American tribes. The unit of analysis for the sample was the organization, meaning that no more than one survey was sent to each organization. The project took a census of state health departments, and sampled local and tribal h
This assessment included one mailed self-administered questionnaire (SAQ), which was sent to members of state, local, and tribal health organizations. Each individual was asked to complete the one-time survey, lasting approximately 15 minutes. Survey results were then summarized within and across organization type.
Prior to this study, information about the uses and users of HealthierUS and HP2010 was limited. Though information about both initiatives had been disseminated through various mechanisms including websites, published materials, and other efforts, there was little information available about how organizations use the initiatives concurrently with
Healthy People 2010 (HP2010) and HealthierUS are both concerned with improving the health of Americans through disease control and prevention. Though inspired by different time periods and by different leaders, HP2010 and HealthierUS are complementary in their efforts to involve state, regional, and local organizations to improve the health of the
Assessment of the Uses and Users of Healthier US and Healthy People 2010. Healthy People 2010 Background
HP2010 represents the third of a series of publications by the U.S. Department of Health and Human Services that specifies ten-year health objectives for the nation. The initiative, containing 567 objectives in 28 focus areas, is based on a systematic approach to improving health that highlights the central role of the physical and social environm
HealthierUS was established in 2002 by an Executive Order of the President of the United States. The HealthierUS initiative is designed to: 1) increase physical activity, 2) promote responsible dietary habits, 3) increase utilization of preventive health screenings, and 4) encourage healthy choices concerning alcohol, tobacco, drugs, and safety am