Planned Approach to Community Health (PATCH)

References

- Centers for Disease Control and Prevention. (1991). Planned approach to community health:guide for the local coordinator . Retrieved from http://lgreen.net/patch.pdf

-Goodman, R. M., Steckler, A., Hoover, S., & Randy , S. (1993). A critique of contemporary health promotion approaches. American Journal of Health Promotion, 7(3), 208-220.

-Hanson. (1989). Ciitizen invovlement in community health promotion: A role application of cdc'd patch model. International Quarterly of Community Health Education, 9(3), 177-186.

Origin of Theory

Major Concepts and Assumptions

• CDC published the theory in the 1980s
• Piloted in 1984 and 1985 in 6 states
• Developed from the PRECEDE
• Built on the same philosophy of the World Health Organization and the Ottawa Charter for Health Promotion
• in 1991 CDC stopped delivering PATCH to communities, but the resources are still available today

• Identify health issues, mobilize the community, implement a plan to allow the community to gain control of their own health and improve health outcomes
• 5 Critical Elements and 5 Phases

5.) Program Evaluation

-process and impact evaluations

-community sets criteria for determining success

-encourage feedback from community to allow for future participation

-document what worked and what didn't

-should be ongoing through all phases

• activate participation with a wide range of community members
• analyze community data and set health priorities
• data helps guide community health status and needs
• plan intervention activities

4.) Comprehensive Intervention Plan

• Review community policies, services, and resources
• Design an overall health promotion strategy
• Look at educational programs, mass media campaigns, policy advocacy, and environmental measures

- complete a thorough inventory of community resources that could be helpful in the program

-strategies, time table and work plan

-training volunteers, publicizing, and conducting activities (ex. distribute flyers)

-use energy and enthusiasm of community members

5 Critical Elements

Application of Theory to Health Issues

Planned Approach to Community Health (PATCH)

• Community members participate in the process
• Data guide the development of the programs
• Participants develop a comprehensive health promotion strategy
• Evaluation emphasis feedback and program improvement
• Community capacity for health promotion is increased

1.) Mobilizing the Community

-involve gatekeepers (home health aides, public health nurses, social workers, teachers, clergy)

-develop an advisory board (local county and state officials)

-attract key participants (three key incentives = opportunities for visibility credibility and fun

By: Kyle Gallant and Kellsey Steek

• Encourage timely feedback - essential to program improvement
• Evaluation allows for engagement of community members to develop health plans

3.) Choosing Health Priorities

- local health problems listed, ranked and prioritized

-target populations are identified (obesity and sedentary lifestyle)

-objectives are established by the community

-ex. to reduce the prevalence of sedentary lifestyle by 15% from 65% by 2015 and to reduce the prevalence of obesity in 3%

-give numbers personal meaning so community members can relate

-it can be difficult to bring everyone together on one issue

2.) Collecting and Organizing Data

Mobilizing the Community

-Utilize the Health Behavior Risk Factor Survey to determine leading causes of death and illness, behavior and conditions that contribute to those causes and what influences those conditions.

-morbidity and mortality data, community opinion interviews, compare local vs. state and national date

-this is a lengthy process (multiple months)

• Define the community
• Participants recruited and partnerships are formed
• Demographic profile of community completed

5 Phases of PATCH

Collecting and Organizing Data

• 1. Mobilizing the Community
• 2. Collecting and Organizing Data
• 3. Choosing Health Priorities
• 4. Developing a comprehensive Intervention Plan
• 5. Evaluating PATCH

• Analyze mortality, morbidity, community opinion and behaviors
• Use quantitative and qualitative data (Vital statistics and interview narratives)
• Analyze that data and determine the leading health problems

Choosing Health Priorities

Evaluating PATCH

• Group analyze behavioral, social, economic, political, and environmental factors
• Goal is to identify people at risk for disease, death, disability and injury
• Community objectives related to health priorities are set

Developing a Comprehensive Intervention Plan

• Ongoing and serves two purposes
• monitor and assess progress during the 5 phases of PATCH
• evaluate interventions
• set criteria for determining success and identifies data to be collected
• provide feedback to community to encourage future participation

• Set interventions, objectives, strategies, timetable, and work plan
• Recruit, train volunteers, publicizing and conducting activities
• Share results with the community

Planned Approach To Community Health (PATCH)