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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Assessing needs and resources for the home visiting system in Alabama: a mixed methods approach
Martha S Wingate1, Matthew Fifolt, Julie Preskitt
1Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA, mslay@uab.edu.
Maternal and Child Health Journal
|August 8, 2013
Summary
This study assessed Alabama
Area of Science:
- Public Health
- Maternal and Child Health Systems
- Health Services Research
Background:
- Developing a new home visiting (HV) system requires a thorough initial assessment.
- Understanding community needs and existing resources is crucial for effective system design.
- Alabama lacked a pre-existing statewide home visiting system, necessitating a foundational assessment.
Purpose of the Study:
- To describe the initial assessment process for developing a home visiting (HV) system in Alabama.
- To identify "at-risk" communities and explore existing HV resources and service gaps.
- To inform the future development of a comprehensive HV system and early childhood services.
Main Methods:
- Employed a mixed-methods approach combining quantitative and qualitative data.
- Quantitative component: Used six indicator categories from secondary data to identify "at-risk" counties in Alabama (n=67).
- Qualitative component: Conducted surveys and focus groups to assess resources and gaps in existing HV programs.
Main Results:
- Quantitative analysis identified 13 counties with the highest "at-risk" profiles based on weighted indicator scores.
- Five of these high-risk counties had no existing home visiting services.
- Key areas for future HV system development include trust, communication, availability, cost, and timeliness.
Conclusions:
- The mixed-methods approach effectively identified high-need areas and service gaps for HV system development.
- Findings provide a roadmap for establishing a robust HV system in Alabama, addressing critical maternal and child health needs.
- The methodology is adaptable for assessing complex service provision systems beyond home visiting programs.
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