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The Guide to Community Preventive Services and Disability Inclusion
Cynthia F Hinton1, Lewis E Kraus2, T Anne Richards2
1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Public health interventions can be adapted to include people with disabilities, addressing health disparities. The Community Guide recommendations require modifications in communication, technology, and accessibility for full inclusion.
Area of Science:
- Public Health
- Health Disparities
- Disability Inclusion
Background:
- Millions in the U.S. have disabilities and face health disparities.
- The Guide to Community Preventive Services (The Community Guide) offers evidence-based health recommendations.
- This assessment evaluates the applicability of these recommendations for people with disabilities.
Purpose of the Study:
- To determine if Community Guide recommendations are applicable to people with disabilities.
- To identify necessary adaptations for effective implementation in this population.
Main Methods:
- Qualitative analysis of 91 recommendations from The Community Guide across 15 health topics.
- Included an integrative literature review (1980-2011), key informant interviews, and focus groups (2011).
Main Results:
- 26 interventions require no adaptation.
- 41-33 interventions need adaptations in communication, technology, training, and physical accessibility.
- 38 interventions benefit from adaptations for enhanced disability inclusion.
Conclusions:
- Public health systems must address barriers for people with disabilities to ensure equitable reach of interventions.
- With appropriate adaptations, Community Guide recommendations can be successfully expanded to meet the needs of people with disabilities.
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