Community health improvement plan: Study protocol for Kansas City's intervention and implementation evaluation

Area of Science:

• Public Health Practice
• Health Services Research
• Community Health Interventions

Background:

• Community Health Improvement Plans (CHIPs) are crucial for public health, yet their implementation lacks empirical study.
• Understanding CHIP implementation is vital for improving population health and health equity.

Purpose of the Study:

• To identify implementation strategies within the Kansas City CHIP.
• To assess changes in implementation, service delivery, and client outcomes.
• To explore contextual factors and social networks influencing CHIP implementation.

Main Methods:

• A mixed-methods approach utilizing annual online surveys, focus groups, and quarterly implementation logs.
• Evaluation guided by Proctor's Model of Implementation, RE-AIM, and PRISM frameworks.
• Involves staff and community members engaged in the Kansas City CHIP.

Main Results:

• Study results commence in 2023, with annual updates on implementation and sustainability.
• Primary and secondary outcomes align with RE-AIM and PRISM constructs.
• Data collection focuses on implementation processes, service delivery, and client impact.

Conclusions:

• This research addresses a critical gap in understanding large-scale coalition-led health initiatives.
• Findings will inform the development of effective implementation models for CHIPs.
• The study aims to enhance the sustainability and impact of public health programs on population health and equity.