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Freelisting: A Technique for Enhancing the Community Health Needs Assessment.

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Freelisting interviews effectively enhance community health needs assessments (CHNAs) by confirming existing data and adding community narratives. This qualitative method provides valuable insights into health priorities and barriers.

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Area of Science:

  • Public Health
  • Qualitative Research Methods
  • Community Health

Background:

  • US health systems mandate Community Health Needs Assessments (CHNAs).
  • Current CHNAs often rely heavily on disease prevalence data.
  • There's a need for qualitative methods to enrich CHNAs with community perspectives.

Purpose of the Study:

  • To identify a feasible qualitative method for CHNAs.
  • To confirm existing data and add community narratives to CHNAs.
  • To enhance CHNAs with new data and community insights.

Main Methods:

  • Freelisting interviews were conducted in a Pennsylvania county in 2017.
  • Participants listed health improvement factors, problems, and barriers.
  • Data were analyzed using Smith's salience index and subgroup variation assessment.

Main Results:

  • 98 respondents participated, with demographics reflecting the county population.
  • Key health improvement terms included 'physical activity' and 'healthy eating'.
  • Prominent health problems were 'cardiovascular disease' and 'spine and joint disease', aligning with CDC data.

Conclusions:

  • Freelisting is a valuable qualitative method to augment and inform CHNAs.
  • The study confirmed publicly available disease data and revealed community perceptions of health issues.
  • Community-reported barriers included weight, physical activity, dietary, and occupational concerns.