Community Health

One of the key lessons learned in the last few decades of public health research is the importance of understanding the subtle, unique characteristics of the communities in which people live and work. Prevention strategies that work well in one community may fail in other communities because they fail to address the needs of that population. We collaborate with local leaders and organizations, who work with us to shape programs and interventions to fit the needs of their communities—including schools, rural villages, urban neighborhoods, and college campuses.

Reducing HIV Risks Among African American Teens

This rigorous three-arm randomized experiment tests whether an innovative multi-year parent-mediated HIV intervention, Preparing Our Sons and Daughters for Healthy Futures, reduces HIV risks among African American youth living in high-poverty urban neighborhoods. About 1500 families with 6th graders in New York City public schools are being enrolled and will be followed through 9th grade.

The MetroWest Youth Risk Behavior Survey Project

The MetroWest Youth Risk Behavior Survey is a ten-year initiative of the Massachusetts-based MetroWest Community Health Care Foundation to better understand and address the health needs of adolescents in the region. Surveys are being conducted biannually with middle and high school students. The first round of surveys was conducted in 2006, with over 16,000 high school students and 8,000 middle school students participating. Districts receive timely reports of their data along with technical assistance. Findings are used to identify problems, track trends, and inform local programming.

Design and Production of HIV/STD Video-Based Intervention Packages

EDC has produced a dissemination package for Safe in the City, a brief video-based HIV/STD prevention intervention for STD clinics. In a large, multi-site efficacy trial, Safe in the City was found to be effective in reducing new cases of STDs among clinic patients. The intervention has been selected for national dissemination through CDC’s Diffusion of Effective Behavioral Interventions program. EDC was a collaborating partner in the development and evaluation of this intervention.

MetroWest Technical Assistance Center

This technical assistance center serves 10 local communities working to reduce and prevent youth substance abuse by increasing understanding and practice of evidence-based strategies and collaboration between communities. Methods include monthly trainings, regional facilitation with community leaders, e-newsletters, a Web portal and local community coaching.

Tribal Youth Program Training & Technical Assistance Center

The Tribal Youth Program (TYP) Training and Technical Assistance (T/TA) Center addresses the need to strengthen American Indian and Alaska Native juvenile justice and other systems–education, mental health and social services, culture, recreation and employment programs–all critical to Office of Juvenile Justice and Delinquency Prevention’s mission of reducing juvenile delinquency, violence, child victimization, and increasing the safety of tribal communities.

Evaluation of SADD Mobilization Efforts

EDC and SSRE are working with SADD to develop and test a youth-informed and youth-delivered social marketing campaign, as well as other program components, aimed at reducing underage drinking among high school students. Our work includes formative research with youth, parents, and school-community members needed to guide program and measurement development as well as an initial pilot test of the SADD campaign and related program efforts.

Cognitive Processing Therapy for Veterans with PTSD

EDC is working with the VA National Center for PTSD (post-traumatic stress disorder), Women’s Health Sciences Division to develop print, video, and online training materials to support the national implementation of Cognitive Processing Therapy within the Veteran’s Health Administration.

Youth Produce a Lasting Impact

Community organizer Meera Devi (standing) leads a class in the village of Kuchhp

A Year after it ended, an EDC project in India that used tourism to engage youth in income-generating, health promoting, and community development activities, is continuing to have an impact.

Better Care for Medicaid Patients

Learning more about patients’ experiences can lead to improved care.

EDC is evaluating a service for Medicaid patients that seeks to stem the flow of frequent but potentially preventable hospitalizations and emergency room visits by providing patients with a place to receive patient-centered care.