142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Moving on down the road: The status of Livable Streets policy implementation in Missouri communities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Amy Dunaway, MPH, MA , MU School of Journalism, Health Communication Research Center, Columbia, MO
Ashley Sipocz, MPH, CPH , School of Journalism, University of Missouri Health Communication Research Center, Columbia, MO
Adoption of Complete or Livable Streets policies has grown tremendously in the last decade. As of early 2014, Missouri has passed 23 Livable Streets policies since 2003. Though policy adoption is an important first step toward creating safer, more livable places to live, work, and play, moving into the next phase of policy implementation is equally crucial in enacting change. In partnership with the Missouri Department of Health and Senior Services, this study examined the implementation process, challenges, and progress of Missouri Livable Streets policies. Twenty-one key stakeholders representing 15 communities of various sizes and two regional organizations with Livable Streets policies participated in semi-structured, phone interviews from April to June 2013. Participants discussed actions taken to implement the policies along with facilitators and barriers in the implementation process. Interviews were coded according to pre-specified themes derived from the literature and other themes, concepts and ideas raised by interviewees.  Consistent with previous research and case studies, participants confirmed the significance of stakeholder support, funding, and infrastructure in determining implementation success. Theme comparisons revealed implementation varies among communities by policy type (e.g., resolution, ordinance, or long range plan) and town size with large towns and communities with ordinances taking more actions. These findings suggest the influence of varying community contexts and policy attributes on Livable Streets policy implementation, underscoring the need for a clear, actionable steps for addressing implementation barriers and continuing momentum passed the policy adoption stage.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related public policy

Learning Objectives:
Describe how communities are using Complete/Livable Streets policies to improve their community Identify two facilitators and two barriers to Complete/Livable Streets policy implementation Explain the influence various community and policy factors can have on policy implementation Name at least 3 strategies for overcoming Complete/Livable Streets policy implementation challenges

Keyword(s): Built Environment, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a researcher and health marketer on a variety of healthy eating and active living (HEAL) grants and contracts. Since 2010, I have worked on the Missouri Livable Streets project, funded in part by the CDC and the Missouri Department for Health and Senior Services. Among my scientific interests are understanding the barriers and facilitators around HEAL policy implementation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.