142nd APHA Annual Meeting and Exposition

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Improving child health using the TEACH model in a FQHC

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 1:10 PM - 1:30 PM

Wendy Cohn, PhD , Geohealth Interdisciplinary Research Group, Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Rupa Valdez, PhD , Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Aaron Pannone, PhD , Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Morgan Thompson , Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Camille Burnett, PhD, MPA, APHN-BC, RN, BScN, DSW , School of Nursing, University of Virginia, Charlottesville, VA
Vanessa N. Sturz, MS , Geohealth Interdisciplinary Research Group, Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Arthur Garson Jr., M.D., M.P.H. , Department of Public Health Sciences, University of Virginia, Charlottesville, VA
Audio (mp3) recording Recorded Presentation (mp4)
The future health of children is established, in part, by receiving healthcare services at a young age including, well-child visits, vaccinations and being insured.  The overall goal of this project is to improve these healthcare services in a Federally Qualified Health Center (FQHC) in Virginia by using the Tailored Educational Approaches for Consumer Health (TEACH) model to develop tailored educational materials based on market segmentation. This abstract describes the first step of the TEACH model; establishing the prevalence of segment membership (SM) across eight possible segments to inform subsequent development of segment-specific educational interventions and materials. 

We administered the TEACH segmentation survey in English and Spanish over a 3-week time period using a convenience sample of parents of patients in the waiting room of a FQHC.  The questionnaire measured factors such as information-seeking habits and preferences, health literacy and Internet use of the respondents.  Discriminant analysis was used to assign SM.

Out of 133 returned surveys, 80 were complete and had respondents with children under the age of two years.  Our results showed that SM prevalence ranged from 25% to 2.5%; we used a cut-point of 12.5% allowing us to focus on the development of materials, content, and delivery for the four most prevalent segments.  The segments differed on literacy, mode and type of delivery and information seeking behaviors.

Design of materials is underway to match each of the four most prevalent segments.  This project has broad implications for FQHCs, and delivery of other types of healthcare related information.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the TEACH model and how it is used in the provision of health information to parents of children who are in need of well-child visits and immunizations

Keyword(s): Child Health, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have developed the TEACH model and am leading the team to evaluate its impact in a FQHC i nVirginia. I have been involved in health education material development and evaluation in medical settings for 15 years.
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.

Back to: 4248.0: Health literacy and patient education