Online Program

An understanding of structural change interventions to facilitate the achievement of health in all policies

Monday, November 2, 2015 : 8:30 a.m. - 8:45 a.m.

Lisa Lieberman, PhD, CHES, Department of Health and Nutrition Sciences, Montclair State University, Montclair, NJ
Jo Anne Earp, ScD, Department of Health Behavior, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC
Shelley Golden, PhD, Department of Health Behavior, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill
A recent supplement to the journal Health Education & Behaviorhighlighted 12 articles focused on the state of the evidence for interventions aimed at structural changes to promote health. Seeking to understand what type and amount of evidence is needed to demonstrate effectiveness, as well as whether poorly resourced communities benefited equally from such approaches, the articles provided meaningful perspectives on the state of the art with respect to such interventions.  Key themes included  the importance of partnerships and coalitions outside of traditional public health; the substantial amount of time and resources (financial and otherwise) needed to implement and study structural changes; the challenges of evaluating multi-level approaches and building evidence for effectiveness; multi-level approaches that link income, institutions (such as housing), and health outcomes; the importance of historical context for interpreting cultural changes; the role of theories that place individuals as stakeholders or nodes in social networks that drive organizational change; and the power of market forces to make health-directed policies less effective than they might otherwise be.  Key themes in understanding broad structural approaches to promoting health, and identifying remaining questions, will be presented.  These include: how do we assure that structural changes actually reach communities most in need, and to what extent are the problems we prioritize, and the language used to advocate for them, a consequence of unequal access to power and, ultimately, resources? The presentation will address how understanding the circumstances under which structural approaches actually improve health will better serve our efforts to support Health in All Policies.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Identify challenges in conducting and evaluating the outcomes of a range of structural level interventions for promoting health; Discuss the potential for structural change interventions to reduce, or in some cases, increase health disparities; Analyze the role of structural change interventions in facilitating the achievement of health in all policies.

Keyword(s): Policy/Policy Development, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research in structural interventions for more than 20 years, and I served as the Guest Editor of a special supplement to Health Education & Behavior on this topic.
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.