The few existing economic evaluations of community-based health promotion interventions were reported retrospectively at the end of the trial. We report an evaluation of the costs of the Kin Keeper(superscript SM) Cancer Prevention Intervention, a female family-focused educational intervention for underserved women applied to increase breast and…

Out-of-wedlock pregnancy among adolescents in sub-Saharan Africa is a major concern, because of its association with health, social, psychological, economic and demographic factors. This article describes the development of the Teenage Mothers Project, a community-based intervention to improve psychological and social well-being of unmarried…

Many children, including those with asthma, remain exposed to secondhand smoke. This manuscript evaluates the process of implementing a secondhand smoke reduction counseling intervention using motivational interviewing (MI) for caregivers of urban children with asthma, including reach, dose delivered, dose received and fidelity. Challenges,…

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Articles in this special issue consider different aspects of community-level evaluation research and demonstrate the emerging sophistication and promise of this field. Process evaluation, qualitative research, and meta-analysis are promising new directions for ensuring more appropriate levels of analysis and more appropriate outcomes. (SLD)

There is an extensive body of research on the factors that predict mental health and illness, focusing on factors within the adolescent as well as within the various components of the adolescents environment. This paper presents a selective review of the research pertaining to each layer of the adolescent's internal and external world. Throughout…

There is an extensive body of research on the factors that are associated with reproductive health, focusing on factors within the adolescent as well as within the various components of the adolescents environment. This paper presents a selective review of the research pertaining to each layer of the adolescent's ecosystem. Emphasized are (1)…

Although HIV prevention researchers have conducted numerous controlled outcome studies to evaluate the effectiveness of theory-based interventions aimed at reducing HIV risk behaviors, many HIV risk reduction interventions are conducted not by researchers but by staff in local health departments or community-based organizations (CBOs). Despite…

In Belle Glade, Florida, a slum populated by Blacks, Whites, Hispanics, migrant farmworkers, and Haitians, where the incidence of most major health risks was far greater than anywhere else in the state, a program was planned and partially implemented which aimed to provide health services to at-risk, disadvantaged teenage mothers and their…

The study reported here describes the development and testing of a curriculum model to extend the role of public health nurses into community nurse practitioners (CNP). The content is presented in six chapters. The first chapter overviews the conceptual framework for the CNP role and then describes the three-course sequence comprising the CNP…