?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F36268%2F&rft.title=Collective+action+models+for+chronic+disease+prevention%3A+an+evaluation+of+live+well+Allegheny&rft.creator=Lawless%2C+Helen+Ann&rft.description=Purpose%3A+The+research+presented+will+evaluate+the+impact+of+the+Allegheny+County+Health+Department%E2%80%99s+(ACHD)+Live+Well+Allegheny+(LWA)+initiative%2C+a+chronic+disease+prevention+effort+that+engages+participants+through+collective+action.+Results+from+a+process+evaluation+will+be+interpreted+and+potential+improvements+to+the+campaign+will+be+explored.+%0D%0ABackground%3A+Three+health+behaviors+(tobacco+use%2C+physical+inactivity%2C+and+poor+nutrition)+contribute+to+four+chronic+diseases%2C+which+together+account+for+approximately+50%25+of+premature+deaths+worldwide+(Taylor%2C+2009).+This+is+known+as+the+3-4-50+model%2C+which+greatly+informs+the+structure+of+LWA.+LWA+engages+participants+in+prevention+strategies+targeted+at+the+three+health+behaviors+to+help+them+achieve+their+goals.+The+ultimate+goal+of+the+initiative+is+to+for+Allegheny+County+to+become+the+healthiest+county+in+the+nation.+%0D%0AMethods%3A+A+mixed-methods+process+evaluation+was+employed+to+assess+participant+engagement%2C+participant+knowledge%2C+and+the+perceived+strengths+and+barriers+to+achieving+the+goals+set+forth+by+LWA+as+well+as+the+perceived+facilitators.+Ten+qualitative+interviews+were+conducted+with+LWA+staff+members+and+participants.+Additionally%2C+a+survey+was+utilized%2C+and+a+content+analysis+was+conducted+on+participant%E2%80%99s+commitments+to+the+campaign+and+referral+form+requests.+Finally%2C+maps+of+demographic+data+were+created+to+describe+whether+or+not+the+campaign+reaches+areas+of+most+need+in+the+county.++%0D%0AResults%3A+The+data+suggests+a+need+for+a+more+rigorous+monitoring+system+to+track+participant%E2%80%99s+progress+on+campaign+goals.+Participants+echoed+in+qualitative+interviews+that+the+campaign+constantly+reminded+them+to+put+health+at+the+forefront+of+their+work+but+were+concerned+the+general+public+did+not+understand+the+campaign.+Data+from+the+content+analyses+suggests+collaboration+between+participants+could+help+improve+overall+campaign+success.+County+maps+indicated+key+areas+where+campaign+efforts+could+be+directed+in+the+future.%0D%0AImplications+and+Potential+Use+for+Findings%3A+As+public+health+funding+decreases%2C+it+is+imperative+that+local+public+health+entities%2C+like+the+ACHD%2C+to+tackle+chronic+disease+locally.+Proposed+improvements+informed+by+this+evaluation+will+help+advance+the+initiative%E2%80%99s+goal+of+achieving+the+%E2%80%9Chealthiest+county%E2%80%9D+status+and+reducing+chronic+disease+burden%2C+a+significant+priority+for+public+health+professionals.&rft.date=2019-06-20&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F36268%2F1%2FLawlessHelen_MPHthesis_4_2019.pdf&rft.identifier=++Lawless%2C+Helen+Ann++(2019)+Collective+action+models+for+chronic+disease+prevention%3A+an+evaluation+of+live+well+Allegheny.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++