# Presentation: 241835

## 2008 Health Literacy Conference

**Community Tool Box Overview & Creating and **
**Maintaining Partnerships Dialogue**** **
**Nicole C.**** ****Keene**
**University of Kansas**

## KU Work Group for Community Health & Development

- Mission: Enhance community health and development globally
- 	through networking,
- 	capacity development, and collaborative research
- Team
- Projects

## Health Literacy & the Community Tool Box

- Defined: The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions (Ratzan and Parker, 2000)

- Community Tool Box
- Building capacity of individuals and communities
- A free information resource
- Facilitates communication on multiple levels

## Context and Collaborative Partners in Learning

- Since 1990, the KU Work Group has used a common measurement system with over 30 community-led change and improvement efforts
- Focus on *intermediate outcome*—**community and systems change**
-  population-level outcomes often too delayed to be useful in making adjustments

## KU Work Group Working Hypothesis

**Community **
**Change**
**(Intermediate**
**Outcome)**

**Population-Level**
** ****Outcomes**
**(Longer-Term**
**Outcomes)**

- Programs
- Policies
- Practices

- Some examples include:
- Risk/Protective Factors
- 30-Day Use Outcomes –is there an example outcome related to health-literacy we could use?

_**When Sufficient**_**: **
- -Goal			-Strategy		-Duration
- -Penetration (reach) Targets (via) Sectors (in) Places

## Slide 6

## Building Capacity through the Community Tool Box (CTB)

**Mission of CTB**
*Promoting community health and development by connecting people, ideas, and resources*
**Freely available** Internet-based resource
- Started in 1994—writing one section at a time
**Comprehensive**
- Over 7,000 pages of how-to information for bringing about community change and improvement (e.g., planning, evaluation)
**Other capabilities**: Customized WorkStations for documenting and evaluating efforts, analyzing the contribution, and making adjustments

## Some Components of the CTB

- Best Processes for the work
- Tools to support the work
- Problem Solving
- Collaboration

## Some Valued Functions and Existing Features of the CTB

**Learn a skill**—300 CTB how-to sections
**Do the work**—Toolkits for 16 core competencies
**Solve a problem**—Troubleshooting guide
**Use promising approaches**—Explore best processes and practices
**Connect with others**—Ask an advisor and links to related websites
**Document and evaluate initiatives**— (optional) Online Documentation and Support System

## 1.	Creating and maintaining coalitions and partnerships
2.	Assessing community needs and resources
3.	Analyzing problems & goals
4.	Developing a framework or model for change
5.	Developing strategic and action plans
6.	Building leadership
7.	Developing an intervention
8.	Increasing participation and membership 
9.	Enhancing cultural competence
Advocating for change
Influencing policy development
Evaluating the initiative
Implementing a social marketing effort
Writing a grant application for funding
Improving organizational management and development
Sustaining the work or initiative

**2.****	****Assessing community needs and resources**
**3.****	****Analyzing problems & goals**
**4.****	****Developing a framework or model for change**
**5.****	****Developing strategic and action plans**
**6.****	****Building leadership**
**7.****	****Developing an intervention**
**8.****	****Increasing participation and membership **
**9.****	****Enhancing cultural competence**
**Advocating for change**
**Influencing policy development**
**Evaluating the initiative**
**Implementing a social marketing effort**
**Writing a grant application for funding**
**Improving organizational management and development**
**Sustaining the work or initiative**

**16 Core Competencies**

## CTB Curriculum

**16 Module Curriculum** aligned with core competencies in community work (e.g., assessment, planning, intervention, evaluation)
- Each Module includes:
- Participant’s Guides and experiential activities
- Facilitator’s Guide and PowerPoint presentation
- A competence assessment that requires developing a plan related to a particular skill (such as a strategic plan or evaluation plan)
- The Community Tool Box serves as an ongoing resource during and after the training

## Slide 12

## Global Community of Practice—Some illustrative users of the CTB

**Community organizer and village pastor**
**	****	***Sumatra Island, Metro, Indonesia*
**Regional Prevention Centers**
*	**	**Statewide Kansas, United States*
**Trainer and community development worker**
**	****	***Birmingham, Great Britain (U.K.)*
**Head Start educator**
**	****	***Crowley, Louisiana, United States*
**Master’s in Public Health Student at Emory University**
**	****	***Atlanta, Georgia, United States / Kenya, Africa*
**Leadership trainer for local organizations**
**	****	***Caracas, Venezuela*
**Instructor and researcher at the University of Balamand**
**	****	***Balamand, Lebanon*

## Marked growth—What is the usage of the CTB? 

## Marked growth—What is the usage of the CTB? 

## What are CTB users saying?

- “CTB proved over and over again that it is a great resource for both teaching and conducting community-based programs. I refer my students to CTB as the first choice for resources relevant to our work.
- 	-*Ghazi Kayali, Balamand, Lebanon *
- “It is really a very helpful site for those who want to contribute in the development of community and society. Very good guidelines for people like me working in this field, particularly in Pakistan where there is no such training...a great job, continue serving humanity with your good ideas.”
- 	-*Syed Abid Gilani, Islamabad, Pakistan*
- “I like your web page because it gives really helpful hints on real activities that can be done at the community level.”
- 	*-Dr. Jamilah Hashim Kuching, Sarawak, Malaysia*

## Capacity Development: Addressing Health Literacy

- Local and global access to training in skills for promoting community health and development (e.g., translated and adapted curriculum)
- Global constellation of online tools for building capacity (e.g., in local languages)
- Regional access to technical assistance in implementing development efforts

## Other CTB Features—Customized Workstations

- Integrated Online Supports for:
**Building capacity **(e.g., tailored links to tools)
**Documentation and participatory evaluation **(e.g., recording accomplishments, graphing, analyzing the contribution)
**Co-learning **within and across initiatives (e.g., shared sense making, reporting to different audiences)

## Slide 19

## Online Documentation and Support System

- Components
- Features
- Track work over time
- Produce reports and graphs
- Enhances the success of community work

## Slide 21

## Slide 22

## Creating and MaintainingCoalitions and Partnerships

- Community Tool Box Toolkit
- Toolkit—Developing a plan with core tasks

## Working Together for Community Change

- Community Capacity-
-  Ability of members to bring about change and improvement—over time and across different issues

## Working Together for Community Change

- Community/Systems Change-
-  New or modified programs, policies and practices brought about by the group and related to its purpose.

## Working Togetherfor Community Change

- The Nature of Community Work:
- Larger than any one person or organization
- Dynamic and adaptive
- Problems and goals are inter-related
- Self-determination
- Involves working together on things that matter

## Determining the conditions for starting a coalition or partnership

- Why start a coalition?
- To address an urgent situation
- To empower the community
- To obtain or provide services
- To increase efficiency and effectiveness
- To combine resources
- To increase communication
- To plan community-wide efforts
- To develop political clout
- To create long-term, permanent social change

**Notes:**
When to start: When dramatic events occur, When new information becomes available, When circumstances change, When new funding becomes available, When there is an outside threat, When a group seeks broad, significant community change

## Creating a Coalitionor Collaborative Partnership

- Establishing a Coalition
- Assemble the coalition’s membership
- Briefly outline a vision and mission for the group
- State the objectives, needed resources/ relationships, and key agents of change

## Creating a Coalitionor Collaborative Partnership

- Establishing a Coalition Cont.
- Describe potential barriers or opposition
- Describe the probable structure your collaborative partnership will take as an organization

## Creating a Coalitionor Collaborative Partnership

- Some guidelines:
- Communicate!
- Be inclusive and participatory
- Network
- Set concrete, reachable goals
- Be creative about meetings
- Be realistic about what you can do
- Acknowledge diversity among your members, their ideas and their beliefs
- Praise and reward outstanding contributions,
- Celebrate your success!

## Working Togetherfor Community Change

- Some Factors Affecting Success
- Clear Vision and Mission
- Action Planning
- Leadership
- Resources for Community Change Agents
- Documentation and Feedback
- Technical Assistance
- Making Outcomes Matter

**Notes:**
Organizational structure - Structure can help maintain stable conditions - The framework of the group - Binds members together, provides clear guidelines, and is inevitable - Should grow and change with the group

## Online Tour

- New WorkStations
- Online Documentation and Support System

- Community Tool Box

## Health Literacy & the Community Tool Box

- Multiple factors contribute to health literacy (e.g., personal and environmental factors)
- Complex problem
- Requires a coalition/partnership collaborative approach to solve the problem
- There is a need to improve coalition functioning and a scarcity of studies related to their functioning
- CTB provides that support (e.g., factors that affect coalition functioning and the production of changes related to literacy)

##  Contact Information

- Steve Fawcett, KU Workgroup Director _[sfawcett@ku.edu](mailto:sfawcett@ku.edu)_
- Jerry Schultz, Co-Director  _[jschultz@ku.edu](mailto:jschultz@ku.edu)_
- Christina Holt, Director of Training and Technical support,
-         _[cholt@ku.edu](mailto:cholt@ku.edu)__ _
- Nikki Keene, Graduate Research Assistant, _[nckeene@ku.edu](mailto:nckeene@ku.edu)__ _

## Creating and Maintaining Coalitions and Partnerships

- For more information or inquiries about the Tool Box, the CTB Curriculum, please email _[toolbox@ku.edu](mailto:toolbox@ku.edu)__ or call (866) 770-8162._
- Best wishes to you in your collaborative work!