Community-level Topic Areas (A-E) and Issues (1 - 5) Related to Health Equity and People with Disabilities / Please place an “X” in the appropriate box: / Please place an “X” in the appropriate box:
How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not Very / Not Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
A. Defining disability
1. e.g., Physical versus cognitive
2.
3
4.
5.
B. Identifying health indicators for people with disabilities that may be related to health equity*
1. e.g. Tobacco
2.
3.
4
5.
Community-level Topic Areas (A-E) and Issues (1 - 5) Related to Health Equity and People with Disabilities / Please place an “X” in the appropriate box: / Please place an “X” in the appropriate box:
How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not Very / Not Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4

* The 12 Healthy People 2020 Leading Health Indicator topic areas are:

1. Access to Health Services - Persons with medical insurance (AHS-1.1); Persons with a usual primary care provider (AHS-3)

2. Clinical Preventive Services - Adults who receive a colorectal cancer screening based on the most recent guidelines (C-16); Adults with hypertension whose blood pressure is under control (HDS-12); Adult diabetic population with an A1c value greater than 9 percent (D-5.1); Children aged 19 to 35 months who receive the recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines (IID-8)

3. Environmental Quality - Air Quality Index (AQI) exceeding 100 (EH-1); Children aged 3 to 11 years exposed to secondhand smoke (TU-11.1)

4. Injury and Violence - Fatal injuries (IVP-1.1); Homicides (IVP-29)

5. Maternal, Infant, and Child Health - Infant deaths (MICH-1.3); Preterm births (MICH-9.1)

6. Mental Health - Suicides (MHMD-1); Adolescents who experience major depressive episodes (MDE) (MHMD-4.1)

7. Nutrition, Physical Activity, and Obesity - Adults who meet current Federal physical activity guidelines for aerobic physical activity and muscle-strengthening activity (PA-2.4); Adults who are obese (NWS-9); Children and adolescents who are considered obese (NWS-10.4); Total vegetable intake for persons aged 2 years and older (NWS-15.1)

8. Oral Health - Persons aged 2 years and older who used the oral health care system in past 12 months (OH-7)

9. Reproductive and Sexual Health - Sexually active females aged 15 to 44 years who received reproductive health services in the past 12 months (FP-7.1); Persons living with HIV who know their serostatus (HIV-13)

10. Social Determinants - Students who graduate with a regular diploma 4 years after starting 9th grade (AH-5.1)

11. Substance Abuse - Adolescents using alcohol or any illicit drugs during past 30 days (SA-13.1); Adults engaging in binge drinking during the past 30 days (SA-14.3)

12. Tobacco - Adults who are current cigarette smokers (TU-1.1); Adolescents who smoked cigarettes in the past 30 days (TU-2.2)

C. Identifying ways to find and learn about people with disabilities (“surveillance issues”)
1.e.g., establishing a disability advisory board
2.
3.
4.
5.
Community-level Topic Areas (A-E) and Issues (1 - 5) Related to Health Equity and People with Disabilities / Please place an “X” in the appropriate box: / Please place an “X” in the appropriate box:
How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not Very / Not Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
D. Putting into place practices that may reduce health inequities for people with disabilities
1. e.g., accessible fitness centers
2.
3.
4.
5.
Community-level Topic Areas (A-E) and Issues (1 - 5) Related to Health Equity and People with Disabilities / Please place an “X” in the appropriate box: / Please place an “X” in the appropriate box:
How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not Very / Not Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
E. Evaluating effectiveness of Items A – D above
1. e.g., establishing goals and objectives related to disability and health
2.
3.
4.
5.
Community-level Topic Areas (A-E) and Issues (1 - 5) Related to Health Equity and People with Disabilities / Please place an “X” in the appropriate box: / Please place an “X” in the appropriate box:
How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not Very / Not Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
How to average responses to questions
Issue identified from concerns survey: / How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not / / Very / Not / / Very
Example: Physical vs. Cognitive / 0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
Participants responded to this issue in the following numbers. Possible responses for each rating (e.g., in the first column, 1 person answered with a rating of 0, 2 people answered with a rating of 1, etc.) / 1 / 2 / 0 / 3 / 2 / 0 / 0 / 2 / 5 / 1
Multiply number of people who responded with each rating by value of that rating (e.g., in the first column 1 person answered 0, so that would be 1 x 0; 2 people answered 1, so that would be 2 x 1, etc.) / 1 x 0 = 0
2 x 1 = 2
0 x 2 = 0
3 x 3 = 9
2 x 4 = 8 / 0 x 0 = 0
0 x 1 = 0
2 x 2 = 4
5 x 3 = 15
1 x 4 = 4
Add these figures up for each issue category. As you see, the numbers are 19 and 23. The overall possible score for each question is 32 (8 people responding x the total highest possible value of each question, which is 4) / 0+2+0+9+8 =19
(out of 32 possible if all 8 had rated importance a score of “4” ) / 0+0+4+15+4 =23
(out of 32 possible if all 8 had rated satisfaction a score of “4”)
Divide the total for each question by the total possible for each question, and this gives you your percentages. / 19/32 =.5938,
or 59.38% / 23/32 =.7188,
or 71.88%

How to use the scoring

  1. Rank each issue by importance and satisfaction
  2. Compare differences in each issue between importance and satisfaction
  3. Strengthsare items that have high ratings in both importance and satisfaction, while problems are rated high in importance but low in satisfaction
  4. Priorities may be identified as highest ranked importance areas that have lowest ranked satisfaction among items with high overall importance

i.e. Issue ImportanceSatisfaction

Physical vs Cog59.38%71.88%

Etc.xx.xx%xx.xx%

Exercise:

1. As a large group, identify fiveissues associated with each of the fivetopic areasassociated with understanding health disparities among people with disabilities. Note: If you were starting this exercise from scratch in your community, your first step would be to first identify the topic areas of greatest concern before issues within each topic area.

2. Once each of the five issues are identified for each topic area, score each issue from 0 – 4, with 0 being least important or least satisfied and 4 being most important or most satisfied.

3. Scores will be tallied by the workshop conveners, so that summary totals for all workshop participants are identified.

4. Small groups within workshop will summarize importance and satisfaction for each issue within each topic area.

5. Conveners will provide summary tallies to each small group, and each small group will report back to the entire workshop on issues that appear to be strengths and priorities. If there are five in each small group, each participant can calculate the percentage for one of the five issues.

Small Group Worksheet

Averaging responses
Issue identified from concerns survey: / How important is this issue to you? / How satisfied are you with your community’s efforts in this area for people with disabilities?
Not / / Very / Not / / Very
0 / 1 / 2 / 3 / 4 / 0 / 1 / 2 / 3 / 4
Participants responded to this issue in the following numbers.
Multiply number of people who responded with each rating by value of that rating (e.g., in the first column 1 person answered 0, so that would be 1 x 0; 2 people answered 1, so that would be 2 x 1, etc.) / _ x 0 = 0
_ x 1 = _
_ x 2 = _
_ x 3 = _
_ x 4 = _ / _ x 0 = 0
_ x 1 = _
_ x 2 = _
_ x 3 = _
_ x 4 = _
Add these figures up for each issue category. As you see, the numbers are 19 and 23. The overall possible score for each question is 32 (8 people responding x the total highest possible value of each question, which is 4) / 0+_ +_ +_ +_ =__
(out of __possible if all workshop participants rate importance a score of “4” )
Number of workshop participants = ___ / 0 +_ +_ +_ +_ =__
(out of __ possible if all workshop participants rate satisfaction a score of “4”)
Number of workshop participants = ___
Divide the total for each question by the total possible for each question, and this gives you your percentages. / __/# of workshop participants x 4 ___ =.___,
or __.__% / __ /# of workshop participants x 4 ___ =.___,
or __.__%

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