Section: Module 3: Lesson 1: Preparing for your Intervention | Community-Oriented Primary Care | NextGenU.org

  • Learning Objectives:
    Upon completion of this lesson, you will be able to:
    • Understand the prioritization process of health conditions in the development of COPC.
    • Provide a detailed assessment of the selected health condition.
    • Consider the COPC process in action (as in the Jerusalem example).
    • Gather information to design a promising intervention utilizing community input.
    Approximate time required for the readings for this lesson (at 144 words/minute): 5 hours.

    Click here to start this lesson
    • Required Learning Resources and Activities
    • Scroll down and under the heading titled "Activities and Modules" click on the link titled "Module 3 - Identifying Health Problems". Read through the slides in order to learn how to identify health problems. Lecture notes are available for download.

    • Read the article titled "Improving the Use of Research Evidence in Guideline Development: 2. Priority Setting." This article describes a broad spectrum of criteria for setting priorities and suggests those that should be used.

    • Read the web page to learn about qualitative methods to assess the health condition.

    • Read the section titled "Step 3: Collect Data" to learn how to conduct a community assessment.

    • Read the article titled "The Jerusalem Experience: Three Decades of Service, Research, and Training in Community-Oriented Primary Care" in order to gain a better understanding of how the COPC process works (as in the Jerusalem example). Examine Figure 1 which clearly illustrates the COPC cycle.

    •  In "Chapter 19" read the content of "Section 1. Criteria for Choosing Promising Practices and Community Interventions" under the "Main Section" and "Checklist" tabs. These pages from The Community Tool Box provide a comprehensive overview of criteria as well as qualitative and quantitative methods you should consider when designing an intervention, . Furthermore, this resource provides information on locating other current interventions and quantitative and qualitative methods.

    • In "Chapter 19. Choosing and Adapting Community Interventions" read the content of the "Main Section" tab for both “Section 4. Adapting Community Interventions for Different Cultures and Communities” and “Section 5. Ethical Issues in Community Interventions.”  These sections will help you think about how culture and ethical issues can affect community interventions. These issues are critical elements to consider especially for an outsider working in a foreign community. However, they are also important factors to keep in mind when working within your own community.

    • In this activity, you will work on the third step “Prioritization of Needs” and fourth step “Detailed Assessment of the Selected Health Problem” of the COPC process

      Step 1: Read the description of “Prioritization of Needs” that can be found on the District of Columbia AHEC website Since many communities have various health needs and restricted resources, it is important to prioritize those requirements and make an objective selection of a health concern. Also, read the description of “detailed assessment” that can be found on the DC (District of Columbia) AHEC website. Read the DC AHEC document on “Detailed Assessment”.  

      Step 2: Develop a set of questions and interview community members in order to gather information about the selected health condition. Your set of questions might include how it affects daily lives, how people feel about the condition, what they witness in the community, etc.

      Step 3: Discuss with your mentor the health needs of the community and the methods to prioritize them, also, discuss with your mentor the assessment of the selected health condition. 

      Step 4: Write a 100 to 200-word description of the prioritization of health concerns in your community. Include why you decided to prioritize in this way in your description. You should engage the help of community members in your project wherever possible.

      Step 5: Write a detailed 600 to 900-word text assessing the health condition in your defined community. Your assessment must include:

      • A definition of the population (all or certain sub-groups)
      • Assessment of health status, determinants and outcomes related to the specific condition
      • Methods of data collection (are they valid and reliable?)
      • Limitations of the collected and available data (e.g., what questions remain?)

      Step 6: Submit one document with your assignments for the third step “Prioritization of Needs” and fourth step “Detailed Assessment of the Selected Health Problem” of the COPC process to get feedback from your mentor. 

      Please note: You do not need to submit your text for peer review, but feel free to get feedback from your mentor. However, you will use what you wrote to complete your project proposal in Module 4. As such, make sure you save your assignments for this activity. 

      The document is in an Office file format. If you do not have Office software click here for a list of all plugins.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
    • Additional Learning Options
    • In "Chapter 18. Deciding Where to Start" read the content under the heading “Main Section" of both “Section 1. Designing Community Interventions” and “Section 2. Participatory Approaches to Planning Community Interventions.” These webpages in the ‘Community Tool Box’ outline the methods to construct a community intervention as well as the participatory approaches to planning one.

    • Use "Chapter 5: Assessing Evidence and Information" as an additional resource to read more about the different types of research (qualitative and quantitative), the measures of risk, and the associated bias. Please note that the source is not written from a COPC perspective but can act as a supplement to develop a better understanding about evidence collection and analysis.

    • Discuss online with your peers the different ways in which you could get the community involved at each of the six steps of the COPC process. You should comment on at least one other posting, and if someone comments on your posting, you should respond back to them.