Overcoming Barriers to Sustaining Health Equity Interventions: Insights from the National Institutes of Health Centers for Population Health and Health Disparities

Tanjala S. Purnell, David O. Fakunle, Lee R. Bone, Timothy P. Johnson, Nanci Hemberger, Stephanie B. Jilcott Pitts, Janice V. Bowie, Kandice Oakley, Beti Thompson, Electra D. Paskett, Lisa A. Cooper

Research output: Contribution to journalArticle

Abstract

We conducted qualitative semi-structured telephone interviews with the directors of the 10 National Institutes of Health Centers for Population Health and Health Disparities (NIH/CPHHD) to identify factors that were associated with the sustainability of 19 interventions developed to address cancer disparities and 17 interventions developed to address cardiovascular disease disparities in the United States. Interview transcripts were analyzed using the constant comparative method of analysis to identify key themes and synthesize findings. Directors at NIH/CPHHD reported that barriers to sustainability included uncertainty about future funding and insufficient resources to build and maintain diverse stakeholder partnerships. Strategies that helped to overcome these barriers included developing and engaging community partnerships with health care systems; early pursuit of multiple funding sources; and investments in infrastructure to address the social determinants of health. Sustainability planning should be incorporated during the early stages of intervention development to facilitate maintenance of successful programs that address health disparities.

Original languageEnglish (US)
Pages (from-to)1212-1236
Number of pages25
JournalJournal of health care for the poor and underserved
Volume30
Issue number3
DOIs
StatePublished - Jan 1 2019

Fingerprint

National Institutes of Health (U.S.)
Health
Population
Social Determinants of Health
Interviews
Uncertainty
Cardiovascular Diseases
Maintenance
Health Equity
Delivery of Health Care
Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Overcoming Barriers to Sustaining Health Equity Interventions : Insights from the National Institutes of Health Centers for Population Health and Health Disparities. / Purnell, Tanjala S.; Fakunle, David O.; Bone, Lee R.; Johnson, Timothy P.; Hemberger, Nanci; Jilcott Pitts, Stephanie B.; Bowie, Janice V.; Oakley, Kandice; Thompson, Beti; Paskett, Electra D.; Cooper, Lisa A.

In: Journal of health care for the poor and underserved, Vol. 30, No. 3, 01.01.2019, p. 1212-1236.

Research output: Contribution to journalArticle

Purnell, Tanjala S. ; Fakunle, David O. ; Bone, Lee R. ; Johnson, Timothy P. ; Hemberger, Nanci ; Jilcott Pitts, Stephanie B. ; Bowie, Janice V. ; Oakley, Kandice ; Thompson, Beti ; Paskett, Electra D. ; Cooper, Lisa A. / Overcoming Barriers to Sustaining Health Equity Interventions : Insights from the National Institutes of Health Centers for Population Health and Health Disparities. In: Journal of health care for the poor and underserved. 2019 ; Vol. 30, No. 3. pp. 1212-1236.
@article{3027d9b56437441a9bbe15651ad79729,
title = "Overcoming Barriers to Sustaining Health Equity Interventions: Insights from the National Institutes of Health Centers for Population Health and Health Disparities",
abstract = "We conducted qualitative semi-structured telephone interviews with the directors of the 10 National Institutes of Health Centers for Population Health and Health Disparities (NIH/CPHHD) to identify factors that were associated with the sustainability of 19 interventions developed to address cancer disparities and 17 interventions developed to address cardiovascular disease disparities in the United States. Interview transcripts were analyzed using the constant comparative method of analysis to identify key themes and synthesize findings. Directors at NIH/CPHHD reported that barriers to sustainability included uncertainty about future funding and insufficient resources to build and maintain diverse stakeholder partnerships. Strategies that helped to overcome these barriers included developing and engaging community partnerships with health care systems; early pursuit of multiple funding sources; and investments in infrastructure to address the social determinants of health. Sustainability planning should be incorporated during the early stages of intervention development to facilitate maintenance of successful programs that address health disparities.",
author = "Purnell, {Tanjala S.} and Fakunle, {David O.} and Bone, {Lee R.} and Johnson, {Timothy P.} and Nanci Hemberger and {Jilcott Pitts}, {Stephanie B.} and Bowie, {Janice V.} and Kandice Oakley and Beti Thompson and Paskett, {Electra D.} and Cooper, {Lisa A.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1353/hpu.2019.0083",
language = "English (US)",
volume = "30",
pages = "1212--1236",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "3",

}

TY - JOUR

T1 - Overcoming Barriers to Sustaining Health Equity Interventions

T2 - Insights from the National Institutes of Health Centers for Population Health and Health Disparities

AU - Purnell, Tanjala S.

AU - Fakunle, David O.

AU - Bone, Lee R.

AU - Johnson, Timothy P.

AU - Hemberger, Nanci

AU - Jilcott Pitts, Stephanie B.

AU - Bowie, Janice V.

AU - Oakley, Kandice

AU - Thompson, Beti

AU - Paskett, Electra D.

AU - Cooper, Lisa A.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - We conducted qualitative semi-structured telephone interviews with the directors of the 10 National Institutes of Health Centers for Population Health and Health Disparities (NIH/CPHHD) to identify factors that were associated with the sustainability of 19 interventions developed to address cancer disparities and 17 interventions developed to address cardiovascular disease disparities in the United States. Interview transcripts were analyzed using the constant comparative method of analysis to identify key themes and synthesize findings. Directors at NIH/CPHHD reported that barriers to sustainability included uncertainty about future funding and insufficient resources to build and maintain diverse stakeholder partnerships. Strategies that helped to overcome these barriers included developing and engaging community partnerships with health care systems; early pursuit of multiple funding sources; and investments in infrastructure to address the social determinants of health. Sustainability planning should be incorporated during the early stages of intervention development to facilitate maintenance of successful programs that address health disparities.

AB - We conducted qualitative semi-structured telephone interviews with the directors of the 10 National Institutes of Health Centers for Population Health and Health Disparities (NIH/CPHHD) to identify factors that were associated with the sustainability of 19 interventions developed to address cancer disparities and 17 interventions developed to address cardiovascular disease disparities in the United States. Interview transcripts were analyzed using the constant comparative method of analysis to identify key themes and synthesize findings. Directors at NIH/CPHHD reported that barriers to sustainability included uncertainty about future funding and insufficient resources to build and maintain diverse stakeholder partnerships. Strategies that helped to overcome these barriers included developing and engaging community partnerships with health care systems; early pursuit of multiple funding sources; and investments in infrastructure to address the social determinants of health. Sustainability planning should be incorporated during the early stages of intervention development to facilitate maintenance of successful programs that address health disparities.

UR - http://www.scopus.com/inward/record.url?scp=85072143348&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072143348&partnerID=8YFLogxK

U2 - 10.1353/hpu.2019.0083

DO - 10.1353/hpu.2019.0083

M3 - Article

C2 - 31422998

AN - SCOPUS:85072143348

VL - 30

SP - 1212

EP - 1236

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 3

ER -