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Strengthen the Evidence for Maternal and Child Health Programs

Find State ESMs


Displaying records 1 through 10 (10 total).

ESM 7.1.1 Number of School Health Friday Beat newsletters per fiscal year with at least one injury prevention resource provided in the Friday Beat newsletter (Texas)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 3. Inform and educate the public

Service Recipient: Activities related to systems-building

Goal: To have at least one injury prevention resource in each issue of the Friday Beat, to educate teachers, school administrators, and other interested individuals on injury prevention topics.

Numerator: Number of School Health Friday Beat bi-weekly newsletter issues per year that include at least one injury prevention resource.

Denominator: N/A

Significance: Unintentional injury is the leading cause of death and disability among children and adolescents, both in Texas and the United States as a whole. School is one environment in which children spend a significant portion of their day, so this environment could definitely have an impact on injury risk. Both fatal and nonfatal childhood injuries are very costly; in addition to the burden of death and disability, childhood injuries can result in substantial economic costs, including medical costs for the child and lost work days for caregivers. In order to impact the number of injury-related hospital admissions per population ages birth to 19 years, teachers, school administrators, nurses, and other interested individuals need to increase their knowledge of the potential risks impacting this population at school, in the community, and at home, and be provided strategies to reduce the risk. This measure will ensure that injury prevention resources are included in each issue of the School Health Friday Beat newsletter.

Data Sources and Data Issues: Source: DSHS School Health MCHS is working with School Health to try to ensure that every issue of the Friday Beat newsletter includes at least one injury prevention resource. Approximately 25 newsletter issues will be written/distributed each year (issues are published every other week). The Friday Beat newsletter goes out each week to over 2,500 followers through their distribution list. School Health will provide MCHS with the numbers and topics of the injury prevention resources they include in their bi-weekly Friday Beat issues.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.2.1 The number of schools participating in the "Teens in the Driver Seat" program. (Nebraska)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Public health services and systems level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities related to systems-building

Goal: Increase the number of schools participating in an evidence-based teen driver safety program.

Numerator: NA

Denominator: NA

Significance: Motor vehicle crashes are the leading cause of death for teens. Teens in the Driver Seat® is a teen driven peer-to-peer educational program that focuses solely on traffic safety and addresses all major driving risks for this age group. Teens, along with a sponsor, help shape the program and are responsible for implementing it.

Data Sources and Data Issues: Program Data, Nebraska Injury Prevention.

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.2.1 Percentage of high school students who wear a seatbelt (New Hampshire)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions"(https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school-level strategies in MCHbest.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of high school students wearing seatbelts

Numerator: number of students reporting seatbelt use

Denominator: total number of students responding to this question on YRBS

Significance: Unintentional injuries among children and young adults up to age 24 are a significant cause of premature deaths and serious injuries, many of which have life-altering impacts. Motor vehicle crashes are the leading cause of these injuries; many of these would be mitigated or even prevented if seatbelts were used consistently.

Data Sources and Data Issues: NH YRBS data (https://nccd.cdc.gov/youthonline) YRBS is a self-reported survey and students may respond positively to questions about wearing a seatbelt because there is a law in NH requiring people under 18 to wear seatbelts. School participation in the survey is voluntary, so data is not captured from 100% of NH students. The number of students who do respond is considered high enough to be representative of the state as a whole, but data is not reliable at a sub-state level.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.2.1 Percentage of high school students who reported distracted driving. (Missouri)

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Decrease the high school students who reported distracted driving

Numerator: Number of students who texted or e-mailed while driving a car or other vehicle (on at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey)

Denominator: Number of adolescents in grades ages 9 through 12

Significance: Motor-vehicle crashes are a leading cause of death and nonfatal injury among Missouri adolescents, resulting in approximately 75 deaths and 2,000 nonfatal injuries each year. Risk for motor-vehicle crashes and resulting injuries and deaths varies, depending on such behaviors as seat belt use or impaired or distracted driving. Improved understanding of adolescents’ transportation risk behaviors can guide prevention efforts. According to the Missouri 2019 Youth Risk Behavior Survey approximately 8.5% of high school students did not always wear a seat belt, 15.8% rode with a drinking driver, 4.2% of students had driven a car after drinking alcohol and 45.8% had texted or e-mailed while driving during the 30 days before the survey. Traffic safety and public health professionals can use these findings to reduce transportation risk behaviors by selecting, implementing, and contextualizing the most appropriate and effective strategies for specific populations and for the environment.

Data Sources and Data Issues: YRBS

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.2.1 Percent of students who report feeling comfortable seeking help from 1+ adult if they had an important question affecting their life, according to the Wisconsin YRBSS (Wisconsin)

Measure Status: Active

Evidence Level: ESM aligns with priority, however it is not in direct alignment with NPM. See other ESMs for this NPM (https://www.mchlibrary.org/evidence/state-esms-results.php?q=&NPM=7&State=&RBA_Category=&MCH_Pyramid=&Recipient=&Status=Active) or find other NPM 7 child/adolescent-level strategies in MCHbest.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of students who report feeling comfortable seeking help from 1+ adult if they had an important question affecting their life, according to the Wisconsin YRBSS, from 71.6% to 76.6% by 2025.

Numerator: Number of students who report feeling comfortable seeking help from 1+ adult if they had an important question affecting their life, according to the Wisconsin YRBSS

Denominator: Number of students who complete the Wisconsin YRBSS

Significance: Students who report feeling comfortable seeking help from 1+ adult if they had an important question affecting their life are associated with decreases in negative mental health concerns, such as isolation, loneliness, depression, self-harm, and suicidal ideation. These mental health concerns are of emphasized concern during the COVID-19 Pandemic. Enhanced protective factors and reduced risk factors are associated with reduced risk of adolescent injury.

Data Sources and Data Issues: Data will be pulled from the YRBSS. Data issues may arise from lack of in person schooling due to the COVID-19 Pandemic. Due to the rapidly-evolving nature of school environments in the midst of the COVID-19 Pandemic, collection and release of data in upcoming years may be affected.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.2.1 # of students trained in teen Mental Health First Aid (South Dakota)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 state/adolescent-level strategies in MCHbest. (

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Address suicide prevention and mental health in adolescents by promoting evidence-based programs and practices that increase protection from suicide risk

Numerator: # of students trained in teen Mental Health First Aid

Denominator: N/A

Significance: New evidence-based curriculum for youth that teaches high school students how to identify, understand and respond to signs and symptoms of mental health or substance abuse.

Data Sources and Data Issues: # of class participants reported by training facilitator to have completed the teen mental health first aid curriculum

Year: 2020

Unit Type: Simple Count, Unit Number: 300

ESM 7.2.1 # of schools/organizations/SADD chapters providing teen driver safety programs (e.g. Teen in the Driver Seat) with teens (Wyoming)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "Oversight and Regulation of Innovative Programs" (https://www.mchevidence.org/tools/strategies/7-3.php). Find other NPM 7 state-level strategies in MCHbest.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 5. Create/champion/implement policy

Service Recipient: Activities directed to families/children/youth

Goal: Increase the # of schools/organizations/SADD chapters providing teen driver safety programs (e.g. Teen in the Driver Seat) with teens

Numerator: # of schools/organizations/SADD chapters providing teen driver safety programs (e.g. Teen in the Driver Seat) with teens

Denominator: n/a

Significance: The program can directly increase # of evidence-based teen driver safety programs implemented in WY through the Child Safety Learning Collaborative and partnership with community prevention specialists and other partners in communities. Teens in the Driver Seat is one evidence-based program example.

Data Sources and Data Issues: Program data collected from schools/organizations

Year: 2020

Unit Type: Simple Count, Unit Number: 100

ESM 7.2.1 Number of students (12-18 years) trained in Positive Youth Development (PYD), youth suicide prevention, and peer helping skills by the end of 2021. [Note: this ESM actually reports a percent, even though the title indicates a number count.] (New Mexico)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school/student-level strategies in MCHbest.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase number of students 12-18 years trained in the PYP and peer help programs

Numerator: Number of students trained in peer programs

Denominator: Number of students in schools where peer programs are offered

Significance: Increasing peer and positive youth development programs can impact the coping abilities of students and help avert or redirect suicidal ideation or attempts among adolescents.

Data Sources and Data Issues: Office of School and Adolescent Health evaluation data

Year: 2020

Unit Type: Simple Count, Unit Number: 500

ESM 7.2.2 Rate of hospitalization for non-fatal injury per 100,000 adolescents, ages 10 through 19 (Texas)

Measure Status: Active

Evidence Level: This ESM measures access to/receipt of care, thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percentage of youth reporting a connection to at least one caring adult, as a measure of positive youth development (PYD) and a protective factor against injury.

Numerator: Estimated number of youth in Texas (grades 9-12) reporting a connection to at least one caring adult during a specific year.

Denominator: Total number of youth (grades 9-12) in Texas during a specific year

Significance: Research shows that adolescents who have positive connections to at least one adult in their life have increased protective factors and are less likely to participate in risky behaviors that can lead to injury and death. PYD focuses on the development of relationships with caring adults, supportive relationships with parents, supportive peer networks, promoting positive connections to school, supportive communities, and opportunities to experiment in healthy ways.

Data Sources and Data Issues: Data Source: Texas Youth Risk Behavior Surveillance System (YRBSS). Texas YRBSS is a school-based survey of representative samples of 9th through 12th grade students in Texas. The survey monitors priority health risk behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults. The YRBSS survey is conducted every two years. Starting with 2017 YRBSS data, this estimate will be the percentage of youth who reported that they either ate dinner at home with parents or guardians 4 of the last 7 days or they felt comfortable seeking help from an adult other than their parents if they had an important question affecting their life. Data Issues: All data collected by YRBSS are self-reported and subject to self-reporting bias. Furthermore, response rates to the YRBSS are lower than ideal and have seen a decline since 2011. YRBSS findings are intended for population surveillance and have only limited generalizability to specific geographic subgroups such as Simple Counties or cities. In 2019, Texas YRBSS worked with CDC to utilize available data for results to be considered representative of youth across the state, so 2019 YRBSS data is the baseline to estimate annual objectives. There is also the potential that future YRBSS may not collect information about whether youth ate dinner at home with parents/guardians 4 of the last 7 days due to the states question selection process.

Year: 2020

Unit Type: Percentage, Unit Number: 100

ESM 7.2.2 Demonstrated 5 percentage-point increase in personal resiliency outcomes for students, 12-18 years (New Mexico)

Measure Status: Active

Evidence Level: Moderate. Aligns with MCHbest strategy "School-based Interventions" (https://www.mchevidence.org/tools/strategies/7-4.php). Find other NPM 7 school/student-level strategies in MCHbest.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase resiliency by 5 percentage points, compared to baseline

Numerator: Point increase from baseline

Denominator: Baseline measure

Significance: Improving key resiliency outcomes among students is expected to protect participants from risky behaviors and behavioral health-relate injury

Data Sources and Data Issues: Office of School and Adolescent Health and APEX evaluation team data

Year: 2020

Unit Type: Percentage, Unit Number: 100

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.