Community Health Opinion Survey

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Community Health Opinion Survey

• Kim Angelon-Gaetz, MSPH
• Community Assessment Epidemiologist
• Office of Healthy Carolinians/ Health Education

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Eight Phases of Community Health Assessment

• Phase 1 Establish a Community Assessment Team
• Phase 2 Collect Community Data
  (primary/secondary)
• Phase 3 Collect and Analyze Your Communitys
  Health Statistics
• Phase 4 Combining Your Countys Health
  Statistics with Your Community Data
• Phase 5 Solicit Community Input to Select
  Health Priorities
• Phase 6 Create a CHA Document
• Phase 7 Disseminate the Community Assessment
  Document to the Community
• Phase 8 Develop the Community Health Action Plans

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Accreditation Activities

• 1.1.e. Collect/ Analyze primary data to describe
  community health status
• 1.1.g. Use scientific methods for collecting/
  analyzing data

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Why Conduct a Community Survey?

• Meets the Primary Data Collection Requirement
• Inventory the Community Health Resources
• You must choose at least one of the following
• 2. Conduct a Community Health Opinion Survey
• 3. Conduct Listening Sessions or Focus Groups

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Benefits of Conducting a Community Survey

• Find out information about lots of people in a
  cost effective way
• If correctly done, the results represent the
  experiences of the community
• Answers are standardized and written down, so
  analysis is easier.

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Important Steps to Planning a Survey

• Budget time for
• Planning
• Conducting
• Recording
• Analyzing
• Interpreting
• Reporting

• Budget money for
• Materials
• Work time of interviewers
• Incentives
• Follow-up

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Survey Methods

• Before conducting your survey, decide your
• Target Population
• Sampling Frame
• Sampling Method
• Sample Size
• Survey Mode

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Target Population

• Who do you want to learn more about?
• What is the goal of your survey?
• Usually to collect information about your
  community as a whole
• Maybe want to collect information about subsets
  of your population

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Sampling Frames

• Where will you sample people from?
• Sampling frame A list or area from which you
  choose survey subjects
• Should represent your target population as
  closely as possible
• Examples
• Master jury list
• County voter registration
• Telephone book

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Sampling Methods

• Probability based
• Random
• Systematic
• Non-probability based
• Convenience
• Quota

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Random Sampling

• People chosen randomly
• Every person has an equal chance of being
  selected
• Can learn something about whole community if done
  correctly

• Types of RS
• Simple
• Stratified
• Cluster
• Two Stage Cluster

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Appendix B Sampling Guides
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Systematic Sampling

• People chosen using a sampling interval (i)
• i total number of people in frame
• sample size
• Start from x, a randomly chosen number lt i.
• Select every ith person in the area or list

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Convenience Sampling

• People chosen because they are available
• Chance of being selected can not be known
• Use stratification to make sure you are hearing
  from different types of people
• Use systematic sampling to make sure the
  interviewer selects participants more randomly

www.SanJose.com
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Quota Sampling

• A set number of people are chosen from each group
  
• Can define group based on geographic location,
  sex, race, income, etc.
• A type of stratified convenience sample

http//www.eagleton.rutgers.edu/e-gov/e-politicala
rchive-1948election.htm
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Sample Size

• What factors determine sample size?
• Cost
• Time
• Person power
• Sampling methods
• Acceptable error
• Target population size
• Prevalence of characteristic

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Sample Size

• How many people need to take my survey in order
  to get reliable results?
• At least 500 for convenience samples
• Often less for random samples
• Calculate your sample size using Epi Infos
  StatCalc
• Contact the State Center for Health Statistics or
  other local survey experts for assistance

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Survey Modes

• How will you administer the survey?

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Prepare the Survey

• What will the survey look like?
• Be sure to include
• Instructions for the interviewer or respondent
• Introduction and purpose
• Demographic questions
• Consult someone with survey experience
• Modify the new Community Health Opinion Survey
  template to fit your needs!
• Counties that only have regional BRFSS data have
  permission to add BRFSS questions!

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Appendix C Community Health Opinion Survey
21
Community Survey Part 1
22
Community Survey Part 2
23
Community Survey Part 3
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Community Survey Part 4
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Community Survey Part 5
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Analyzing Survey Data

• Tools
• Epi Info
• Excel
• Survey Monkey
• Statistics
• Percents
• Means
• Counts
• Stratification

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Epi Info Tools

• Now available on the Office of Healthy
  Carolinians/ Health Education website
• Epi Info Survey Template
• Epi Info File (.mdb file format)
• Instructions
• Codebook

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Comparing Your Sample Population to Your County
Population
Use this tool in Phase 2 to check how well your
sample matches your target population.
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Population Calibration

• Weighting to account for differences between your
  samples and your countys demographics
• Which demographic characteristics may have
  affected your results?
• Break down your sample and county into groups
  according to these characteristics

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Resources References

• State Center for Health Statistics
• Office of Healthy Carolinians
• Local survey experts
• Website What is a Survey? by the American
  Statistical Association http//www.whatisasurvey.i
  nfo/
• Books
•  Levy, Paul S., and Stanley Lemeshow. Sampling of
  populations Methods and applications. Hoboken
  Wiley, 2008.
•   Satin A., and W. Shastry. Survey Sampling A
  Non-mathematical Guide. Ottawa Statistics
  Canada, 1990.
•  

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Other Resources

• Free online Epi Info trainings at
  http//nccphp.sph.unc.edu/training/trainings.php
• Go to Trainings by Topic gt Software for Public
  Health gt Epi Info
• For assistance with survey data collection using
  GIS and handheld PDAs, contact
• Dr. Mark Smith email msmith_at_co.guilford.nc.us
  phone[phone]
• Steven Ramsey- email sramsey_at_co.guilford.nc.us
  phone [phone]

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Planning Your Survey
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Acknowledgments

• Guidebook review team Debi Nelson, Sarah
  Covington-Kolb, Sarah Thach, Kenisha Riley,
  Gerell Smith
• Survey tool development
• Contributing Counties Caldwell, Craven, Davie,
  Pitt, Rockingham, Stokes, Surry, and Watauga
• Contributing Branches from State DPH Physical
  Activity and Nutrition, Diabetes Prevention and
  Control, Injury and Violence Prevention, SCHS,
  BCCCP/Wisewoman
• WNC focus group led by Sarah Thach
• Survey tool review Marla Smith, Emily Perry,
  Jean Caldwell, Steven Ramsey
• Epi Info tool review John Wallace

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Questions?

• Contact Information
• Kim Angelon-Gaetz, MSPH
• Email kangelon_at_ncmail.net
• Phone consultations by appointment
• Regional and on-site trainings by request