Are Motivational Interviewing techniques more effective than standard care in a healthy homes int...

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Are Motivational Interviewing techniques more effective than standard care in a healthy homes intervention? by Mind Map: Are Motivational Interviewing techniques more effective than standard care in a healthy homes intervention?

1. Types of questions

1.1. Descriptive

1.1.1. What percentage of NWP participants have less than ideal HH scores?

1.1.2. What is the frequency of low HH scores among Zone 1 residents?

1.1.3. This is the front-runner for type of question right now. I think most important thing we can do at this point is understand this issue better.

1.1.4. Determine the proportion of healthy home deficiencies that fall into the following categories: (a) deficiencies solely attributable to the design, construction and/or maintenance of the dwelling; (b) deficiencies solely attributable to the behavior of the occupants or neighbors; and (c) deficiencies which are attributable to both the dwelling and the occupants or neighbors. (HUD Operating Guidance HHRS)

1.1.4.1. OR: which category do NWP participants believe their healthy homes deficiencies fall into? (Attitudes, beliefs?)

1.2. Causal-Comparative

1.2.1. Do motivational interviewing techniques result in more/frequent/lasting behavior change than standard care?

1.3. Relationship

1.3.1. What is the relationship between HH scores and negative health outcomes?

1.3.2. What is the relationship between HH indicators and asthma among priority population's children?

1.3.3. What is the correlation between "home health" and individual health?

2. Variables

2.1. Outcomes

2.1.1. ER visits

2.1.2. Children with asthma

2.1.3. Mental health outcomes

2.1.3.1. Anxiety

2.1.3.2. Depression

2.1.3.3. Low scholastic achievement in school-aged children

2.1.4. Adults with asthma/COPD

2.2. Healthy Homes

2.2.1. Bedbugs

2.2.2. Smokers in the home

2.2.3. Hygienic living conditions

2.2.4. Pets living in the home

2.2.5. Presence of pests/rodents

3. Literature Review

3.1. More research is needed, since questions have been modified from original idea(s)

4. Chapter 1

4.1. Overview of the health problem/justification

4.1.1. Home health is an important part of overall physical and mental health outcomes.

4.2. Research Questions

4.2.1. See questions on left side

4.3. Hypotheses

4.3.1. We hypothesize that homes that score poorly on HH checks will also have NHOs (physical or mental)

4.4. Delimitations

4.4.1. We will not study any homes outside of Northwest Project participants--we already have a good deal of data about these families.

4.4.2. We won't collect any additional data besides what we already collect in NWP. These individuals take a number of batteries and surveys--we don't want to stress them further.

4.5. Limitations

4.5.1. HH is an addition to the NWP, for this reason our sample size will be limited to families committed to that project.

4.5.2. Health outcomes will be mostly self-reported. This limits our confidence in the validity of those measures.

4.6. Assumptions

4.6.1. Participants will honestly report health outcomes.

4.7. Key Variables & Operational Definition

4.7.1. Negative health outcomes

4.7.1.1. Physical

4.7.1.1.1. Asthma or COPD, as diagnosed. Currently prescribed or taking medication for. Any member of the household.

4.7.1.1.2. ER visits--total for the home and all individuals living there: self-reported by participant(s)

4.7.1.2. Mental

4.7.1.2.1. Depression, as diagnosed by a mental health professional

4.7.1.2.2. Anxiety, as diagnosed by a mental health professional

4.7.1.2.3. Low scholastic achievement?? Not sure yet.

4.7.1.2.4. Stress

4.7.2. Healthy Homes Score/Index

4.7.2.1. TBD

4.8. Significance of the study

4.8.1. This study will help us understand the connection between a healthy home environment and the health outcomes of individuals living in it. A greater understanding of which factors predict or relate to negative health outcomes can help us keep families safer and healthier as they develop and thrive.

5. Chapter 2

5.1. Background Research

5.2. Theoretical Foundations

5.3. Key Variables

5.3.1. Health Homes checklist/index scores

5.3.2. Health outcomes (see "variables" to left

5.4. Instrumentation

5.4.1. Healthy Homes Index from Missouri Foundation for Health grant proposal

5.4.2. Surveys of participants (self-reported data)

5.4.3. Census data

5.5. Analysis Procedures

6. Chapter 3

6.1. Participants

6.1.1. Individuals who have committed themselves and their household to the Northwest Project ("family": defined as at least one adult and at least one child living in the home).

6.2. Sampling Procedures

6.2.1. n/a

6.3. Intervention Methods

6.3.1. n/a

6.4. Data Collection Measures

6.4.1. Healthy Homes inspector will physically visit homes and assess their safety, cleanliness, and hygiene.

6.5. Analysis Procedures

7. Appendices

7.1. Questionnaires/Surveys

7.2. Interventions/Protocol

7.3. Consent Forms

7.4. Recruitment Materials