Building Health Empowerment Zones for People with Disabilities

拟议的纵向研究采用基于社区的参与式研究（CBPR）模型，通过涉及芝加哥伊利诺伊大学，伊利诺伊州美国残疾人法案（ADA）项目，芝加哥的美国规划协会，以及位于芝加哥的伊利诺伊大学城市交通规划中心。研究将分两个阶段进行。 第一阶段将涉及开发一个健康赋权区，其中包括健身和娱乐设施、杂货店、地区交通管理局以及地方规划和分区委员会的培训举措。 干预措施将包括（1）对健身设施、杂货店和公共交通工作人员进行残疾人意识和无障碍培训;（2）向商店和设施所有者提供拆除障碍物的建议;（3）参与地方规划委员会的工作，就改善社区无障碍环境的战略提出建议，以及4）健康营销活动，包括以预-为企业购买商品和服务，以提高残疾人的无障碍环境，并提高社区对残疾人无障碍环境和健康促进的认识。 第二阶段是“健康入场券”运动，通过向参与者提供优惠券，让他们购买保健赋权区内已消除障碍的商店和设施的预付商品和服务，激励他们探索改造后的建筑环境。 治疗组的参与者将在四个月内收到预付门票，可从参与的健身设施和食品商店兑换商品和服务。 门票只能由参与者兑换，并且只能用于特定的（例如，健康促进）商品和服务。 将记录干预前后的健康行为数据。 该示范项目的主要成果是一个改善建筑环境无障碍的示范方案，从而改善了行动不便者的健康状况，减少了他们的继发性疾病。

The proposed longitudinal study uses a community-based participatory research (CBPR) model to improve access to the built environment for persons with mobility disabilities through a multilevel intervention involving partnerships between the University of Illinois at Chicago, the Illinois Americans with Disabilities Act (ADA) Project, the Chicago-based American Planning Association, and the Urban Transportation Planning Center at the University of Illinois at Chicago. The study will be conducted in two phases. The first phase will involve development of a health empowerment zone that includes training initiatives with fitness and recreation facilities, grocery stores, the regional transportation authority, and local planning and zoning boards. The intervention will consist of (1) disability awareness and accessibility training to fitness facility, grocery store and mass transit staff; (2) providing barrier removal recommendations to store and facility owners; (3) involvement with local planning boards to recommend strategies for improving community accessibility, and 4) a health marketing campaign that includes financial incentives in the form of pre-purchased goods and services for businesses that increase accessibility and increase community awareness of accessibility and health promotion for people with disabilities. Phase II involves a Ticket to Health Campaign that provides incentives for intervention participants to explore the modified built environment by providing them with vouchers for prepaid goods and services from stores and facilities within the health empowerment zone that have removed barriers. Treatment group participants will receive pre-paid tickets redeemable for goods and services from participating fitness facilities and food stores over a four month period. The tickets will be redeemable only by the participants and only for specific (e.g., health promoting) goods and services. Health behavior data will be recorded both pre and post intervention. The primary outcome of this demonstration project is a model program for improving access to the built environment resulting in improved health and reduction of secondary conditions among people with mobility disabilities.