Building Health Empowerment Zones for People with Disabilities

拟议的纵向研究使用基于社区的参与性研究(CBPR)模式，通过芝加哥伊利诺伊大学、伊利诺伊州美国残疾人法案(ADA)项目、总部设在芝加哥的美国规划协会和伊利诺伊大学芝加哥分校城市交通规划中心之间的合作伙伴关系，改善行动不便的残疾人获得建筑环境的机会。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，其中包括培训举措，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。干预措施包括：(1)对健身设施、杂货店和公共交通工作人员进行残疾意识和无障碍培训；(2)向商店和设施所有者提供消除障碍的建议；(3)参与当地规划委员会，就改善社区无障碍的战略提出建议；以及(4)开展健康营销活动，包括以预购商品和服务的形式向企业提供财政奖励，以提高无障碍和提高社区对无障碍和促进残疾人健康的认识。第二阶段涉及一项健康门票运动，通过向干预参与者提供来自健康赋权区内已消除障碍的商店和设施的预付费商品和服务代金券，鼓励干预参与者探索经过改造的建筑环境。治疗组参与者将收到预付门票，可在四个月内从参与活动的健身设施和食品店兑换商品和服务。门票只能由参与者兑换，并且只能兑换特定的(例如，促进健康的)商品和服务。健康行为数据将被记录在干预前和干预后。这一示范项目的主要成果是一个示范方案，旨在改善进入建成环境的机会，从而改善行动不便的人的健康状况，减少二次状况。

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.