Social Network Diagramming as an Applied Tool for Public Health: Lessons Learned From an HCV Cluster.

OBJECTIVES: We present an applied example of social network diagramming from 2010 to 2012 that was used to guide follow-up in a large HCV cluster in rural Wisconsin. METHODS: In addition to collecting standard individual-level attributes, we also obtained partner-level information. Both sets of data were input into a network diagramming program to create a series of diagrams that emphasized variables, such as risk factors, key location in the network, and number of partners. RESULTS: The visualization and cluster analysis guided testing and intervention priorities, were useful in sharing de-identified information about the cluster between health departments and community organizations and illustrated the key role young females played in holding the cluster together. CONCLUSIONS: Social network diagramming should be considered a practical and important public health tool for use in cluster management.

Strong Rural Communities Initiative (SRCI) program: challenges in promoting healthier lifestyles.

BACKGROUND: The Strong Rural Communities Initiative (SRCI) was created to address the health needs of rural Wisconsin communities through a multifaceted partnership that included the Medical College of Wisconsin (MCW), University of Wisconsin School of Medicine and Public Health (UWSMPH), the Rural Health Development Council (RHDC), and hospitals, public health departments, and businesses in 6 rural communities in Wisconsin. The SRCI provided a broad framework of leadership to assist each of the 6 rural communities in developing and implementing new, collaborative interventions that addressed the specific health needs of the community. METHODS: Separate assessments were conducted for the communities that partnered with each respective medical school and focused on the processes of community collaboration and partnership function. Assessment approaches included formative and outcome evaluation. RESULTS: Each community independently reported positive outcomes associated with the partnership process and various aspects of community collaboration, including the successes and health impacts of the workplace wellness programs implemented. Assessment data also revealed challenges related to conducting effective community-academic partnerships. CONCLUSIONS: The SRCI was established to execute statewide programs in rural communities with the goal to improve the health of people living in those communities. We have gained applicable knowledge regarding the types of challenges that exist in establishing a rural-based community research network between academic partners and community leaders.