Using Participatory Processes to Develop the Promoting Access to Health Services (PATHS) Program

Rie Suzuki, Amanda Weatherby, Emily Walsh, Jana J. Peterson, Carla Culley and Gloria Krahn

Abstract

Using participatory processes, Promoting Access to Health Services (PATHS), was developed to increase regular use of clinical preventive health care services and improve skills to access primary health care among women with physical disabilities. Development of the PATHS program used a participatory process throughout to outline the contents, develop the presentation, conduct the training, develop on-going support, and evaluate effectiveness. First, based on the workbook Making Preventive Health Care Work for You developed by a self-advocate (by June Isaacson Kailes, MSW), health promotion experts worked collaboratively to use health promotion theory to add the components of Self-Efficacy and Health Belief Model. Next, an initial focus group and pilot test revealed that participants wanted more strategies to overcome specific barriers (transportation, accessible equipment, and insurance coverage) to obtain preventive services. Three advisory members with physical disabilities provided guidance through the next stage of evaluating the usability and understandability of additional PATHS materials. Two trainers with physical disabilities evaluated the entire PATHS program and all questions on the outcome survey. Finally, the trainers provided input into structure and timing of the ongoing support for behavioral implementation of the training program. The resulting PATHS program is a 90 minute workshop with structured on-going telephone and e-mail support. The program is currently in the stage of implementation and evaluation. This poster describes the development process of the PATHS program and the usefulness of the participatory process.