Strategic Planning for Chronic Disease Prevention
in Rural America: Looking Through a PRISM Lens

Amanda A. Honeycutt, PhD; Kristina Wile, MS; Cassandra Dove, MPH; Jackie Hawkins, MS;
Diane Orenstein, PhD
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �

Context: Community-level strategic planning for chronic disease
prevention. Objective: To share the outcomes of the strategic
planning process used by Mississippi Delta stakeholders to

prevent and reduce the negative impacts of chronic disease in

their communities. A key component of strategic planning was

participants’ use of the Prevention Impacts Simulation Model

(PRISM) to project the reduction, compared with the status quo,

in deaths and costs from implementing interventions in

Mississippi Delta communities. Design: Participants in
Mississippi Delta strategic planning meetings used PRISM, a

user-friendly, evidence-based simulation tool that includes 22

categories of policy, systems, and environmental change

interventions, to pose what-if questions that explore the likely

short- and long-term effects of an intervention or any desired

combination of the 22 categories of chronic disease intervention

programs and policies captured in PRISM. These categories

address smoking, air pollution, poor nutrition, and lack of

physical activity. Strategic planning participants used PRISM

outputs to inform their decisions and actions to implement

interventions. Setting: Rural communities in the Mississippi
Delta. Participants: A diverse group of 29 to 34 local chronic
disease prevention stakeholders, known as the Mississippi Delta

Strategic Alliance. Main Outcome Measure(s): Community
plans and actions that were developed and implemented as a

result of local strategic planning. Results: Existing strategic
planning efforts were complemented by the use of PRISM. The

Mississippi Delta Strategic Alliance decided to implement new

interventions to improve air quality and transportation and to

expand existing interventions to reduce tobacco use and

increase access to healthy foods. They also collaborated with the

J Public Health Management Practice, 2015, 21(4), 392–399
Copyright C 2015 Wolters Kluwer Health, Inc. All rights reserved.

Department of Transportation to raise awareness and use of the

current transportation network. Conclusions: The Mississippi
Delta Strategic Alliance strategic planning process was

complemented by the use of PRISM as a tool for strategic

planning, which led to the implementation of new and

strengthened chronic disease prevention interventions and

policies in the Mississippi Delta.

KEY WORDS: chronic disease, prevention, strategic planning,
systems modeling

Mississippi has the highest heart disease death rate
of any state in the nation.1 In 2007, 28.4% of all deaths
in Mississippi w

Need 1 page reflection of this article
APA style

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.