Next Article in Journal
Pathway Analysis of a Transcriptome and Metabolite Profile to Elucidate a Compensatory Mechanism for Taurine Deficiency in the Heart of Taurine Transporter Knockout Mice
Previous Article in Journal
Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks
Article Menu

Export Article

Open AccessArticle
J 2018, 1(1), 42-56; https://doi.org/10.3390/j1010006

Good Things in Small Packages? Evaluating an Economy of Scale Approach to Behavioral Health Promotion in Rural America

1
Department of Sociology, The University of Texas at San Antonio, San Antonio, TX 78249, USA
2
School of Public Administration, Sichuan University, Chengdu 610065, Sichuan, China
3
Department of Sociology, The University of Texas at San Antonio, San Antonio, TX 78249, USA
4
Burton & Associates, Madison, MS 39110, USA
5
School of Advanced Studies, University of Phoenix, Phoenix, AZ 85040, USA
6
Central Mississippi Residential Center, Newton, MS 39345, USA
*
Author to whom correspondence should be addressed.
Received: 19 April 2018 / Revised: 25 May 2018 / Accepted: 19 June 2018 / Published: 26 June 2018
Full-Text   |   PDF [379 KB, uploaded 20 July 2018]   |   Review Reports

Abstract

Rural American youth exhibit pronounced health disparities. This study enlists insights from an economy of scale paradigm to determine the relative effects of serving smaller versus larger client groups in an assembly-style school-based behavioral health promotion program. Evaluation results are reported from a three-year intervention delivered to eighth-grade and tenth-grade rural Mississippi students from 2012 to 2015. The program, I Got U: Healthy Life Choices for Teens, coupled a day-long intensive immersion in youth risk prevention and mental health promotion with school-based information dissemination. Results reveal robust effectiveness in program years 1 and 2, during which caps of 175 attendees per event were imposed. Salutary results were no longer evident during year 3, when larger venues were used to serve over three times the number of students per event. This program teaches valuable lessons about the potential for diminishing returns yielded by an economy of scale approach to implementation. View Full-Text
Keywords: behavioral health; rural; South; Mississippi; youth; economy of scale; evaluation behavioral health; rural; South; Mississippi; youth; economy of scale; evaluation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Bartkowski, J.P.; Xu, X.; Avery, J.S.; Ferguson, D.; Johnson, F.J. Good Things in Small Packages? Evaluating an Economy of Scale Approach to Behavioral Health Promotion in Rural America. J 2018, 1, 42-56.

Show more citation formats Show less citations formats

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J EISSN 2571-8800 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top