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Article

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

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Department of Sociology, The University of Texas at San Antonio, San Antonio, TX 78249, USA
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School of Public Administration, Sichuan University, Chengdu 610065, Sichuan, China
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Department of Sociology, The University of Texas at San Antonio, San Antonio, TX 78249, USA
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Burton & Associates, Madison, MS 39110, USA
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School of Advanced Studies, University of Phoenix, Phoenix, AZ 85040, USA
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Central Mississippi Residential Center, Newton, MS 39345, USA
*
Author to whom correspondence should be addressed.
J 2018, 1(1), 42-56; https://doi.org/10.3390/j1010006
Received: 19 April 2018 / Revised: 25 May 2018 / Accepted: 19 June 2018 / Published: 26 June 2018
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
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. https://doi.org/10.3390/j1010006

AMA Style

Bartkowski JP, Xu X, Avery JS, Ferguson D, Johnson FJ. Good Things in Small Packages? Evaluating an Economy of Scale Approach to Behavioral Health Promotion in Rural America. J. 2018; 1(1):42-56. https://doi.org/10.3390/j1010006

Chicago/Turabian Style

Bartkowski, John P., Xiaohe Xu, Jerri S. Avery, Debbie Ferguson, and Frankie J. Johnson 2018. "Good Things in Small Packages? Evaluating an Economy of Scale Approach to Behavioral Health Promotion in Rural America" J 1, no. 1: 42-56. https://doi.org/10.3390/j1010006

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