Promoting Access to Health Services (PATHS)
In conjunction with R3, this
project will train participants to use more effective methods of
interacting with health care providers, including improved self-advocacy
skills, knowledge of routine and preventive screening procedures,
strategies for maximizing the quality of time spent with their
physician/LNP, and resources for self-management of condition
and health. June Isaacson Kailes and
staff from will
conduct the trainings. Ongoing technical assistance will occur
via phone or email staffed by OHSU with consultation from Kailes.
Outcomes: 1) Increased skills for effectively negotiating for
needed primary health care; 2) More timely use of preventive health
Target Audience: Individuals with Medicaid disability codes enrolled
in CareOregon. Outputs: Estimate 200 training participants, PATHS
intervention materials (patient education publications, checklists,
Venue: CareOregon clinics in Oregon.
1. Recruit training participants: Training participants will be
recruited at targeted CareOregon clinics through a mailed invitation,
which will include a description of the training and research (Yr
2. Develop and refine training materials: Existing training materials
have been developed by June Isaacson Kailes. In collaboration with
Ms. Kailes, key personnel will develop a training workshop, video
and evaluation procedures. The training materials will be pilot
tested with a small group of people with disabilities (Yr 2). Based
on the pilot test experience and analysis of the feedback, we will
revise the training approach and materials as needed.
3. Implement PATHS training: Training participants will be invited
to participate in the ½ day training, and be encouraged
to request technical assistance for as long as needed (Yr 3 & 4).
If participants express interest, we will organize local “booster” groups
to facilitate networking and problem-solving among participants.
4. Evaluate Training: Evaluation of the training includes pre
and post tests completed by the participants, as well as completion
of the health status and health behavior tools (from Strand 3).
In addition, CareOregon will provide OHSU with existing claims
data regarding the use of preventive services by participants with
disabilities before and after the training.