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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 care services.

Target Audience: Individuals with Medicaid disability codes enrolled in CareOregon. Outputs: Estimate 200 training participants, PATHS intervention materials (patient education publications, checklists, video).

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, 3).

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.




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Updated 4/19/05