Can the Calendar intervention be delivered to a large target audience?
Convenient time and place?
Possibly, but having the Calendar intervention
as a part of the public health system does not guarantee convenience for all
who may utilize this resource. The calendar can be delivered to audiences that have a health care center. This intervention is targeted for populations in urban areas where there is better access to public transport. Transportation could be an issue for those who may not have their own transportation or good public transportation.
Limit cost/hassle factor?
While there is no financial cost to those who participated, it was only offered to those parents who had children seen on two days out of the week. There is minimum cost for the program. If the individuals in the intervention do not have health insurance or are not receiving free immunization, then costs may be higher. The health care center would have to incur the costs of the software and printing materials for the immunization calendars. The points from the first topic also come in to play in this factor.
Widely promoted?
It does not make sense to promote to all families, as it is only targeting users of public health systems and a very specific population. This intervention would be promoted to health centers who have the software and in urban settings. It is only promoted to African American mothers since that it is who it is targeting. However, promotion could be expanded if users of other health systems became interested.
Designed to be applicable to as many as possible?
Calendar interventions would address poor socioeconomic, minority, and non-English speaking families the same as others. However, the study in St. Louis attracted 99% African Americans and may have to be changed to gather other groups. Because this intervention was designed for African American women and their children, it would be difficult to generalize the findings to other minority populations and other settings but there is potential.