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Provision of School-Based Preventive Health Services to Improve Health and Education Outcomes Among School-age Children and Adolescents in Colorado

Award Number: R01MD019798
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/12/2024
PERIOD OF PERFORMANCE END DATE: 02/28/2027

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Provision of School-Based Preventive Health Services to Improve Health and Education Outcomes Among School-age Children and Adolescents in Colorado - ABSTRACT Certain populations are more likely to face barriers to receipt of preventive health services in traditional medical settings. Specifically, residents of rural areas and households with lower socio-economic status are more likely to lack a primary care medical home, report logistical challenges accessing medical offices (e.g., lack of transportation, clinic hours, long wait times), and live in areas with poor access to primary care. Over the past few decades, School-Based Health Centers (SBHC) have been successfully used as a model of healthcare delivery to overcome some of these access barriers with many offering preventive health services as part of comprehensive primary care. Yet, only 13% of public school students in the United States had access to an SBHC in the 2016-17 school year, representing an opportunity to expand this care delivery model to reach more students in need. Because most SBHCs are located in urban and low-income communities, they are often assumed to improve health care access and outcomes. However, there have been few systematic investigations of the causal impacts of SBHCs’ preventive service delivery on health and education outcomes among school-aged children and adolescents. To fill this critical gap, this study will apply quasi-experimental methods, microsimulation modeling, and a modified positive deviance approach grounded in implementation science to examine the impact of SBHCs on health and education outcomes among school-aged children in Colorado. We aim to: (1) Describe SBHCs and the services they offered in Colorado from 2018-2024, their local context, and how SBHC and school populations changed over time; (2) Estimate causal impacts of SBHCs on health behaviors (e.g., substance use, self-reported mental health) and education outcomes (e.g., absenteeism) among school-aged children (5-17 years) from 2018-2024; (3) Simulate potential local- and state-level impacts of SBHCs on health and education outcomes in Colorado school-age populations; and (4) Qualitatively investigate contextual barriers to and facilitators of recent SBHC implementation in Colorado. Study findings will be immediately actionable for SBHC implementers and policymakers seeking to improve health outcomes and school attendance among children and adolescents.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $594,604 )
2026	2026	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	3	2/8/2026	NON-COMPETING CONTINUATION	$535,143
2026	2026	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	3	2/21/2026	NON-COMPETING CONTINUATION	$59,461
														Subtotal = $594,604

Issue Date FY: 2025 ( Subtotal = $579,595 )
2025	2025	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	002	2	8/11/2025	NON-COMPETING CONTINUATION	$579,595
2025	2024	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	1	10/10/2024	NEW	$0
2025	2024	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	1	12/31/2024	NEW	$0
														Subtotal = $579,595

Issue Date FY: 2024 ( Subtotal = $582,465 )
2024	2024	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	1	8/12/2024	NEW	$582,465
														Subtotal = $582,465

Grand Total All Awards = $1,756,664

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Provision of School-Based Preventive Health Services to Improve Health and Education Outcomes Among School-age Children and Adolescents in Colorado

Award Number: R01MD019798

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/12/2024

PERIOD OF PERFORMANCE END DATE: 02/28/2027

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