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Community and Behavioral Health - Colorado School of Public Health

Community and Behavioral Health - Colorado School of Public Health
 

Doctor of Public Health

Community & Behavioral Health


Campus | University of Colorado Anschutz Medical Campus, Aurora, CO

The DrPH Program in Community and Behavioral Health is designed to develop public health leaders who are skilled in the development, implementation, and evaluation of theory and evidence-based programs that contribute to health and wellness.  “Community” is interpreted broadly and can include neighborhoods, schools, worksites, towns, cities, regions, nations, or a group of individuals that share some unifying characteristic (e.g., disease status, racial or ethnic status, etc.)   In addition to a strong knowledge base in social and behavioral theory and evidence, graduates will have strong research skills to facilitate their contributions to the body of evidence linking social and behavioral factors to health and to aid them in developing sound health promotion policy.

Program Details:

Admissions Requirements:

    In addition to the general admissions requirements for the DrPH program, the Focus Area in Community and Behavioral Health requires the following: 

    • MPH in behavioral/social sciences/health education or equivalent. If the applicant does not meet this requirement, the four Community and Behavioral Health core courses (CBHS 6611, 6612, 6613, 6624) need to be taken during the first year of the program. 

Program Requirements:

Each student, in consultation with his/her faculty advisor, will develop a proposed course of study.  The course of study must specify both a major Focus Area and minor area of study, courses to be taken, and proposed timeline for courses, practicum, comprehensive exams, and dissertation.  The DrPH degree is designed to be completed within 4 years at full-time effort.  There is a 7 year time limit. 
 

The DrPH program requires 67 total credit hours distributed as follows:

12 hrs - Focus Area 

  • 3 hrs of CBH Advanced Seminar.   This new course will address theory and practice at a level beyond that covered in CBH Master’s level courses.  Students will acquire advanced skills in developing, testing, and applying health behavior theory to public health problems.
  • 3 hrs of CBH Quantitative Methods.  This new course will address experimental design and analysis techniques utilized in the social sciences, including , t-tests, ANOVA; MANOVA; multiple linear and logistic regression; scale development techniques, including factor analysis and Cronbach’s alpha analysis; and assessment of measurement reliability and validity.  
  • 3 hrs of Qualitative Methods.   Students will take HBSC 7051-3 at the downtown campus, or an equivalent course that explores methods for collecting and analyzing interview and text-based data and theoretical paradigms that underlie these methods. 
  • 3 hrs of Advanced Methods/Statistics.  Students will select one additional course addressing advanced methods.  Usually, this will be directly related to their dissertation research.  Possible topics include but are not limited to:  structural equation modeling, Hierarchical Linear Modeling (HLM), item-response theory, advanced factor analysis, advanced qualitative methods, and mixed-methods.

9 hrs - Selectives - Selectives will build the student’s specific area of expertise, leading to the qualifying exams and dissertation. Examples of areas of specialization for CBH include (but are not limited to) the following: health communications, maternal and child health, cancer prevention and control, physical activity, nutrition, aging, school health, and mental health.  Coursework to fulfill the selectives requirement may be taken in the School of Public Health or another relevant school or department.  Courses must be selected in consultation with the student’s advisor.

6 hrs – Minor - Public Health Electives – Elective courses in the selected minor area of study.  The minor area must be in one of the five core areas of public health, excluding the major focus area.  These include: biostatistics, epidemiology, environmental health, community and behavioral health, and health systems, management and policy.  These courses will be taken in the School of Public Health.

3 hrs - Leadership –  A course on leadership development, taken in the School of Public Health or elsewhere with permission. 

3 hrs - Management  - A course on principles of management or organizational communications, taken in the School of Public health or elsewhere with permission.

3 hrs - Proposal Writing – The overall goal of this requirement is to develop skills in preparing high quality, successful, research or practice grant applications.  Students will become familiar with different granting mechanisms (e.g., NIH, CDC, foundations) and develop grantsmanship skills, including the ability to formulate research and practice plans and write at a high level of quality.  This is a closely mentored and intensive activity that is intended to lead directly to the submission of a grant application.
 
4 hrs - DrPH Seminar - 4, 1 credit hr semesters of the DrPH seminar.  Students will be required to attend the bi-monthly seminar for the first 4 semesters of their tenure in the program.  The DrPH seminar will cover topic areas across all five concentrations of public health (i.e. biostatistics, community and behavioral health, environmental health, epidemiology, and health services, management and policy) while addressing the core DrPH competencies related to advocacy, communication, community/cultural orientation, critical analyses, leadership, management and professionalism/ethics.  The seminar will include a combination of guest speakers on relevant topics, directed reading and discussion, and student presentations of areas of interest and work-in-progress.

2 hrs - Directed Reading –Students should enroll in 2 credit hours of directed reading that should be completed in either two, 1-credit hour semesters or both credits in one semester. With guidance from the committee, the student should select at least 2 areas of focus that are in line with the student’s dissertation area of study. Each student will then compile an extensive reading list in these select areas. The reading list should include seminal readings, reviews, meta-analyses and key original pieces of work. The reading list will be reviewed by the dissertation committee. Committee members may choose to add/delete various readings from the list. Once the initial reading list[i] is finalized, the student may enroll in the directed reading course (course number TBD) and will be expected to complete the full reading list within the designated time span (i.e. one or two semesters as described above). The final reading list should include approximately 75-100 readings. Upon completion of the readings, the student will receive 5-7 questions from the dissertation committee and have 2 weeks to provide written answers. The exam will include 3-5 essay questions that incorporate DrPH competencies (both general and Focus Area specific) and the areas covered in the student’s Directed Reading. Responses are expected to be in-depth with citations and may be of publishable quality (such as a literature synthesis). Total written response should be approximately 20-30 single-spaced pages. Each committee member will be responsible for writing and grading at least one of the exam questions. The committee will grade (i.e. pass/fail) the written exam and submit the final grade to the Program Director. Each student who passes the written exams will be able to begin preparation for the dissertation proposal oral defense.

4 hrs – Practicum -  All DrPH students must engage in a minimum of 240 hours of high level fieldwork.  This will usually be completed with an agency outside of the School of Public Health (e.g., local health department, state health department, volunteer organization, etc.).  The fieldwork experience should address most, if not all, of the core DrPH competencies (Advocacy, Communication, Community/Cultural Orientation, Critical Analysis, Leadership, Management, Professionalism & Ethics). 

21 hrs -  Dissertation – Following completion of the written qualifying exam (see below), students will complete 21 dissertation credits during which time they prepare and defend their dissertation proposal, complete their dissertation research, and complete and defend their written dissertation.

 

Exams/Dissertation

It is expected that formal coursework will take approximately 2 years to complete.  As students complete required coursework and practicum hours, they will advance towards independent research for their dissertation.  In this process, students will complete written and oral qualifying exams. 

Dissertation

The dissertation will be of an applied nature and must demonstrate the student’s ability to conduct independent research on a contemporary public health issue. The student is expected to examine and analyze a problem in public health practice that has readily identifiable beneficiaries and constituents. The dissertation committee will work with the student to identify appropriate areas of investigation. The project will involve a written product that comprehensively addresses, generates, and/or interprets and evaluates knowledge applicable to public health practice.

The written dissertation document may be one of several forms depending on the nature of the scholarly work, but should be of publishable quality and must demonstrate rigorous analytic strategies. It will typically take one of two forms: (1) a unified traditional dissertation, or (2) three publishable papers plus, at a minimum, introduction and conclusion chapters. The dissertation will be defended publicly and must be approved by the dissertation committee before the degree of DrPH is conferred.

Dissertation Committee

Each student will form a 5 member dissertation committee to guide their dissertation research including the directed reading, written comprehensive examination, dissertation research proposal, oral comprehensive examination, conduct of research, and completion and defense of the dissertation. The committee chair must be have a primary faculty appointment from the focus area department. The student’s main mentor must have a primary or secondary appointment in the Colorado School of Public Health. The mentor may not be the Chair of the dissertation committee. In addition, the committee as a whole must meet the following minimum criteria:

1. Two members must be program core faculty in the FOCUS AREA department.
2. One member must be from outside the FOCUS AREA department.
3. One member must be from the practice community.

A Committee Membership form should be completed that designates committee membership and is signed by Chair and Mentor of the committee as well as Program Director. The final form should be submitted to the Program Director for approval prior to beginning the Directed Reading.

Directed Reading (2 credit hours)

The DrPH Directed Reading course is intended to help prepare DrPH students for their comprehensive exams and dissertation research. This activity is intended to result in the student being an expert in their specific area(s) of research, including understanding of the historical development of the specific area(s), current research findings in the specific area(s), and current practice in the areas. Readings will address current epidemiological understanding of the area, methodological aspects of the area, theoretical underpinnings of behavior and/or policy related to the area, and current practice. For example, in the area of physical activity, upon completion of this activity, a student would be expected to have a thorough understanding of epidemiological evidence supporting or disputing a relationship between physical activity and disease etiology, natural history, and prognosis, physiological/psychological mechanisms for the relationship between physical activity and health/disease status, social, environmental and system level determinants, theoretical approaches used in understanding determinants of physical activity behavior, methods for assessing levels of physical activity, and current practices in developing programs for increasing levels of physical activity.

Prior to enrolling in the course and with guidance from the committee, the student will:

 

  • Select at least 2 areas of focus that are in line with the student’s dissertation area of study.
  • Compile an extensive reading list in these select areas. The reading list should include seminal readings, reviews, meta-analyses and key original pieces of work.
  • Have the reading list reviewed and approved by the dissertation committee. Committee members may choose to add/delete various readings from the list.

Once the initial reading list is finalized, the student may enroll in the DrPH Directed Reading course and will be expected to complete an annotated bibliography of the full reading list within the designated time span (i.e. one or two semesters as described above). The final reading list should include approximately 75-100 readings. The written and oral comprehensive exams will take place upon completion of directed reading.

Written Comprehensive exam

Upon completion of the directed reading course, the student will schedule their written comprehensive exam. The student will have 2 weeks to provide written answers. The exam will include 3-5 essay questions written by the dissertation committee that incorporate DrPH competencies (both general and Focus Area specific) and the areas covered in the student’s Directed Reading. Responses are expected to be in-depth with citations and may be of publishable quality (such as a literature synthesis). Total written response should be approximately 20-30 single-spaced pages. The committee will grade (i.e. pass/fail) the written exam and submit the final grade to the Program Director. Each student who passes the written exams will be able to begin preparation for the dissertation proposal oral defense.

Oral Defense

Following completion of the written qualifying exam and the written dissertation proposal, students will present their proposal in an oral examination. The oral examination may include questions that cover the student’s focus area, directed reading and dissertation proposal. The examination will include a detailed review and discussion of the proposed dissertation research. Below is a list of the possible outcomes for each of the comprehensive exams:

Pass- You receive the affirmative votes of the majority of the members of your committee in order to pass.

Pass with conditions- The committee may feel that although you have passed the examination you should complete additional work on your exams. These conditions will be specified and must be satisfied within 4 months of the defense.

Fail- If you fail the examination, you may be subject to immediate dismissal from the program. At the program’s discretion, you may be allowed to retake the examination once. The retake will be in a format designated by the committee and must be completed within 6 months.

Final Dissertation Defense

A final examination of the dissertation will be conducted orally by the examination committee. Arrangements for the final examination must be sent to the DrPH education coordinator at least two weeks in advance. Below is a list of the possible outcomes for the defense:

Pass- Affirmative votes by a the majority of the committee members signifying that the candidate has met the dissertation requirement. The committee may still request changes to the dissertation document but these should be minimal.

Pass with conditions- A majority of committee members agree that the candidate will pass the dissertation requirement with additional work on the thesis that can be completed within a set timeline. These conditions will be specified and must be satisfied within 60 days of the defense.

Fail- If a student fails the examination, s/he may not continue in the program.

DrPH Core Competencies (Across All Focus Areas)

Identifier

Core (CR) DrPH Competencies

CR-DrPH 1

Advocacy -The ability to influence decision-making regarding policies and practices that advance public health using consensus-building, analysis, communication, and scientific knowledge.

 

CR-DrPH 2

Communication -The ability to assess and use communication strategies across diverse audiences to inform and influence individual, organization, community, and policy decisions that enhance health.

 

CR-DrPH 3

Community/Cultural Orientation -The ability to communicate and interact with people across communities and cultures for service development and intervention-oriented, community-based participatory research.

 

CR-DrPH 4​

Critical Analysis -The ability to develop, synthesize, interpret, and apply evidence-based research and theory from a broad range of disciplines and health-related data sources to facilitate programs, policies, and systems for promoting population health.

 

CR-DrPH 5

Leadership -The ability to inspire trust and motivate others to use evidence-based strategies to enhance essential public health services.

 

CR-DrPH 6

Management -The ability to provide fiscally responsible strategic and operational guidance for both public and private health-related organizations for the purpose of achieving individual and community health and wellness.

 

CR-DrPH 7

Professionalism & Ethics -The ability to identify and analyze an ethical issue,; balance the claims of personal liberty with concerns about population health,; and act on the ethical concepts of social justice, human rights in public health research and practice.

 

DrPH Community & Behavioral Health Focus Area (FA) Competencies

Identifier

DrPH Community and Behavioral Health Focus Area (FA) Competencies

DrPH-FA-CBHS 1

Apply appropriate health behavior theories, models, frameworks and evidence-based integrative strategies at multiple levels of the socio-ecological model for the development of health promotion, disease prevention, and disease management programs.

DrPH-FA-CBHS 2

Lead efforts to develop, apply and evaluate systematic approaches and methods to assess the health-related needs of communities and populations, taking into account individual, interpersonal, community and societal factors.

DrPH-FA-CBHS 3​

Collect and analyze quantitative and qualitative data to identify disparities in health and inform the design of culturally appropriate programs to promote health equity.

DrPH-FA-CBHS 4

Lead collaborative efforts (e.g. researchers, community stakeholders) to utilize systematic approaches to describe, develop and evaluate health promotion and disease prevention programs. Systematic approaches include the use of logic models, principles of Community Based Participatory Research, epidemiologic evidence, and evidence-based intervention strategies.

DrPH-FA-CBHS 5

Demonstrate a high level of proficiency to identify, apply and evaluate appropriate research designs for assessing program effectiveness.

DrPH-FA-CBHS 6

Demonstrate a high level of proficiency to determine and apply appropriate designs and methods for assessing and evaluating program reach and implementation.

DrPH-FA-CBHS 7

Design, select and implement appropriate quantitative and qualitative methods of measurement for assessing program effectiveness.

DrPH-FA-CBHS 8

Identify knowledge gaps in the selected field, develop and test hypotheses by appropriate quantitative and/or qualitative methodologies to address these gaps.

DrPH-FA-CBHS 9

Demonstrate an in-depth knowledge in the candidate’s chosen substantive interest area in behavioral/social science related to public health.

DrPH-FA-CBHS 10

Apply scientific writing skills to develop grant proposals to address public health problems.

DrPH-FA-CBHS 11

Apply leadership and management skills to effectively work with communities and stakeholders, in an equitable and ethical manner, including developing a work plan, communicating effectively and disseminating results.

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