Modifications to Objectives and Subobjectives

The following discussion highlights the modifications, including changes, additions, and deletions, to this focus area's objectives and subobjectives as a result of the midcourse review.

For six of the objectives, the data source or wording was modified to clarify the measurements. For social participation among adults with disabilities (6-4), the question in the National Health Interview Survey (NHIS) was reworded to more accurately reflect the stated objective: absolute participation instead of difficulty with participating. This modification produced new baseline and target measurements. For both emotional support (6-5) and life satisfaction (6-6), the original data source—the 1998–2000 Behavioral Risk Factor Surveillance System (BRFSS), which reflected data from eight States—was changed to NHIS to permit national data collection. For employment parity (6-8), the data source was changed from the U.S. Survey on Income and Program Participation to NHIS to improve the frequency and availability of data.¹

The wording for the objective regarding the accessibility of health and wellness programs and facilities (6-10) was revised to reflect a population-based measurement. The objective was modified to "increase the proportion of people with disabilities who report having access to health and wellness programs and facilities."

Objective 6-13, to increase the number of States and Tribes that have public health surveillance programs and health promotion programs for people with disabilities and caregivers, was a developmental objective with two subobjectives. This objective was revised and divided into eight subobjectives. For both States and Tribes, the subobjectives were modified to track surveillance for people with disabilities (6-13a and b), health promotion programs for people with disabilities (6-13c and d), surveillance for caregivers (6-13e and f), and health promotion programs for caregivers (6-13g and h).

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