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Livet M, Richard C, Gangi EW. The Opioid Response Project: An Effective Learning Collaborative for Local Communities? Health Promot Pract 2024; 25:145-153. [PMID: 36999636 DOI: 10.1177/15248399231162378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/01/2023]
Abstract
The Opioid Response Project (ORP) was designed as an intensive 2-year health promotion learning collaborative grounded in the Collective Impact Model (CIM) to prepare ten local communities to address the opioid crisis. The purpose of this evaluation was to describe the ORP implementation, provide a summary of the evaluation results, share insights, and discuss implications. Results were informed by multiple data sources, including project documents, surveys, and interviews with members of the ORP and community teams. Based on process evaluation results, 100% of community teams reported being satisfied with the ORP and recommended this experience to others. ORP participation outputs ranged from new opioid response programs, to strengthened community teams, to receipt of additional funding. Based on the outcome evaluation, the ORP was effective at increasing community knowledge and capacity, promoting collaboration, and facilitating sustainability. This initiative is an example of an effective learning collaborative to curb the opioid epidemic at the community level. Participating communities found great value in working together as part of a larger cohort and reported benefits from the peer learning and support provided by the ORP. In particular, access to technical assistance, identification of engagement strategies within and across community teams, and a focus on sustainability are key practice components to be included in learning collaboratives designed to address large-scale public health issues.
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Affiliation(s)
- Melanie Livet
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Chloe Richard
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Attell BK, Kingery K, Adimu T, Butts J, Howard P, Saha S, Minyard K. Development and Validation of a Measure to Assess Readiness to Advance Health and Equity: The Assessment for Advancing Community Transformation (AACT). Eval Health Prof 2023; 46:309-319. [PMID: 36373963 PMCID: PMC10637080 DOI: 10.1177/01632787221139244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Multi-sector partnerships are core in efforts to improve population health but are often not as fully developed or positioned to advance health and equity in their communities as believed to be. Therefore, measuring the collaborations multi-sector partnerships undertake is important to document the inputs, processes, and outcomes that evolve as they work together towards achieving their goals, which ultimately creates a greater sense of shared accountability. In this study we present the development and validation of the Assessment for Advancing Community Transformation (AACT), a new tool designed to measure readiness to advance health and health equity. Development of the AACT included initial item pool creation, external evaluation from five subject matter experts, and pilot testing (including user feedback surveys) among 103 individuals. Validation of the AACT was performed using a series of confirmatory factor analyses on an expanded dataset representing 352 individuals from 49 multi-sector collaboratives across the United States. The results of our study indicate the items in the AACT align to six domains created during the scale development process, and that the tool demonstrates desirable measurement characteristics for use in research, evaluation, and practice.
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Affiliation(s)
- Brandon K. Attell
- Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA
| | - Kate Kingery
- University of Wisconsin-Madison, Madison, WI, USA
| | - Tanisa Adimu
- Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA
| | - John Butts
- Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA
| | - Paul Howard
- Institute for Healthcare Improvement, Boston, MA, USA
| | - Somava Saha
- Well-Being and Equity (WE) in the World, City of Industry, CA, USA
| | - Karen Minyard
- Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA
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Gorzelitz JS, Bouji N, Stout NL. Program Barriers and Facilitators in Virtual Cancer Exercise Implementation: A Qualitative Analysis. TRANSLATIONAL JOURNAL OF THE AMERICAN COLLEGE OF SPORTS MEDICINE 2022; 7. [DOI: 10.1249/tjx.0000000000000199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Domlyn AM, Scott V, Livet M, Lamont A, Watson A, Kenworthy T, Talford M, Yannayon M, Wandersman A. R = MC 2 readiness building process: A practical approach to support implementation in local, state, and national settings. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:1228-1248. [PMID: 33778968 DOI: 10.1002/jcop.22531] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 01/28/2021] [Accepted: 02/02/2021] [Indexed: 06/12/2023]
Abstract
Effective implementation of evidence-based interventions is a persistent challenge across community settings. Organizational readiness - or, the motivation and collective capacity of an entity to adopt and sustain an innovation - is important to facilitate implementation. Drawing on the R = MC2 readiness framework, we developed a readiness building process to tailor support for implementation. The process is composed of the following stages: assessment, feedback and prioritization, and strategize. In this article, we describe the application of the readiness building process through three case examples representing interventions at different ecological levels: local, state, and national. The case examples illuminate challenges and practical considerations for using the readiness building process, including the significance of on-going leadership engagement and collaboration between support system and delivery system staff. To further the research and practice of implementation readiness, we suggest examining the impact of readiness building on implementation outcomes and developing an empirically-informed repository of change management strategies matched to readiness constructs.
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Affiliation(s)
- Ariel M Domlyn
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
- Wandersman Center, Columbia, South Carolina, USA
| | - Victoria Scott
- Wandersman Center, Columbia, South Carolina, USA
- Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Melanie Livet
- Wandersman Center, Columbia, South Carolina, USA
- Division of Practice Advancement and Clinical Education, Center for Medication Optimization (CMO), UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Andrea Lamont
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
- Wandersman Center, Columbia, South Carolina, USA
| | - Amber Watson
- Wandersman Center, Columbia, South Carolina, USA
| | - Tara Kenworthy
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
- Wandersman Center, Columbia, South Carolina, USA
| | | | - Mary Yannayon
- Division of Practice Advancement and Clinical Education, Center for Medication Optimization (CMO), UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Abraham Wandersman
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
- Wandersman Center, Columbia, South Carolina, USA
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Kolodny-Goetz J, Hamm DW, Cook BS, Wandersman A. The Readiness, Resilience and Recovery Tool: An Emerging Approach to Enhance Readiness Amidst Disruption. ACTA ACUST UNITED AC 2021; 1:135-146. [PMID: 34622213 PMCID: PMC8116638 DOI: 10.1007/s43477-021-00011-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Accepted: 04/24/2021] [Indexed: 12/01/2022]
Abstract
Disruptions of varying severity often occur in the course of an organization’s work to implement new programs or projects. These disruptions may slow their progress or even derail the work altogether. Resilient organizations must be prepared to respond in a thoughtful and timely way to disruptions. Readiness, Resilience and Recovery is an adaptable readiness assessment tool that organizations can use to proceed with their work with insight about their readiness status and how their readiness has been impacted by a disruption. The resulting information can then be used to guide the development of solutions for recovery and build the organization’s overall capacity for resilience. Based on our early experience, the Readiness, Resilience and Recovery approach is emerging as a tool that can be useful when organizations face significant disruptions. We have found it to be adaptable to different types of projects, at various points in the implementation cycle, and with multiple types of disruptions. To demonstrate its use, this illustrative paper provides five examples from different projects and settings: Substance Abuse Treatment Services, Multi-Site Sexual Assault Prevention Initiative, Serve and Connect (a Police-Community Relationships Initiative), Carolina Family Engagement Center (family engagement in schools), and Action for Equity (an equity intervention). Practical uses of the tool and conceptualizing it within important implementation science concepts are discussed.
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Lardier DT, Merrill EA, Cantu IN. Psychological sense of community and motivation toward collective social change among community coalition members of color in the southwestern United States. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:547-563. [PMID: 33225489 DOI: 10.1002/jcop.22479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 11/02/2020] [Accepted: 11/03/2020] [Indexed: 06/11/2023]
Abstract
Drawing on McMillan and Chavis's psychological sense of community framework among southwestern community coalition members (N = 18), data were examined for narratives of how psychological sense of community and experiences of community manifest among coalition members. We were also interested in knowing how coalition members make meaning of social change. Findings illustrate that dimensions of psychological sense of community (e.g., membership, emotional connection, needs' fulfillment, and influence) are important in how members made meaning of community needs and their own participation in the coalition. Implications are put forward for theory and community programming.
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Affiliation(s)
- David T Lardier
- Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM
- Department of Psychiatry and Behavioral Sciences, University of New Mexico, Albuquerque, NM
| | - Erica A Merrill
- Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM
| | - Irene N Cantu
- Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM
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