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Birgel V, Röding D, Reder M, Soellner R, Walter U. Contextual effects of community capacity as a predictor for adolescent alcohol, tobacco, and illicit drug use: A multi-level analysis. SSM Popul Health 2023; 24:101521. [PMID: 37790085 PMCID: PMC10543175 DOI: 10.1016/j.ssmph.2023.101521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 09/22/2023] [Accepted: 09/23/2023] [Indexed: 10/05/2023] Open
Abstract
Adolescent substance use is a major public health issue that can result in enduring physical, psychological, and social consequences. This study seeks to examine the relationship between community capacity for prevention and the 4-week prevalence rate of substance use, including tobacco, alcohol, other drugs, and binge-drinking, among students in Germany ranging from grades 5 to 11. This study employed a cross-sectional design and used baseline data from 28 communities participating in the CTC-EFF study. The sample consisted of 7210 students who were surveyed about their substance use behavior. Additionally, 158 local key informants were surveyed on ten capacity domains, which included commitment, knowledge and skills, resources, leadership, inclusiveness, prevention collaboration, sectoral-collaboration, cohesion, problem-solving skills, and needs orientation. Furthermore, a total capacity score was calculated as the mean of the ten capacity domains. To examine the associations between community capacity and substance use behavior, logistic multi-level models were utilized. The analysis shows a negative association between community capacity (total score) and any substance use (OR = 0.28, 95% CI 0.12-0.56). Specifically, higher levels of total community capacity are associated with lower odds of alcohol use (OR = 0.30, 95% CI 0.13-0.80), tobacco use (OR = 0.09, 95% CI 0.01-0.60), and binge-drinking (OR = 0.67, 95% CI (0.46-0.99). Further analyses of distinct community capacity domains indicate that higher levels of sectoral-collaboration (OR = 0.62, 95% CI 0.37-0.97), knowledge and skills (OR = 0.74, 95% CI 0.40-0.79), resources (OR = 0.52, 95% CI 0.36-0.76), and problem-solving skills (OR = 0.71, 95% CI 0.36-0.89) are associated with lower odds of any substance use. The study findings suggest that community capacity is associated with substance use behavior, emphasizing the importance of capacity building in interventions targeting the reduction of substance use among adolescents.
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Affiliation(s)
- Vera Birgel
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - Dominik Röding
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - Maren Reder
- University of Hildesheim, Institute for Psychology, Universitätsplatz 1, 31141, Hildesheim, Germany
| | - Renate Soellner
- University of Hildesheim, Institute for Psychology, Universitätsplatz 1, 31141, Hildesheim, Germany
| | - Ulla Walter
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, 30625, Hannover, Germany
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Birgel V, Decker L, Röding D, Walter U. Community capacity for prevention and health promotion: a scoping review on underlying domains and assessment methods. Syst Rev 2023; 12:147. [PMID: 37608344 PMCID: PMC10464111 DOI: 10.1186/s13643-023-02314-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 08/08/2023] [Indexed: 08/24/2023] Open
Abstract
BACKGROUND Building community capacity is an essential health promotion approach, which refers to the characteristics of communities that affect their ability to identify and address social and public health problems. Despite general agreement about certain capacity domains and frameworks, there is no comprehensive and consistent assessment of community capacity. Therefore, the aim of this scoping review is to identify the domains and methods used to assess community capacity related to community-based prevention and health promotion. METHODS A scoping search was performed on 06/02/2022 via PubMed, Web of Science, and Science Direct, with supplemental searches via Google Scholar. The review included studies published in English from 1990 to 2022 that explicitly described how community capacity was assessed in health promotion and prevention interventions. Furthermore, studies had to meet at least two of the three following criteria for capacity assessment: a theoretical foundation, a participatory approach, or a field test of the assessment tool. RESULTS From 4779 records, 38 studies were included after applying exclusion criteria. Nineteen studies used mixed, eleven qualitative and eight quantitative methods to assess community capacity. The various domains used to assess community capacity were identified and reassembled into nine comprehensive domains: community participation, knowledge and skills, resources, leadership, community power, sense of community, collaboration, critical awareness and problem-solving, and community structure. The review also identified four sub-domains, which include commitment, communication, shared values and goals, and sustainability. DISCUSSION This scoping review provides an overview of the domains and methods used to assess community capacity, which can facilitate the development of a comprehensive approach to capacity assessment in future research.
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Affiliation(s)
- Vera Birgel
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany.
| | - Lea Decker
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany
| | - Dominik Röding
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany
| | - Ulla Walter
- Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany
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Kegler MC, Dekanosidze A, Torosyan A, Grigoryan L, Rana S, Hayrumyan V, Sargsyan Z, Berg CJ. Community coalitions for smoke-free environments in Armenia and Georgia: A mixed methods analysis of coalition formation, implementation and perceived effectiveness. PLoS One 2023; 18:e0289149. [PMID: 37535574 PMCID: PMC10399883 DOI: 10.1371/journal.pone.0289149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 07/12/2023] [Indexed: 08/05/2023] Open
Abstract
Effective models for aligning public health and civil society at the local level have the potential to impact various global health issues, including tobacco. Georgia and Armenia Teams for Healthy Environments and Research (GATHER) is a collaboration between Armenia, Georgia and U.S. researchers involving a community randomized trial testing the impact of community coalitions to promote smoke-free policy adoption and compliance in various settings. Community Coalition Action Theory (CCAT) was used to guide and describe coalition formation, implementation and effectiveness. Mixed methods were used to evaluate 14 municipality-based coalitions in Georgia and Armenia, including semi-structured interviews (n = 42) with coalition leaders and active members, coalition member surveys at two timepoints (n = 85 and n = 83), and review of action plans and progress reports. Results indicated successful creation of 14 multi-sectoral coalitions, most commonly representing education, public health, health care, and municipal administration. Half of the coalitions created at least one smoke-free policy in specific settings (e.g., factories, parks), and all 14 promoted compliance with existing policies through no-smoking signage and stickers. The majority also conducted awareness events in school, health care, and community settings, in addition to educating the public about COVID and the dangers of tobacco use. Consistent with CCAT, coalition processes (e.g., communication) were associated with member engagement and collaborative synergy which, in turn, correlated with perceived community impact, skills gained by coalition members, and interest in sustainability. Findings suggest that community coalitions can be formed in varied sociopolitical contexts and facilitate locally-driven, multi-sectoral collaborations to promote health. Despite major contextual challenges (e.g., national legislation, global pandemic, war), coalitions were resilient, nimble and remained active. Additionally, CCAT propositions appear to be generalizable, suggesting that coalition-building guidance may be relevant for local public health in at least some global contexts.
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Affiliation(s)
- Michelle C. Kegler
- Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
| | - Ana Dekanosidze
- Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia, United States of America
| | - Arevik Torosyan
- National Institute of Health, Ministry of Health, Yerevan, Armenia
| | - Lilit Grigoryan
- National Institute of Health, Ministry of Health, Yerevan, Armenia
| | - Shaheen Rana
- Intervention Development, Dissemination and Implementation Shared Resource, Winship Cancer Institute, Emory University, Atlanta, Georgia, United States of America
| | - Varduhi Hayrumyan
- Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia
| | - Zhanna Sargsyan
- Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia
| | - Carla J. Berg
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington Cancer Center, George Washington University, Washington, DC, United States of America
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Nagorcka-Smith P, Bolton KA, Dam J, Nichols M, Alston L, Johnstone M, Allender S. The impact of coalition characteristics on outcomes in community-based initiatives targeting the social determinants of health: a systematic review. BMC Public Health 2022; 22:1358. [PMID: 35841018 PMCID: PMC9288063 DOI: 10.1186/s12889-022-13678-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 06/22/2022] [Indexed: 11/23/2022] Open
Abstract
Background Coalitions are a popular mechanism for delivering community-based health promotion. The aim of this systematic review was to synthesize research that has quantitatively analyzed the association between coalition characteristics and outcomes in community-based initiatives targeting the social determinants of health. Coalition characteristics described elements of their structure or functioning, and outcomes referred to both proximal and distal community changes. Methods Authors searched six electronic databases to identify peer reviewed, published studies that analyzed the relationship between coalition characteristics and outcomes in community-based initiatives between 1980 and 2021. Studies were included if they were published in English and quantitatively analyzed the link between coalition characteristics and outcomes. Included studies were assessed for quality using the Joanna Briggs Institute analytical cross-sectional studies assessment tool. Results The search returned 10,030 unique records. After screening, 26 studies were included from six countries. Initiatives targeted drug use, health equity, nutrition, physical activity, child and youth development, crime, domestic violence, and neighbourhood improvement. Community outcomes measured included perceived effectiveness (n=10), policy, systems or environment change (n=9), and community readiness or capacity (n=7). Analyses included regression or correlation analysis (n=16) and structural equation or pathway modelling (n=10). Studies varied in quality, with a lack of data collection tool validation presenting the most prominent limitation to study quality. Statistically significant associations were noted between community outcomes and wide range of coalition characteristics, including community context, resourcing, coalition structure, member characteristics, engagement, satisfaction, group facilitation, communication, group dynamics, relationships, community partnership, and health promotion planning and implementation. Conclusion Existing literature demonstrates that coalition characteristics, including best practice health promotion planning and evaluation, influence community outcomes. The field of coalition research would benefit from more consistent description and measurement of coalition characteristics and outcomes, and efforts to evaluate coalitions in a wider range of countries around the world. Further research using empirical community outcome indicators, and methods that consider the interrelationship of variables, is warranted. Trial registration A protocol for this review was registered with PROSPERO (CRD42020205988). Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13678-9.
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Affiliation(s)
- Phoebe Nagorcka-Smith
- Deakin University, Global Obesity Centre (GLOBE), Institute for Health Transformation, School of Health and Social Development, 1 Gheringhap Street, Geelong, VIC, 3220, Australia.
| | - Kristy A Bolton
- Deakin University, Global Obesity Centre (GLOBE), Institute for Health Transformation, School of Health and Social Development, 1 Gheringhap Street, Geelong, VIC, 3220, Australia.,Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, 1 Gheringhap Street, Geelong, VIC, 3220, Australia
| | - Jennifer Dam
- Monash University, Monash Sustainable Development Institute, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia
| | - Melanie Nichols
- Deakin University, Global Obesity Centre (GLOBE), Institute for Health Transformation, School of Health and Social Development, 1 Gheringhap Street, Geelong, VIC, 3220, Australia
| | - Laura Alston
- Deakin University, Global Obesity Centre (GLOBE), Institute for Health Transformation, School of Health and Social Development, 1 Gheringhap Street, Geelong, VIC, 3220, Australia.,Deakin University, Deakin Rural Health, Faculty of Health, Princes Hwy, Warrnambool, VIC, 3280, Australia.,Research Unit, Colac Area Health, 2-28 Connor St, Colac, Victoria, 3250, Australia
| | - Michael Johnstone
- Deakin University, Institute for Intelligent Systems Research and Innovation, 75 Pigdons Road, Waurn Ponds, VIC, 3216, Australia
| | - Steven Allender
- Deakin University, Global Obesity Centre (GLOBE), Institute for Health Transformation, School of Health and Social Development, 1 Gheringhap Street, Geelong, VIC, 3220, Australia
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Brown LD, Wells R, Chilenski SM. Initial conditions and functioning over time among community coalitions. EVALUATION AND PROGRAM PLANNING 2022; 92:102090. [PMID: 35462341 PMCID: PMC9340962 DOI: 10.1016/j.evalprogplan.2022.102090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 04/12/2022] [Accepted: 04/17/2022] [Indexed: 06/03/2023]
Abstract
Developing operationally strong community coalitions is critical to actualizing their potential for public health improvement. The purpose of this study was to measure how substance use prevention coalitions in Mexico functioned across their first 1.5 years, and to test associations between initial community contextual factors and subsequent coalition functioning and outcomes. Members of 19 coalitions participated in three waves of surveys about coalition context and functioning. We used paired t-tests to assess changes in coalition functioning and outcomes. Regression models estimated associations between coalition functioning and outcomes and initial community context. Among coalition functioning factors, over coalitions' first 1.5 years, member engagement increased, as did coordinator skill and participatory leadership style. Two initial community context factors - community support for prevention and community champions - predicted several measures of process competence, but only community champions predicted perceived community improvement. Thus, community champions may play a pivotal role in later coalition success. The observed increases in member engagement and process competence may support subsequent coalition sustainability, a crucial component to realizing their potential impact on public health.
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Affiliation(s)
- Louis D Brown
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health, 5130 Gateway East Blvd., El Paso, TX 79903, USA.
| | - Rebecca Wells
- Department of Management, Policy, and Community Health, The University of Texas Health Science Center at Houston, School of Public Health, 1200 Pressler Street, Houston, TX 77030, USA.
| | - Sarah Meyer Chilenski
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, 314 Bio Behavioral Health Building, University Park, PA 16802, USA.
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Wells R, Coffey AM, Mullenix A, Simon J, Lich KH. Insights from the national maternal and Child Health Workforce Development Center on Title V Teams' collaborative readiness and goal accomplishment. Matern Child Health J 2022; 26:169-175. [PMID: 35474039 PMCID: PMC9482573 DOI: 10.1007/s10995-022-03437-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 03/04/2022] [Accepted: 03/25/2022] [Indexed: 11/05/2022]
Abstract
Purpose State Title V programs collaborate with diverse partners to improve maternal and child health. Since 2014, the National Maternal and Child Health Workforce Development Center has trained Title V leaders in facilitating system change. This article describes aspects of initial collaborative readiness differentiating state and jurisdiction teams that later reported meeting their goals to greater or lesser degrees. Description We used quantitative data from initial team leader reports to characterize readiness to collaborate with external partners, and their responses twelve months later to a prompt about how fully they had accomplished their goals. In addition, we coded excerpts from team leader accounts six and twelve months into their work with the Center, and retrospective coach perspectives, to identify collaborative readiness patterns. Assessment Teams whose leaders reported higher goal accomplishment twelve months after beginning work with the Center had initially reported higher levels of collaboration with key partners. Our analyses suggest that such teams were also better able to use their cohort experience with the Center to improve collaboration, including information sharing with external stakeholders. Challenges working with Medicaid were reported both by teams with more and less goal accomplishment. Conclusions Title V teams with lower levels of initial collaborative readiness may benefit from additional support in skill development, connections to key partners, and convening power. Given the crucial and increasing role of Medicaid in maternal and child health systems, more attention may be warranted to supporting all Title V programs in partnering with this funder. What is already known on this subject? Prior research has identified the ability to convene diverse stakeholders as key to achieving partnership synergies, and in turn improved community outcomes. What this study adds State and territorial Title V programs may achieve greater synergies with external partners by initially assessing and strategically enhancing collaborative readiness. Training and technical assistance providers might enhance partnership synergies through focused assistance to states with lower initial levels of external collaboration. Title V leaders may improve outcomes by leveraging their strongest collaborations to foster relationships with additional stakeholders. Title V programs in general could benefit from support cultivating relationships with Medicaid.
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Affiliation(s)
- Rebecca Wells
- Department of Management, Policy, and Community Health, University of Texas School of Public Health, 1200 Pressler Street, 77030, Houston, USA.
| | - Alexandria M Coffey
- Department of Maternal and Child Health, University of North Carolina - Chapel Hill, 135 Dauer Drive, 27599, Chapel Hill, North Carolina, USA
| | - Amy Mullenix
- The National MCH Workforce Development Center, University of North Carolina - Chapel Hill, 135 Dauer Drive, 27599, Chapel Hill, North Carolina, USA
| | - Jessica Simon
- The Association of Maternal and Child Health Programs, 1825 K Street Suite 250, 20006-1202, Washington, DC, United States
| | - Kristen Hassmiller Lich
- Department of Health Policy and Management, University of North Carolina - Chapel Hill, McGavran-Greenberg Hall, CB# 7411, 27599-7411, Chapel Hill, NC, USA
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7
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Hutchison M, Russell BS. Community Coalition Efforts to Prevent Adolescent Substance Use: A Systematic Review. JOURNAL OF DRUG EDUCATION 2021; 50:3-30. [PMID: 34078126 DOI: 10.1177/00472379211016384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
A systematic review explored the creation and maintenance of community coalitions as effective for alcohol and other drug (AOD) prevention in adolescence. Community coalitions influence the implementation of effective and sustainable community-based prevention via infrastructure supporting development, delivery, and assessment of human service issues. For this review, 1,435 articles were identified, most including insufficient detail on the purposes and activities of coalitions or focus on adolescents. Of the 16 studies included, few discussed comprehensive frameworks describing coalition formation and maintenance or measureable influences on adolescent AOD prevention outcomes. Therefore, we propose four organizing principles for building sustainable community coalitions for adolescent AOD prevention.
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Affiliation(s)
- Morica Hutchison
- Department of Human Development & Family Sciences, 7712University of Connecticut, Storrs, United States
| | - Beth S Russell
- Department of Human Development & Family Sciences, 7712University of Connecticut, Storrs, United States
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Calancie L, Frerichs L, Davis MM, Sullivan E, White AM, Cilenti D, Corbie-Smith G, Hassmiller Lich K. Consolidated Framework for Collaboration Research derived from a systematic review of theories, models, frameworks and principles for cross-sector collaboration. PLoS One 2021; 16:e0244501. [PMID: 33395449 PMCID: PMC7781480 DOI: 10.1371/journal.pone.0244501] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 12/10/2020] [Indexed: 02/04/2023] Open
Abstract
Cross-sector collaboration is needed to address root causes of persistent public health challenges. We conducted a systematic literature review to identify studies describing theories, models, frameworks and principles for cross-sector collaboration and synthesized collaboration constructs into the Consolidated Framework for Collaboration Research (CFCR). Ninety-five articles were included in the review. Constructs were abstracted from articles and grouped into seven domains within the framework: community context; group composition; structure and internal processes; group dynamics; social capital; activities that influence or take place within the collaboration; activities that influence or take place within the broader community; and activities that influence or take place both in the collaboration and in the community. Community engagement strategies employed by collaborations are discussed, as well as recommendations for using systems science methods for testing specific mechanisms of how constructs identified in the review influence one another. Researchers, funders, and collaboration members can use the consolidated framework to articulate components of collaboration and test mechanisms explaining how collaborations function. By working from a consolidated framework of collaboration terms and using systems science methods, researchers can advance evidence for the efficacy of cross-sector collaborations.
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Affiliation(s)
- Larissa Calancie
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States of America
- * E-mail:
| | - Leah Frerichs
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Melinda M. Davis
- Oregon Rural Practice-based Research Network, School of Medicine, Oregon Health and Science University, Portland, OR, United States of America
| | - Eliana Sullivan
- Oregon Rural Practice-based Research Network, Oregon Health and Science University, Portland, OR, United States of America
| | - Ann Marie White
- Department of Psychiatry, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY, United States of America
| | - Dorothy Cilenti
- Department of Maternal and Child Health, National Maternal and Child Health Workforce Development Center, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Giselle Corbie-Smith
- Departments of Social Medicine and Internal Medicine, UNC Center for Health Equity Research, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
| | - Kristen Hassmiller Lich
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
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Sprague Martinez L, Rapkin BD, Young A, Freisthler B, Glasgow L, Hunt T, Salsberry PJ, Oga EA, Bennet-Fallin A, Plouck TJ, Drainoni ML, Freeman PR, Surratt H, Gulley J, Hamilton GA, Bowman P, Roeber CA, El-Bassel N, Battaglia T. Community engagement to implement evidence-based practices in the HEALing communities study. Drug Alcohol Depend 2020; 217:108326. [PMID: 33059200 PMCID: PMC7537729 DOI: 10.1016/j.drugalcdep.2020.108326] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 09/13/2020] [Accepted: 09/15/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND The implementation of evidence-based practices to reduce opioid overdose deaths within communities remains suboptimal. Community engagement can improve the uptake and sustainability of evidence-based practices. The HEALing Communities Study (HCS) aims to reduce opioid overdose deaths through the Communities That HEAL (CTH) intervention, a community-engaged, data-driven planning process that will be implemented in 67 communities across four states. METHODS An iterative process was used in the development of the community engagement component of the CTH. The resulting community engagement process uses phased planning steeped in the principles of community based participatory research. Phases include: 0) Preparation, 1) Getting Started, 2) Getting Organized, 3) Community Profiles and Data Dashboards, 4) Community Action Planning, 5) Implementation and Monitoring, and 6) Sustainability Planning. DISCUSSION The CTH protocol provides a common structure across the four states for the community-engaged intervention and allows for tailored approaches that meet the unique needs or sociocultural context of each community. Challenges inherent to community engagement work emerged early in the process are discussed. CONCLUSION HCS will show how community engagement can support the implementation of evidence-based practices for addressing the opioid crisis in highly impacted communities. Findings from this study have the potential to provide communities across the country with an evidence-based approach to address their local opioid crisis; advance community engaged research; and contribute to the implementation, sustainability, and adoption of evidence-based practices. TRIAL REGISTRATION ClinicalTrials.gov (NCT04111939).
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Affiliation(s)
- Linda Sprague Martinez
- Macro Department, School of Social Work, Boston University, 264 Baystate Road, Boston, MA 02215, United States.
| | - Bruce D. Rapkin
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1225 Morris Park Avenue, Van Etten, Room 3A2E, Bronx, NY 10461, United States
| | - April Young
- Department of Epidemiology, University of Kentucky College of Public Health, 111 Washington Avenue Office 211C, Lexington, KY 40536, United States
| | - Bridget Freisthler
- Ohio State University College of Social Work, 1947 College Rd N, Columbus, OH 43210, United States
| | - LaShawn Glasgow
- RTI International, 3040 East Cornwallis Road, Research Triangle Park, NC 27709-2194, United States
| | - Tim Hunt
- Columbia University, School of Social Work, Center for Healing of Opioid and Other Substance Use Disorders (CHOSEN), 1255 Amsterdam, Avenue, Rm 806, New York, NY 10027, United States
| | - Pamela J. Salsberry
- Ohio State University College of Public Health, 250 Cunz Hall, 1841 Neil Ave., Columbus, OH 43210, United States
| | - Emmanuel A. Oga
- RTI International, 3040 East Cornwallis Road, Research Triangle Park, NC 27709-2194, United States
| | - Amanda Bennet-Fallin
- University of Kentucky College of Nursing, 751 Rose Street, Lexington, KY 40536-0232, United States
| | - Tracy J. Plouck
- College of Health Sciences and Professions, Ohio University, 1 Ohio University Drive, Athens, OH 45701, United States
| | - Mari-Lynn Drainoni
- Section of Infectious Diseases, School of Medicine, & Department of Health Law Policy, School of Public Health, Boston University, 801 Massachusetts Avenue 2ndFloor, Boston, MA 02118, United States
| | - Patricia R. Freeman
- Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, 789 S Limestone St, Lexington, KY 40536, United States
| | - Hilary Surratt
- Department of Behavioral Science, College of Medicine, University of Kentucky, 125 Medical Behavioral Science Building, Lexington, KY 40536-0298, United States
| | - Jennifer Gulley
- Clark County Health Department, 400 Professional Ave, Winchester, KY 40391, United States
| | - Greer A. Hamilton
- School Work, Boston University, 264 Baystate Road, Boston, MA 02215, United States
| | - Paul Bowman
- South End Community Health Center, 1601 Washington St, Boston, MA 02118, United States
| | - Carter A. Roeber
- National Mental Health and Substance Use Policy Laboratory, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockville, MD 20857, United States
| | - Nabila El-Bassel
- Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10027-5927, United States
| | - Tracy Battaglia
- Women's Health Unit Boston Medical Center, Schools of Medicine & Public Health, Boston University, 801 Massachusetts Avenue 2ndFloor, Boston, MA 02118, United States
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10
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Goldstein MB, Sapere H, Daviau J. Coincidence of role expectations between staff and volunteer members of drug free community coalitions. EVALUATION AND PROGRAM PLANNING 2017; 63:123-130. [PMID: 28494334 DOI: 10.1016/j.evalprogplan.2017.02.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 02/21/2017] [Accepted: 02/27/2017] [Indexed: 06/07/2023]
Abstract
Community coalitions have proliferated as a means of addressing a range of complex community problems. Such coalitions often consist of a small paid staff and volunteer members. The present study examines one likely contributor to coalition effectiveness: the degree of agreement on role expectations between paid staff and volunteer members. Role confusion occurs when paid staff and volunteers differ in their expectations of who is responsible for accomplishing specific tasks. Staff and volunteer members from 69 randomly selected Drug Free Coalitions in the United States as well as 21 Drug Free Coalitions in Connecticut were asked to respond to an online survey asking about 37 specific coalition tasks critical for effective coalition functioning and the degree to which paid staff and/or voluntary members should be responsible for accomplishing each. Our final sample consisted of 476 individuals from 35 coalitions. Using coalitions as the unit of analysis, we found significant differences between paid staff and volunteer coalition members on nine tasks reflecting four domains: meeting leadership and participation, (2) planning and implementation leadership, (3) publicity/media relations, and (4) logistical functions. Implications of these differences and ways that evaluators could help coalitions deal with differing role expectations were discussed.
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Affiliation(s)
- Marc B Goldstein
- Department of Psychological Science, Central Connecticut State University, 1615 Stanley Street, New Britain, CT 06050-4010, United States.
| | - Heather Sapere
- The Child Health and Development Institute of CT, 270 Farmington Ave, Suite 360, Farmington, CT 06032, United States.
| | - John Daviau
- John Daviau Consulting, LLC. 23 Sunset Dr., Lebanon, CT 06249, United States.
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Long-Term Sustainability of Evidence-Based Prevention Interventions and Community Coalitions Survival: a Five and One-Half Year Follow-up Study. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2017; 18:610-621. [DOI: 10.1007/s11121-017-0784-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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