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Noland DH, Morris CD, Kayser AM, Garver-Apgar CE. Results of a Peer Navigator Program to Address Chronic Illness Among Persons Experiencing Homelessness. J Community Health 2023; 48:606-615. [PMID: 36802004 DOI: 10.1007/s10900-023-01194-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2023] [Indexed: 02/23/2023]
Abstract
People who are homeless disproportionately experience the burdens of chronic disease, have limited access to preventive care, and may be less trusting of healthcare agencies. The Collective Impact Project created and evaluated an innovative model designed to increase chronic disease screening and referral to healthcare and public health services. Trained Peer Navigators (PNs), who were paid staff with lived experiences similar to the clients served, were embedded in five agencies serving people experiencing homelessness or at risk for homelessness. Over two years, PNs engaged 1071 individuals. Of those, 823 were screened for chronic diseases and 429 were referred to healthcare services. Alongside screening and referrals, the project demonstrated the value of convening a coalition of community stakeholders, experts, and resources to identify service gaps and how PN functions might complement existing staffing roles. Project findings add to a growing literature documenting unique PN roles that potentially reduce health inequities.
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Affiliation(s)
- Derek H Noland
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, MS F478, 1890 N Revere Ct, Aurora, CO, 80045, USA.
| | - Chad D Morris
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, MS F478, 1890 N Revere Ct, Aurora, CO, 80045, USA
| | - Ashley M Kayser
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, MS F478, 1890 N Revere Ct, Aurora, CO, 80045, USA
| | - Christine E Garver-Apgar
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, MS F478, 1890 N Revere Ct, Aurora, CO, 80045, USA
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McCrae JS, Spain AK. Advancing positive social determinants of health through collective impact and the 100% New Mexico Model. Arch Public Health 2023; 81:109. [PMID: 37328867 DOI: 10.1186/s13690-023-01120-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 05/24/2023] [Indexed: 06/18/2023] Open
Abstract
BACKGROUND Communities across the U.S. and globally confront the challenge of transforming negative social determinants of health (SDOH) into positive ones. To address this complex social problem, the collective impact (CI) approach has promise but has been critiqued for insufficiently challenging structural inequities. Research applying CI to SDOH is limited. This mixed-methods study examined early adoption of CI in the 100% New Mexico initiative that aims to address SDOH population-wide in a state with strong cultural identity and assets but also persistent socio-economic inequality. METHODS A web-based survey, interviews and focus groups were conducted with initiative participants in June and July 2021. Survey participants rated agreement on a 4-point scale with six items assessing CI foundation adapted from the Collective Impact Community Assessment Scale. Interviews and focus groups centered on motivation to engage, progress achieved in model components, CI core conditions, and contextual factors influencing experiences. Surveys were analyzed using descriptive means and proportions. Qualitative data were analyzed using thematic analysis and an inductive approach followed by stratified analyses and co-interpretation of emergent findings with model developers. RESULTS Fifty-eight participants completed the survey, and 21 individuals participated in interviews (n = 12) and two focus groups (n = 9). Survey mean scores were highest related to initiative buy-in and commitment, and lower related to shared ownership, having multiple perspectives and voices involved, and adequate resources. Qualitative results showed that the framework's cross-sector emphasis helped motivate participation. Participants embraced the focus on leveraging existing community assets that is characteristic of CI and the current framework. Counties implemented effective engagement and visibility strategies including mural projects and book clubs. Participants expressed communication challenges across county sector teams which influenced feelings of accountability and ownership. Participants did not report challenges lacking relevant, available, and timely data or tension between funder-driven and community-driven desired outcomes, in contrast with previous CI research. CONCLUSION Multiple foundational conditions of CI were supported in 100% New Mexico, including evidence for support of the common agenda addressing SDOH, shared measurement framework, and mutually reinforcing activities. Study results suggest that efforts to launch CI to address SDOH, which is by nature multi-sector, should include robust strategies to address communication needs of local teams. The use of community-administered surveys to identify gaps in SDOH resource access contributed to ownership and a sense of collective efficacy that may portend sustainability; however, relying on volunteers in the absence of other resources extensively also threatens sustainability.
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Affiliation(s)
- Julie S McCrae
- Chapin Hall at the University of Chicago, Chicago, IL, USA.
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Smith A, Peled M, Martin S. A collective impact approach to supporting youth transitioning out of government care. Child Abuse Negl 2022; 130:105104. [PMID: 33992424 DOI: 10.1016/j.chiabu.2021.105104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/26/2021] [Accepted: 05/05/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The issues faced by young people transitioning out of government care are complex, and improving outcomes requires the collaboration of multiple stakeholders (Lopez & Allen, 2007). OBJECTIVE, PARTICIPANTS, AND SETTING In Vancouver, Western Canada, 60 agencies and 20 youth from government care are working in partnership using a collective impact approach to address the systemic issues and barriers to healthy development that youth from care experience. Collective impact is an approach to tackling complex social problems which requires collaboration across government, business, funders, charitable organizations, and community members to achieve significant and lasting social change (Hanleybrown et al., 2012). The Vancouver collective operates working groups (co-chaired by youth with care experience) that are addressing challenges in the areas of education, employment, housing, meaningful connections (e.g., sustainable family-type supports), health, wellness and culture. METHODS A mixed-method evaluation has included quantitative and qualitative data, collected through outcomes, diaries, surveys, and focus groups, to measure process and outcomes. RESULTS Findings help to inform the ongoing development and activities of the collective. Findings indicate the collective is making progress in meeting its goals. Partners continue to be engaged and committed to improving outcomes for youth transitioning out of care, and there are improvements in a number of key areas such as education, collaborative working, and youth engagement. CONCLUSION A collective impact approach that includes youth's voices, and collaboration across multiple stakeholders, can increase the likelihood of improving outcomes for young people transitioning out of government care.
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Affiliation(s)
- Annie Smith
- McCreary Centre Society, 3552 East Hastings Street, Vancouver, BC, V5K 2A7, Canada; University of British Columbia School of Nursing, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
| | - Maya Peled
- McCreary Centre Society, 3552 East Hastings Street, Vancouver, BC, V5K 2A7, Canada.
| | - Stephanie Martin
- McCreary Centre Society, 3552 East Hastings Street, Vancouver, BC, V5K 2A7, Canada.
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Jiménez DJ, Sabo S, Remiker M, Smith M, Samarron Longorio AE, Williamson HJ, Chief C, Teufel-Shone NI. A multisectoral approach to advance health equity in rural northern Arizona: county-level leaders' perspectives on health equity. BMC Public Health 2022; 22:960. [PMID: 35562793 PMCID: PMC9100312 DOI: 10.1186/s12889-022-13279-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 04/22/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Multisectoral and public-private partnerships are critical in building the necessary infrastructure, policy, and political will to ameliorate health inequity. A focus on health equity by researchers, practitioners, and decision-makers prioritizes action to address the systematic, avoidable, and unjust differences in health status across population groups sustained over time and generations that are beyond the control of individuals. Health equity requires a collective process in shaping the health and wellbeing of the communities in which we live, learn, work, play, and grow. This paper explores multisectoral leaders' understanding of the social, environmental, and economic conditions that produce and sustain health inequity in northern Arizona, a geographically expansive, largely rural, and culturally diverse region. METHODS Data are drawn from the Southwest Health Equity Research Collaborative's Regional Health Equity Survey (RHES). The RHES is a community-engaged, cross-sectional online survey comprised of 31 close-ended and 17 open-ended questions. Created to assess cross-sectoral regional and collective capacity to address health inequity and inform multisectoral action for improving community health, the RHES targeted leaders representing five rural northern Arizona counties and 13 sectors. Select open-ended questions were analyzed using an a priori coding scheme and emergent coding with thematic analysis. RESULTS Although leaders were provided the definition and asked to describe the root causes of inequities, the majority of leaders described social determinants of health (SDoH). When leaders described root causes of health inequity, they articulated systemic factors affecting their communities, describing discrimination and unequal allocation of power and resources. Most leaders described the SDoH by discussing compounding factors of poverty, transportation, housing, and rurality among others, that together exacerbate inequity. Leaders also identified specific strategies to address SDoH and advance health equity in their communities, ranging from providing direct services to activating partnerships across organizations and sectors in advocacy for policy change. CONCLUSION Our findings indicate that community leaders in the northern Arizona region acknowledge the importance of multisectoral collaborations in improving health equity for the populations that they serve. However, a common understanding of health equity remains to be widely established, which is essential for conducting effective multisectoral work to advance health equity.
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Affiliation(s)
- Dulce J Jiménez
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA.
| | - Samantha Sabo
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
| | - Mark Remiker
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
| | - Melinda Smith
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
| | | | - Heather J Williamson
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
| | - Carmenlita Chief
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
| | - Nicolette I Teufel-Shone
- Center for Health Equity Research, Northern Arizona University, PO Box 4065, Flagstaff, AZ, 86011, USA
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Hiatt RA, Sibley A, Venkatesh B, Cheng J, Dixit N, Fox R, Ling P, Nguyen T, Oh D, Palmer NR, Pasick RJ, Potter MB, Somsouk M, Vargas RA, Vijayaraghavan M, Ashworth A. From Cancer Epidemiology to Policy and Practice: the Role of a Comprehensive Cancer Center. CURR EPIDEMIOL REP 2022; 9:10-21. [PMID: 35342686 PMCID: PMC8935108 DOI: 10.1007/s40471-021-00280-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2021] [Indexed: 11/24/2022]
Abstract
Purpose of Review Cancer incidence and mortality are decreasing, but inequities in outcomes persist. This paper describes the San Francisco Cancer Initiative (SF CAN) as a model for the systematic application of epidemiological evidence to reduce the cancer burden and associated inequities. Recent Findings SF CAN is a multi-institutional implementation of existing evidence on the prevention and early detection of five common cancers (i.e., breast, prostate, colorectal, liver, and lung/tobacco-related cancers) accounting for 50% of cancer deaths in San Francisco. Five Task Forces follow individual logic models designating inputs, outputs, and outcomes. We describe the progress made and the challenges faced by each Task Force after 5 years of activity. Summary SF CAN is a model for how the nation’s Comprehensive Cancer Centers are ideally positioned to leverage cancer epidemiology for evidence-based initiatives that, along with genuine community engagement and multiple stakeholders, can reduce the population burden of cancer.
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Affiliation(s)
- Robert A Hiatt
- Department of Epidemiology and Biostatistics, UCSF, San Francisco, USA.,Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA.,Mission Hall UCSF, 550 16th Street, 2nd Floor, San Francisco, CA 94158 USA
| | - Amanda Sibley
- Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA
| | - Brinda Venkatesh
- Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA
| | - Joyce Cheng
- Chinese Community Health Resource Center, San Francisco, USA
| | - Niharika Dixit
- Division of Hematology/Oncology, UCSF at Zuckerberg San Francisco General Hospital, San Francisco, USA
| | - Rena Fox
- Department of Medicine, UCSF, San Francisco, USA
| | - Pamela Ling
- Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA.,Department of Medicine, UCSF, San Francisco, USA.,Center for Tobacco Control Research and Education, UCSF, San Francisco, USA
| | - Tung Nguyen
- Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA.,Department of Medicine, UCSF, San Francisco, USA
| | - Debora Oh
- Department of Epidemiology and Biostatistics, UCSF, San Francisco, USA
| | | | | | - Michael B Potter
- Department of Family and Community Medicine, UCSF, San Francisco, USA
| | - Ma Somsouk
- Division of Gastroenterology, UCSF, San Francisco, USA
| | - Roberto Ariel Vargas
- Center for Community Engagement, UCSF, San Francisco, USA.,Clinical and Translational Science Institute, UCSF, San Francisco, USA
| | | | - Alan Ashworth
- Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, USA
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Diouf F, Lemley B, Barth C, Goldbarg J, Helgenberger S, Grimm B, Wartella E, Smyser J, Bonnevie E. Mental Health Stigma Reduction in the Midwestern United States: Evidence from a Digital Campaign Using a Collective Impact Model. J Community Health 2022; 47:924-931. [PMID: 35921054 PMCID: PMC9361981 DOI: 10.1007/s10900-022-01130-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2022] [Indexed: 12/26/2022]
Abstract
Addressing mental stigma is a key component of improving mental health outcomes. A digital media campaign was implemented to reduce mental health stigma in the Omaha Metropolitan area. The campaign used evidence-based approaches within a collective impact framework. Two surveys were conducted at baseline and at 10-month follow-up to evaluate the campaign within the Omaha and Council Bluffs intervention region, and a control region in Iowa. Analysis revealed significant improvements in desires for social distance and perceptions toward treatment efficacy within the intervention group. Improvements were seen across measures of personal and community attitudes towards mental health conditions, confidence in supporting others, and likelihood of disclosing a mental health condition. The trends were generally not replicated within the control group. Respondents who were aware of the campaign showed fewer stigmatizing views, including lower desires for social distance, improved attitudes toward treatment, and significant improvements in providing support and caring for their own mental health. The results suggest that the implemented evidenced-based approach could potentially create positive shifts in stigma reduction. This evaluation further supports the potential for scaling and adapting digital media campaigns for stigma reduction in different geographic locations.
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Affiliation(s)
- Fatma Diouf
- The Public Good Projects, 2308 Mt Vernon Ave, Suite 758, Alexandria, VA, 22301, USA
| | | | - Chelsea Barth
- The Public Good Projects, 2308 Mt Vernon Ave, Suite 758, Alexandria, VA, 22301, USA
| | - Jaclyn Goldbarg
- The Public Good Projects, 2308 Mt Vernon Ave, Suite 758, Alexandria, VA, 22301, USA
| | | | - Brandon Grimm
- Public Health Practice, University of Nebraska Medical Center College of Public Health, Omaha, NE, USA
| | | | - Joe Smyser
- The Public Good Projects, 2308 Mt Vernon Ave, Suite 758, Alexandria, VA, 22301, USA
| | - Erika Bonnevie
- The Public Good Projects, 2308 Mt Vernon Ave, Suite 758, Alexandria, VA, 22301, USA.
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Wells R, Yates L, Morgan I, deRosset L, Cilenti D. Using the Wilder Collaboration Factors Inventory to Strengthen Collaborations for Improving Maternal and Child Health. Matern Child Health J 2021; 25:377-384. [PMID: 33247823 PMCID: PMC7956933 DOI: 10.1007/s10995-020-03091-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The Wilder Collaboration Factors Inventory is a free, publicly available questionnaire about the quality and context of community collaboration. The purpose of this article is to share lessons from using this questionnaire in a North Carolina maternal and child health initiative. METHODS In 2015, the State's General Assembly funded five local health departments to implement evidence-based strategies for improving maternal and child health. Each health department formed a community action team for this purpose. Members of each community action team completed the Wilder Collaboration Factors Inventory (Inventory) in the first year of funding and again 1 and 2 years later. Technical assistance coaches also asked community action team conveners to complete a brief questionnaire annually, and used these as well as Inventory results to plan for improvements. RESULTS During the first year, community action teams emerged as strong in seeing collaboration in their self-interest. A primary challenge noted by conveners was engaging consumers on the community action teams. Strategies to address this included using social media and compensating consumers for attending meetings. By the second year, teams' average scores in engaging multiple layers of participation increased, and eight additional factors became strengths, which generally continued in year three. The most consistent challenge was supporting community action teams administratively. DISCUSSION The Wilder Collaboration Factors Inventory provided a feasible tool for identifying opportunities for improvement in several local, cross-sector partnerships, suggesting promise for other communities seeking to enhance their collective impact on maternal and child health.
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Affiliation(s)
- Rebecca Wells
- University of Texas School of Public Health, 1200 Pressler Street, Houston, 77030, USA.
| | - Lindsey Yates
- Department of Health Policy and Management, University of North Carolina Gillings School of Global Public Health, McGavran-Greenberg Hall, CB# 7411, Chapel Hill, NC, 27599-7411, USA
| | - Isabel Morgan
- Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, McGavran-Greenberg Hall, CB# 7445, Chapel Hill, NC, 27599-7411, USA
| | - Leslie deRosset
- Frank Porter Graham Child Development Center, The Impact Center, The University of North Carolina, 105 Smith Level Rd, CB 8180, Chapel Hill, NC, 27599, USA
| | - Dorothy Cilenti
- Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, 402A Rosenau Hall, CB#7445, Chapel Hill, NC, 27599-7411, USA
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Landry S, Collie-Akers V, Foster K, Pecha D, Abresch C. Assessing the Development of Collective Impact Initiatives Addressing Maternal and Child Health. Matern Child Health J 2020; 24:405-11. [PMID: 32052275 DOI: 10.1007/s10995-020-02894-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Purpose To examine the extent to which communities participating in the Collective Impact Learning Collaborative (CILC) increased capacity to create conditions for collective impact (CI) to address racial disparities in maternal and child health (MCH) and align local efforts with state MCH priorities over a 12-month period. Description Eight communities participated in a learning collaborative that involved the provision of technical assistance via webinars, monthly team calls, and site visits to facilitate the development of a collective impact initiative. A Ready-Set-Go approach to technical assistance was used to guide the communities through each phase of development while also providing individual assistance to teams based on their capacity at the start of participation. Assessment A pre/post design measured change in capacity to engage in CI efforts over time. A survey designed to assess the completion of core tasks related to early indicators of CI was completed at baseline and 12 months later. Wilcoxon Signed Ranks Test and Mann–Whitney test determined statistically significant progress towards outcomes over 12 months and differences in progress between high- and low- capacity teams. Conclusion In 12 months, teams with little established groundwork made significant progress, in some ways exceeding progress of more established teams. Statistically significant progress was achieved in eleven of fourteen outcomes measured. Five teams aligned local efforts with state priorities after 12 months. Findings suggest technical assistance to establish conditions for collective impact can support progress even when pre-conditions for collective impact are not previously established.
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Bonnevie E, Morales O, Rosenberg SD, Goldbarg J, Silver M, Wartella E, Smyser J. Evaluation of a campaign to reduce consumption of sugar-sweetened beverages in New Jersey. Prev Med 2020; 136:106062. [PMID: 32205177 DOI: 10.1016/j.ypmed.2020.106062] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 01/14/2020] [Accepted: 03/13/2020] [Indexed: 11/19/2022]
Abstract
Obesity is a leading cause of premature death in the U.S., in part due to consumption of sugar sweetened beverages (SSBs). In New Jersey, African Americans, Hispanics, and those of low income have the highest rates of SSB consumption. This study evaluates the impact of NJ Sugarfreed, a campaign designed to reduce sugar-sweetened beverage (SSB) consumption across New Jersey. From 12/1/17-9/30/18, we used a collective impact model to create targeted statewide campaigns that reduce SSB consumption among New Jersey residents, with an emphasis on African American and Hispanic low-income mothers/caregivers who are often gatekeepers to children's SSB consumption. Passaic County, New Jersey received a higher dose intervention. Messages were disseminated through social media, partner organizations, and community partnerships. Campaign impact was examined through evaluation surveys and analysis of beverage sales. Baseline and follow-up surveys (n = 800 baseline; n = 782 follow-up) showed positive trends toward decreased soda consumption and increased knowledge about SSBs. Passaic respondents showed a 5% decrease in those who consume 1+ soda per day, compared to a 1% decrease among New Jersey respondents. Analysis of overall SSB beverage sales showed the most pronounced decreases in Passaic (7% decrease) compared to New Jersey (6%). By drawing upon best practices in message development and the use of various platforms for dissemination, combined with community-based participation, we have provided more evidence to support the use of a collective impact model as a way of reducing unhealthy behaviors that impact health disparities.
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Affiliation(s)
- Erika Bonnevie
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
| | - Orville Morales
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
| | - Sarah D Rosenberg
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
| | - Jaclyn Goldbarg
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
| | - Maggie Silver
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
| | - Ellen Wartella
- Northwestern University School of Communication, Frances Searle Building, 2240 Campus Drive Room 2-148, Evanston, IL 60208, USA.
| | - Joe Smyser
- The Public Good Projects, 33 Irving Pl, Third Floor, New York, NY 10003, USA.
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Jenkins E, Lowe J, Allender S, Bolton KA. Process evaluation of a whole-of-community systems approach to address childhood obesity in western Victoria, Australia. BMC Public Health 2020; 20:450. [PMID: 32252713 PMCID: PMC7132875 DOI: 10.1186/s12889-020-08576-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 03/24/2020] [Indexed: 11/18/2022] Open
Abstract
Background SEA Change Portland is a systems-based approach implemented in Portland, Victoria that utilises local community resources to sustainably prevent and reduce the prevalence of childhood obesity. Action is implemented by community-led task teams with differing priority areas, and supported by a steering committee representative of four collaborating organisations. This study examines the SEA Change Portland process to identify significant events, enablers and barriers of its development and implementation to date as reported by key stakeholders involved in implementation during the first 12 months. Methods Semi-structured interviews were conducted with eight steering group members and three community task team members. Data was collected utilising open ended interview questions to gather in-depth information regarding program implementation, and the individual attitudes, beliefs and experiences of key stakeholders. Results Data were analysed under three key themes: collective impact, systems thinking and asset based community development (ABCD). Participants gave perceptions of significant events; factors positively and negatively affecting the process; reasons for becoming involved in the process; perceived efficacy of task teams, principles of diversity and areas of concern. Themes emerged from participant responses allowing were categorisation of their responses into four key process stages: initial lead up; process development; establishing community ownership of the obesity system; and community action. Conclusion Collective impact was a crucial element in applying the systems thinking. Strong and equitable relationships between steering organisations and topic experts provided the initiative with a sustainable foundation, and ABCD promotes community ownership and future sustainability. Understanding the process of implementing a new whole-of-community systems approach to childhood obesity prevention such as SEA Change Portland has provided vital knowledge for other communities regarding enablers and barriers of this promising approach.
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Affiliation(s)
- Ebony Jenkins
- Southern Grampians Glenelg Primary Care Partnership, Hamilton, Australia
| | - Janette Lowe
- Southern Grampians Glenelg Primary Care Partnership, Hamilton, Australia
| | - Steven Allender
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Kristy A Bolton
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia.
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Gao X, Shen J, Wu H, Krenn HY. Evaluating program effects: Conceptualizing and demonstrating a typology. Eval Program Plann 2019; 72:88-96. [PMID: 30321687 DOI: 10.1016/j.evalprogplan.2018.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 09/19/2018] [Accepted: 10/03/2018] [Indexed: 06/08/2023]
Abstract
Outcome evaluation is very important for program evaluation and has been becoming increasingly so in the age of accountability. Typically, outcome evaluation is conducted for a single program from a single perspective. However, in a real-life situation, many programs exist in a system, and the effects could be viewed from various perspectives. The authors illustrate a typology of program effects in a system. It moves from the paradigm of a single program's single effect to that of a set of programs' multiple effects. Methodological implications are discussed.
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Affiliation(s)
- Xingyuan Gao
- Dept. of Education, Institute of Schooling Reform and Development, East China Normal University, China.
| | - Jianping Shen
- Dept. of Educational Leadership, Research and Technology, Western Michigan University, United States.
| | - Huang Wu
- Dept. of Educational Leadership, Research and Technology, Western Michigan University, United States.
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Worrall R, Kjaerulf F. Building collaborative capability between law enforcement and civil society leaders to prevent urban violence. Int J Public Health 2018; 63:969-76. [PMID: 30097679 DOI: 10.1007/s00038-018-1153-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 07/13/2018] [Accepted: 07/26/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVES This research paper analyses how applying a Place-Based Leadership Development (P-BLD) programme adds value to an ongoing intersectoral Urban Violence Prevention Programme (IUVP) in Kenya building trust within collaboratives in the intersection between the historically adversarial law enforcement and civil society sectors. METHODS Data on participants' experience of the P-BLD programme were systematically collected through detailed pre- and post-session questionnaires which included a series of challenging but open questions. A framework analysis was undertaken to draw out the common themes. RESULTS By surfacing emotional, relational and structural tensions between law enforcement and civil society within the context of IUVP, the P-BLD programme has enabled leaders to become more open to and respecting others' perspectives as a first step towards a more collaborative mindset. CONCLUSIONS The P-BLD programme is having a positive impact, explicitly addressing the tensions and enabling leaders to share their concerns and challenges in working towards violence prevention at the intersection between law enforcement and civil society. Moreover, this approach is replicable creating new knowledge and sustainable mechanisms for violence prevention within urban areas across the world.
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Counts J, Gillam R, Garstka TA, Urbach E. How the Center for Public Partnerships and Research Navigates Complex Social Problems to Make a Collective Difference. ACTA ACUST UNITED AC 2018. [PMID: 29537943 DOI: 10.1080/23761407.2018.1449158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The challenge of maximizing the well-being of children, youth, and families is recognizing that change occurs within complex social systems. Organizations dedicated to improving practice, advancing knowledge, and informing policy for the betterment of all must have the right approach, structure, and personnel to work in these complex systems. The University of Kansas Center for Public Partnerships and Research cultivates a portfolio of innovation, research, and data science approaches positioned to help move social service fields locally, regionally, and nationally. Mission, leadership, and smart growth guide our work and drive our will to affect positive change in the world.
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Affiliation(s)
- Jacqueline Counts
- a Center for Public Partnerships and Research , University of Kansas , Lawrence , KS
| | - Rebecca Gillam
- a Center for Public Partnerships and Research , University of Kansas , Lawrence , KS
| | - Teri A Garstka
- a Center for Public Partnerships and Research , University of Kansas , Lawrence , KS
| | - Ember Urbach
- b Chicago Metropolitan Battered Women's Network , University of Kansas , Chicago , IL
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Abstract
Integrated mental health services within health care settings have many benefits; however, several key barriers pose challenges to fully implemented and coordinated care. Collaborative, multistakeholder efforts, such as health networks, have the potential to overcome prevalent obstacles and to accelerate the dissemination of innovative clinical strategies. In addition to engaging clinical experts, efforts should also include the perspectives of families and communities, a grounding in data and evaluation, and a focus on policy and advocacy. This article describes how one community, Washington, DC, implemented a health network to improve the integration of mental health services into pediatric primary care.
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Markle-Reid M, Dykeman C, Ploeg J, Kelly Stradiotto C, Andrews A, Bonomo S, Orr-Shaw S, Salker N. Collaborative leadership and the implementation of community-based fall prevention initiatives: a multiple case study of public health practice within community groups. BMC Health Serv Res 2017; 17:141. [PMID: 28209143 PMCID: PMC5314627 DOI: 10.1186/s12913-017-2089-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 02/10/2017] [Indexed: 11/29/2022] Open
Abstract
Background Falls among community-dwelling older adults are a serious public health concern. While evidence-based fall prevention strategies are available, their effective implementation requires broad cross-sector coordination that is beyond the capacity of any single institution or organization. Community groups comprised of diverse stakeholders that include public health, care providers from the public and private sectors and citizen volunteers are working to deliver locally-based fall prevention. These groups are examples of collective impact and are important venues for public health professionals (PHPs) to deliver their mandate to work collaboratively towards achieving improved health outcomes. This study explores the process of community-based group work directed towards fall prevention, and it focuses particular attention on the collaborative leadership practices of PHPs, in order to advance understanding of the competencies required for collective impact. Methods Four community groups, located in Ontario, Canada, were studied using an exploratory, retrospective, multiple case study design. The criteria for inclusion were presence of a PHP, a diverse membership and the completion of an initiative that fit within the scope of the World Health Organization Fall Prevention Model. Data were collected using interviews (n = 26), focus groups (n = 4), and documents. Cross-case synthesis was conducted by a collaborative team of researchers. Results The community groups differed by membership, the role of the PHP and the type of fall prevention initiatives. Seven practice themes emerged: (1) tailoring to address context; (2) making connections; (3) enabling communication; (4) shaping a vision; (5) skill-building to mobilize and take action; (6) orchestrating people and projects; and (7) contributing information and experience. The value of recognized leadership competencies was underscored and the vital role of institutional supports was highlighted. Conclusion To align stakeholders working towards fall prevention for community-dwelling older adults and establish a foundation for collective impact, public health professionals employed practices that reflected a collaborative leadership style. Looking ahead, public health professionals will want to shift their focus to evaluating the effectiveness of their group work within communities. They will also need to assess outcomes and evaluate whether the anticipated reductions in fall rates among community-dwelling older adults is being achieved.
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Affiliation(s)
| | - Cathy Dykeman
- Halton Region Health Department, Oakville, ON, L6M 3L1, Canada
| | - Jenny Ploeg
- School of Nursing, McMaster University, Hamilton, ON, L8S 4K1, Canada
| | | | - Angela Andrews
- Haliburton, Kawartha, Pine Ridge District Health Unit, Haliburton, ON, K0M 1S0, Canada
| | - Susan Bonomo
- York Region Public Health, Vaughan, ON, L4K 0G5, Canada
| | - Sarah Orr-Shaw
- Simcoe Muskoka District Health Unit, Barrie, ON, L4M 6K9, Canada
| | - Niyati Salker
- Brant County Health Unit, Brantford, ON, N3R 1G7, Canada
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