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Nyachoti DO, Redelfs AH, Brown LD, Garcia EB, Garcia E, Loweree CA, Del Rio K, Del Toro D, Vasquez D, Gallegos GA, Kelly MP, Whigham LD. Nutrition and Health Programming and Outreach in Grocery Retail Settings: A Community Coalition in Action. Nutrients 2023; 15:nu15040895. [PMID: 36839253 PMCID: PMC9963615 DOI: 10.3390/nu15040895] [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] [Received: 01/05/2023] [Revised: 01/30/2023] [Accepted: 02/06/2023] [Indexed: 02/12/2023] Open
Abstract
Grocery stores can provide a conducive environment for interventions targeting healthy eating and access to health services, particularly in low-income communities. A wide array of organizations deliver nutrition and related programs in community settings, but rarely in a coordinated fashion. Collaboration of local health promotion organizations with grocery stores could increase consumers' access to and selection of healthy foods and related services. This evaluation of the In-Store Programming and Outreach Coalition (IPOC) uses thematic analysis of first-person accounts from coalition members. To our knowledge, this is the first study of such a coalition. We present perspectives from six stakeholders about the IPOC strengths, challenges, and recommendations for strengthening the delivery of in-store interventions. Themes identified include partnership, increased client reach and cross-referrals, conflicting work schedules, leadership, and recommendations to identify coalition leaders and expand services to other grocery stores. We conclude that grocery stores can offer a suitable setting for programming and community outreach through coalitions.
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Affiliation(s)
- Dennis Ogeto Nyachoti
- Center for Community Health Impact, University of Texas Health Science Center School of Public Health, El Paso Campus, El Paso, TX 79905, USA
| | - Alisha H. Redelfs
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA
| | - Louis D. Brown
- Center for Community Health Impact, University of Texas Health Science Center School of Public Health, El Paso Campus, El Paso, TX 79905, USA
| | - Eufemia B. Garcia
- Colonias Program, Department of Engagement for Sustainability, Division of Academic and Strategic Collaborations, Socorro, TX 79927, USA
| | - Erica Garcia
- WIC Program, City of El Paso Department of Public Health, El Paso, TX 79905, USA
| | | | - Karen Del Rio
- Teaching Learning and Culture Program, University of Texas at El Paso, El Paso, TX 79968, USA
| | | | - Denise Vasquez
- Center for Community Health Impact, University of Texas Health Science Center School of Public Health, El Paso Campus, El Paso, TX 79905, USA
| | - Gabriela A. Gallegos
- Center for Community Health Impact, University of Texas Health Science Center School of Public Health, El Paso Campus, El Paso, TX 79905, USA
| | | | - Leah D. Whigham
- Center for Community Health Impact, University of Texas Health Science Center School of Public Health, El Paso Campus, El Paso, TX 79905, USA
- Correspondence: ; Tel.: +1-915-975-8517
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Sheeran L, Ridgway L, Buchanan K, Wilson D. Consultation to Review Clinical Placement Processes: A Quality Assurance Project. Nurse Educ Pract 2022; 61:103331. [DOI: 10.1016/j.nepr.2022.103331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 01/23/2022] [Accepted: 03/09/2022] [Indexed: 10/18/2022]
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Jenkins GJ, Cooper BR, Funaiole A, Hill LG. Which aspects of coalition functioning are key at different stages of coalition development? A qualitative comparative analysis. IMPLEMENTATION RESEARCH AND PRACTICE 2022; 3:26334895221112694. [PMID: 37091074 PMCID: PMC9924247 DOI: 10.1177/26334895221112694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Coalitions are increasingly utilized to promote positive community health outcomes. Typically, coalitions produce more desirable outcomes when coalition functioning is strong and the coalition model is implemented with fidelity. Although theory indicates that coalitions proceed through predictable stages of development, minimal research explicitly examines functioning and fidelity at these different stages. Method Within a larger evaluation of Washington State Community Prevention and Wellness Initiative, this cross-sectional study employs qualitative comparative analysis to illuminate the coalition functioning conditions necessary and sufficient to produce high model fidelity at different stages of development in 43 substance misuse prevention coalitions in one state. Results In the formation stage, only the presence of high levels of coalition leadership was sufficient to produce high model fidelity. In the maintenance stage, three combinations of conditions were sufficient: (1) sustainability planning if, and only if, accompanied by the absence of coalition participation costs, (2) coordinator leadership, and (3) a combination of coalition leadership and team cohesion. In the institutionalization stage, two solutions were sufficient: (1) coalition leadership if, and only if, accompanied by the absence of sustainability planning, and (2) sustainability planning if, and only if, accompanied by the absence of coordinator leadership. Conclusions This study illustrates several tangible steps technical assistance providers may take to increase the likelihood of achieving model fidelity. In the formation stage, skillful and inclusive coalition leadership is important. In the maintenance stage, technical assistance should focus on reducing participant-perceived costs; increasing sustainability planning; enhancing coordinator-specific leadership; and developing team cohesion and coalition leadership. For coalitions in the institutionalization stage, coalition leadership and sustainability planning may be prime targets for technical assistance. Plain Language Summary: Community coalition approaches to addressing social problems are common and have some evidence of producing positive community outcomes. Research shows that coalitions produce more desirable outcomes when coalition functioning is strong and the coalition model is implemented as it was designed. Although theory suggests that coalitions proceed through predictable stages of development, few studies look at which supports are most needed, at each stage, to improve coalition functioning and implementation. This study aims to help answer that question by determining which aspects of coalition functioning, in which combinations, are key to strong, well-functioning coalitions at different developmental stages in a sample of prevention coalitions in Washington State focused on youth substance misuse. The results suggest that having a strong coalition leadership team is key for all coalitions, regardless of development stage. For coalitions earlier in their formation, this was especially true. For coalitions further into their development, the combination of strong coordinator leadership and strong team cohesion was particularly important. Finally, for the most well-established coalitions, if sustainability planning was weak, strong coalition team leadership was key; but if coordinator leadership was weak, strong sustainability planning was critical to offset the lack of strong leadership. The results can be used to inform the types of technical assistance provided to support coalitions at different developmental stages.
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Affiliation(s)
- Garrett J Jenkins
- Prevention Science Graduate Program, Washington State University, Pullman, WA, USA
| | - Brittany Rhoades Cooper
- Prevention Science Graduate Program, Washington State University, Pullman, WA, USA
- Department of Human Development, Washington State University, Pullman, WA, USA
- IMPACT Research Lab, Pullman, WA, USA
| | | | - Laura G Hill
- Prevention Science Graduate Program, Washington State University, Pullman, WA, USA
- Department of Human Development, Washington State University, Pullman, WA, USA
- IMPACT Research Lab, Pullman, WA, USA
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Brown LD, Berryhill JC, Jones EC. Integrating Journalism Into Health Promotion: Creating and Disseminating Community Narratives. Health Promot Pract 2019; 20:513-519. [PMID: 29898614 PMCID: PMC6274616 DOI: 10.1177/1524839918781334] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Media coverage of mental health and other social issues often relies on episodic narratives that suggest individualistic causes and solutions, while reinforcing negative stereotypes. Community narratives can provide empowering alternatives, serving as media advocacy tools used to shape the policy debate on a social issue. This article provides health promotion researchers and practitioners with guidance on how to develop and disseminate community narratives to broaden awareness of social issues and build support for particular programs and policy solutions. To exemplify the community narrative development process and highlight important considerations, this article examines a narrative from a mental health consumer-run organization. In the narrative, people with mental health problems help one another while operating a nonprofit organization, thereby countering stigmatizing media portrayals of people with mental illness as dangerous and incompetent. The community narrative frame supports the use of consumer-run organizations, which are not well-known and receive little funding despite evidence of effectiveness. The article concludes by reviewing challenges to disseminating community narratives, such as creating a product of interest to media outlets, and potential solutions, such as engaging media representatives through community health partnerships and using social media to draw attention to the narratives.
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Affiliation(s)
- Louis D Brown
- 1 The University of Texas Health Science Center at Houston, El Paso, TX, USA
| | | | - Eric C Jones
- 1 The University of Texas Health Science Center at Houston, El Paso, TX, USA
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Christensen JH, Bloch P, Møller SR, Søgaard CP, Klinker CD, Aagaard-Hansen J, Bentsen P. Health in All local Policies: Lessons learned on intersectoral collaboration in a community-based health promotion network in Denmark. Int J Health Plann Manage 2018; 34:216-231. [PMID: 30118138 DOI: 10.1002/hpm.2620] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 07/13/2018] [Indexed: 11/11/2022] Open
Abstract
Health promotion increasingly involves collaboration with civil society organisations and the private sector rather than being implemented exclusively by public sector stakeholders. Health in All Policies (HiAP) is an approach that promotes health in policy-making across public sectors. This study explored intersectoral integration and collaboration for health promotion at a local community level through a qualitative single case study of a local community network in Denmark: the Husum Health Network. The paper describes and discusses strengths, weaknesses, and challenges of HiAP-inspired local efforts to build alliances and supportive environments for health within an inter-organisational community-based network. The data were generated from participant observations made at 11 meetings and events organised by the network partners and nine qualitative, semi-structured interviews with Husum Health Network partners conducted from August 2014 to February 2015. The data were analysed using a theoretical framework introduced by Axelsson and Axelsson (2006) to characterise aspects of integration and differentiation between organisations. With high levels of structural and functional differentiation between the partners, the network provided an opportunity to exercise inter-organisational integration at the local level. Integration was fostered by knowledge sharing, face-to-face interaction, and communal events. However, the loose structure of the network was a challenge to its sustainability and achievement. We argue that Health in All local Policies is a meaningful concept in the context of local community development only when referring to the polices and strategies of all stakeholder organisations involved in decision-making and agenda setting, and not just local government institutions.
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Affiliation(s)
| | - Paul Bloch
- Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark
| | | | | | | | - Jens Aagaard-Hansen
- Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark.,MRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Peter Bentsen
- Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark
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Brown LD, Wells R, Jones EC, Chilenski SM. Effects of Sectoral Diversity on Community Coalition Processes and Outcomes. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2017; 18:600-609. [PMID: 28480493 PMCID: PMC5510985 DOI: 10.1007/s11121-017-0796-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Collaboration with diverse partners is challenging but essential for the implementation of prevention programs and policies. Increased communication with partners from diverse sectors may help community coalitions overcome the challenges that diversity presents. We examined these issues empirically in a study of 17 substance use prevention coalitions in Mexico. Building on coalition and workgroup literatures, we hypothesized that sectoral diversity would improve outcomes but undermine coalition processes. Conversely, we expected uniformly positive effects from higher levels of intersectoral communication. Data are from a 2015 survey of 211 members within the 17 community coalitions. Regression models used sectoral diversity and intersectoral communication to predict coalition processes (cohesion, leader-member communication, efficiency) and outcomes (community support, community improvement, sustainability planning). Sectoral diversity was negatively associated with coalition processes and was not associated with coalition outcomes. Intersectoral communication was positively associated with two of the three measures of coalition outcomes but not associated with coalition processes. Our findings concur with those from prior research indicating that sectoral diversity may undermine coalition processes. However, more communication between sectors may facilitate the coalition outcomes of community support and sustainability planning. Skilled team leaders and participatory decision making may also help coalitions promote intersectoral communication, thereby engaging diverse community sectors to implement preventive interventions and actualize sustained public health impact.
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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, 1101 N. Campbell, Room 409, El Paso, TX, 79902, USA.
| | - Rebecca Wells
- Department of Management, Policy, and Community Health, The University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA
| | - Eric C Jones
- Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston, School of Public Health, El Paso, TX, USA
| | - Sarah Meyer Chilenski
- Bennett Pierce Prevention Research Center, The Pennsylvania State University, State College, PA, USA
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Tamí-Maury I, Brown L, Lapham H, Chang S. Community-based participatory research through virtual communities. JOURNAL OF COMMUNICATION IN HEALTHCARE 2017; 10:188-194. [PMID: 30386424 DOI: 10.1080/17538068.2017.1337604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background Over the last quarter century many new cyberspace platforms have emerged that facilitate communication across time, geographical distance and now even language. Whereas brick-and-mortar communities are defined by geographically local characteristics, a virtual community is an online community of individuals who socialize and connect around a common interest or theme using the Internet. Community-based participatory research (CBPR) is a public health approach that requires equitable partnerships between community members and researchers. Virtual communities abound on the Internet today, yet their application to CBPR is rarely considered. Methods We examine three case studies to explore the advantages and challenges of virtual communities for CBPR, as well as several of the online tools CBPR practitioners can use to facilitate virtual community participation. Results There is a potential utility of virtual communities in supporting CBPR efforts as they reduce the effects of geographical barriers, maximize the growth potential of the community, and provide portable and affordable channels forreal-time communication. Some caveats indicated in our case studies are: technological challenges, difficulty in crediting members' contributions and determining ownership of content, no face-to-face interaction may hinder relationship formation, cohesion, and trust resulting in lower engagement. Conclusions The paper concludes with recommendations for the use of virtual communities in CBPR projects, such as in the coordination of statewide health care policy initiatives and in the dissemination of best public health practices.
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Affiliation(s)
- Irene Tamí-Maury
- Department of Behavioral Science at The University of Texas MD Anderson Cancer Center in Houston, TX
| | - Louis Brown
- Department of Health Promotion and Behavioral Sciences at The University of Texas Health Science Center (El Paso Regional Campus) in El Paso, TX
| | - Hillary Lapham
- Health Promotion and Behavioral Sciences at The University of Texas Health Science Center in Houston, TX
| | - Shine Chang
- Department of Epidemiology at The University of Texas MD Anderson Cancer Center in Houston, TX
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Brown LD, Chilenski SM, Ramos R, Gallegos N, Feinberg ME. Community Prevention Coalition Context and Capacity Assessment: Comparing the United States and Mexico. HEALTH EDUCATION & BEHAVIOR 2016; 43:145-55. [PMID: 26205249 PMCID: PMC4724351 DOI: 10.1177/1090198115596165] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Effective planning for community health partnerships requires understanding how initial readiness-that is, contextual factors and capacity-influences implementation of activities and programs. This study compares the context and capacity of drug and violence prevention coalitions in Mexico to those in the United States. Measures of coalition context include community problems, community leadership style, and sense of community. Measures of coalition capacity include the existence of collaborative partnerships and coalition champions. The assessment was completed by 195 members of 9 coalitions in Mexico and 139 members of 7 coalitions in the United States. Psychometric analyses indicate the measures have moderate to strong internal consistency, along with good convergent and discriminant validity in both settings. Results indicate that members of Mexican coalitions perceive substantially more serious community problems, especially with respect to education, law enforcement, and access to alcohol and drugs. Compared to respondents in the United States, Mexican respondents perceive sense of community to be weaker and that prevention efforts are not as valued by the population where the coalitions are located. The Mexican coalitions appear to be operating in a substantially more challenging environment for the prevention of violence and substance use. Their ability to manage these challenges will likely play a large role in determining whether they are successful in their prevention efforts. The context and capacity assessment is a valuable tool that coalitions can use in order to identify and address initial barriers to success.
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Affiliation(s)
- Louis D Brown
- University of Texas Health Science Center at Houston, El Paso, TX, USA
| | | | - Rebeca Ramos
- Alliance of Border Collaboratives, El Paso, TX, USA
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Brown LD, Redelfs AH, Taylor TJ, Messer RL. Comparing the Functioning of Youth and Adult Partnerships for Health Promotion. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2015; 56:25-35. [PMID: 26066568 PMCID: PMC4620943 DOI: 10.1007/s10464-015-9730-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Youth partnerships are a promising but understudied strategy for prevention and health promotion. Specifically, little is known about how the functioning of youth partnerships differs from that of adult partnerships. Accordingly, this study compared the functioning of youth partnerships with that of adult partnerships. Several aspects of partnership functioning, including leadership, task focus, cohesion, participation costs and benefits, and community support, were examined. Standardized partnership functioning surveys were administered to participants in three smoke-free youth coalitions (n = 44; 45 % female; 43 % non-Hispanic white; mean age = 13) and in 53 Communities That Care adult coalitions (n = 673; 69 % female; 88 % non-Hispanic white; mean age = 49). Multilevel regression analyses showed that most aspects of partnership functioning did not differ significantly between youth and adult partnerships. These findings are encouraging given the success of the adult partnerships in reducing community-level rates of substance use and delinquency. Although youth partnership functioning appears to be strong enough to support effective prevention strategies, youth partnerships faced substantially more participation difficulties than adult partnerships. Strategies that youth partnerships can use to manage these challenges, such as creative scheduling and increasing opportunities for youth to help others directly, are discussed.
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Affiliation(s)
- Louis D Brown
- The University of Texas Health Science Center at Houston School of Public Health, 1101 N. Campbell, Room 409, El Paso, TX, 79902, USA,
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Trotter RT, Laurila K, Alberts D, Huenneke LF. A diagnostic evaluation model for complex research partnerships with community engagement: the partnership for Native American Cancer Prevention (NACP) model. EVALUATION AND PROGRAM PLANNING 2015; 48:10-20. [PMID: 25265164 PMCID: PMC4293028 DOI: 10.1016/j.evalprogplan.2014.09.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2013] [Revised: 05/06/2014] [Accepted: 09/09/2014] [Indexed: 06/03/2023]
Abstract
Complex community oriented health care prevention and intervention partnerships fail or only partially succeed at alarming rates. In light of the current rapid expansion of critically needed programs targeted at health disparities in minority populations, we have designed and are testing an "logic model plus" evaluation model that combines classic logic model and query based evaluation designs (CDC, NIH, Kellogg Foundation) with advances in community engaged designs derived from industry-university partnership models. These approaches support the application of a "near real time" feedback system (diagnosis and intervention) based on organizational theory, social network theory, and logic model metrics directed at partnership dynamics, combined with logic model metrics.
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Affiliation(s)
- Robert T Trotter
- Department of Anthropology, Northern Arizona University, 575 East Pine Knoll Drive, Building 98D, Room 101G, Flagstaff, AZ 86011, USA.
| | - Kelly Laurila
- Department of Anthropology, Northern Arizona University, PO Box 15200, Flagstaff, AZ 86011-5200, USA.
| | - David Alberts
- Arizona Cancer Center, University of Arizona, 1515 N. Campbell Avenue, Tucson, AZ 85724, USA.
| | - Laura F Huenneke
- Northern Arizona University, Box 4120, Flagstaff, AZ 88011-4120, USA.
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