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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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2
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Wallerstein N, Polascek M, Maltrud K. Participatory Evaluation Model for Coalitions: The Development of Systems Indicators. Health Promot Pract 2016. [DOI: 10.1177/152483990200300306] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This article presents the evolution of a comprehensive participatory coalition evaluation model and a workbook that emerged from a 6-year Healthier Communities initiative in New Mexico. Despite the explosion of interest in a new paradigm for coalition evaluation, few models in the literature encompass coalition effectiveness, capacity and health outcomes, and a dynamic process of community participation. The New Mexico model features a participatory evaluation process that emphasizes community system changes and population health changes. Several community case stories illustrate the difficulties and potentials of using the participatory evaluation model. Lessons learned include the need for guiding principles so that issues such as power relationships and collaborative decision making are “above board,” understanding the complexity of coalition evaluation, the need to clarify evaluator roles to enhance buy-in, the use of a logic model to clarify a common vision of change, and the importance of using community-friendly, jargon-free language.
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Affiliation(s)
- Nina Wallerstein
- Department of Family and Community Medicine at the University of New Mexico School of Medicine in Albuquerque
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3
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Butterfoss FD. The Coalition Technical Assistance and Training Framework: Helping Community Coalitions Help Themselves. Health Promot Pract 2016; 5:118-26. [PMID: 15090166 DOI: 10.1177/1524839903257262] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Coalition staff, leaders, and members need training to promote coalition building and maintenance as well as ongoing technical assistance. The Coalition Technical Assistance and Training Framework uses a 6-step process to diagnose coalition strengths and challenges and provide a prescription for action. Re-evaluation after a specified time period helps determine whether a coalition adopted recommended changes in coalition participants, structures, and/or processes and progressed through stages of development. This empowerment approach helps coalition staff and members help themselves to be more effective and efficient. The framework was piloted with the Virginia Healthy Start Initiative from November 1997 to June 2001. Seven perinatal councils that focused on preventing low-weight births and infant mortality adopted 75% of the recommended actions within 1 year. Results from a pre and post-assessment tool after 3 years showed significant progress in the coalitions’ ability to develop effective participants, processes, and structures
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Affiliation(s)
- Frances D Butterfoss
- Health Promotion and Disease Prevention Section, Center for Pediatric Research, a Joint Program of Children's Hospital of the King's Daughters and Eastern Virginia Medical School, in Norfolk, Virginia, USA
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4
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Freudenberg N, Manoncourt E. Urban Health Promotion: Current Practices and New Directions. HEALTH EDUCATION & BEHAVIOR 2016. [DOI: 10.1177/109019819802500203] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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5
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Maurer W, Seeber L, Rundblad G, Kochhar S, Trusko B, Kisler B, Kush R, Rath B. Standardization and simplification of vaccination records. Expert Rev Vaccines 2014; 13:545-59. [DOI: 10.1586/14760584.2014.892833] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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6
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Wallerstein NB, Yen IH, Syme SL. Integration of social epidemiology and community-engaged interventions to improve health equity. Am J Public Health 2011; 101:822-30. [PMID: 21421960 PMCID: PMC3076386 DOI: 10.2105/ajph.2008.140988] [Citation(s) in RCA: 147] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2010] [Indexed: 11/04/2022]
Abstract
The past quarter century has seen an explosion of concern about widening health inequities in the United States and worldwide. These inequities are central to the research mission in 2 arenas of public health: social epidemiology and community-engaged interventions. Yet only modest success has been achieved in eliminating health inequities. We advocate dialogue and reciprocal learning between researchers with these 2 perspectives to enhance emerging transdisciplinary language, support new approaches to identifying research questions, and apply integrated theories and methods. We recommend ways to promote transdisciplinary training, practice, and research through creative academic opportunities as well as new funding and structural mechanisms.
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Affiliation(s)
- Nina B Wallerstein
- Master of Public Health Program, Department of Family and Community Medicine, University of New Mexico, Albuquerque, 87131, USA.
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7
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Drach-Zahavy A. Interorganizational teams as boundary spanners: The role of team diversity, boundedness, and extrateam links. EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY 2011. [DOI: 10.1080/13594320903115936] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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8
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Mabiso A, Williams KP, Todem D, Templin TN. Longitudinal analysis of domain-level breast cancer literacy among African-American women. HEALTH EDUCATION RESEARCH 2010; 25:151-161. [PMID: 19861639 DOI: 10.1093/her/cyp056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Functional breast cancer literacy was assessed among African-American women and measured at the domain level over time. We used the Kin Keeper(SM) Cancer Prevention Intervention to educate 161 African-American women on three domains of breast cancer literacy: (i) cancer awareness, (ii) knowledge of breast cancer screening modalities and (iii) cancer prevention and control. A breast cancer literacy assessment was administered pre- and post-educational intervention at two time points followed by another assessment 12 months after the second intervention. Generalized estimating equations were specified to predict the probability of correctly answering questions in each domain over time. Domain-level literacy differentials exist; at baseline, women had higher test scores in the breast cancer prevention and control domain than the cancer awareness domain (odds ratio = 1.67, 95% confidence interval 1.19-2.34). After Kin Keeper(SM) Cancer Prevention Intervention, African-American women consistently improved their breast cancer literacy in all domains over the five time stages (P < 0.001) though at different rates for each domain. Differences in domain-level breast cancer literacy highlight the importance of assessing literacy at the domain level. Interventions to improve African-American women's breast cancer literacy should focus on knowledge of breast cancer screening modalities and cancer awareness domains.
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Affiliation(s)
- Athur Mabiso
- Department of Obstetrics, Gynecology.eproductive Biology, Michigan State University, East Lansing, MI 48824, USA.
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9
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Rosales CB, Coe MK, Stroupe NR, Hackman A, de Zapien JG. The Culture of Health Survey: a qualitative assessment of a diabetes prevention coalition. J Community Health 2009; 35:4-9. [PMID: 19856085 DOI: 10.1007/s10900-009-9198-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
In the past two decades, the fields of public health and social services have increasingly turned toward collaborative and community-based approaches to address complex health and social issues. One aspect of these approaches has been the development and implementation of community coalitions. Coalitions have been used to successfully address a wide range of issues, including cancer prevention, tobacco use, HIV/AIDS, youth violence, heart disease, diabetes, and sexual exploitation of youth runaways. In south Tucson, Arizona the SEAH coalition was developed to address diabetes and substance abuse prevention. Using a qualitative interview guide, the Culture of Health Survey, this study was aimed at identifying community perceptions of the coalition and its effectiveness in the areas of community leadership, partnerships, trust, and movement towards positive change. We also sought to document the dissemination, throughout a community, of information on the activities and functioning of a community based coalition and whether or not it was seen as one that held fast to the community values and not to individual agendas. Results highlight the importance of outreach, education, trust, and partnerships in promoting diabetes prevention through a community coalition.
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Affiliation(s)
- Cecilia B Rosales
- Division of Community, Environment, and Policy, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
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10
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Findley SE, Sanchez M, Mejia M, Ferreira R, Pena O, Matos S, Stockwell MS, Irigoyen M. REACH 2010: New York City. Health Promot Pract 2009; 10:128S-137S. [DOI: 10.1177/1524839909331544] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Most immunization coalitions have originated with health care providers, potentially excluding families without medical homes. This study focused on a community-based approach to providing timely vaccinations. A coalition of 23 organizations developed an immunization program in a low-income community in New York City. Nearly 1,000 community health workers incorporated immunization promotion into social service and educational programs. Outcomes were coverage rates for the 4:3:1:3:3 series at 19 to 35 months, which were compared with national data by ethnicity, as reported in the National Immunization Survey 2002-2006. Parents (n = 10,251) of children <5 years received immunization education and reminders. The 2003-2007 rates of 80% equaled or exceeded the national rates for 19- to 35-month-olds, and the 2007 rate of 96.8% far surpassed the national average. Coalitions can effectively integrate immunization promotion activities into community programs. Immunization rate improvements maintained for a 5-year period, suggesting this approach to be sustainable.
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Affiliation(s)
- Sally E. Findley
- Mailman School of Public Health, Columbia University
in New York, New York,
| | - Martha Sanchez
- Northern Manhattan Start Right Coalition, Mailman School
of Public Health, Columbia University in New York, New York
| | | | - Richard Ferreira
- Health and Wellness Programs, Harlem Congregations for
Community Improvement in New York, New York
| | - Oscar Pena
- New York Presbyterian Hospital in New York, New York
| | - Sergio Matos
- Community Health Worker Training and Development, Mailman
School of Public Health, Columbia University in New York, New York
| | | | - Matilde Irigoyen
- General Pediatrics Group Practice, New York Presbyterian
Hospital
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11
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Williams KP, Mullan PB, Todem D. Moving from theory to practice: implementing the Kin Keeper Cancer Prevention Model. HEALTH EDUCATION RESEARCH 2009; 24:343-56. [PMID: 18515265 DOI: 10.1093/her/cyn026] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
This paper presents the rationale and findings of a feasibility and process study of the Kin Keeper(SM) Cancer Prevention Intervention. An observational cohort study design was implemented with African-American women in synergistic female family relationships. Community health workers (CHWs) from two Michigan public health programs recruited women to serve as 'kin keepers' who in turn recruited their female family members. In total, 161 kin keepers and female family members were sampled. Trained CHWs led kin keepers and family members in learning about breast cancer. Data methods included baseline and post-training administration of a breast cancer literacy assessment, post-training focus groups and review of personal action plans. To validate the feasibility of the process, a linear mixed-effects regression with 97% power was identified and differences in pre-post scores were detected at 5% significance level. Adjusting for family random effects, breast cancer literacy scores increased for all participants recruited (P-value = 0.0004) suggesting that the process was feasible. Analysis of focus groups and action plans indicated that participants valued the instruction and planned to act upon it. This experience with kin keepers and their families offers encouragement that the theoretical model and its community-based delivery can continue to enhance scholarship dedicated to ameliorating health care disparities.
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Affiliation(s)
- K P Williams
- Obstetrics, Gynecology.eproductive Biology, Michigan State University, East Lansing, MI 48824, USA.
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12
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Ogilvie KA, Moore RS, Ogilvie DC, Johnson KW, Collins DA, Shamblen SR. Changing community readiness to prevent the abuse of inhalants and other harmful legal products in Alaska. J Community Health 2008; 33:248-58. [PMID: 18392927 PMCID: PMC2444046 DOI: 10.1007/s10900-008-9087-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
This paper presents results from an application of the Community Readiness Model (CRM) as part of a multi-stage community mobilization strategy to engage community leaders, retailers, parents, and school personnel in preventing youth use of inhalants and other harmful legal products in rural Alaska. The CRM is designed to assess readiness to address a single social problem, based on a limited set of key informant interviews. In this study, researchers conducted 32 baseline and 34 post-intervention community readiness assessment interviews in four rural Alaskan communities. These interviews with key informants from the communities were coded and analyzed using CRM methods to yield readiness scores for each community. The aggregate results were analyzed using hierarchical linear modeling (HLM), and the individual community scores were analyzed in the context of the overall study. Significant positive changes in community readiness were found across six readiness dimensions as well as for the overall readiness score. Variation in the degree of changes in readiness across the four communities is attributed to differences in the intervention's implementation. The implications of these results include the potential for CRM assessments to serve as an integral component of a community mobilization strategy and also to offer meaningful feedback to communities participating in prevention research.
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Affiliation(s)
- Kristen A Ogilvie
- Pacific Institute for Research and Evaluation, Alaska Office, 4111 Minnesota Drive, Anchorage, AK 99503, USA.
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13
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Lovelace KA, Bibeau DL, Donnell BM, Johnson HH, Glascoff MA, Tyler E. Public health educators' participation in teams: implications for preparation and practice. Health Promot Pract 2008; 10:428-35. [PMID: 18375868 DOI: 10.1177/1524839907307992] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Collaboration among public health organizations is essential to ensuring the health of the public. Much of the day-to-day work of public health educators is done in groups or teams or in consultation with others. This study examined the extent of health educators' work in teams as a proxy for collaboration. Health educators participated in an average of four teams per individual; three of these were interorganizational teams. Moreover, 40% of the respondents participated in five or more teams. Health educators supervised by other health educators were more likely to work in interorganizational teams than were those supervised by other professionals. Certified Health Education Specialists were more likely to participate in intraorganizational teams. Curricula in academic programs should reflect the extensive teamwork in which health educators are involved. Employers need to provide health educators with grounding in organizational priorities and support to carry out their collaborative work.
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Affiliation(s)
- Kay A Lovelace
- Department of Public Health Education, PO Box 26170, The University of North Carolina-Greensboro, Greensboro, North Carolina 27402-6170, USA.
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14
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Abstract
This review provides a synthesis of published public health and social science literature to determine how process evaluation has been used to examine community participation and its intermediary role in health and social change outcomes. Community participation is defined, and its relationship to other community-development principles and evaluation and research methods is described. Then, case studies and research initiatives help answer questions such as who participates and why? What are the benefits and challenges of community participation? What qualitative and quantitative methods are used in process evaluations to measure community participation? What measures are used to help define the influence of community participation in community-based interventions? A better understanding of these issues is needed to ensure that community participation is valued and used effectively to plan and implement health-promotion initiatives and evaluate their processes and outcomes.
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15
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Zakocs RC, Edwards EM. What explains community coalition effectiveness?: a review of the literature. Am J Prev Med 2006; 30:351-61. [PMID: 16530624 DOI: 10.1016/j.amepre.2005.12.004] [Citation(s) in RCA: 166] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2005] [Revised: 12/15/2005] [Accepted: 12/16/2005] [Indexed: 11/29/2022]
Abstract
Community coalitions have become popular vehicles for promoting health. Which factors make coalitions effective, however, is unclear. The study's aim was to identify coalition-building factors related to indicators of coalition effectiveness through a review of the empirical literature. Published articles from 1980 to 2004 that empirically examined the relationships among coalition-building factors and indicators of coalition effectiveness were reviewed. Two indicators of coalition effectiveness were examined: coalition functioning and community-wide changes. A two-phase strategy was employed to identify articles by reviewing citations from previous literature reviews and then searching electronic reference databases. A total of 1168 non-mutually exclusive citations were identified, their abstracts reviewed, and 145 unique full articles were retrieved. The review yielded 26 studies that met the selection criteria. Collectively, these studies assessed 26 indicators of coalition effectiveness, with 19 indicators (73%) measuring coalition functioning, and only two indicators (7%) measuring changes in rates of community-wide health behaviors. The 26 studies identified 55 coalition-building factors that were associated with indicators of coalition effectiveness. Six coalition-building factors were found to be associated with indicators of effectiveness in five or more studies: formalization of rules/procedures, leadership style, member participation, membership diversity, agency collaboration, and group cohesion. However, caution is warranted when drawing conclusions about these associations due to the wide variations in indicators of coalition effectiveness and coalition-building factors examined across relatively few studies, discrepancies in how these variables were measured, and the studies' reliance on cross-sectional designs.
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Affiliation(s)
- Ronda C Zakocs
- Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, Massachusetts 02118, USA.
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16
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Tudor TL, Noonan CL, Jenkin LET. Healthcare waste management: a case study from the National Health Service in Cornwall, United Kingdom. WASTE MANAGEMENT (NEW YORK, N.Y.) 2005; 25:606-15. [PMID: 15993345 DOI: 10.1016/j.wasman.2004.10.004] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2004] [Revised: 09/20/2004] [Accepted: 10/13/2004] [Indexed: 05/03/2023]
Abstract
This paper looks at steps taken towards the development of a 10-year strategy for the management of healthcare waste from the National Health Service (NHS) in Cornwall, United Kingdom. The major issues and challenges that affect the management of waste by the NHS, including its organisational structure and collection infrastructure, are outlined. The waste flows of the main acute medical site are detailed, using waste audits of domestic and clinical bags, redundant equipment, bulky waste, and special waste. Some of the common barriers to change, such as staff habits and public perceptions, are also identified. Recommendations are made with respect to improvements in the overall organisational infrastructure and increased localised control. The recommendations also centre around the formation of strategic partnerships, within the site, between sites and at the broader level between the NHS and its surrounding community. An important challenge to be overcome is the need to progress from the concept of "waste management", to one of sustainable decision making regarding resource use, including methods of waste minimisation at the source and recycling. Staff training and awareness underpin several of the short and medium/long term solutions suggested to reduce the waste at the source and recover value from that produced. These measures could potentially reduce disposal quantities by as much as 20-30% (wt.) and costs by around 25-35%.
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Affiliation(s)
- T L Tudor
- Camborne School of Mines, School of Geography, Archaeology and Earth Resources, University of Exeter in Cornwall, Tremough Campus, Treliever Road, Penryn, Cornwall TR10 8ER, UK.
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17
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Garland B, Crane M, Marino C, Stone-Wiggins B, Ward A, Friedell G. Effect of community coalition structure and preparation on the subsequent implementation of cancer control activities. Am J Health Promot 2004; 18:424-34. [PMID: 15293928 DOI: 10.4278/0890-1171-18.6.424] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to identify factors within a three-phase community coalition development model that influence short-term success in cancer control coalitions based on the cumulative number of educational and screening activities conducted by the coalitions. DESIGN This study was a nonrandomized community intervention trial involving four autonomous, independently funded multistate projects aimed at using coalitions to increase cancer screening and early detection. SETTING The study was conducted in medically underserved, rural counties of Appalachia. SUBJECTS Sixty-three coalitions involved 1725 members representing 71 counties within 10 states. Intervention. A network of local and regional community cancer control coalitions throughout rural Appalachia delivered culturally sensitive cancer control messages to women, with the long-term goal of increasing the early detection of breast cancer ANALYSIS County-level coalitions were the unit of analysis for this study. Multiple linear regression was used to determine if three classes of variables corresponding to the developmental history of coalitions--formation, preparation for implementation, and implementation--were associated with the number of educational and screening activities conducted by the coalitions. RESULTS The presence of a paid coordinator and formal organizational structure were both strongly associated with the number of activities conducted, accounting for 71% of the variability in coalition activities. Other variables positively associated with number of activities were the preparation of written community assessments and the modification of implementation plans. The same factors (structure, written plans) were associated with activities in coalitions without paid organizers (r2 = .57), as was the number of meetings. However, such coalitions produced an average of only 2.2 activities vs. 21.7 activities in coalitions with paid coordinators. CONCLUSION The ALIC study would seem to indicate that community-based coalitions with paid coordinators and formal structures are capable of generating significantly higher levels of activity than those without either a paid coordinator or formal structure.
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Affiliation(s)
- Barbara Garland
- North Carolina State University in Raleigh, North Carolina, USA
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18
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Butterfoss FD, Morrow AL, Webster JD, Crews RC. The Coalition Training Institute. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2003; 9:522-9. [PMID: 14606192 DOI: 10.1097/00124784-200311000-00013] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Public-private partnerships are integral to our public health paradigm. The Coalition Training Institute (1995-1998) trained 283 participants from 29 U.S. cities, 49 states, and 7 U.S. territories to foster and sustain partnerships that improve immunization rates. Evaluation consisted of on-site and follow-up surveys, effectiveness inventories, and focus groups. The Institute met participants' expectations. Four months later, participants reported training was applicable (93%) and helpful in overcoming organizational barriers. Most built or improved coalitions (81%), helped organizations apply new ideas (86%), and obtained training/support (60%). Participants requested more on-site and distance-learning opportunities to network, train coalition leaders and members, and learn new skills.
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Affiliation(s)
- Frances D Butterfoss
- Center for Pediatric Research, Eastern Virginia Medical School, 855 W. Brambleton Ave, Norfolk, VA 23510, USA
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19
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Abstract
The prevalence of pregnancy, substance abuse, violence, and delinquency among young people is unacceptably high. Interventions for preventing problems in large numbers of youth require more than individual psychological interventions. Successful interventions include the involvement of prevention practitioners and community residents in community-level interventions. The potential of community-level interventions is illustrated by a number of successful studies. However, more inclusive reviews and multisite comparisons show that although there have been successes, many interventions did not demonstrate results. The road to greater success includes prevention science and newer community-centered models of accountability and technical assistance systems for prevention.
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Affiliation(s)
- Abraham Wandersman
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA.
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20
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Merzel C, D'Afflitti J. Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health 2003; 93:557-74. [PMID: 12660197 PMCID: PMC1447790 DOI: 10.2105/ajph.93.4.557] [Citation(s) in RCA: 382] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2002] [Indexed: 11/04/2022]
Abstract
Contemporary public health emphasizes a community-based approach to health promotion and disease prevention. The evidence from the past 20 years indicates, however, that many community-based programs have had only modest impact, with the notable exception of a number of HIV prevention programs. To better understand the reasons for these outcomes, we conducted a systematic literature review of 32 community-based prevention programs. Reasons for poor performance include methodological challenges to study design and evaluation, concurrent secular trends, smaller-than-expected effect sizes, limitations of the interventions, and limitations of theories used. The effectiveness of HIV programs appears to be related in part to extensive formative research and an emphasis on changing social norms.
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Affiliation(s)
- Cheryl Merzel
- Center for Applied Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
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21
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Payne CA. The evolution of community involvement in public health community-based efforts: a case study. JOURNAL OF HEALTH & SOCIAL POLICY 2002; 14:55-70. [PMID: 11707025 DOI: 10.1300/j045v14n02_04] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
It is the opinion of many practitioners and analysts of public health efforts that community involvement is necessary to improve local health status. The nature of community involvement, however, can vary among projects, among sites in the same project and through time in the same site. Clear conceptions of community involvement assist in foreseeing the potential activities, outcomes and challenges of any particular community-based effort. Himmelman's concepts of community betterment and community empowerment offer a useful framework when community-involvement entails the direct participation of local organizations and constituencies. These two concepts are the ends of a continuum whereby in the movement from a community betterment to a community empowerment effort, there is an increase in community ownership and self-determination over all aspects of a project. This paper presents an empirical investigation of one community-based public health effort which instances a movement from community betterment to community empowerment.
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Affiliation(s)
- C A Payne
- Concorde Consultants, Cambridge, MA 02138, USA
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Abstract
The powerful influence of behavioral choices on health status is well established. The implications and challenges for urban populations are formidable. Understanding urban environments will better prepare health promotion professionals to deal effectively with the forces affecting health-related behaviors. In thinking about urban health promotion in the United States, researchers often distinguish between 2 frameworks; one contending with urbanization, which affects most of us, and another contending with inner-city environments, where many of the deepest needs are. Urbanization confers both benefits and liabilities, but the single greatest challenge for health promotion may lie in reestablishing positive social connections. In contrast, 2 key features of the inner-city environment may be the negative ecological forces within neighborhoods and the lack of control over one's fate. Too often, prescriptions for the inner city stereotype its problems and ignore its strengths. For the inner city, important foundation stones for the future include ways to build on these strengths through positive connections and increased community control through coalition building.
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Affiliation(s)
- L C Leviton
- Robert Wood Johnson Foundation, Princeton, NJ 08543-2316, USA.
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23
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Rosenthal J, Morrow AL, Butterfoss FD, Stallings V. Design and baseline results of an immunization community intervention trial in Norfolk, Virginia. Pediatr Ann 1998; 27:418-23. [PMID: 9677613 DOI: 10.3928/0090-4481-19980701-08] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- J Rosenthal
- Centers for Disease Control, National Immunization Program, Atlanta, Georgia 30329, USA
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