The role of organizational capacity in intervention efficacy in a church-based cancer education program: A configurational analysis.
The role of organizational capacity in intervention efficacy in a church-based cancer education program: A configurational analysis.
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组织能力在教会癌症教育计划干预效果中的作用：配置分析。
DOI：
10.1007/s43477-023-00089-0
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Huq,Maisha
中科院分区：
文献类型：
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作者：
Knott,CherylL;Miech,EdwardJ;Woodard,Nathaniel;Huq,Maisha
在实施科学领域，众所周知，实施干预措施的环境对其实施效果起着至关重要的作用。然而，人们对组织环境或能力与功效结果之间的关系知之甚少，尤其是在医疗机构之外提供的健康促进干预措施。本研究检验了组织能力指标是否与马里兰州 13 个非裔美国教堂实施的循证癌症控制干预措施的关键功效结果相关。结果包括结直肠癌知识的增加以及从基线到随访的自我报告结肠镜检查筛查行为的增加。我们使用巧合分析来确定组织能力的特征，这些特征使具有不同癌症知识和筛查水平的教会与众不同。组织能力指标（例如会众规模、之前的健康促进经验）来自教会组织健康促进能力的现有衡量标准。单一解决方案途径在 12 个月内使结直肠癌知识有了更大的增长，同时满足两个条件：在过去 2 年中开展 3 项或更多健康促进活动，并且在过去 2 年中没有接受过外部合作伙伴的任何技术援助。单一条件导致结肠镜检查在 24 个月内出现较大增长：教会在过去 2 年中在 1-4 个不同主题领域开展了健康促进活动。研究结果强调了组织能力的各个方面（例如，健康促进方面的先前经验），这些方面可能会促进干预效果，并可以帮助从业者确定最有希望产生干预影响的组织设置。
It is well-established in the field of implementation science that the context in which an intervention is delivered can play a crucial role in how well it is implemented. However, less is known about how organizational context or capacity relates to efficacy outcomes, particularly with health promotion interventions delivered outside of healthcare settings. The present study examined whether organizational capacity indicators were linked to key efficacy outcomes in an evidence-based cancer control intervention delivered in 13 African American churches in Maryland. Outcomes included increases in colorectal cancer knowledge and self-report colonoscopy screening behavior from baseline to follow-up. We used Coincidence Analysis to identify features of organizational capacity that uniquely distinguished churches with varying levels of cancer knowledge and screening. Indicators of organizational capacity (e.g., congregation size, prior health promotion experience) were from an existing measure of church organizational capacity for health promotion. A single solution pathway accounted for greater increases in colorectal cancer knowledge over 12 months, with a combination of two conditions: conducting 3 or more health promotion activities in the prior 2 years together with not receiving any technical assistance from outside partners in the prior 2 years. A single condition accounted for greater increases in colonoscopy screening over 24 months: churches that had conducted health promotion activities in 1–4 different topical areas in the prior 2 years. Findings highlight aspects of organizational capacity (e.g., prior experience in health promotion) that may facilitate intervention efficacy and can help practitioners identify organizational settings most promising for intervention impact.