Effects of Sectoral Diversity on Community Coalition Processes and Outcomes
Effects of Sectoral Diversity on Community Coalition Processes and Outcomes
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DOI：
10.1007/s11121-017-0796-y
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发表时间：
2017-07-01
影响因子：
3.5
通讯作者：
Chilenski, Sarah Meyer
中科院分区：
文献类型：
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作者：
Brown, Louis D.;Wells, Rebecca;Chilenski, Sarah Meyer
与不同伙伴的合作具有挑战性，但对于执行预防方案和政策至关重要。加强与不同部门伙伴的沟通可能有助于社区联盟克服多样性带来的挑战。我们在对墨西哥17个物质使用预防联盟的研究中实证地研究了这些问题。建立在联盟和联盟文献，我们假设，部门的多样性将改善结果，但破坏联盟的进程。相反，我们期望更高级别的部门间沟通会产生一致的积极影响。数据来自2015年对17个社区联盟中211名成员的调查。回归模型利用部门多样性和部门间沟通来预测联盟进程（凝聚力、领导人与成员的沟通、效率）和成果（社区支持、社区改善、可持续性规划）。部门多样性与联盟进程呈负相关，与联盟结果无关。部门间沟通与联盟成果的三项措施中的两项呈正相关，但与联盟进程无关。我们的研究结果与先前的研究结果一致，表明部门多样性可能会破坏联盟进程。然而，部门之间更多的沟通可能会促进社区支持和可持续性规划的联合成果。熟练的团队领导和参与性决策也可能有助于联盟促进部门间沟通，从而使不同的社区部门参与实施预防性干预措施，并实现持续的公共卫生影响。
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.