Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis.

Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis.
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DOI:
10.5888/pcd20.230067
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发表时间:
2023-10-12
影响因子:
5.5
通讯作者:
Escoffery C
Escoffery C
中科院分区:
医学3区
文献类型:
--
作者:
Madrigal L;Haardörfer R;Kegler MC;Piper S;Blais LM;Weber MB;Escoffery C

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自2010年国家糖尿病预防计划(DPP)启动以来,已有3,000多个组织在疾病和控制与预防中心注册实施该计划;然而,今天只有大约2,000个组织注册,这表明可持续性面临挑战。我们使用项目可持续性评估工具(PSAT)来探索国家DPP交付组织的可持续能力模式。我们使用了2021年8月和9月对全国民进党交付组织的工作人员(N=440)进行的横断面在线调查的数据。我们根据受试者的PSAT领域分数进行了潜伏期分析,以识别潜伏期亚群。回归分析被用来估计衍生潜伏期、PSAT分数和被调查者特征之间的关联。4级模型包括4组项目可持续能力,从低到高依次为:低(1类)占8.0%,中低(2类)占22.0%,中高(3类)占41.6%,高(4类)占28.4%。项目评估(平均分=5.1[SD=1.4])和适应(平均分=5.3[SD=1.3])是得分最高的领域,而资金稳定性(平均分=4.0[SD=1.6])和伙伴关系(平均分=4.0[SD=1.7])得分最低。在我们的全国民进党交付组织样本中,大多数报告的项目可持续性能力相对较高,与可持续性能力相关的关键指标是虚拟交付、交付地点、资金来源和组织类型。与其他PSAT研究的可持续能力研究结果类似,我们的研究发现,资金稳定性和伙伴关系是需要加强的领域。这种洞察力在跨多个项目的组织和国家层面的可持续发展规划中很有用。
Since the launch of the National Diabetes Prevention Program (DPP) in 2010, more than 3,000 organizations have registered with the Centers for Disease and Control and Prevention to deliver the program; today, however, only approximately 2,000 organizations are registered, indicating challenges with sustainability. We used the Program Sustainability Assessment Tool (PSAT) to explore patterns of sustainability capacity among National DPP delivery organizations. We used data from a cross-sectional online survey conducted in August and September 2021 of staff members (N = 440) at National DPP delivery organizations. We conducted a latent profile analysis to identify latent subpopulations on the basis of respondent PSAT domain scores. Regression analyses were used to estimate associations between derived latent classes, PSAT scores, and respondent characteristics. The 4-class model included 4 groups of capacity for program sustainability, ranging from low to high: low (class 1) with 8.0% of the sample, medium-low (class 2) with 22.0%, medium-high (class 3) with 41.6%, and high (class 4) with 28.4%. Program evaluation (mean score = 5.1 [SD = 1.4]) and adaptation (mean score = 5.3 [SD = 1.3]) were the domains with the highest scores, while funding stability (mean score = 4.0 [SD = 1.6]) and Partnerships (mean score = 4.0 [SD = 1.7]) had the lowest scores. In our sample of National DPP delivery organizations, most reported relatively high capacity for program sustainability, and key indicators associated with sustainability capacity were virtual delivery, location of delivery, funding sources, and organization type. Similar to sustainability capacity findings from other PSAT studies, our study found that funding stability and partnerships are areas to strengthen. This insight is useful in sustainability planning at organizational and national levels across multiple programs.
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