Using Collaborative Coalition Processes to Advance Community Health, Well-Being, and Equity: A Multiple-Case Study Analysis From a National Community Transformation Initiative
Using Collaborative Coalition Processes to Advance Community Health, Well-Being, and Equity: A Multiple-Case Study Analysis From a National Community Transformation Initiative
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DOI：
10.1177/1090198119838833
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发表时间：
2019-10-01
影响因子：
4.2
通讯作者：
Ramaswamy, Rohit
中科院分区：
文献类型：
--
作者：
Reid, Amy;Abraczinskas, Michelle;Ramaswamy, Rohit
通过学习和评估传播社区加速器（SCALE）是罗伯特·伍德约翰逊基金会在2015年至2017年期间资助的一项计划，旨在建立24个社区联盟的能力，以促进健康，福祉和公平。SCALE变革理论有三个组成部分：发展领导能力，在社区内部和社区之间建立关系，以及创建一个社区间系统来传播有前途的想法。这一理论通过培训学院、辅导和同行学习得以实施，这些都明确涉及公平和制度变革。在这篇文章中，我们描述了SCALE如何促进与平等和正义原则1，3，4和6相关的社区转型。我们与两个社区联盟进行了多案例研究，包括实地考察，访谈和观察，通过探索如何以及为什么发生变化来阐明变化的潜在机制。贫民窟妇女与洛杉矶无家可归的妇女合作，解决糖尿病和食品系统问题。Cattaraugus县的健康宜居社区利用一系列项目来改变制度，以改善人口健康，增加纽约州农村残疾人获得服务的机会。通过我们的分析，我们描述了两个联盟如何使用SCALE工具进行协作联盟过程，如目标设定，关系建立，并与社区居民共享决策。我们的研究结果表明，推进“为公平和正义而合作”原则需要自我反思和勇气;新的人际关系方式;从失败中学习;明确解决权力、种族主义和其他形式压迫的有效冲突;以及测试系统改进想法的方法。
Spreading Community Accelerators Through Learning and Evaluation (SCALE) was a Robert Wood Johnson Foundation-funded initiative from 2015 to 2017 to build capability of 24 community coalitions to advance health, well-being, and equity. The SCALE theory of change had three components: develop leadership capability, build relationships within and between communities, and create an intercommunity system to spread promising ideas. The theory was operationalized through training academies, coaching, and peer-to-peer learning that explicitly addressed equity and systems change. In this article, we describe how SCALE facilitated community transformation related to Collaborating for Equity and Justice Principles 1, 3, 4, and 6. We conducted a multiple-case study approach with two community coalitions including site visits, interviews, and observation to illuminate underlying mechanisms of change by exploring how and why change occurs. Skid Row Women worked with women experiencing homelessness in Los Angeles to address diabetes and food systems. Healthy Livable Communities of Cattaraugus County used a portfolio of projects in order to create system changes to improve population health and increase access to services for people with disabilities in rural New York State. Through our analysis, we describe how two coalitions used SCALE tools for collaborative coalition processes such as aim setting, relationship building, and shared decision making with community residents. Our findings suggest that advancing Collaborating for Equity and Justice principles requires self-reflection and courage; new ways of being in relationship; learning from failure; productive conflict to explicitly address power, racism, and other forms of oppression; and methods to test systems improvement ideas.