Designing Capacity-Building Supports to Promote Evidence-Based Programs in Community-Based Organizations Working with Underserved Populations
Designing Capacity-Building Supports to Promote Evidence-Based Programs in Community-Based Organizations Working with Underserved Populations
复制标题
DOI：
10.1353/cpr.2020.0027
复制
发表时间：
2020-06-01
影响因子：
1.1
通讯作者：
Viswanath, K.
中科院分区：
文献类型：
--
作者：
Ramanadhan, Shoba;Aronstein, David;Viswanath, K.
背景资料：在社区组织（CBO）中建立使用循证健康促进计划的能力至关重要，特别是那些与服务不足的人群合作的组织。正在进行的能力建设的支持包似乎是至关重要的，但目前还不清楚如何最好地设计和部署them.Objectives：行星MassCONECT是一个参与性的研究项目，以提高能力，使用循证方案（EBP）CBO工作人员在三个马萨诸塞州社区经历健康差距。我们评估了学员参与能力建设支持的影响，使用系统的方法来程序planning.Methods：学员从2010年到2012年招收，直到2014年从事。干预措施首先是举办讲习班，包括持续的能力建设支持（定制的门户网站和资源、网络活动、微型移民和技术援助）。采用Logistic回归分析方法，考察培训后提供的能力建设支持与培训学员参与度之间的关系。结果：在培训后提供的能力建设支持中，门户网站最受欢迎。使用门户网站（优势比[OR]，3.00; 95%置信区间[CI]，1.04-8.67;p = 0.04）和参与小移民过程（OR，5.40; 95% CI，1.09-28.69; p = 0.04）预测第一年系统性项目规划方法的使用率较高。另外，高意图使用系统的方法进行计划规划预测门户网站的使用（OR，3.47; 95%CI，1.27-9.52;p = 0.02）。结论：正在进行的能力建设的支持可能会促进EBP规划在社区组织，但制度的限制可能会限制从业人员的能力，从事这种支持。
Background: It is critical to build capacity to use evidence-based health promotion programs in community-based organizations (CBOs), particularly those working with underserved populations. Packages of ongoing capacity-building supports seem to be critical, but it is not clear how best to design and deploy them.Objectives: PLANET MassCONECT was a participatory research project to increase capacity for the use of evidence-based programs (EBPs) among CBO staff members in three Massachusetts communities experiencing health disparities. We assessed the impact of trainee engagement with capacity-building supports on the use of a systematic approach to program planning.Methods: Trainees were enrolled from 2010 to 2012 and engaged until 2014. The intervention started with a workshop and included ongoing capacity-building supports (a customized web portal and resources, networking events, minigrants, and technical assistance). Logistic regression was used to examine the relationship between trainee engagement with capacity-building supports offered after the workshop and key outcomes at year 1.Results: Of the capacity-building supports offered after the workshop, the web portal was the most popular. Higher use of systematic program planning approaches in the first year was predicted by web portal use (odds ratio [OR], 3.00; 95% confidence interval [CI], 1.04-8.67;p = 0.04), and participation in the minigrant process (OR, 5.40; 95% CI, 1.09-28.69; p = 0.04). Separately, high intention to use systematic approaches for program planning was predicted by web portal use (OR, 3.47; 95% CI, 1.27-9.52;p = 0.02).Conclusions: Ongoing capacity-building supports may promote EBP planning in CBOs, but institutional constraints may limit practitioners' ability to engage with such supports.