Assessing change in perceived community leadership readiness in the Obesity Prevention and Lifestyle program

Kostadinov, Iordan; Daniel, Mark; Jones, Marion; Cargo, Margaret

doi:10.1071/he16050

Cited by 12 publications

(11 citation statements)

References 22 publications

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“…Leadership is recognized as important for coordinating and developing community programs and evidence-based program selection. Other studies found that a lack of leadership is associated with unsustainability of implemented programs [44,45]. In line with these studies, the present study found that the availability of leadership is associated with higher levels of the adoption of evidence-based prevention.…”

Section: Discussionsupporting

confidence: 89%

Relating community capacity to the adoption of an evidence-based prevention strategy: a community-level analysis

Birgel

Walter

Röding

2023

Preprint

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Background: In community-based prevention, adopting an evidence-based strategy is known to predict prevention success. Evidence-based prevention includes a theoretical framework, empirical assessment of prevention needs, use of tested and effective prevention programs, monitoring of community prevention efforts and outcomes, and integration of practice experiences. Also known is that adopting evidence-based prevention requires community capacity. However, it is unclear which domains of community capacity are most important for the adoption of evidence-based prevention. This study aims to examine the extent to which specific capacity domains explain variation in evidence-based prevention. Methods: The present study is a secondary data analysis based on a survey of 182 key informants in 38 communities. To determine the validity of the measurement, structural validity, internal consistency, and inter-rater agreement were assessed. Associations between adoption of evidence-based prevention and ten domains of community capacity (participation, knowledge & skills, resources, leadership, community power, collaboration consisting of prevention collaboration and sectoral-collaboration, sense of community, critical awareness & problem solving, and community structure) were investigated at the community level using logistic regression models. Results: Regarding the validation analyses, most findings indicate that the ten community capacity domains could be reliably measured using key informant reports. Results of logistic regression models indicate that adopting evidence-based prevention is related to increased sense of community (OR 6.62; 95 % CI 2.39-18.39), prevention collaboration (OR 26.05; 95 % CI 5.98-13.39), sectoral-collaboration (OR 10.49; 95 % CI 4.04-27.25), community power (19.29; 1.74-28.12), and community structure (OR 4.79; 95 % CI 1.85-12.43). Availability of leadership was predictive of higher chances of adopting evidence-based prevention (OR 5.21; 95 % CI 1.93-14.02). Conclusion: Our findings suggest that communities with higher community capacity have increased chances of adopting an evidence-based prevention strategy.

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Section: Discussionsupporting

confidence: 89%

Relating community capacity to the adoption of an evidence-based prevention strategy: a community-level analysis

Birgel

Walter

Röding

2023

Preprint

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“…We acknowledge the efforts of Kostadinov et al [37, 38] to create an online version of the CRT, currently validated only for the leadership domain. Further research to validate this online forum across all other domains could broaden the reach of the tool and reduce time in interviewing and scoring.…”

Section: Discussionmentioning

confidence: 99%

A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention

et al. 2019

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BackgroundUnderstanding levels of community readiness can result in prevention efforts that align with communities’ ability and capacity for change and, therefore, be more effective and sustainable. Our study aimed to use baseline (pre-intervention) community readiness scores to assist with the development of obesity prevention strategies, and to assess changes in community readiness over time (pre/post- intervention), to provide evidence of intervention impact.MethodOur study was located in a rural and remote area of Victoria, Australia. Community readiness was part of a broader obesity prevention intervention designed to create healthier food and physical activity environments through the combination of systems thinking and collaborative community-led solutions. Interviews were conducted using the community readiness to change tool in 2016 (pre) and 2018 (post) with a community representative sample. Baseline data informed the development of community relevant strategies and the pre/post results formed part of the overall evaluation.ResultsThe tool generated both quantitative and qualitative (quotes) data. A final readiness score was calculated that corresponded to one of the nine stages of readiness. Four of the five domains of the community readiness to change tool showed statistically significant improvements over time (p < 0.05): knowledge of effort, knowledge of issue, community climate, and leadership. The resources domain that did not improve pre/post intervention.ConclusionCommunity readiness to change interviews, pre- and post- intervention, provided essential information related to the appropriate targeting and pitch of the prevention strategies, as well as providing an overall evaluation of the positive movement in the community’s readiness to implement change.

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“…The community capacity domains identified in this review have been suggested to be associated with the success of community interventions by several studies. For instance, the presence of leadership has been recognized as crucial for coordinating and developing community programs and evidence-based program selection [ 90 , 91 ]. Additionally, a sense of community has been identified as an important contextual factor associated with health behavior [ 92 ].…”

Section: Discussionmentioning

confidence: 99%

Community capacity for prevention and health promotion: a scoping review on underlying domains and assessment methods

Birgel,

Decker,

Röding

et al. 2023

Syst Rev

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Background Building community capacity is an essential health promotion approach, which refers to the characteristics of communities that affect their ability to identify and address social and public health problems. Despite general agreement about certain capacity domains and frameworks, there is no comprehensive and consistent assessment of community capacity. Therefore, the aim of this scoping review is to identify the domains and methods used to assess community capacity related to community-based prevention and health promotion. Methods A scoping search was performed on 06/02/2022 via PubMed, Web of Science, and Science Direct, with supplemental searches via Google Scholar. The review included studies published in English from 1990 to 2022 that explicitly described how community capacity was assessed in health promotion and prevention interventions. Furthermore, studies had to meet at least two of the three following criteria for capacity assessment: a theoretical foundation, a participatory approach, or a field test of the assessment tool. Results From 4779 records, 38 studies were included after applying exclusion criteria. Nineteen studies used mixed, eleven qualitative and eight quantitative methods to assess community capacity. The various domains used to assess community capacity were identified and reassembled into nine comprehensive domains: community participation, knowledge and skills, resources, leadership, community power, sense of community, collaboration, critical awareness and problem-solving, and community structure. The review also identified four sub-domains, which include commitment, communication, shared values and goals, and sustainability. Discussion This scoping review provides an overview of the domains and methods used to assess community capacity, which can facilitate the development of a comprehensive approach to capacity assessment in future research.

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Assessing change in perceived community leadership readiness in the Obesity Prevention and Lifestyle program

Cited by 12 publications

References 22 publications

Relating community capacity to the adoption of an evidence-based prevention strategy: a community-level analysis

Relating community capacity to the adoption of an evidence-based prevention strategy: a community-level analysis

A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention

Community capacity for prevention and health promotion: a scoping review on underlying domains and assessment methods

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