Measuring Equity Principles for Capacity-Building of Home-Based Programs for Children Aged 5 and Under in a Public Health Initiative: Results From 2 Time Points 6 Months Apart.

IF 1.5 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI:10.1097/FCH.0000000000000434

Di Wang, Doris M Boutain, Eunjung Kim, Sungwon Lim, Rebekah Maldonado Nofziger

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引用次数: 0

Abstract

Background: To shift home-based program delivery, public health initiatives seek to increase capacity of community-based organizations (CBOs) to provide such services. Yet, no study measured how a public health initiative used equity principles for capacity-building (EPCB).

Objectives: Study aims were measured at 2 time points 6 months apart and explored how participants rated (1) the Initiative's use of 10 EPCB; (2) their CBO's organizational strengths and conditions; and (3) the relationships among EPCB, CBOs' organizational strengths, and CBOs' organizational conditions.

Design and sample: Community-based participatory research was conducted with 20 multicultural, multilingual participants from 9 CBOs.

Methods: Equity principles were measured in May and November 2019. Demographics, CBOs' organizational strengths, and CBOs' organizational conditions were collected. Descriptive and correlational analysis was employed.

Results: Between May and November, 4 significant findings were observed: (1) There was a significant decrease in transformational principle use, reducing CBOs' power and leadership. (2) Racial equity principle use was significantly associated with CBOs' total organizational strengths and CBOs' clear communication. (3) Participants' confidence significantly decreased. (4) Workloads become manageable with funding.

Conclusion: Power transfer using the transformational principle is vital. Equity principles need repeated measurement.

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一项公共卫生倡议中5岁及以下儿童家庭方案能力建设的衡量公平原则：相隔6个月的两个时间点的结果。

背景：为了转变以家庭为基础的方案交付，公共卫生倡议寻求提高社区组织（cbo）提供此类服务的能力。然而，没有研究衡量公共卫生倡议如何将公平原则用于能力建设（EPCB）。研究目的：在间隔6个月的2个时间点测量研究目标，并探讨参与者如何评价(1)该倡议对10 EPCB的使用；（二）CBO的组织实力和条件；(3) EPCB与cbo组织优势、cbo组织状况的关系。设计与样本：以社区为基础的参与性研究对来自9个cbo的20名多文化、多语言参与者进行了研究。方法：公平原则于2019年5月和11月进行测量。统计数据、cbo的组织优势、cbo的组织条件。采用描述性和相关性分析。结果：从5月到11月，有4个显著的发现：(1)变革原则的使用显著减少，降低了cbo的权力和领导力。(2)种族公平原则的运用与首席执行官的总体组织优势和首席执行官的清晰沟通显著相关。(3)被试的自信心显著下降。(4)有了资金，工作量变得可控。结论：利用转换原理进行权力转移至关重要。公平原则需要反复衡量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.