Family & Community Health最新文献

Exploring Physical Activity Among Community Residents: Combining the Integrated Behavioral Model and Social Network Analysis. 社区居民体育活动研究：结合综合行为模型和社会网络分析。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000440

Megan S Patterson, Tyler Prochnow, Allison N Francis, Christina Amo

{"title":"Exploring Physical Activity Among Community Residents: Combining the Integrated Behavioral Model and Social Network Analysis.","authors":"Megan S Patterson, Tyler Prochnow, Allison N Francis, Christina Amo","doi":"10.1097/FCH.0000000000000440","DOIUrl":"10.1097/FCH.0000000000000440","url":null,"abstract":"Purpose: Combining the Integrated Behavioral Model (IBM) and Social Network Analysis (SNA), this study explored individual and interpersonal-level factors related to adults meeting physical activity (PA) recommendations.Methods: 250 adults (66.8% women, 70.1% non-Hispanic white, age = 38.65 ± 12.93) recruited through local events and social media completed online surveys. Logistic regression analysis assessed factors related to meeting PA recommendations, including demographic characteristics, barriers to PA, injunctive norms, perceived behavioral control, intention, and descriptive norms measured via SNA.Results: 40.6% (n = 99) of participants met minimum PA recommendations. Higher perceived behavioral control (OR = 1.47, P < .001), intention (OR = 1.16, P = .01), having more female network members (OR = 1.02, P = .04) and more network members who were active with the participant (OR = 1.03, P < .001) were associated with increased odds of meeting PA recommendations. Network density scores (OR = .04, P < .01), decreased the odds of meeting PA recommendations.Conclusions: Our findings highlight the importance of a person's immediate social context, more so than global social norms, on their PA behavior. In addition to increasing individual-level perceived behavioral control and intentions, efforts aimed at promoting PA should focus on leveraging aspects of social networks that translate to direct social influence on individual behavior. This study affirms SNA as a useful way to assess descriptive norms defined in the IBM.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"310-318"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest. 解释太平洋西北农村地区三个患者参与活动中与健康相关的互联网使用情况。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000437

Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant

{"title":"Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest.","authors":"Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant","doi":"10.1097/FCH.0000000000000437","DOIUrl":"10.1097/FCH.0000000000000437","url":null,"abstract":"Background and objective: Internet-based patient engagement (PE) can empower rural individuals in essential health services. This study investigated predisposing, need, and enabling factors associated with major online PE activities in the rural populations of the United States Pacific Northwest region.Method: A cross-sectional survey of 250 adults aged 45 to 75 residing in rural parts of Alaska, Idaho, Oregon, and Washington was conducted. Three domains of predictors (predisposing, need, and enabling factors) were assessed. The outcomes were 3 major online PE activities (online access to care, information seeking and sharing, and self-management support).Result: Online health engagement was associated with multiple chronic diseases, perceived need for colorectal cancer screening, difficulty finding providers, and lower mistrust. Younger age, higher awareness of colorectal cancer risk, better health status, difficulty finding providers, frequent internet use, and misunderstanding between patients and providers were associated with increased online information seeking and sharing. Female gender, more cancer knowledge, lower income, and higher information search difficulty were associated with increased online self-management support. Health information literacy was associated with all PE activities.Conclusion: Different factors influence online PE activities among rural populations. Optimizing diverse PE activities should assess different predisposing, need, and enabling factors in rural health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"278-289"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery. LGBTQIA+个体自我报告的卫生保健差异和障碍：对公平卫生保健服务的影响

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000436

Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor

{"title":"Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery.","authors":"Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor","doi":"10.1097/FCH.0000000000000436","DOIUrl":"10.1097/FCH.0000000000000436","url":null,"abstract":"Background and objectives: Nearly 24 million adults in the United States identify as LGBTQIA+, facing significant health disparities due to discrimination, structural barriers, and lack of culturally competent health care. This study explores health care disparities, barriers, facilitators, and the association of perceived discrimination on LGBTQIA+ health care.Methods: Participants were recruited from June 2023 to January 2024 using convenience sampling methods via LGBTQIA+ organizations and social media platforms. A total of 501 participants completed a REDCap survey, with 255 providing complete data. The survey queried demographics, physical and mental health, and health care utilization. Data analysis included descriptive statistics and CHERRIES guidelines.Results: Participants reported significant barriers to care, including being uninsured (22%), geographic distance (33%), fear of negative reactions (26%), and past trauma (23%). Discrimination in health care settings was reported by 83%, impacting access. High rates of homelessness (26%), food insecurity (73%), and chronic medical conditions (92%) were reported. Approximately 55% reported head trauma, 26% experienced intimate partner violence-related head injuries, and only 44% sought care for head injuries. Moderate depressive and anxiety symptoms were common, and 49% screened positive for possible PTSD.Conclusions: This study highlights barriers to care reported by LGBTQIA+ individuals, emphasizing the need for culturally informed services. Addressing these disparities requires education, cultural humility, and systemic reforms to reduce disparities in health care for LGBTQIA+ individuals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"290-309"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Determinants of Health Screening and Remote Intervention for a Pediatric Emergency Department: Reaching Rural Families. 儿童急诊科健康筛查和远程干预的社会决定因素：覆盖农村家庭。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000439

Mary E Bernardin, Danielle Zoellner, Destri Eichman, Bin Ge, Isabella McCartney, Mariana Mendoza Castro, Elizabeth Kendrick, Janisha Eubanks, Megan EuDaly, Julie Stilley, Alexandra James, Jennae Reken

{"title":"Social Determinants of Health Screening and Remote Intervention for a Pediatric Emergency Department: Reaching Rural Families.","authors":"Mary E Bernardin, Danielle Zoellner, Destri Eichman, Bin Ge, Isabella McCartney, Mariana Mendoza Castro, Elizabeth Kendrick, Janisha Eubanks, Megan EuDaly, Julie Stilley, Alexandra James, Jennae Reken","doi":"10.1097/FCH.0000000000000439","DOIUrl":"10.1097/FCH.0000000000000439","url":null,"abstract":"Background and objectives: Social determinants of health (SDOH) can have profound impacts on children, though many lack access to SDOH programs. Our objective was to determine feasibility and outcomes of a SDOH program for families of children seen in an emergency department (ED) serving an under-resourced rural population.Methods: This prospective cohort study assessed for 11 domains of SDOH among families of pediatric ED patients. Families with positive screens were contacted following their ED visit and provided resources. Fisher exact and Chi-square tests were used to identify sociodemographic factors associated with SDOH and resource requests.Results: Of the 95 surveys administered, 42% were positive for ≥1 SDOH, most frequently food scarcity (27%). Forty percent of families with positive SDOH needs screens requested services, of which remote resource assistance was performed successfully with 75%. Families with an unemployed primary caregiver ( P = .04) and Medicaid insurance ( P < .001) were more likely to screen positive for SDOH needs. Forty percent of respondents were from surrounding rural counties and were less likely to request resources ( P = .01).Conclusions: SDOH needs are common among families utilizing EDs for their children's health care. EDs serving under-resourced rural communities can be leveraged to address SDOH needs, and further research is needed to evaluate their impacts on rural families.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"259-266"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maternity Leave, Race, and Postpartum Depression: The Impact of Public Policy on Mothers Living in Poverty. 产假、种族和产后抑郁：公共政策对贫困母亲的影响。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000441

Katherine M Schafer, Allison M Daurio, Thomas E Joiner

{"title":"Maternity Leave, Race, and Postpartum Depression: The Impact of Public Policy on Mothers Living in Poverty.","authors":"Katherine M Schafer, Allison M Daurio, Thomas E Joiner","doi":"10.1097/FCH.0000000000000441","DOIUrl":"10.1097/FCH.0000000000000441","url":null,"abstract":"Background: Some maternity leave practices are associated with postpartum depressive (PPD) symptoms which in turn are linked with increased risk of poor maternal and infant outcomes. Mothers of color disproportionately experience poor maternity leave policies and elevated PPD symptoms.Methods: This cross-sectional study employed data collected at baseline of the Baby's First Year study. Participants were 153 American mothers living below the poverty line. They were interviewed (2018-2019) in the days following birth regarding their race, maternity leave, and PPD symptoms.Results: Findings indicated that alone race and maternity leave practices were not associated with PPD symptoms. However, the interaction between the two accounted for significant variability in PPD symptoms. Black/African American mothers who reported that they used unpaid maternity leave (n=41, M=8.146, SD=0.708) and mothers in the \"Other\" race category who reported not taking maternity leave (n=7, M=8.857, SD=1.715) had higher than expected rates of PPD.Conclusion: These findings show that on the whole, poor maternity leave practices have a disproportionate impact on mothers of color. When women of color are exposed to either no maternity leave or unpaid maternity leave, they are at elevated risk of developing PPD.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"319-327"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contextualizing Rural/Non-Rural Differences in Pediatric Primary Care Patterns in South Carolina: A Mixed-Methods Study. 南卡罗来纳儿童初级保健模式的农村/非农村差异：一项混合方法研究。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000438

Caitlin Koob, Kinsey Meggett, Michelle Parisi, Sarah F Griffin

{"title":"Contextualizing Rural/Non-Rural Differences in Pediatric Primary Care Patterns in South Carolina: A Mixed-Methods Study.","authors":"Caitlin Koob, Kinsey Meggett, Michelle Parisi, Sarah F Griffin","doi":"10.1097/FCH.0000000000000438","DOIUrl":"10.1097/FCH.0000000000000438","url":null,"abstract":"Background: In the United States, 30.7% of children aged 10-17 are overweight/obese, increasing their risk of experiencing negative health outcomes. Clinical guidelines urge for frequent visits for preventative weight management. Limited research examines the intersection of primary care patterns and families' perspectives of pediatric primary care in rural South Carolina (SC).Objectives: 1) Examine rural/non-rural differences in pediatric primary care patterns among Medicaid-insured children, and 2) contextualize differences from families' perspectives.Methods: SC Medicaid claims were analyzed among patients who had a weight-related diagnostic code and ≥1 primary care visit in northeastern SC from 2018 to 2022 (N = 22,084). Logistic regression examined associations between patient characteristics and traveling for primary care. Additionally, in-depth interviews (N = 12) were conducted to explore families' perspectives in rural primary care access.Results: Overall, 40.54% of children were diagnosed as overweight/obese. Children living in rural counties, younger, non-Hispanic white, and had a healthy weight were most likely to travel for primary care. Rurality influenced the relationship between traveling for care, race/ethnicity, and weight status. Families express limited trust and perceive poor healthcare quality in their community, motivating their willingness to travel for healthcare.Conclusion: Findings may inform tailored public health efforts to optimize child and family health across rural SC.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"267-277"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examination of Shared Use and Community-School Partnerships in West Virginia Public Schools. 西弗吉尼亚州公立学校共享使用和社区学校合作关系的研究。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000432

Brooke C Towner, Eloise M Elliott

{"title":"Examination of Shared Use and Community-School Partnerships in West Virginia Public Schools.","authors":"Brooke C Towner, Eloise M Elliott","doi":"10.1097/FCH.0000000000000432","DOIUrl":"10.1097/FCH.0000000000000432","url":null,"abstract":"Background: Research suggests that physical activity policy is emerging as an avenue to target physical activity behaviors. Shared use has been identified as a policy strategy to increase access to physical activity opportunities. Still, few studies have examined the shared use process and the partnerships at the policy and environmental levels within the local context.Objectives: This study examined the influential factors of shared use initiatives and the community-school partnership.Methods: A multiple case study method was utilized to investigate shared use policies and procedures. Seven interviews were conducted with nine combined participants from three schools. The qualitative data were analyzed using thematic analysis.Results: Cross-case analysis revealed three salient themes: (1) the need for coordinated communication, (2) variation in partnership collaboration, and (3) fluctuation in the use of established policy.Implications for policy: This study revealed gaps in communication from upper-level education administration, and having diverse partners can enhance shared use implementation efforts. Additionally, having a specific shared use policy was a nominal factor in schools participating in shared use.Conclusion: The findings suggest that policy dissemination and education should be considered for local school administration and the community. Multifaceted partnerships are needed to implement robust shared use initiatives.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"250-258"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting the Use of New Multi-Use Trails and Parks in Historically Black, Low-Income Neighborhoods: The Role of Interpersonal Discussion and Civic Engagement. 预测历史上黑人低收入社区的新多用途步道和公园的使用：人际讨论和公民参与的作用。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000435

Akansha Sirohi, Holley Wilkin, Mathew Gayman

{"title":"Predicting the Use of New Multi-Use Trails and Parks in Historically Black, Low-Income Neighborhoods: The Role of Interpersonal Discussion and Civic Engagement.","authors":"Akansha Sirohi, Holley Wilkin, Mathew Gayman","doi":"10.1097/FCH.0000000000000435","DOIUrl":"10.1097/FCH.0000000000000435","url":null,"abstract":"Background: Residents of historically Black low-income neighborhoods experience disproportionately poorer health. Public infrastructure redevelopment projects (eg, multi-use trails, parks, and public transportation) may improve quality of life and health outcomes in these neighborhoods.Objectives: The current study draws from communication infrastructure theory to examine the role of interpersonal discussion and civic engagement (belonging, collective efficacy) in intentions to use newly built trails and parks for physical activity.Methods: Community-based survey data from 398 randomly selected households in historically Black low-income neighborhoods impacted by health inequities were used to identify factors associated with intention to use multi-use trails being developed in the neighborhoods.Results: Interpersonal discussion, belonging, and collective efficacy were positively and independently associated with intentions to use parks and trails. Additionally, the civic engagement factors (belonging and collective efficacy) mediate the relationship between interpersonal discussion and intentions to use parks and trails.Conclusion: Interpersonal discussions and civic engagement can promote new parks and trails in low-income neighborhoods, which in turn may increase physical activity and improve overall health of community members.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"197-206"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Social Determinants of Health to Promote Health Equity for Latinx Families: A Mixed-Methods Study of the DULCE Intervention. 解决健康的社会决定因素以促进拉丁裔家庭的健康公平：DULCE干预的混合方法研究。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000433

Aresha Martinez-Cardoso, Emma Monahan, Angela Garza, Nola Wallace

{"title":"Addressing Social Determinants of Health to Promote Health Equity for Latinx Families: A Mixed-Methods Study of the DULCE Intervention.","authors":"Aresha Martinez-Cardoso, Emma Monahan, Angela Garza, Nola Wallace","doi":"10.1097/FCH.0000000000000433","DOIUrl":"10.1097/FCH.0000000000000433","url":null,"abstract":"Background: Social determinants of health (SDOH) interventions within clinical settings have been proposed to address health-related social needs, but few studies have explored intervention needs and challenges for Latinx families. This sequential mixed-methods study examined the effect of Developmental Understanding and Legal Collaboration for Everyone (DULCE), a 6-month SDOH intervention conducted in pediatric clinics in California and Florida.Methods: Using survey data collected among Latinx caregivers who participated in the DULCE evaluation (n = 393), we examined changes in caregivers' depression, stress, and resilience, including differences by nativity. Qualitative interviews were conducted with DULCE participants (n = 16) across nativity to elucidate the components of the intervention that impacted caregiver outcomes.Results: DULCE led to significant increases in resilience among Latinx caregivers, especially immigrants, but no changes in depression or stress. Qualitative interviews illuminated that the following themes contributed to caregivers' resilience through the DULCE program: trusted relationship with family specialist caseworkers, connection to critical resources, addressing postpartum depression and social isolation, building caregivers' capacity to withstand challenges, and bolstering caregivers' confidence to seek resources independently.Discussion: Pediatric SDOH interventions are a promising strategy to support Latinx families in early childhood. Effective interventions for Latinx families, however, require strategies that pair resource connection with relationship building, address immigrants' and Latinx system avoidance, and incorporate additional supports or boosters for families experiencing extreme stress.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"207-222"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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. 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。

IF 1.5 4区医学

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

{"title":"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.","authors":"Di Wang, Doris M Boutain, Eunjung Kim, Sungwon Lim, Rebekah Maldonado Nofziger","doi":"10.1097/FCH.0000000000000434","DOIUrl":"10.1097/FCH.0000000000000434","url":null,"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.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"238-249"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0