Klein Buendel, Inc, Golden, Colorado 80401, USA.
J Public Health Manag Pract. 2011 Mar-Apr;17(2):E10-9. doi: 10.1097/PHH.0b013e3181df7f6c.
A state budget shortfall defunded 10 local tobacco coalitions during a randomized trial but defunded coalitions continued to have access to 2 technical assistance Web sites.
To test the ability of Web-based technology to provide technical assistance to local tobacco control coalitions.
Randomized 2-group trial with local tobacco control coalitions as the unit of randomization.
Local communities (ie, counties) within the State of Colorado.
Leaders and members in 34 local tobacco control coalitions funded by the state health department in Colorado.
Two technical assistance Web sites: A Basic Web site with text-based information and a multimedia Enhanced Web site containing learning modules, resources, and communication features.
MAIN OUTCOME MEASURE(S): Use of the Web sites in minutes, pages, and session and evaluations of coalition functioning on coalition development, conflict resolution, leadership satisfaction, decision-making satisfaction, shared mission, personal involvement, and organization involvement in survey of leaders and members.
Coalitions that were defunded but had access to the multimedia Enhanced Web site during the Fully Funded period and after defunding continued to use it (treatment group × funding status × period, F(3,714) = 3.18, P = .0234). Coalitions with access to the Basic Web site had low Web site use throughout and use by defunded coalitions was nearly zero when funding ceased. Members in defunded Basic Web site coalitions reported that their coalitions functioned worse than defunded Enhanced Web site coalitions (coalition development: group × status, F(1,360) = 4.81, P = .029; conflict resolution: group × status, F(1,306) = 5.69, P = .018; leadership satisfaction: group × status, F(1,342) = 5.69, P = .023).
The Enhanced Web site may have had a protective effect on defunded coalitions. Defunded coalitions may have increased their capacity by using the Enhanced Web site when fully funded or by continuing to use the available online resources after defunding. Web-based technical assistance with online training and resources may be a good investment when future funding is not ensured.
在一项随机试验中，由于州预算短缺，10 个地方烟草联盟失去了资金支持，但这些联盟仍可以访问 2 个技术援助网站。
测试基于网络的技术为地方烟草控制联盟提供技术援助的能力。
以地方烟草控制联盟为随机分组单位的 2 组随机试验。
科罗拉多州的地方社区（即县）。
科罗拉多州卫生部资助的 34 个地方烟草控制联盟的领导人和成员。
两个技术援助网站：一个基本网站，提供基于文本的信息，以及一个多媒体增强网站，其中包含学习模块、资源和通信功能。
网站使用的分钟数、页面数和会话数，以及对联盟发展、冲突解决、领导满意度、决策满意度、共同使命、个人参与度和组织参与度的评估，这些都是对领导人和成员进行调查得出的结果。
在全额资助期间和资金取消后，获得多媒体增强网站访问权限的被取消资助的联盟继续使用该网站（处理组×资金状况×时期，F（3,714）= 3.18，P =.0234）。有机会访问基本网站的联盟在整个过程中网站使用量都很低，当资金停止时，被取消资助的联盟几乎没有使用基本网站。在被取消资助的基本网站联盟中，成员报告说他们的联盟运作不如获得增强网站访问权限的联盟（联盟发展：组×状况，F（1,360）= 4.81，P =.029；冲突解决：组×状况，F（1,306）= 5.69，P =.018；领导满意度：组×状况，F（1,342）= 5.69，P =.023）。
增强型网站可能对被取消资助的联盟产生了保护作用。当资金充足时，被取消资助的联盟可能会通过使用增强型网站来增加其能力，或者在被取消资助后继续使用现有的在线资源。当未来的资金无法保证时，基于网络的技术援助，包括在线培训和资源，可能是一项不错的投资。
