Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan.
BMC Public Health. 2012 Mar 12;12:178. doi: 10.1186/1471-2458-12-178.
Strengthening interorganizational relationships in the community has become an increasingly valued strategy for improving public health in recent years. However, no intervention strategy to foster an interorganizational network in the community has yet been devised. The purpose of this study was to examine the effects on members of an organization of an intervention program designed to promote interorganizational network building between multidisciplinary agencies and community-based organizations (CBOs).
The program was conducted in Setagaya and Suginami wards, Tokyo, Japan, for staff of community comprehensive support centers (CCSCs), which are multidisciplinary organizations responsible for the support of the elderly. A cluster non-randomized design with a CCSC as a cluster unit (N = 47) was used. The intervention group comprised 20 centers and the control group 27 centers. Those 27 centers declined to participate in program sessions, but did participate through completing pre- and post-intervention surveys. In total, 158 staff members were eligible to participate in this study, 73 from the intervention group and 85 from the control group. Of the 73 members in the intervention group, 19 participated in the monthly program sessions, over a period of 10 months. Attendees participated in group discussions during the sessions. The effects of the intervention were examined by comparing three groups (attendees and non-attendees of the program from the intervention group, and the control group) and between two groups (intervention group and control group).
We found no significant difference in any outcome between the intervention group and the control group. However, among the three groups, a significant effect was found in the recognition of knowledge and skills for building networks with CBOs. Recognition of knowledge and skills increased significantly among the attendees compared to non-attendees in the intervention group and the control group. In addition, there was a significant effect, particularly on those with relatively low baseline scores, for the recognition of knowledge and skills.
The tested intervention proved effective for attendees regarding their recognition of knowledge and skills for promoting interorganizational network building with CBOs.
近年来，加强社区内的组织间关系已成为改善公共卫生的一项越来越受重视的策略。然而，目前尚未制定出促进社区内组织间网络形成的干预策略。本研究旨在检验一项干预计划对多学科机构和社区组织（CBO）之间建立组织间网络的促进作用，该计划对组织成员的影响。
该计划在日本东京的世田谷区和杉并区进行，对象为社区综合支持中心（CCSC）的工作人员，这些中心是负责老年人支持的多学科组织。采用以社区综合支持中心为单位的整群非随机设计（N=47）。干预组由 20 个中心组成，对照组由 27 个中心组成。这 27 个中心拒绝参加方案会议，但通过完成干预前后的调查参与了研究。共有 158 名工作人员符合参与本研究的条件，其中干预组 73 人，对照组 85 人。在干预组的 73 名成员中，有 19 人参加了为期 10 个月的每月方案会议。与会者在会议期间参加小组讨论。通过比较三组（干预组的方案参加者和不参加者、对照组）和两组（干预组和对照组）来检验干预的效果。
我们未发现干预组和对照组之间任何结果存在显著差异。然而，在这三组中，在与 CBO 建立网络的知识和技能的认识方面发现了显著效果。与干预组和对照组的不参加者相比，干预组的参加者对知识和技能的认识显著提高。此外，对于那些基线得分相对较低的人，知识和技能的认识效果显著。
该测试的干预措施对参加者在促进与 CBO 建立组织间网络的知识和技能的认识方面是有效的。
