Saint Louis University School of Public Health, Saint Louis, Missouri 63104, USA.
Am J Prev Med. 2012 Nov;43(5 Suppl 4):S290-9. doi: 10.1016/j.amepre.2012.07.003.
Active Living by Design (ALbD) partnerships were established to change environments and policies as well as support complementary programs and promotions to increase physical activity in 25 communities across the U.S.
This paper summarizes the structural and functional aspects of partnerships identified as having a substantial influence on these initiatives.
A mixed-methods evaluation included qualitative (e.g., key informant interviews, focus groups) and quantitative (e.g., survey, web-based tracking) methods. Data were collected from 2003 to 2008, systematically analyzed to identify influential factors, and triangulated for model development.
The partnerships identified a number of structural and functional factors that were important to their success, including multisectoral partners, flexible governance structures, leadership, group management, action planning, and assessment/evaluation. Three types of partnership models-utilitarian, lead agency, and collaboration-emerged across the community partnerships. Most partnerships reported challenges with engaging community members and ensuring equitable distribution of resources at the local level.
The ALbD community partnerships utilized several structural and functional factors to enhance the success of their multisector collaborations. Yet, the varied types of lead agencies, partners, and partnership structures suggest that there is no one best way to bring partners together.
“通过设计促进积极生活”（ALbD）伙伴关系的建立旨在改变环境和政策，支持补充计划和推广活动，以提高美国 25 个社区的身体活动水平。
本文总结了被认为对这些举措有重大影响的伙伴关系的结构和功能方面。
混合方法评估包括定性方法（如关键知情人访谈、焦点小组）和定量方法（如调查、基于网络的跟踪）。数据收集于 2003 年至 2008 年，通过系统分析识别出影响因素，并进行三角分析以建立模型。
合作伙伴关系确定了一些对其成功至关重要的结构和功能因素，包括多部门合作伙伴、灵活的治理结构、领导力、团队管理、行动计划和评估/评价。在社区伙伴关系中出现了三种类型的伙伴关系模式——功利型、主导机构型和合作型。大多数伙伴关系报告在吸引社区成员和确保地方一级资源公平分配方面存在挑战。
ALbD 社区伙伴关系利用了一些结构和功能因素来增强其多部门合作的成功。然而，不同类型的牵头机构、合作伙伴和伙伴关系结构表明，没有一种最佳方式可以将合作伙伴聚集在一起。
