Zakocs Ronda, Freire Kimberley E
Insight Evaluation, LLC, Portland, OR, USA
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Health Educ Behav. 2015 Aug;42(4):458-70. doi: 10.1177/1090198115577133.
The DELTA PREP Project aimed to build the prevention capacity of 19 state domestic violence coalitions by offering eight supports designed to promote prevention integration over a 3-year period: modest grant awards, training events, technical assistance, action planning, coaching hubs, the Coalition Prevention Capacity Assessment, an online workstation, and the online documentation support system.
Using quantitative and qualitative data, we sought to explain how coalitions integrated prevention within their structures and functions and document how DELTA PREP supports contributed to coalitions' integration process.
We found that coalitions followed a common pathway to integrate prevention. First, coalitions exhibited precursors of organizational readiness, especially having prevention champions. Second, coalitions engaged in five critical actions: engaging in dialogue, learning about prevention, forming teams, soliciting input from the coalition, and action planning. Last, by engaging in these critical actions, coalitions enhanced two key organizational readiness factors-developing a common understanding of prevention and an organizational commitment to prevention. We also found that DELTA PREP supports contributed to coalitions' abilities to integrate prevention by supporting learning about prevention, fostering a prevention team, and engaging in action planning by leveraging existing opportunities. Two DELTA PREP supports-coaching hubs and the workstation-did not work as initially intended. From the DELTA PREP experience, we offer several lessons to consider when designing future prevention capacity-building initiatives.
“三角洲预防项目”旨在通过提供八项支持措施,在三年时间内增强19个州家庭暴力联盟的预防能力,这些支持措施旨在促进预防工作的整合:适度的赠款奖励、培训活动、技术援助、行动计划制定、指导中心、联盟预防能力评估、在线工作站以及在线文档支持系统。
我们运用定量和定性数据,试图解释联盟如何在其结构和功能中整合预防工作,并记录“三角洲预防项目”的支持措施如何促进联盟的整合过程。
我们发现联盟遵循一条共同的途径来整合预防工作。首先,联盟展现出组织准备就绪的先兆,尤其是拥有预防工作的倡导者。其次,联盟采取了五项关键行动:开展对话、了解预防工作、组建团队、征求联盟成员的意见以及制定行动计划。最后,通过采取这些关键行动,联盟增强了两个关键的组织准备因素——形成对预防工作的共同理解以及组织对预防工作的承诺。我们还发现,“三角洲预防项目”的支持措施通过支持对预防工作的了解、培养预防团队以及利用现有机会参与行动计划制定,有助于联盟整合预防工作的能力。“三角洲预防项目”的两项支持措施——指导中心和工作站——并未按最初设想发挥作用。从“三角洲预防项目”的经验中,我们提供了一些在设计未来预防能力建设举措时需要考虑的经验教训。