Meinen Amy, Hilgendorf Amy, Korth Amy L, Christens Brian D, Breuer Catherine, Joyner Hilary, Polzin Molle, Adams Alexandra, Wolfe Daithi, Braun Abbe, Hoiting Jill, Paulson Jeanette, Cullen Bridget, Stader Kelli
WMJ. 2016 Nov;115(5):269-74.
The Wisconsin Early Childhood Obesity Prevention Initiative (Initiative), established in 2007, seeks to address and prevent obesity in the early care and education system through nutrition and physical activity environmental and policy changes. The collaborative includes professionals from 3 state of Wisconsin Departments, the University of Wisconsin-Extension, the University of Wisconsin-Madison, and public health and early care and education organizations. This paper explores the efforts of the Initiative to advance our understanding of collective impact in practice and its value to health promotion efforts.
Evaluators conducted a mixed methods case study to evaluate the application of collective impact principles by the Initiative. This included a survey of Initiative partners, review of archival documents, and qualitative interviews with Initiative leaders.
Initiative partners noted progress in establishing the conditions for collective impact. Archival documents and interviews describe both formal and informal practices that helped set a common agenda, align and coordinate partner activities, and promote communication among Initiative leaders. Results also detail the important current and potential roles of “backbone” staff from healthTIDE to support the Initiative. Additionally, results suggest particularly challenging aspects of the Initiative’s impact model related to shared measurement and broader stakeholder communication. While the Initiative is still setting in place the conditions for collective impact, it has achieved significant policy, systems, and environment changes since its formation. Inclusion of nutrition and physical activity criteria in the state’s quality rating improvement system for child care centers is one of its outcomes.
This case study offers several important insights about the application of collective impact in health promotion efforts, particularly in relation to the transition from previous collaborative activities, the value of establishing a clear common agenda among partners, the roles of backbone staff, and time and partner relationships in collective impact.
威斯康星州幼儿肥胖预防倡议（该倡议）于2007年设立，旨在通过营养和体育活动方面的环境及政策变革，解决并预防早期护理和教育系统中的肥胖问题。该合作项目包括来自威斯康星州三个部门、威斯康星大学推广分校、威斯康星大学麦迪逊分校以及公共卫生和早期护理与教育组织的专业人员。本文探讨了该倡议为增进我们对实践中集体影响的理解及其对健康促进工作的价值所做的努力。
评估人员开展了一项混合方法案例研究，以评估该倡议对集体影响原则的应用情况。这包括对倡议合作伙伴的调查、档案文件审查以及对倡议负责人的定性访谈。
倡议合作伙伴指出在建立集体影响条件方面取得了进展。档案文件和访谈描述了有助于设定共同议程、协调合作伙伴活动以及促进倡议负责人之间沟通的正式和非正式做法。结果还详细说明了HealthTIDE的“骨干”工作人员在支持该倡议方面当前和潜在的重要作用。此外，结果表明该倡议的影响模式在共享衡量和更广泛的利益相关者沟通方面存在特别具有挑战性的方面。虽然该倡议仍在为集体影响创造条件，但自成立以来已实现了重大的政策、系统和环境变革。将营养和体育活动标准纳入该州儿童保育中心的质量评级改进系统就是其成果之一。
本案例研究为健康促进工作中集体影响的应用提供了几个重要见解，特别是在从先前的合作活动过渡方面、在合作伙伴之间建立明确共同议程的价值、骨干工作人员的作用以及集体影响中的时间和合作伙伴关系方面。
