Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia.
Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Health Promot Int. 2022 Jun 1;37(3). doi: 10.1093/heapro/daac074.
While the non-profit sector has an integral role in health promotion, it is unclear whether these organisations have the capacity for health promotion activities. This study aims to explore and describe capacity changes of a non-profit organisation during a 3-year community-based nutrition intervention. The non-profit organisation, with 3800 members throughout the state of Queensland, Australia, implemented a 3-year food literacy community-based intervention. A team of qualified nutritionists delivered the program in partnership with community-based volunteers. A separate aim of the intervention was to build capacity of the non-profit organisation for health promotion. A qualitative study was undertaken, using a social constructivist approach to explore organisational capacity changes longitudinally. All relevant participants including non-profit executive managers and nutritionists were included in the study (100% response rate). Data collection included semi-structured interviews (n = 17) at multiple intervention time points and document analysis of program newsletters (n = 21). Interview transcripts and documents were analysed separately using thematic and content analysis. Codes and categories between the two data sources were then compared and contrasted to build themes. Organisational capacity was predominantly influenced by four themes; 'communicating', 'changing relationships', 'limited organisational learning' and 'adaptability and resistance to change'. Developing non-profit organisational health promotion capacity appears to require focusing on fostering communication processes and building positive relationships over time. Capacity changes of the non-profit organisation were not linear, fluctuating across various levels over time. Assessing non-profit organisational capacity to implement community interventions by describing adaptive capacity, may help researchers focus on the processes that influence capacity development.
虽然非营利部门在促进健康方面发挥着重要作用，但尚不清楚这些组织是否有能力开展促进健康的活动。本研究旨在探讨和描述一个非营利组织在为期 3 年的基于社区的营养干预过程中的能力变化。该非营利组织在澳大利亚昆士兰州拥有 3800 名成员，实施了为期 3 年的基于社区的食品素养干预项目。一个由合格营养师组成的团队与社区志愿者合作提供该项目。该干预项目的另一个目标是增强非营利组织促进健康的能力。采用社会建构主义方法进行了一项定性研究，从纵向角度探讨组织能力的变化。所有相关参与者，包括非营利组织的执行经理和营养师都参与了这项研究（响应率为 100%）。数据收集包括在多个干预时间点进行的半结构化访谈（n=17）和对项目通讯的文件分析（n=21）。访谈记录和文件分别使用主题分析和内容分析进行分析。然后将两个数据源之间的代码和类别进行比较和对比，以构建主题。组织能力主要受四个主题影响：“沟通”、“改变关系”、“有限的组织学习”和“适应能力和对变革的抵制”。发展非营利组织的促进健康能力似乎需要注重培养沟通过程，并随着时间的推移建立积极的关系。非营利组织的能力变化不是线性的，而是随着时间的推移在不同层面上波动。通过描述适应能力来评估非营利组织实施社区干预的能力，可能有助于研究人员关注影响能力发展的过程。
