Wyand Shelby, Schubel Laura C, Pratt-Chapman Mandi L, Smith Marjanna, Rivera Jessica Rivera, Sutton Karey M, Smith Judith Lee, Sabatino Susan A, Rohan Elizabeth A, Arem Hannah
Center for Health Equity Research, MedStar Health Research Institute, Columbia, MD, USA.
Implementation Science, MedStar Health Research Institute, Washington, DC, USA.
BMC Health Serv Res. 2025 May 28;25(1):763. doi: 10.1186/s12913-025-12883-7.
Coalitions involving both healthcare organizations and community organizations, are a way of providing community support to patients. However, the impact of these collaborations and partner satisfaction can be hard to measure without the use of a theoretical framework to guide progress.
In January 2023 we established the BEAT-C coalition, guided by the Community Coalition Action Theory (CCAT), to improve clinical-community linkages for addressing non-medical needs among individuals affected by cancer in the Washington, D.C. region. To create broad representation, we invited organizations focused on faith, older adults, cancer support, health promotion, healthy food access, and community health to join. The coalition dedicated significant effort at the outset to establish trust, cultivate relationships, and define shared values, mission, goals, and objectives. To assess coalition functioning, we administered a modified version of the Coalition Self-Assessment Survey (CSAS) in December 2023.
Sixteen individuals representing 10 organizations completed the adapted CSAS. Respondents generally responded positively regarding the coalition and made decisions primarily through discussion and agreement (75.0%). Respondents noted respect for leadership (81.3%) and respect for and from fellow coalition members (100.0%). While 56.3% reported meaningful action through the coalition, 31.3% thought there could be more meaningful action. Qualitative feedback mirrored these findings: participants positively regarded the coalition’s responsiveness and noted activities occurring through partnerships developed from the coalition, but some respondents emphasized a desire to act more swiftly.
Our research described facilitators and barriers to early implementation of a theory-driven collaborative coalition to enhance cancer survivor support. Through the continued efforts of the coalition and increased community capacity building, the multi-disciplinary efforts of the coalition have potential to address the needs of cancer survivors.
The online version contains supplementary material available at 10.1186/s12913-025-12883-7.
由医疗保健组织和社区组织组成的联盟是为患者提供社区支持的一种方式。然而，如果没有理论框架来指导进展，这些合作的影响和合作伙伴满意度可能很难衡量。
2023年1月，我们在社区联盟行动理论（CCAT）的指导下成立了BEAT-C联盟，以改善临床与社区的联系，满足华盛顿特区地区受癌症影响个体的非医疗需求。为了实现广泛代表性，我们邀请了专注于宗教、老年人、癌症支持、健康促进、健康食品获取和社区健康的组织加入。联盟在一开始就投入了大量精力来建立信任、培养关系，并确定共同的价值观、使命、目标和目的。为了评估联盟的运作情况，我们在2023年12月进行了一项经过修改的联盟自我评估调查（CSAS）。
代表10个组织的16个人完成了改编后的CSAS。受访者对联盟总体反应积极，主要通过讨论和达成一致来做出决策（75.0%）。受访者提到尊重领导力（81.3%）以及尊重联盟成员并得到成员的尊重（100.0%）。虽然56.3%的人报告称通过联盟采取了有意义的行动，但31.3%的人认为可以有更多有意义的行动。定性反馈反映了这些发现：参与者对联盟的响应能力给予积极评价，并提到通过联盟建立的伙伴关系开展了一些活动，但一些受访者强调希望行动更加迅速。
我们的研究描述了一个理论驱动的合作联盟早期实施过程中的促进因素和障碍，该联盟旨在加强对癌症幸存者的支持。通过联盟的持续努力和社区能力建设的加强，联盟的多学科努力有潜力满足癌症幸存者的需求。
在线版本包含可在10.1186/s12913-025-12883-7获取的补充材料。
