Contributions of Community Involvement to Organizational-Level Empowerment: The Federal Healthy Start Experience

Minkler, Meredith; Thompson, Mildred; Bell, Judith; Rose, Kalima

doi:10.1177/109019810102800609

Cited by 61 publications

(54 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…49,121 A key management strategy in this regard is to involve a broad and diverse array of participants in all decision making. Another is to make all of the leaders, staff, lead agencies, and fiscal agents formally accountable to the decision-making body of the collaboration rather than to their own employer or board.…”

Section: Promote Broad and Active Participationmentioning

confidence: 99%

Broadening Participation in Community Problem Solving: a Multidisciplinary Model to Support Collaborative Practice and Research

Lasker

Weiss

2003

Journal of Urban Health: Bulletin of the New York Academy of Medicine

416

344

View full text Add to dashboard Cite

show abstract

Section: Promote Broad and Active Participationmentioning

confidence: 99%

Broadening Participation in Community Problem Solving: a Multidisciplinary Model to Support Collaborative Practice and Research

Lasker

Weiss

2003

Journal of Urban Health: Bulletin of the New York Academy of Medicine

416

344

View full text Add to dashboard Cite

show abstract

“…Interestingly in the current study, leadership was not found to predict perceived effectiveness or intrapersonal PE directly. In previous studies, leadership has been found to be an organizational characteristic that predicted PE (Maton, 2008;Minkler, Thompson, Bell, & Rose, 2001). More consistent with the current study's finding of the indirect relationship between leadership and intrapersonal PE, Hardina (2005) argued that empowerment-oriented leadership allowed for more staff opportunities and social support and, then related to such outcomes as improved service delivery and successfully advocating for social change.…”

Section: Discussionmentioning

confidence: 99%

Pathways to Effectiveness in Substance Abuse Prevention: Empowering Organizational Characteristics of Community-Based Coalitions

Powell

Peterson

2014

Human Service Organizations Management, Leadership & Govern

View full text Add to dashboard Cite

Coalition development is an important approach to the prevention of substance abuse. In addition, empowerment is considered a critical foundation of coalitions' effectiveness. Few studies, however, have tested the characteristics of coalitions that predict empowerment and effectiveness in substance abuse prevention contexts. This study tested a path model that included organizational characteristics as predictors of members' empowerment and ratings of coalition effectiveness. Participants (n = 138) were members of 11 coalitions. Leadership had an indirect effect on coalition effectiveness through its influence on opportunity role structure, social support, and group-based belief system. Empowerment mediated the effect of social support on effectiveness.Keywords: coalitions, empowerment, perceived effectiveness, strategic prevention framework, substance abuse prevention INTRODUCTIONCoalitions often focus on creating changes in public policy or other environmental conditions that contribute to the prevalence of substance abuse in communities (Bunnell et al., 2012;Frieden, 2010;Gloppen, Arthur, Hawkins, & Shapiro, 2012;Linowski & DiFulvio, 2012; Wolfson et al., 2012). The present study contributes to the literature through an examination of community coalitions implementing a new federally driven substance abuse prevention framework. In particular, we test a conceptual model specifying organizational characteristics that are hypothesized as promoting empowerment among coalition members and their perceptions of coalition effectiveness. This social work investigation of coalition building within a substance abuse prevention context is an important step in increasing our understanding of empowerment-related processes and outcomes and how they can contribute to the effectiveness of groups working to improve quality of life through communitylevel interventions. Research that applies empowerment as a theoretical framework may contribute to our knowledge of strategies to improve social work practice in ways that build on the strengths of coalitions to effect social change, especially as it relates to preventing the harmful consequences of substance abuse in communities.Correspondence should be addressed to Kristen Gilmore Powell, Rutgers University, School of Social Work, 390 George Street, 5th Floor, New Brunswick, NJ 08901, USA. E-mail: kgilmore@ssw.rutgers.edu 472 POWELL AND PETERSONEmpowerment is a fundamental concept within the social work profession. For example, the social work Code of Ethics emphasizes the need for social workers to facilitate the empowerment of vulnerable populations by addressing environmental barriers that negatively affect the health and well-being of people on a macro scale (National Association of Social Workers, 2008). Empowerment theory encourages researchers and practitioners to focus beyond the individual level of analysis and attend to environmental risk factors affecting the well-being of those most vulnerable. Tracing the field's roots back to the settlement house movement, social wor...

show abstract

“…11 Given the success of CBPR methods to reduce disparities, 12 organizations like the National Healthy Start Program (NHSP) have welcomed CBPR as a useful model for organizational empowerment among diverse stakeholders in settings where recognized methods for evaluation and program design have previously fallen short. 13,14 Might a CBPR approach, fostering a co-developed rather than an imposed solution, overcome perceived barriers to the adoption of SDM? An example of one such co-developed solution could be a decision support tool that serves the needs of the patient and physician by promoting collaboration within the clinical encounter rather than outside it.…”

Section: Community-based Participatory Research-a Potential Solutionmentioning

confidence: 99%

Physicians as Part of the Solution? Community-Based Participatory Research as a Way to Get Shared Decision Making into Practice

2013

View full text Add to dashboard Cite

Although support among policy makers and academics for the wide scale adoption of shared decision making (SDM) is growing, actual implementation is slow, and faces many challenges. Extensive systemic barriers exist that prevent physicians from being able to champion SDM and lead practice change. In other areas of public health where implementation has been a challenge, community-based participatory research (CBPR) has effectively engaged resistant stakeholders to improve practice and the delivery of care. Might CBPR, defined broadly as research that engages participants in the conception, design, and implementation of relevant health programs, be a more effective way to engage physicians, patients, and managers in the implementation process? Consequently, we argue that adopting a participatory approach may help to overcome recognized barriers to progress in this area.KEY WORDS: shared decision making; community-based participatory research; implementation; patient engagement; clinical practice.

show abstract

Contributions of Community Involvement to Organizational-Level Empowerment: The Federal Healthy Start Experience

Cited by 61 publications

References 25 publications

Broadening Participation in Community Problem Solving: a Multidisciplinary Model to Support Collaborative Practice and Research

Broadening Participation in Community Problem Solving: a Multidisciplinary Model to Support Collaborative Practice and Research

Pathways to Effectiveness in Substance Abuse Prevention: Empowering Organizational Characteristics of Community-Based Coalitions

Physicians as Part of the Solution? Community-Based Participatory Research as a Way to Get Shared Decision Making into Practice

Contact Info

Product

Resources

About