The Component Model of Infrastructure: A Practical Approach to Understanding Public Health Program Infrastructure

Lavinghouze, S. René; Snyder, Kimberly; Rieker, Patricia P.

doi:10.2105/ajph.2014.302033

Cited by 48 publications

(108 citation statements)

References 25 publications

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“…To respond to the multitude of changes occurring in public health (eg, changes in scientific evidence, priorities, funding levels, external support), state plans must be dynamic and evolve relative to these changes; such plans are a necessary component for functioning public health infrastructure. 3 Crafting these types of quality plans requires more than capacity building alone, 23 leading to a need to create planning tools that are both comprehensive and flexible to practitioner needs.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, the Component Model of Infrastructure includes responsive state plans as one of 5 necessary components for functioning programmatic infrastructure. 3 Similarly, the Getting to Outcomes 4 model prioritizes the planning process as 6 of its 10 total steps for increasing capacity for interventions.…”

Section: Quality Strategic Planningmentioning

confidence: 99%

“…Ideally, state plans result from a dynamic process that is just as important as the plan itself because the collaborative nature and diverse viewpoints from multiple stakeholders foster shared ownership and responsibility for the goals and objectives among the various programs, practices, and policies. 3 Therefore, including systems thinking is advantageous not only because the resulting plans are designed to be responsive and adaptable but also because partners are fully engaged throughout the project. It is likely that plans that foster systems-level thinking and collaboration (eg, emphasizing relationship building across different levels of the social ecology, incorporating distal barriers and risk/protective factors, sustained at the policy level) are better designed to result in measureable impact.…”

Section: Reflecting Shifting Paradigms In Strategic Plansmentioning

confidence: 99%

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Development of a Comprehensive and Interactive Tool to Inform State Violence and Injury Prevention Plans

Wilson

Deokar

Zaesim³

et al. 2018

Journal of Public Health Management and Practice

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Context The Center of Disease Control and Prevention’s Core State Violence and Injury Prevention Program (Core SVIPP) provides an opportunity for states to engage with their partners to implement, evaluate, and disseminate strategies that lead to the reduction and prevention of injury and violence. Core SVIPP requires awardees to develop or update their state injury and violence plans. Currently, literature informing state planning efforts is limited, especially regarding materials related to injury and violence. Presumably, plans that are higher quality result in having a greater impact on preventing injury and violence, and literature to improve quality would benefit prevention programming. Objective (1) To create a comprehensive injury-specific index to aid in the development and revision of state injury and violence prevention plans, and (2) to assess the reliability and utility of this index. Design Through an iterative development process, a workgroup of subject matter experts created the Violence and Injury Prevention: Comprehensive Index Tool (VIP:CIT). The tool was pilot tested on 3 state injury and violence prevention plans and assessed for initial usability. Following revisions to the tool (ie, a rubric was developed to further delineate consistent criteria for rating; items were added and clarified), the same state plans were reassessed to test interrater reliability and tool utility. Results For the second assessment, reliability of the VIP:CIT improved, indicating that the rubric was a useful addition. Qualitative feedback from states suggested that the tool significantly helped guide plan development and communicate about planning processes. Conclusion The final VIP:CIT is a tool that can help increase plan quality, decrease the research-to-practice gap, and increase connectivity to emerging public health paradigms. The tool provides an example of tailoring guidance materials to reflect academic literature, and it can be easily adapted to other topic areas to promote quality of strategic plans for numerous outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Quality Strategic Planningmentioning

confidence: 99%

Section: Reflecting Shifting Paradigms In Strategic Plansmentioning

confidence: 99%

See 1 more Smart Citation

Development of a Comprehensive and Interactive Tool to Inform State Violence and Injury Prevention Plans

Wilson

Deokar

Zaesim³

et al. 2018

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

show abstract

“…“Managed resources” — an element of the Component Model of Infrastructure developed by the Office on Smoking and Health at CDC — are funds or social capital that produce social benefits (8). Many state health departments described using fiscal tools for combining funds (eg, blending or braiding) or identifying new, previously untapped resources to enhance chronic disease prevention and control science and programs.…”

Section: Conceptual Model Elementsmentioning

confidence: 99%

A Customizable Model for Chronic Disease Coordination: Lessons Learned From the Coordinated Chronic Disease Program

2016

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In 2012, the Centers for Disease Control and Prevention provided funding and technical assistance to all states and territories to implement the Coordinated Chronic Disease Program, marking the first time that all state health departments had federal resources to coordinate chronic disease prevention and control programs. This article describes lessons learned from this initiative and identifies key elements of a coordinated approach. We analyzed 80 programmatic documents from 21 states and conducted semistructured interviews with 7 chronic disease directors. Six overarching themes emerged: 1) focused agenda, 2) identification of functions, 3) comprehensive planning, 4) collaborative leadership and expertise, 5) managed resources, and 6) relationship building. These elements supported 4 essential activities: 1) evidence-based interventions, 2) strategic use of staff, 3) consistent communication, and 4) strong program infrastructure. On the basis of these elements and activities, we propose a conceptual model that frames overarching concepts, skills, and strategies needed to coordinate state chronic disease prevention and control programs.

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“…DHHS, 2014a). To plan and implement interventions that respond effectively to the Surgeon General’s call, state tobacco prevention and control programs (TCPs) require fully functioning infrastructure (CDC, 2014; Lavinghouze, Snyder, Rieker, & Ottoson, 2013; Lavinghouze, Snyder, & Rieker, 2014). …”

Section: Introductionmentioning

confidence: 99%

Measuring infrastructure: A key step in program evaluation and planning

Schmitt

Glasgow

Lavinghouze

et al. 2016

Evaluation and Program Planning

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State tobacco prevention and control programs (TCPs) require a fully functioning infrastructure to respond effectively to the Surgeon General’s call for accelerating the national reduction in tobacco use. The literature describes common elements of infrastructure; however, a lack of valid and reliable measures has made it difficult for program planners to monitor relevant infrastructure indicators and address observed deficiencies, or for evaluators to determine the association among infrastructure, program efforts, and program outcomes. The Component Model of Infrastructure (CMI) is a comprehensive, evidence-based framework that facilitates TCP program planning efforts to develop and maintain their infrastructure. Measures of CMI components were needed to evaluate the model’s utility and predictive capability for assessing infrastructure. This paper describes the development of CMI measures and results of a pilot test with nine state TCP managers. Pilot test findings indicate that the tool has good face validity and is clear and easy to follow. The CMI tool yields data that can enhance public health efforts in a funding-constrained environment and provides insight into program sustainability. Ultimately, the CMI measurement tool could facilitate better evaluation and program planning across public health programs.

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The Component Model of Infrastructure: A Practical Approach to Understanding Public Health Program Infrastructure

Cited by 48 publications

References 25 publications

Development of a Comprehensive and Interactive Tool to Inform State Violence and Injury Prevention Plans

Development of a Comprehensive and Interactive Tool to Inform State Violence and Injury Prevention Plans

A Customizable Model for Chronic Disease Coordination: Lessons Learned From the Coordinated Chronic Disease Program

Measuring infrastructure: A key step in program evaluation and planning

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