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From Roots to Results: A Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice.
Health Educ Behav. 2019 10; 46(1_suppl):33S-43S.HE

Abstract

Policy, systems, and environmental change are now widely accepted as critical to sustaining improvements in community health. Evidence suggests that such systems-level change is most effective when driven by community-based partnerships. Yet, after more than three decades of building community-based partnership work, health inequities have continued to deepen. To address health inequities, current and historical distributions of power are increasingly recognized as important considerations in efforts to ensure all individuals have the opportunity to attain their full health potential (i.e., achieving health equity). Building on social determinants of health literature, social injustice and powerlessness are put forth as fundamental causes of health inequities. Focusing on power as a root cause of health and health equity through application of Wolff and colleagues' six principles requires substantial changes in contemporary public health practice. This case study uses document analysis of a single case, the Community Teams Program, to assess the evolution of a statewide public health leadership program's efforts to build the capacity of coalition-based teams to catalyze community change in line with Wolff and colleagues' principles. Deductive, selective coding of the materials surface four themes in the program adaptations: (1) the need to focus on power as a root cause, (2) shifting power through relationship building, (3) storytelling as a way to shift narrative, and (4) building mechanisms into the curriculum that hold coalitions accountable for applying and sustaining learned skills. The themes demonstrate philosophical, pedagogical, and organizational changes to center power building approaches in health promotion. Findings are triangulated by reflections from the program director and recorded reflections of participants captured in existing evaluation data.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Wolf L
University of Wisconsin-Madison, Madison, WI, USA.
Vigna AJ
University of Wisconsin-Madison, Madison, WI, USA.
Inzeo PT
University of Wisconsin-Madison, Madison, WI, USA.
Ceraso M
Oregon State University, Corvallis, OR, USA.
Wolff T
Tom Wolff & Associates, Leverett, MA, USA.

MeSH

Capacity BuildingCommunity ParticipationCooperative BehaviorEmpowermentHealth EquityHealth PromotionHealth Status DisparitiesHumansInterpersonal RelationsLeadershipMentorsOrganizational Case StudiesPublic HealthQualitative Research

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31549561

Citation

Wolf, Lesley, et al. "From Roots to Results: a Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice." Health Education & Behavior : the Official Publication of the Society for Public Health Education, vol. 46, no. 1_suppl, 2019, 33S-43S.
Wolf L, Vigna AJ, Inzeo PT, et al. From Roots to Results: A Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice. Health Educ Behav. 2019;46(1_suppl):33S-43S.
Wolf, L., Vigna, A. J., Inzeo, P. T., Ceraso, M., & Wolff, T. (2019). From Roots to Results: A Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice. Health Education & Behavior : the Official Publication of the Society for Public Health Education, 46(1_suppl), 33S-43S. https://doi.org/10.1177/1090198119853616
Wolf L, et al. From Roots to Results: a Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice. Health Educ Behav. 2019;46(1_suppl):33S-43S. PubMed PMID: 31549561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - From Roots to Results: A Qualitative Case Study of the Evolution of a Public Health Leadership Institute Building Capacity in Collaborating for Equity and Justice. AU - Wolf,Lesley, AU - Vigna,Abra J, AU - Inzeo,Paula Tran, AU - Ceraso,Marion, AU - Wolff,Tom, PY - 2019/9/25/entrez PY - 2019/9/25/pubmed PY - 2020/9/15/medline KW - capacity building KW - community coaching KW - health promotion KW - leadership KW - public health KW - qualitative methods SP - 33S EP - 43S JF - Health education & behavior : the official publication of the Society for Public Health Education JO - Health Educ Behav VL - 46 IS - 1_suppl N2 - Policy, systems, and environmental change are now widely accepted as critical to sustaining improvements in community health. Evidence suggests that such systems-level change is most effective when driven by community-based partnerships. Yet, after more than three decades of building community-based partnership work, health inequities have continued to deepen. To address health inequities, current and historical distributions of power are increasingly recognized as important considerations in efforts to ensure all individuals have the opportunity to attain their full health potential (i.e., achieving health equity). Building on social determinants of health literature, social injustice and powerlessness are put forth as fundamental causes of health inequities. Focusing on power as a root cause of health and health equity through application of Wolff and colleagues' six principles requires substantial changes in contemporary public health practice. This case study uses document analysis of a single case, the Community Teams Program, to assess the evolution of a statewide public health leadership program's efforts to build the capacity of coalition-based teams to catalyze community change in line with Wolff and colleagues' principles. Deductive, selective coding of the materials surface four themes in the program adaptations: (1) the need to focus on power as a root cause, (2) shifting power through relationship building, (3) storytelling as a way to shift narrative, and (4) building mechanisms into the curriculum that hold coalitions accountable for applying and sustaining learned skills. The themes demonstrate philosophical, pedagogical, and organizational changes to center power building approaches in health promotion. Findings are triangulated by reflections from the program director and recorded reflections of participants captured in existing evaluation data. SN - 1552-6127 UR - https://www.unboundmedicine.com/medline/citation/31549561/From_Roots_to_Results:_A_Qualitative_Case_Study_of_the_Evolution_of_a_Public_Health_Leadership_Institute_Building_Capacity_in_Collaborating_for_Equity_and_Justice_ DB - PRIME DP - Unbound Medicine ER -