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A multi-level examination of how the organizational context relates to readiness to implement prevention and evidence-based programming in community settings

机译：多层次检查组织环境如何与在社区环境中实施预防和基于证据的编程的准备度有关

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摘要

Prior theoretical and empirical research suggests that multiple aspects of an organization's context are likely related to a number of factors, from their interest and ability to adopt new programming, to client outcomes. A limited amount of the prior research has taken a more community-wide perspective by examining factors that associate with community readiness for change, leaving how these findings generalize to community organizations that conduct prevention or positive youth development programs unknown. Thus for the current study, we examined how the organizational context of the Cooperative Extension System (CES) associates with current attitudes and practices regarding prevention and evidence-based programming. Attitudes and practices have been found in the empirical literature to be key indicators of an organization's readiness to adopt prevention and evidence-based programming. Based on multi-level mixed models, results indicate that organizational management practices distinct from program delivery may affect an organization's readiness to adopt and implement new prevention and evidence-based youth programs, thereby limiting the potential public health impact of evidence-based programs. Openness to change, openness of leadership, and communication were the strongest predictors identified within this study. An organization's morale was also found to be a strong predictor of an organization's readiness. The findings of the current study are discussed in terms of implications for prevention and intervention.
机译：先前的理论和经验研究表明，组织上下文的多个方面可能与许多因素相关，从它们的兴趣和采用新程序的能力到客户的结果。有限的先前研究通过检查与社区为变革做好准备相关的因素，采取了更广泛的社区视角，而这些发现如何推广到进行预防或积极的青年发展计划的社区组织。因此，在当前的研究中，我们研究了合作社扩展系统（CES）的组织环境如何与有关预防和基于证据的程序设计的当前态度和实践相关联。在经验文献中发现态度和实践是组织准备采取预防和基于证据的程序的关键指标。基于多级混合模型，结果表明与计划交付不同的组织管理实践可能会影响组织准备采用和实施新的预防和循证青年计划，从而限制了循证计划对公共卫生的潜在影响。变革的开放性，领导的开放性和沟通能力是本研究确定的最强预测指标。还发现组织的士气可以很好地预测组织的准备情况。就预防和干预的意义讨论了本研究的结果。

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