TY  - JOUR
AU  - Leeman, Jennifer
AU  - Blitstein, Jonathan L.
AU  - Goetz, Joshua
AU  - Moore, Alexis
AU  - Tessman, Nell
AU  - Wiecha, Jean L.
PY  - 2016
TI  - Developing a Tool to Assess the Capacity of Out-of-School Time Program Providers to Implement Policy, Systems, and Environmental Change
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E105
VL  - 13
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - BACKGROUND  Little is known about public health practitioners' capacity to change policies, systems, or environments (PSEs), in part due to the absence of measures. To address this need, we partnered with the Alliance for a Healthier Generation (Alliance) to develop and test a theory-derived measure of the capacity of out-of-school time program providers to improve students' level of nutrition and physical activity through changes in PSEs. COMMUNITY CONTEXT  The measure was developed and tested through an engaged partnership with staff working on the Alliance's Healthy Out-of-School Time (HOST) Initiative. In total, approximately 2,000 sites nationwide are engaged in the HOST Initiative, which serves predominantly high-need children and youths. METHODS  We partnered with the Alliance to conduct formative work that would help develop a survey that assessed attitudes/beliefs, social norms, external resources/supports, and self-efficacy. The survey was administered to providers of out-of-school time programs who were implementing the Alliance's HOST Initiative. OUTCOME  Survey respondents were 185 out-of-school time program providers (53% response rate). Exploratory factor analysis yielded a 4-factor model that explained 44.7% of the variance. Factors pertained to perceptions of social norms (6 items) and self-efficacy to build support and engage a team (4 items) and create (5 items) and implement (3 items) an action plan. INTERPRETATION  We report initial development and factor analysis of a tool that the Alliance can use to assess the capacity of after-school time program providers, which is critical to targeting capacity-building interventions and assessing their effectiveness. Study findings also will inform the development of measures to assess individual capacity to plan and implement other PSE interventions.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd13.160105
DO  - 10.5888/pcd13.160105
ER  - 
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