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Accomplishing structural change: identifying intermediate indicators of success
Robin Lin Miller1, Sarah J Reed, Vincent Francisco
1Department of Psychology, Michigan State University, East Lansing, MI, USA. mill1493@msu.edu
American Journal of Community Psychology
|August 10, 2012
Summary
Community coalitions face challenges in measuring success. This study examines intermediate indicators for structural changes to prevent HIV exposure in adolescents, guiding future community efforts.
Area of Science:
- Public Health
- Community Mobilization
- Health Equity
Background:
- Community coalitions are common in the U.S. for improving local well-being.
- Measuring the impact of structural changes on population health outcomes is challenging.
- Lack of guidance exists for selecting intermediate success indicators for coalitions.
Purpose of the Study:
- To explore the strengths and weaknesses of intermediate success indicators.
- To assess indicators used by coalitions focused on preventing HIV exposure in adolescents.
- To provide guidance for effective coalition progress evaluation.
Main Methods:
- Analysis of intermediate success indicators.
- Case study of 13 coalitions preventing adolescent HIV exposure.
- Qualitative exploration of indicator utility and challenges.
Main Results:
- Identified various strengths and weaknesses of different intermediate indicators.
- Highlighted the difficulty in linking structural changes to immediate population outcomes.
- Demonstrated the need for appropriate markers to justify coalition efforts.
Conclusions:
- Effective intermediate indicators are crucial for coalition success and resource allocation.
- Further research is needed to develop and validate robust indicators for community-led structural change.
- Coalitions require better tools to demonstrate progress and impact in preventing adolescent HIV exposure.
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