Organizational contexts, implementation process, and capacity outcomes of multicultural, multilingual Home-Based...

Area of Science:

• Public Health
• Community Health
• Health Services Research

Background:

• Multicultural and multilingual community-based organizations (CBOs) face unique challenges in implementing health programs.
• Home-based program interventions require careful consideration of organizational context and implementation processes.

Purpose of the Study:

• To assess the impact of a home-based program intervention on organizational contexts, implementation processes, and capacity outcomes.
• To explore these impacts within multicultural and multilingual CBO settings.

Main Methods:

• A sequential exploratory, mixed-methods longitudinal study utilizing community-based participatory research principles.
• Twenty participants from nine multicultural, multilingual CBOs were involved.
• Data collected via surveys and qualitative content analysis over a 6-7 month period.

Main Results:

• While participants gained implementation knowledge and valued capacity building providers, no statistically significant changes were observed in organizational contexts, implementation processes, or capacity outcomes after 6-7 months.
• Seven new and two modified home-based programs were developed.
• Participants benefited from program development, new partnerships, and networking opportunities.

Conclusions:

• Despite individual and organizational strengths, several factors hindered statistically significant outcomes, including limited participant engagement in intervention design, mismatched timelines, and insufficient time/resources for culturally appropriate program development.
• Equitable implementation in diverse CBOs necessitates careful consideration of model selection, timelines, and budget.