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Perspectives From Extension Staff on Building and Sustaining Community Wellness Coalitions
Lindsay Moore1, Lacey McCormack2, Jessica R Meendering3
1South Dakota State University Extension, Rapid City, SD, USA.
Extension staff acting as community coaches effectively boosted wellness coalition development, increasing confidence scores. Targeted training in the Component Model of Infrastructure (CMI) is crucial for sustained success and capacity building.
Area of Science:
- Public Health
- Community Health Interventions
- Health Systems Research
Background:
- Community wellness coalitions are vital for policy, systems, and environmental (PSE) change.
- PSE strategies promote lasting behavior change but face implementation challenges.
- Extension services possess the infrastructure to support community-led PSE initiatives.
Purpose of the Study:
- To identify and describe Extension staff experiences as community coaches.
- To evaluate the effectiveness of Extension staff in supporting wellness coalitions.
- To understand facilitators and barriers in coalition development.
Main Methods:
- A mixed-methods approach was employed.
- Quantitative data collected via the Extension Coaching Confidence Scorecard.
- Qualitative data gathered through Extension Key Informant Interviews.
Main Results:
- Extension Coaching Confidence scores significantly increased post-intervention (p = .03).
- Five facilitators and two barriers to wellness coalition development were identified.
- The community coaching model effectively addressed foundational infrastructure components.
Conclusions:
- The community coaching model shows promise for PSE work.
- Comprehensive training in the Component Model of Infrastructure (CMI) and technical assistance are essential.
- Recognizing the role of community champions is critical for PSE success.
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