Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Epidemiol Community Health. 2007 Aug;61(8):742-9.

Building the backbone for organisational research in public health systems: development of measures of organisational capacity for chronic disease prevention.

Author information

  • 1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 Pine Avenue West, Montréal, Québec, Canada H3S 1A2. nancy.hanusaik@mail.mcgill.ca

Abstract

BACKGROUND:

: Research to investigate levels of organisational capacity in public health systems to reduce the burden of chronic disease is challenged by the need for an integrative conceptual model and valid quantitative organisational level measures.

OBJECTIVE:

To develop measures of organisational capacity for chronic disease prevention/healthy lifestyle promotion (CDP/HLP), its determinants, and its outcomes, based on a new integrative conceptual model.

METHODS:

Items measuring each component of the model were developed or adapted from existing instruments, tested for content validity, and pilot tested. Cross sectional data were collected in a national telephone survey of all 216 national, provincial, and regional organisations that implement CDP/HLP programmes in Canada. Psychometric properties of the measures were tested using principal components analysis (PCA) and by examining inter-rater reliability.

RESULTS:

PCA based scales showed generally excellent internal consistency (Cronbach's alpha = 0.70 to 0.88). Reliability coefficients for selected measures were variable (weighted kappa(kappa(w)) = 0.11 to 0.77). Indicators of organisational determinants were generally positively correlated with organisational capacity (r(s) = 0.14-0.45, p<0.05).

CONCLUSIONS:

This study developed psychometrically sound measures of organisational capacity for CDP/HLP, its determinants, and its outcomes based on an integrative conceptual model. Such measures are needed to support evidence based decision making and investment in preventive health care systems.

PMID:
17630377
[PubMed - indexed for MEDLINE]
PMCID:
PMC2652994
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk