Ensayos realizados en campo (robot lanzado)

a pathway may help to establish a methodology for approaching leadership roles in healthy communities’ and PSE change partnerships that may be validated and replicated across communities.

Conclusion

Healthy communities’ partnerships are a critical part of creating healthier policies, places and people. The need for leadership involvement in partnerships for PSE change approaches to Healthy Communities is well documented. Creating effective and efficient partnerships for change, appropriately involving leaders, and developing better training and processes are key factors that must be addressed as we continue to grow this important area of work. Creating the research that tells us more about the roles of leaders with decision-making influence in

successful partnerships for PSE change approaches for healthy communities should be an area of dedicated focus over the next decade. Understanding how and to what degree to involve leaders with decision making influence in these partnerships to increase the effectiveness of PSE approaches will be increasingly significant as we focus on preventing and managing chronic disease with limited resources. Applying what is known about effective leadership within coalitions and partnerships may help their leaders engage in and sustain effective healthy

communities’ partnerships. Measuring leadership and partnership action, roles and effectiveness through formal evaluations will ensure that an evidence base is created for recommending roles, processes and structures that are most likely to result in PSE change.

Of note, while the public health shifts to the PSE approach in healthy communities is well documented, the literature is lacking related to linking leadership roles and outcomes. What we don’t know is fundamentally how leadership influences what succeeds and what fails. We know what PSE approaches are working to impact health outcomes, but not how many attempts to

promote change may have failed due to lack of leadership or role clarity. Ultimately, while we know much about which PSE approaches work best and that leadership involvement appears critical to their success, much still is to be learned about how, leaders may be most effective at producing the intended outcomes of PSE change for health communities. With chronic disease presenting huge economic and health challenges in our country, understanding what works, how we might best build and engage leaders, and utilize partnerships to effect change is imperative.

References

1. ACHIEVE Healthy Communities: Action Communities for Health Innovation and

Environmental Change. (2011). Retrieved March 19, 2011, from

http://www.achievecommunities.org/

2. Alexander, J. A., Comfort, M. E., Weiner, B. J., & Bogue, R. (2001). Leadership in

collaborative community health partnerships. Nonprofit Management and Leadership, 12(2), 159-175. doi:10.1002/nml.12203

3. Alexander, J. A., Hearld, L. R., & Mittler, J. (2011). Measuring leadership in multisector health care alliances. Nonprofit Management and Leadership, 21(4), 341-361.

doi:10.1002/nml.20030

4. Alexander, M. P., Zakocs, R. C., Earp, J. A., & French, E. (2006). Community coalition project directors: What makes them effective leaders? Journal of Public Health Management and Practice : JPHMP, 12(2), 201-209.

5. Anderson, L. M., Brownson, R. C., Fullilove, M. T., Teutsch, S. M., Novick, L. F., Fielding, J., et al. (2005). Evidence-based public health policy and practice: Promises and limits. American Journal of Preventive Medicine, 28(5 Suppl), 226-230.

doi:10.1016/j.amepre.2005.02.014

6. Ansell, C., & Gash, A. (2008). Collaborative governance in theory and practice. Journal of Public Administration Research and Theory, 18(4), 543-571. doi:10.1093/jopart/mum032 7. Best, A., Stokols, D., Green, L. W., Leischow, S., Holmes, B., & Buchholz, K. (2003). An

integrative framework for community partnering to translate theory into effective health promotion strategy. American Journal of Health Promotion : AJHP, 18(2), 168-176.

8. Bono, J. E., & Judge, T. A. (2004). Personality and transformational and transactional leadership: A meta-analysis. The Journal of Applied Psychology, 89(5), 901-910. doi:10.1037/0021-9010.89.5.901

9. Bors, P., Dessauer, M., Bell, R., Wilkerson, R., Lee, J., & Strunk, S. L. (2009). The active living by design national program: Community initiatives and lessons learned. American Journal of Preventive Medicine, 37(6 Suppl 2), S313-21. doi:10.1016/j.amepre.2009.09.027 10. Braithwaite, R. L., Murphy, F., Lythcott, N., & Blumenthal, D. S. (1989). Community

organization and development for health promotion within an urban black community: A conceptual model. Health Education, 20(5), 56-60.

11. Brownson, R. C., Fielding, J. E., & Maylahn, C. M. (2009). Evidence-based public health: A fundamental concept for public health practice. Annual Review of Public Health, 30, 175- 201. doi:10.1146/annurev.publhealth.031308.100134

12. Bryman, A. (2004). Qualitative research on leadership: A critical but appreciative review. The Leadership Quarterly, 15(6), 729-769. doi:DOI: 10.1016/j.leaqua.2004.09.007 13. Bryson, J. M., Crosby, B. C., & Stone, M. M. (2006). The design and implementation of

cross-sector collaborations: Propositions from the literature. Public Administration Review, 66, 44-55. doi:10.1111/j.1540-6210.2006.00665.x

14. Butterfoss, F. D. (2007). Coalitions and Partnerships in Community Health (1st ed.). San Francisco, CA: Jossey-Bass.

15. Butterfoss, F. D., & Cohen, L. (2009). Prevention works. Health Promotion Practice, 10(2 Suppl), 81S-85S. doi:10.1177/1524839909336104

16. Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research, 8(3), 315-330.

17. Campaign for Tobacco Free Kids. (2010). FDA Regulation of Tobacco Products: A Common Sense Law to Protect Kids and Save Lives. Washington, DC: Campaign for Tobacco Free Kids. Retrieved from

http://www.tobaccofreekids.org/research/factsheets/pdf/0352.pdf?utm_source=factsheets_fin der&utm_medium=link&utm_campaign=analytics

18. CDC Healthy Communities Program. (2011). Policy Guidance Document: Strive to

Implement High-Impact Policies (Revised May 31, 2011 ed.). Atlanta, Georgia: Centers for Disease Control and Prevention. Retrieved from

http://www.cdc.gov/healthycommunitiesprogram/pdf/policy.pdf#zoom=60

19. CDC National Center for Chronic Disease Prevention and Health Promotion. (2009). The Power of Prevention: Chronic disease...the Public Health Challenge of the 21st Century. Atlanta, Georgia: Centers for Disease Control and Prevention. Retrieved from

http://www.cdc.gov.libproxy.lib.unc.edu/chronicdisease/pdf/2009-Power-of-Prevention.pdf

20. Centers for Disease Control and Prevention. (2000). Healthy People 2000 Final Review No. 76-641496). Hyattsville, Maryland: National Center for Health Statistics. Retrieved from

http://www.cdc.gov.libproxy.lib.unc.edu/nchs/data/hp2000/hp2k01.pdf

21. Centers for Disease Control and Prevention. (2011a). Chronic Disease Prevention and Health Promotion. Retrieved July 8, 2011, from http://www.cdc.gov/chronicdisease/ 22. Centers for Disease Control and Prevention. (2011b). Healthy Communities Prevention

Chronic Disease by Activating Grassroots Change. Atlanta, Georgia: Centers for Disease Control and Prevention. Retrieved from

http://www.cdc.gov/chronicdisease/resources/publications/aag/pdf/2011/Healthy_Communiti

23. Centers for Disease Control and Prevention Healthy Communities Program. (2010). Journal Articles on Program Successes: Communities in Action. Retrieved Aug 1, 2011, from

http://www.cdc.gov/healthycommunitiesprogram/evaluation-innovation/successarticles.htm

24. Centers for Disease Control and Prevention Healthy Communities Program. (2011). Investments in Communities: CDC's role in Activating Local Change. Retrieved June 1, 2011, from http://www.cdc.gov/healthycommunitiesprogram/communities/index.htm 25. Clark, D. K. (2000). The City Government's Role in Community Health Improvement.

Public Health Reports (Washington, D.C.: 1974), 115(2-3), 216-221.

26. Committee on Prevention of Obesity in Children and Youth. (2005). In Koplan J., Liverman C. and Kraak V. (Eds.), Preventing Childhood Obesity: Health in the Balance. Washington, DC: The National Academies Press. Retrieved from

http://www.nap.edu.libproxy.lib.unc.edu/openbook.php?record_id=11015

27. Council on Linkages Between Academia and Public Health Practice. (2011). Core Competencies without Skill Levels Retrieved August 20, 2011, from

http://www.trainingfinder.org/competencies/list_nolevels.htm

28. Cousins, J. M., Langer, S. M., Rhew, L. K., & Thomas, C. (2011). The role of state health departments in supporting community-based obesity prevention. Preventing Chronic Disease, 8(4), A87.

29. Cradock, A. L., McHugh, A., Mont-Ferguson, H., Grant, L., Barrett, J. L., Wang, Y. C., et al. (2011). Effect of school district policy change on consumption of sugar-sweetened beverages among high school students, boston, massachusetts, 2004-2006. Preventing Chronic Disease, 8(4), A74.

30. Easton, A. (2009). Public-private partnerships and public health practice in the 21st century: Looking back at the experience of the steps program. Preventing Chronic Disease, 6(2), A38. 31. El Ansari, W., Oskrochi, R., & Phillips, C. (2009). Engagement and action for health: The

contribution of leaders' collaborative skills to partnership success. International Journal of Environmental Research and Public Health, 6(1), 361-381. doi:10.3390/ijerph6010361 32. El Ansari, W., Phillips, C. J., & Hammick, M. (2001). Collaboration and partnerships:

Developing the evidence base. Health & Social Care in the Community, 9(4), 215-227. 33. Fawcett, S., Schultz, J., Watson-Thompson, J., Fox, M., & Bremby, R. (2010). Building multisectoral partnerships for population health and health equity. Preventing Chronic Disease, 7(6), A118.

34. Granner, M. L., & Sharpe, P. A. (2004). Evaluating community coalition characteristics and functioning: A summary of measurement tools. Health Education Research, 19(5), 514-532. 35. Group discussions with NACDD, CDC, National Parks and Recreation, NACCHO and

ACHIEVE communities staff and stakeholders at the 2011 ACHIEVE action institute(2011). In Paulson A. (Ed.),

36. Guide to Community Preventive Services. (2010). Promoting Physical Activity: Environmental and Policy Approaches. Retrieved July 1, 2011, from

http://www.thecommunityguide.org.libproxy.lib.unc.edu/pa/environmental-policy/index.html

37. Hogue, T., Perkins, D., Clark, R., Bergstrom, A., Slinski, M., & & Associates. (1995). Collaboration framework: Addressing community capacity. Fargo, MD: National Network for Collaboration. Retrieved from http://crs.uvm.edu/nnco/collab/framework.html

38. Ilies, R., Nahrgang, J. D., & Morgeson, F. P. (2007). Leader-member exchange and

citizenship behaviors: A meta-analysis. The Journal of Applied Psychology, 92(1), 269-277. doi:10.1037/0021-9010.92.1.269

39. Institute of Medicine. (2004). Report brief - preventing childhood obesity: Health in the balance (Brief. Washington, DC: Institute of Medicine. Retrieved from

http://www.google.com/url?sa=t&source=web&cd=1&ved=0CB4QFjAA&url=http%3A%2F %2Fwww.iom.edu%2F~%2Fmedia%2FFiles%2FReport%2520Files%2F2004%2FPreventin g-Childhood-Obesity-Health-in-the- Balance%2FChildhoodObesity4pagerfixforwebpdf.pdf&rct=j&q=IOM%20action%20plan% 20obesity%202002&ei=G3kaTv36Gcjx0gHDw82WBQ&usg=AFQjCNEWcKa7bBjJrfY6M Ce7mjFNyZyAEA&sig2=-8KRIbe8yqR2GSqxDjFi_Q&cad=rja

40. Institute of Medicine Committee on Prevention of Obesity in Children and Youth (2005). In Kaplan J., Liverman C. T. and Kraak V. I. (Eds.), Preventing childhood obesity: Health in the balance. Washington, DC: The National Academies Press. Retrieved from

http://www.nap.edu.libproxy.lib.unc.edu/catalog/11015.html

41. Institute of Medicine. (2007). Progress in preventing childhood obesity: How do we measure up?. Washington, DC: The National Academies Press. Retrieved from

http://www.nap.edu.libproxy.lib.unc.edu/catalog/11722.html

42. Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century. (2003). The future of the public's health in the 21st century. Washington, DC: The National Academies Press.

43. Jaime, P. C., & Lock, K. (2009). Do school based food and nutrition policies improve diet and reduce obesity? Preventive Medicine, 48(1), 45-53. doi:10.1016/j.ypmed.2008.10.018

44. Kegler, M. C., Rigler, J., & Honeycutt, S. (2010). How does community context influence coalitions in the formation stage? A multiple case study based on the community coalition action theory. BMC Public Health, 10, 90. doi:10.1186/1471-2458-10-90

45. Kegler, M. C., & Swan, D. W. (2011a). Advancing coalition theory: The effect of coalition factors on community capacity mediated by member engagement. Health Education Research, doi:10.1093/her/cyr083

46. Kegler, M. C., & Swan, D. W. (2011b). An initial attempt at operationalizing and testing the community coalition action theory. Health Education & Behavior : The Official Publication of the Society for Public Health Education, 38(3), 261-270. doi:10.1177/1090198110372875 47. Khan, L., Sobush, K., Keener, D., Goodman, K., Lowry, A., Katietek, J., et al. (2009).

Morbidity and Mortality Weekly Report: Recommended Community Strategies and Measurements to Prevent Obesity in the United States No. 58(RR07)). Atlanta, Georgia: Centers for Disease Control and Prevention. Retrieved from

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm

48. Kraft, M. K., & Brown, L. D. (2009). Active living by design as a political project challenges at three levels. American Journal of Preventive Medicine, 37(6 Suppl 2), S453-4.

doi:10.1016/j.amepre.2009.09.022

49. Koplan, J. P., Liverman, C. T., Kraak, V. I., & Committee on Prevention of Obesity in Children and Youth. (2005). Preventing childhood obesity: Health in the balance: Executive summary. Journal of the American Dietetic Association, 105(1), 131-138.

50. Lamar Soutter Library University of Massachusetts Medical School. (2008). The Pathway to Evidence-based Resources. Retrieved August 15, 2011, from

http://library.umassmed.edu/ebpph/pathway.cfm

51. Lasker, R. D., Weiss, E. S., & Miller, R. (2001). Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. The Milbank Quarterly, 79(2), 179-205, III-IV.

52. National Association of Chronic Disease Directors. (2011). Creating Healthy Communities: Success Stories from ACHIEVE. Atlanta, GA: National Association of Chronic Disease Directors. Retrieved from

www.achievecommunities.org/communities/communityuploads/NACDD_ACHIEVE_2011. pdf - 2011-06-27

53. National Association of Chronic Disease Directors Staff. (2011). In Amy Paulson (Ed.), Discussions regarding the ACHIEVE initiative and leadership of community health action and response teams (CHART)

54. National Association of County and City Health Officials (NACCHO). (2010). MAPP framework. Retrieved October 2, 2010, from

http://www.naccho.org/topics/infrastructure/mapp/framework/index.cfm

55. Nowell, B., & Harrison, L. M. (2011). Leading change through collaborative partnerships: A profile of leadership and capacity among local public health leaders. Journal of Prevention & Intervention in the Community, 39(1), 19-34. doi:10.1080/10852352.2011.530162

56. Pittman, M. A. (2010). Multisectoral lessons from healthy communities. Preventing Chronic Disease, 7(6), A117.

57. Ploeg, J., Skelly, J., Rowan, M., Edwards, N., Davies, B., Grinspun, D., et al. (2010). The role of nursing best practice champions in diffusing practice guidelines: A mixed methods study. Worldviews on Evidence-Based Nursing / Sigma Theta Tau International, Honor Society of Nursing, 7(4), 238-251. doi:10.1111/j.1741-6787.2010.00202.x; 10.1111/j.1741- 6787.2010.00202.x

58. Prestby, J., & Wandersman, A. (1985). An empirical exploration of a framework of

organizational viability: Maintaining block organizations. The Journal of Applied Behavioral Science, 21(3), 287.

59. Public Health Leadership Institute. (2009). Developing Leaders, Building Networks: An Evaluation of the National Public Health Leadership Institute - 1991-2006 No. 2011). Chapel Hill, NC: NC Institute for Public Health. Retrieved from

http://www.phli.org/evalreports/index.htm

60. Roussos, S. T., & Fawcett, S. B. (2000). A review of collaborative partnerships as a strategy for improving community health. Annual Review of Public Health, 21, 369-402.

doi:10.1146/annurev.publhealth.21.1.369

61. Satterlund, T. D., Cassady, D., Treiber, J., & Lemp, C. (2011). Strategies implemented by 20 local tobacco control agencies to promote smoke-free recreation areas, California, 2004- 2007. Preventing Chronic Disease, 8(5), A111.

62. Sharek, P. J., Mullican, C., Lavanderos, A., Palmer, C., Snow, V., Kmetik, K., et al. (2007). Best practice implementation: Lessons learned from 20 partnerships. Joint Commission Journal on Quality and Patient Safety / Joint Commission Resources, 33(12 Suppl), 16-26. 63. The Community Guide to Preventive Services Task Force. (2010). Increasing Tobacco Use

June 21, 2011, from

http://www.thecommunityguide.org.libproxy.lib.unc.edu/tobacco/cessation/massmediacampa

igns.html

64. The Task Force on Community Preventive Services. (2010). Guide to Community Preventive Services. Retrieved August 18, 2011, from http://www.thecommunityguide.org/index.html 65. Thompson, G. N., Estabrooks, C. A., & Degner, L. F. (2006). Clarifying the concepts in

knowledge transfer: A literature review. Journal of Advanced Nursing, 53(6), 691-701. doi:10.1111/j.1365-2648.2006.03775.x

66. Turning Point Collaborative. (2001). Collaborative leadership: Fundamental concepts. Seattle, WA: Robert Wood Johnson Foundation. Retrieved from

http://www.google.com/url?sa=t&source=web&cd=1&ved=0CBkQFjAA&url=http%3A%2F %2Fwww.turningpointprogram.org%2FPages%2Fpdfs%2Flead_dev%2Fcurriculum%2Fman ual_sections%2FCL_fundamentals_Participants.pdf&rct=j&q=turning%20point%20collabor ative%202001%20fundamental%20concepts&ei=nTJbTrWwFIjogQfck4mSDA&usg=AFQj

CNFW-zUoKpWMaasfP_eJ9OI0y-Ti4A&sig2=JX0Tz98maWxZ3_sLyFiZlg&cad=rja

67. U.S. Department of Health and Human Services. (2001). The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. No. 017-001-00551-7).

Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General. Retrieved from

http://www.surgeongeneral.gov/topics/obesity/

68. U.S. Department of Health, Education, And Welfare. (1979). Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention No. 017-001-00416-2).

Washington, DC: U.S. Government Printing Office. Retrieved from

http://profiles.nlm.nih.gov.libproxy.lib.unc.edu/ps/retrieve/ResourceMetadata/NNBBGK

69. United States Department of Agriculture Food and Nutrition Service. Local Wellness Policy: 2004. Retrieved June 27, 2011, from

http://www.fns.usda.gov.libproxy.lib.unc.edu/tn/Healthy/wellnesspolicy.html

70. US Department of Health and Human Services. (2000). Healthy People 2010, 2nd edition, Vol II, section 24: Respiratory Health. Retrieved May 1, 2010, from

http://www.healthypeople.gov.libproxy.lib.unc.edu/Document/HTML/Volume2/24Respirator

y.htm#_Toc489704825

71. Vance, C., & Larson, E. (2002). Leadership research in business and health care. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 34(2), 165-171.

72. Weiss, E. S., Taber, S. K., Breslau, E. S., Lillie, S. E., & Li, Y. (2010). The role of leadership and management in six southern public health partnerships: A study of member involvement and satisfaction. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 37(5), 737-752. doi:10.1177/1090198110364613

73. White House Task Force on Childhood Obesity. (2010). Solving the Problem of Childhood Obesity Within a Generation. Washington, DC: Executive Office of the President of the United States. Retrieved from http://www.letsmove.gov/white-house-task-force-childhood-

obesity-report-president

74. Yancey, A. K. (2009). The meta-volition model: Organizational leadership is the key ingredient in getting society moving, literally! Preventive Medicine, 49(4), 342-351. doi:10.1016/j.ypmed.2009.09.004

75. YMCA of the USA. (2009). Pioneering Healthier Communities: Lessons and Leading Practices. Chicago, Illinois: Y-USA. Retrieved from

http://www.sfgov3.org/ftp/uploadedfiles/shapeupsf/research_data/PHC_Full_Length_Practic

es_FNL.pdf

76. Zakocs, R. C., & Edwards, E. M. (2006). What explains community coalition effectiveness?: A review of the literature. American Journal of Preventive Medicine, 30(4), 351-361.

doi:10.1016/j.amepre.2005.12.004

77. Zakocs, R. C., & Guckenburg, S. (2007). What coalition factors foster community capacity? lessons learned from the fighting back initiative. Health Education & Behavior : The Official Publication of the Society for Public Health Education, 34(2), 354-375.

doi:10.1177/1090198106288492

78. Zakocs, R. C., Tiwari, R., Vehige, T., & DeJong, W. (2008). Roles of organizers and champions in building campus-community prevention partnerships. Journal of American College Health : J of ACH, 57(2), 233-241. doi:10.3200/JACH.57.2.233-241