Capability for change at community health centers serving Asian Pacific Islanders: an exploratory study of a cancer screening evidence-based intervention.
BACKGROUND
Understanding and enhancing change capabilities, including Practice Adaptive Reserve (PAR), of Community Health Centers (CHCs) may mitigate cancer-related health disparities.


METHODS
Using stratified random sampling, we recruited 232 staff from seven CHCs serving Asian Pacific Islander communities to complete a self-administered survey. We performed multilevel regression analyses to examine PAR composite scores by CHC, position type, and number of years worked at their clinic.


RESULTS
The mean PAR score was 0.7 (s.d. 0.14). Higher scores were associated with a greater perceived likelihood that clinic staff would participate in an evidence-based intervention (EBI). Constructs such as communication, clinic flow, sensemaking, change valence, and resource availability were positively associated with EBI implementation or trended toward significance.


CONCLUSIONS
PAR scores are positively associated with perceived likelihood of clinic staff participation in cancer screening EBI. Future research is needed to determine PAR levels most conducive to implementing change and to developing interventions that enhance Adaptive Reserve.
Department of Medicine, University of Washington, Washington, U.S.A E-mail : shinping@uw.edu.
Hee Yon
HY
Sohng
Alan
A
Kuniyuki
Jane
J
Edelson
Rosy Chang
RC
Weir
Hui
H
Song
Shin-Ping
SP
Tu
D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data*; D003151:Community Health Centers / Q000458:organization & administration*; D003695:Delivery of Health Care; D055088:Early Detection of Cancer; D055317:Evidence-Based Practice; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander / Q000706:statistics & numerical data*; D009369:Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D011379:Prognosis; D055815:Young Adult