application at the organizational level interorganizational relations (ior) theory describes how...
TRANSCRIPT
APPLICATION AT THE ORGANIZATIONAL LEVEL
• Interorganizational Relations (IOR) Theory• Describes how organizations collaborate• Three networks
• Obligational• Promotional• Systemic
• CAAA established an informal obligational network• To address that some community organizations were not
environmentally focused
APPLICATION AT THE POLICY LEVEL
• Agenda-Building Theory• Emphasizes matching—identifying where an issue is on
the policy-making timeline• Three models
• Outside-initiative• Inside-initiative• Mobilization
• As of 2004, CAAA had held two community forums and met with local politicians to raise awareness about asthma-related exposures
APPLICATION AT THE COMMUNITY LEVEL
• Community organization (Review)• Three models
• Locality (community) development• Social planning• Social action
• Constructs• Empowerment, Community capacity, Participation,
Relevance, Issue selection, Critical consciousness
• Authors cite the use of Locality development and Social action in the intervention
ECOLOGICAL STRESS PROCESS MODEL FOR ENVIRONMENTAL HEALTH PROMOTION
• New model accounts for the fact that environmental health issues are complex and involve different stressors• Integrates both Ecological Model Framework and Stress
Process Model, in addition to other health behavior theories
• Stressors are environmental demands which influence “psychological and biological changes that may place persons at risk of disease”
SCT IOR Agenda-Building
HBM
Community organization
ECOLOGICAL STRESS MODEL
• Five categories of stressors• Ambient environment
• Direct stressor
• Major life events• Disrupt everyday activities
• Daily hassles• Chronic strains
• Due to sociocultural/socioeconomic factors
• Cataclysmic events• Environmental health experts respond to natural disasters
IMPLICATIONS OF THE ECOLOGICAL STRESS MODEL
• CESs (the outreach workers) worked with families to reduce stressors so that caregivers could focus on changing their behavior
• This is key: authors do not claim this model to be a one-size fits all• Relationship between individual and community is important
in environmental health• Cultural context is important
• We saw how effective tailoring can be in Health Communication
• Social injustice (race, socioeconomic status)• Linked to health status• Why procedural equity can be helpful
• Ex. Navajo nation and the failure to clean up uranium mines
SCT IOR Agenda-Building
HBM
Community organization
Are there other constructs that could fit into this model and be applicable in the CAAA intervention? Or, how might the model differ given another environmental health issue?
CONCLUSION
• For any health issue, no one theory or model will be sufficient enough to identify risk and protective factors or create an effective intervention. I’m convinced. Are you?
• Can you really pick and choose from different theories? Is this valid?
11
DECISIONS/INTENTIONS
SOCIAL SITUATION
BIOLOGY/PERSONALITY
THE THEORY OF TRIADIC INFLUENCE
ATTITUDESTOWARD THE
BEHAVIOR
SOCIALNORMATIVE
BELIEFS
Trial Behavior
EXPERIENCES: Expectancies -- Social Reinforcements -- Psychological/Physiological
SELF-EFFICACYBEHAVIORAL
CONTROL
Nurture/CulturalBiological/NatureIntrapersonal Stream Social/Normative Stream Cultural/Attitudinal Stream
Values/Evaluations
Knowledge/Expectancies
PerceivedNorms
Information/Opportunities
InterpersonalBonding
SocialCompetence
Interactions w/Social Instit’s
Others’Beh & Atts
Motivationto Comply
Skills:Social+General
Sense ofSelf/Control
SelfDetermination
1 2 3
7 8 9 10 11 12
13 14 15 16 17 18
l
4 5 6
19 20 21
22
23
DistalInfluences
ProximalPredictors
Levels ofCausation
UltimateCauses
Social/Personal Nexus
Expectancies & Evaluations
Affect andCognitions
Decisions
Experiences
a
b c d e
f
g h i
jk m n
o
p q r
s
t u v w
x
Related BehaviorsJ
K
CF
IB E HA D G
CULTURALENVIRONMENT
THANK YOU!