Building engagement to support adoption of community-based substance use prevention initiatives
Abstract Background System-level approaches that target social determinants of health are promising strategies to support substance use prevention, holistic youth development and wellbeing. Yet, the youth services system is largely based on individual-focused programs that do not adequately account...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14496-9 |
| _version_ | 1811310771300204544 |
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| author | Tanya Halsall Kianna Mahmoud Annie Pouliot Srividya N. Iyer |
| author_facet | Tanya Halsall Kianna Mahmoud Annie Pouliot Srividya N. Iyer |
| author_sort | Tanya Halsall |
| collection | DOAJ |
| description | Abstract Background System-level approaches that target social determinants of health are promising strategies to support substance use prevention, holistic youth development and wellbeing. Yet, the youth services system is largely based on individual-focused programs that do not adequately account for social determinants of health and place the responsibility for wellness on the individual. There is a need to understand how to enhance adoption of complex system-level approaches that support comprehensive youth development. The Icelandic Prevention Model (IPM) represents a collaborative initiative that takes an ecological, system-level approach to prevent substance use and promote wellness in youth. This research was designed to examine key stakeholder perceptions to better understand social motivations and contextual complexities that influence stakeholder support to garner community-level adoption of the IPM in a rural Canadian community. Methods This research applies a case study approach using qualitative interviews to explore strategies to support uptake in the early stages of IPM adoption associated with developing community buy-in and acceptance. A thematic analysis was applied using QSR NVivo. Results Nine interviews were conducted with community partners leading the implementation of the IPM. Three over-arching themes emerged from the data: 1) Motivating influences 2) Strategies to develop buy-in, and 3) Resistance to the adoption of the IPM. Findings reflect issues that affect behaviour change in system transformation in general as well as upstream prevention and the IPM, in particular. Conclusions The findings from this research describe critical insight derived from implementing community-driven initiatives that are designed to support health promotion. It contributes new scientific knowledge related to implementation of complex system-level innovations and practical information that is useful for communities interested in implementing the IPM or following similar approaches to prevent substance use. |
| first_indexed | 2024-04-13T10:06:01Z |
| format | Article |
| id | doaj.art-2b84d6114fb44ac99a70fc690603bce4 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T10:06:01Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-2b84d6114fb44ac99a70fc690603bce42022-12-22T02:51:05ZengBMCBMC Public Health1471-24582022-11-0122111210.1186/s12889-022-14496-9Building engagement to support adoption of community-based substance use prevention initiativesTanya Halsall0Kianna Mahmoud1Annie Pouliot2Srividya N. Iyer3University of Ottawa Institute of Mental Health Research at The RoyalFaculty of Medicine, Dalhousie UniversityPublic Health Agency of CanadaACCESS Open Minds (pan-Canadian youth mental health research network)Abstract Background System-level approaches that target social determinants of health are promising strategies to support substance use prevention, holistic youth development and wellbeing. Yet, the youth services system is largely based on individual-focused programs that do not adequately account for social determinants of health and place the responsibility for wellness on the individual. There is a need to understand how to enhance adoption of complex system-level approaches that support comprehensive youth development. The Icelandic Prevention Model (IPM) represents a collaborative initiative that takes an ecological, system-level approach to prevent substance use and promote wellness in youth. This research was designed to examine key stakeholder perceptions to better understand social motivations and contextual complexities that influence stakeholder support to garner community-level adoption of the IPM in a rural Canadian community. Methods This research applies a case study approach using qualitative interviews to explore strategies to support uptake in the early stages of IPM adoption associated with developing community buy-in and acceptance. A thematic analysis was applied using QSR NVivo. Results Nine interviews were conducted with community partners leading the implementation of the IPM. Three over-arching themes emerged from the data: 1) Motivating influences 2) Strategies to develop buy-in, and 3) Resistance to the adoption of the IPM. Findings reflect issues that affect behaviour change in system transformation in general as well as upstream prevention and the IPM, in particular. Conclusions The findings from this research describe critical insight derived from implementing community-driven initiatives that are designed to support health promotion. It contributes new scientific knowledge related to implementation of complex system-level innovations and practical information that is useful for communities interested in implementing the IPM or following similar approaches to prevent substance use.https://doi.org/10.1186/s12889-022-14496-9Icelandic prevention modelCommunity-based health promotionImplementation scienceQualitative methodsPublic healthCollaboration |
| spellingShingle | Tanya Halsall Kianna Mahmoud Annie Pouliot Srividya N. Iyer Building engagement to support adoption of community-based substance use prevention initiatives BMC Public Health Icelandic prevention model Community-based health promotion Implementation science Qualitative methods Public health Collaboration |
| title | Building engagement to support adoption of community-based substance use prevention initiatives |
| title_full | Building engagement to support adoption of community-based substance use prevention initiatives |
| title_fullStr | Building engagement to support adoption of community-based substance use prevention initiatives |
| title_full_unstemmed | Building engagement to support adoption of community-based substance use prevention initiatives |
| title_short | Building engagement to support adoption of community-based substance use prevention initiatives |
| title_sort | building engagement to support adoption of community based substance use prevention initiatives |
| topic | Icelandic prevention model Community-based health promotion Implementation science Qualitative methods Public health Collaboration |
| url | https://doi.org/10.1186/s12889-022-14496-9 |
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