文档介绍：Application of the
Advocacy Coalition Framework
in the NOPRN restaurant project
County Public Health Departments Work to Improve Restaurant Food
Advocacy Coalition Framework1
1) Adapted from: Breton E, Richard L, Gagnon F, Jacques M, Bergeron P. Health promotion research and practice require sound policy analysis models: The case of Quebec’s o Act. Social Science & Medicine 2008; 67:1679-1689.
Relatively Stable Parameters
System-wide with enduring/constraining effect
External Events
- Change in socioeconomic conditions, public opinion, leaders - Policy decisions/impacts from other subsystems
Constraints & Resources
Policy Subsystem
Coalition A Policy beliefs Resources Strategy
Coalition B Policy beliefs Resources Strategy
Decisions by Governmental Authorities
Policy Outputs & Impacts
Interview Guide Example
ACF Construct
Coalition beliefs
Identification of social groups or other entities whose welfare is of greatest concern
Overall seriousness of the problem
Ability of society to solve the problem
Interview Questions
Public Health Employees
Importance of menu labeling work:
How important was it to tailor your approach to populations at high risk for obesity?
How important do you think the quality of restaurant food is to the health of the population?
To what extent do you think that the nutritional quality of restaurant food can realistically be improved?
Interview Sample (n)
Public Health Staff
BOH Members
Restaurant Owners
Seattle-King
3
4
4
a-Pierce
5
5
5
Thurston
3
0
1
One interview with Washington Restaurant Association Representative
Coding Example: Beliefs
ACF construct
Characteristics
Sample codes
Deep Core Beliefs
Fundamental values, unlikely to change
Freedom, justice, health (priority of)
Policy Core Beliefs
Policy positions, strategies for achieving deep core values
Education, regulation (priority of), role of government
Secondary Aspects
Implementation of policy core beliefs, easier to change