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Steps to a Healthier Washington

From Making Pamphlets to Making Policies: Results From a Collaborative Training to Increase Knowledge, Motivation, and Self-Efficacy for Achieving Public Health Policy and Systems Change

Multnomah County Health Department and Oregon Department of Human Services in Portland, Oregon, Julia.Dilley{at}state.or.us

Jennifer R. Reuer, MPH

Community Wellness and Prevention, Washington State Department of Health in Tumwater, Washington

Victor Colman, JD

Uncommon Solutions Consulting

Robbi Kay Norman

Uncommon Solutions Consulting

Steps to a Healthier Washington , in collaboration with other programs in the Washington State Department of Health and external partners, has implemented training to improve public health practice and create greater organizational and staff capacity for promoting effective policy and systems changes, including reducing disparities. The training is grounded in behavior change and adult learning theories. A comprehensive post training evaluation found long-term improvements in self-efficacy, reported changes in work, and attribution of those changes to the training. Organizations working to refocus public health work on policy and systems change should consider providing skills-based policy training to their staff. This study suggests that an integrated training, using adult learning theory, has led to long-term improvements in capacity among public health staff and partners.

Key Words: Steps to a Healthier Washington • policy change • systems change • training

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Health Promotion Practice, Vol. 10, No. 2 Suppl, 138S-145S (2009)
DOI: 10.1177/1524839909332601


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Dilley, J. A. Articles by Norman, R. K. Search for Related Content PubMed PubMed Citation Articles by Dilley, J. A. Articles by Norman, R. K. Social Bookmarking                         What's this?