Collective Impact Approach Research Articles

The Impact of the Communities that Care Approach in Reducing Violence and Crime Within an Urban, High-Burden Community.

Community violence and crime are significant public health problems with serious and lasting effects on young people, families, and communities. This violence and crime have significant ripple effects, affecting not just those who are directly physically injured, but also those who witness violent episodes, those who have friends or loved ones killed or injured, and those who must everyday navigate streets that they know have been frequent sites of serious violence and crime. The current study presents evidence of the impact that a data-driven, collective impact approach - the Communities that Care prevention system - can have on violence and crime outcomes within a large urban, high-burden community. Established as one of the national Youth Violence Prevention Centers (YVPC) funded by the Centers for Disease Control and Prevention, the Chicago Center for Youth Violence Prevention is among the first to implement the CTC approach in a large, urban community. The current study's findings show reductions in violence (i.e., aggravated assaults and robberies) in the Bronzeville community, compared to similar communities in Chicago.

Abstract PO4-11-02: Accelerating Progress and Achieving Health Equity: The American Cancer Society National Breast Cancer Roundtable

Abstract Background: Breast cancer continues to be a leading cause of death among women, with disparities in mortality rates persisting, particularly for Black women and under-supported communities. In response to this urgent need, the American Cancer Society (ACS) has launched the American Cancer Society National Breast Cancer Roundtable (ACS NBCRT) to address complex challenges across the breast cancer continuum and improve access to quality care. Methods: The ACS NBCRT is a coalition of organizations committed to eliminating disparities and reducing mortality rates. By leveraging strategic partnerships and using the Collective Impact Model, the ACS NBCRT aims to ensure equitable access to screening, treatment, and comprehensive support services. The roundtable follows the proven ACS Roundtable Model, which brings together diverse contributors to drive progress on breast cancer priorities. Results: The ACS NBCRT, chaired by prominent leaders in the field, has engaged thought leaders, organizations, policymakers, and individuals with lived experiences to identify initial roundtable priorities through a community-informed process. The ACS NBCRT conducted three listening sessions, 8 focus groups, 10 community conversations, and 33 informant interviews and received 700+ responses to a nationwide survey. As a result of this work, the ACS NBCRT leadership was able to interpret the data to inform our roundtable's strategic priorities focused on risk reduction, screening, early detection, access to treatment, clinical trials, and support services. Workgroups will address cross-cutting approaches, including health equity, patient navigation, and education, to develop short- and long-term goals for the roundtable. This approach to addressing health equity through our priority areas is intentional, and it is reflected in our engagement with lived experience experts and diverse community contributors in our early planning, formative research, leadership recruitment, and our member engagement and recruitment. Conclusion: Through its Collective Impact approach, the ACS NBCRT is poised and positioned to accelerate progress, promote health equity, and reduce the burden of breast cancer. The roundtable is uniquely designed to identify and addresses gaps by providing a neutral platform to convene diverse stakeholders to establish national priorities across the cancer continuum, catalyze policy and patient care solutions, promote evidence-based strategies and translate them into practice, and leverage volunteer knowledge and experiences to inform the reduction of health disparities. The roundtable's commitment to strategic partnerships, evidence-based strategies, and health equity will drive change and allow the ACS NBCRT to lead the national dialogue on breast cancer. Implications: The establishment of the ACS NBCRT signifies a crucial step towards achieving health equity in breast cancer care. By addressing disparities and promoting collaborative solutions, the roundtable aims to improve outcomes for all people facing breast cancer. Citation Format: Ashley Dedmon, Theresa Petee, Olufunmilayo Olopade, John Williams, Arif Kamal, Sarah Shafir. Accelerating Progress and Achieving Health Equity: The American Cancer Society National Breast Cancer Roundtable [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO4-11-02.

Brother, We Got You: A collective impact approach to addressing Black college men's mental health

AbstractHigher education administrators, faculty, and staff across diverse institutional contexts grapple with college students' persisting and increasing mental health concerns. Further, recent research has discussed mental health challenges Black collegians encounter, exacerbated by the COVID‐19 pandemic. Mental health issues among Black college students vary based on several factors (e.g., institutional type, ethnicity, gender, and sexuality). Research has demonstrated the various mental health trepidations Black men navigate at institutional campuses. Informed by a collective impact framework, we explored how higher education institutional stakeholders can collaboratively labor to drive solutions for promoting Black college men's mental health and well‐being. This article begins by broadly reviewing the literature on Black men's mental health in and outside collegiate settings. Next, we discussed the collective impact framework and how it can aid in expanding and advancing transformative mental health programs and services for Black college men. This article concluded with implications for future practices and programmatic considerations within collegiate environments.

Show Me CKDintercept Initiative: A Collective Impact Approach to Improve Population Health in Missouri

Ninety percent of people with chronic kidney disease (CKD) remain undiagnosed, most people at risk do not receive guideline-concordant testing, and disparities of care and outcomes exist across all stages of the disease. To improve CKD diagnosis and management across primary care, the National Kidney Foundation launched a collective impact (CI) initiative known as Show Me CKDintercept. The initiative was implemented in Missouri, USA from January 2021 to June 2022, using a data strategy, stakeholder engagement and relationship mapping, learning in action working groups (LAWG), and a virtual leadership summit. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used to evaluate success. The initiative united 159 stakeholders from 81 organizations (Reach) to create an urgency for change and engage new CKD champions (Effectiveness). The adoption resulted in 53% of participants committed to advancing the roadmap (Adoption). Short-term results reported success in laying a foundation for CI across Missouri. The long-term success of the CI initiative in addressing the public health burden of kidney disease remains to be determined. The project reported the potential use of a CI initiative to build leadership consensus to drive measurable public health improvements nationwide.

A Collective Impact approach to improving the physical health of people living with mental illness.

Introduction: Eighty percent of people living with mental illness have a co-existing physical health condition. Yet due to ‘diagnostic overshadowing’ (where the presenting problem overshadows all other concerns and risks), stigma and systemic discrimination, the rate of screening and treatment for mortality-related chronic health conditions in this part of our community is low. Consequently, as a group, people living with mental illness have poor health and have a 13 - 23 year reduced life expectancy. This pattern of poor health and reduced life-expectancy has been consistently reported in research studies across the world for more than 20 years.
 Aims, Objectives, Theory or Methods: The aim of this paper is to show how the countries of Australia, France, New Zealand and England have applied the collective impact approach to address the issue of the poor health and reduced life-expectancy of people living with mental illness. A collective approach seeks to coordinate organisations to reduce duplication and amplify impact. Co-chaired by consumers and with an emphasis on consumer-led initiatives, a collective impact approach seeks to coalesce multiple agencies/stakeholders through a common goal to address complex personal and system challenges. 
 Highlights or Results or Key Findings: Although each country has adopted a collective impact approach, the way this has been implemented in different contexts has been quite different. The paper compares and contrasts approaches to ‘developing a shared agenda’, ‘mutually reinforcing activities’, and facilitating coordination. Common to each of these collective impact core elements is the need for a strategic approach to communication. This presentation will challenge the collective impact theory of ‘continuous communication’ using examples of the communication strategies from each country.
 Further, this paper will present how each country measures progress and seeks to demonstrate public value. This is a particularly important issue for intermediary organisations who do not provide direct health care services.
 Finally, it will highlight how by networking and working together internationally, these countries have successfully initiated reform in policy, and practice changes in areas such as cardiovascular disease management and vaccination for people living with mental illness.
 
 Conclusions: Collective impact appears to be an effective way to mobilise diverse organisations and amplify actions converting policy to practice. There is scope to apply a collective impact approach flexibly to different service system contects. Consistent across systems is the need for a backbone team to drive change and maintain momentum. 
 Implications for applicability/transferability, sustainability, and limitations: The processes and methods of a collective impact approach can be applied to a range of health scenarios to facilitate enhanced integration and collaboration. However, sustainability requires a backbone team and providing ongoing evidence of impact and success.

Collective Action with Communities - Elevating whānau (family) voice within localities as part of the Pae Ora (Healthy Futures) reforms

Introduction/background: New Zealand’s health sector is undergoing transformational changes that are outlined in new legislation, Pae Ora (Healthy Futures) Act 2022. Enacting these health system reforms, requires community providers to reorganise themselves into localities to improve health and wellbeing outcomes, especially for those populations that have not always been well served. Localities are defined as geographically defined areas bringing services together into more responsive provider, place-based networks.
 Why? The key driver for the change is to achieve health equity by reducing the stark health disparities that exist across Aotearoa/NZ, particularly for indigenous Māori, as well as honouring Te Tiriti o Waitangi (our constitutional document that establishes and guides the relationship between the Crown and Māori). Collaborative Aotearoa has adapted and tailored the Collective Impact approach through sector engagement for our New Zealand context. As a change catalyst, the team is advocating for community health and wellbeing providers across New Zealand, especially those that lead primary and community services to adopt a Collective Action with Communities (CawC) approach as they navigate the transformation of our health system.
 The approach advocates for whānau (family) and communities to centre equity and adopt a population health lens to reframe the nature of the problem, refocus the work with others and reimagine who is involved. Achieving systems change will involve a better balance of power between those with lived experience in our communities that are most impacted and those who are funded to provide services. Adopting CAwC, alongside community-led development and Whānau Ora initiatives (an indigenous health approach in New Zealand, driven by Māori cultural values) will help to address health disparities and help to improve health and wellbeing outcomes for all. 
 Who is it for? CAwC provides the ‘How to” practical approach for primary and community service providers and key/anchor partners to gather the true aspirations of their community; contribute to making decisions about how resources are directed and to build trusting relationships in order to better serve the health and wellbeing needs of their community. Translating community aspirations into actions within formulated plans is a way of ensuring we really shift the needle where it matters most.
 
 The structure of the session will be a presentation with interactive exercises to prompt discussion and reflection about key elements of the approach. The presentation will include video recordings from lived experience advisors and others across health care to demonstrate the approach in action.
 Participants will learn about the strategies that Collaborative Aotearoa has adopted to lead system change across NZ to improve health and wellbeing outcomes and achieve equity. This has included localising the Collective Impact approach to make it more relevant to New Zealand and the changing landscape; developing and promoting resources including an online module to create a common language to support new ways of collaborating that are essentially whanau-led; and leveraging the legislative health system reforms to support the establishment of localities.

Building a Better System to Support Family Caregivers: Engaging Multi-level Interdisciplinary Stakeholders in Micro, Meso, and Macro Level Learning Health System Design.  

The current Canadian healthcare workforce shortage and care crisis demands innovative solutions, yet it takes 17 years for healthcare innovations to reach 50% adoption in clinical practice. Healthcare workforce shortage solutions include expanding team-based care, moving integrated services closer to home[, and including Family Caregivers [FCGs] as partners on the care team, rather than treating them as visitors or patient accompaniments. Integrating FCGs as partners on the healthcare team improves patient care, health, and well-being, reduces the length of hospital stays, supports aging in the right place, promotes effective communication, and reduces healthcare providers’ workload. While FCGs and the people they care for require integrated care and services coordinated around their comprehensive needs, research confirms that FCGs remain invisible, and often marginalized by healthcare systems.
 Aim: Detail the micro-meso-macro-level elements and roles needed for building integrated FCG support systems.
 Results: As FCGs, the people they care for, and their care trajectories are diverse, an integrated system to support FCGs includes: 1) macro-level policy leadership 2) meso-level FCG-friendly communities, community organizations, health and social care systems, and providers trained to support FCGs; 3) micro-level assessment of FCGs needs and supports tailored to needs/goals, and 4) evaluation and practice improvement research. Three critical elements to Health Learning Approaches are: 1) Prioritize service needs and a design improvement approach; 2) Strengthen and link the assets required to operationalize rapid learning and a quality improvement approach, and 3) Establish a network of rapid-learning champions to drive and sustain action. Our Alberta-based Caregiver-Centered Care Research Program works at collaborating with stakeholders interested in enacting a collective impact approach to build a better system of all the essential elements of integrated health and social care programs and services needed to support FCG's well-being and sustain their caregiving. First, we convened a series of consultations to prioritize approaches to support FCGs. Stakeholders prioritized competency-based education for healthcare providers about person-centered care for FCGs. Accordingly, we engaged FCGs, researchers, health and social care providers/leaders, and policymakers to co-design and deliver free, online Foundational and Advanced education about providing person-centered care for FCGs to health and social care providers. Now, we need to strengthen our network and link assets. We convened a series of six webinars designed to raise awareness of FCGs' work, the need for systemic FCGs support, and to consult stakeholders about the next steps to integrate health and social care systems to support FCGs (October 20 – November 29, 2022). The webinars have also built our network of Canadian collaborators.
 Conclusions: The collaboration required to build a better system to support Canadian FCGs takes facilitation and time. The learning health system framework seems appropriate to approach the complex system and culture changes required more efficiently and effectively. 
 Implications: Learning Health Systems and co-design by communities of patients, FCGs, health and social care providers/leaders, and researchers are currently regarded as a superior approach to improving healthcare and health outcomes. A strength of our team is collaborative, trusting relationships. 

OP119 Collectively Improving The Quality Use Of Highly Specialized Medicines: Starting With Biologics

IntroductionIn contrast to high-volume medicines prescribed by general practitioners, low-volume highly specialized medicines have not been supported by national quality use of medicine (QUM) programs in Australia. The first area addressed has focused on optimizing use of biological disease-modifying antirheumatic drugs (bDMARDs).MethodsThe program was designed, developed and implemented in partnership with nine consortium member organizations and four affiliate organizations representing consumer and clinical audiences, program development expertize and implementation capability. The common agenda for the collective impact approach was to achieve better health outcomes for people with inflammatory arthritis, inflammatory bowel disease and plaque psoriasis. Multidisciplinary expert working groups reviewed formative QUM research and agreed on objectives, audiences, messages and interventions. Interventions were selected based on identified barriers, enablers and behavioral drivers, informed by the Theoretical Domains Framework. Interventions were co-designed and tested with end-users. Marketing and promotion activity supported implementation of all interventions through consortium channels and networks. Evaluation includes process, impact and outcome measures, and a realist evaluation of the academic detailing.ResultsProgram objectives were to optimize: (i) first-line therapy before bDMARD use; (ii) first-choice bDMARDs; (iii) biosimilar prescribing and dispensing; (iv) bDMARD dosage; (v) glucocorticoid and analgesic use. Over 60 interventions supporting key messages for each objective were developed for audiences: consumers; rheumatologists, gastroenterologists, dermatologists; pharmacists; drug and therapeutic committees. Interventions implemented between September 2020 and September 2022 included: consumer decision aids, action plans, fact sheets, lived experience videos; living guidelines and evidence summaries; guidance/position statements for hospitals, podcasts, webinars, online learning; prescribing feedback reports; and academic detailing. Uptake of interventions has largely met targets and surveys have demonstrated shifts in specialist and consumer knowledge and behavior in line with key messages and objectives. Realist and outcome evaluation is ongoing.ConclusionsOur experience demonstrates the value of a consortium of stakeholder organizations, with different expertise and interests but agreed goals and roles, working together to progress the quality use of highly specialized drugs.

Advancing positive social determinants of health through collective impact and the 100% New Mexico Model

BackgroundCommunities across the U.S. and globally confront the challenge of transforming negative social determinants of health (SDOH) into positive ones. To address this complex social problem, the collective impact (CI) approach has promise but has been critiqued for insufficiently challenging structural inequities. Research applying CI to SDOH is limited. This mixed-methods study examined early adoption of CI in the 100% New Mexico initiative that aims to address SDOH population-wide in a state with strong cultural identity and assets but also persistent socio-economic inequality.MethodsA web-based survey, interviews and focus groups were conducted with initiative participants in June and July 2021. Survey participants rated agreement on a 4-point scale with six items assessing CI foundation adapted from the Collective Impact Community Assessment Scale. Interviews and focus groups centered on motivation to engage, progress achieved in model components, CI core conditions, and contextual factors influencing experiences. Surveys were analyzed using descriptive means and proportions. Qualitative data were analyzed using thematic analysis and an inductive approach followed by stratified analyses and co-interpretation of emergent findings with model developers.ResultsFifty-eight participants completed the survey, and 21 individuals participated in interviews (n = 12) and two focus groups (n = 9). Survey mean scores were highest related to initiative buy-in and commitment, and lower related to shared ownership, having multiple perspectives and voices involved, and adequate resources. Qualitative results showed that the framework’s cross-sector emphasis helped motivate participation. Participants embraced the focus on leveraging existing community assets that is characteristic of CI and the current framework. Counties implemented effective engagement and visibility strategies including mural projects and book clubs. Participants expressed communication challenges across county sector teams which influenced feelings of accountability and ownership. Participants did not report challenges lacking relevant, available, and timely data or tension between funder-driven and community-driven desired outcomes, in contrast with previous CI research.ConclusionMultiple foundational conditions of CI were supported in 100% New Mexico, including evidence for support of the common agenda addressing SDOH, shared measurement framework, and mutually reinforcing activities. Study results suggest that efforts to launch CI to address SDOH, which is by nature multi-sector, should include robust strategies to address communication needs of local teams. The use of community-administered surveys to identify gaps in SDOH resource access contributed to ownership and a sense of collective efficacy that may portend sustainability; however, relying on volunteers in the absence of other resources extensively also threatens sustainability.

235 Collective Impact Approach to Improve CKD diagnosis and management: A Show Me CKDintercept Initiative

235 Collective Impact Approach to Improve CKD diagnosis and management: A Show Me CKDintercept Initiative

Using Collective Impact to Advance Birth Equity: A Comparison of Two Cross-Sector Efforts in California.

Preterm birth, defined as birth at gestational age before 37 weeks, is a major public health concern with marked racial disparities driven by underlying structural and social determinants of health. To achieve population-level reductions in preterm birth and to reduce racial inequities, the University of California, San Francisco's California Preterm Birth Initiative catalyzed two cross-sector coalitions in San Francisco and Fresno using the Collective Impact (CI) approach. The purpose of this study is to compare two preterm birth-focused CI efforts and identify common themes and lessons learned. Researchers conducted in-depth interviews (n = 19) and three focus groups (n = 20) with stakeholders to assess factors related to collaboration. Transcripts were coded and analyzed using modified grounded theory. Findings were compared by year of data collection (first and second cycle in each location) and geographic location (Fresno and San Francisco) and discussed with CI participants for input. Although both communities adopted the core tenets of CI to address preterm birth and racial inequities, each employed distinct organizational structures, strategic frameworks, and interventions. Common themes emerged around the importance of authentic community engagement, transparency in the process of prioritization and decision-making, addressing racism as a root cause of disparities in birth outcomes, and candid communication among partners. Future CI efforts, particularly those catalyzed by academic institutions, should ensure community members are active partners in program development and decision-making. CI efforts focused on combatting racial health inequities should center racism as a root cause and build capacity among coalition partners.

Equally Well: Using a collective impact approach to enable system wide leadership.

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021.

Accessible and Inclusive Cities: Exposing Design and Leadership Challenges for Bunbury and Geelong

This article compares research identifying the systemic barriers to disability access and inclusion in two regional Australian cities, and discusses some of the leadership and design challenges that will need to be addressed by government and industry to embed universal design principles within the planning, development, and redevelopment of urban infrastructure. In Geelong, Victoria, given the often-opaque decision-making dynamics at play in the urban planning and development of cities, the disability community sought a more holistic and consultative approach to addressing access and inclusion. Systems-thinking for a collective impact approach was used to generate recommendations for action around improving universal design regulations, community attitudes to disability, access to information, accessible housing, partnerships, and disability employment. At Bunbury, Western Australia, a similar project analysed systemic factors affecting universal design at a local government level, and recommended a suite of safeguards for universal design including staff training, policies and procedures, best practice benchmarks, technical support and engagement in co-design. We describe the process followed in both studies to identify how, through collaborative and action-oriented research methods, the studies identified key technical, cultural, political, and structural changes required to achieve equitable access and inclusion in the urban landscape.

A collective impact approach to co-designing an improved health care system for older adults with frailty and their caregivers in Southwestern Ontario

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021.

Community involvement critical for revitalization: Grass-roots initiative key to environmental remediation and restoration in the Great River (St. Lawrence River)

This paper describes the creation of an environmentally conscious community group, the Great River Network, and the role that it has played in the remediation and restoration process as part of one of the Great Lakes environmental programs. Community engagement was initiated in the region as part of the Remedial Action Plan for the Area of Concern at Cornwall/Akwesasne/Massena within the Upper St. Lawrence River. The community group formalised as a network representing 50+ organisations in response to perceived inadequacies in the agency of the community to respond to new environmental concerns outside of the scope of the existing programs. As a grass-roots initiative, the Great River Network has successfully completed remediation and restoration actions of significant value to the environment. These include a series of river clean ups (>42 tonnes of garbage removed), fish habitat restoration, and addressing shoreline erosion issues. Success has been achieved through partnering with a range of organisations, including Indigenous, non-profit, governmental, Conservation Authorities, businesses and industry partners. The action-oriented approach showcases how remediation and restoration led by, and embedded in, the community can result in true revitalization. A simplified framework for adaptive management practices for remediation and restoration efforts that lead to revitalization, including knowledge translation, is proposed. This case study highlights the transformational opportunities that remediation and restoration initiatives can bring. In this instance, the process is intensely local and cooperative and lays the foundation for moving towards a collective impact approach for the region.

A Practice of Community Problem Solving through the Collective Impact Approach －Focusing on the ‘Urban Innovation School’ by a Private-Public-Academic Partnership

This study aims to provide the meaningful insights and practical implications for community problem solving through a collective impact approach by examining the case of the ‘Urban Innovation School’--a community problem solving program involving university students and local residents based on collaboration among universities, nonprofits, corporations, and government agencies. To this end, this study analyzed the outputs of the Urban Innovation School program and conducted written interviews with staff members from working organizations and participating university students in order to investigate the perceptions and experiences of the Urban Innovation School from the perspective of collective impact. The findings are as follows. A common understanding regarding the purpose and goals of the program were indeed found to exist. However, a system that can measure the educational and social impact of the Urban Innovation School, along with a backbone organization to coordinate the overall collaborative relationship, and one that can support the entire project process, are still needed. This study suggests that the Urban Innovation School can serve as one wherein useful educational practices can take place through the collective impact approach, as well as a school that can pursue both educational and local innovation by creating positive changes in the community through collaboration among various sectors.

A new path to address health disparities: How older Aboriginal & Torres Strait Islander women use social media to enhance community health (Protocol).

BackgroundDigital health offers a fresh avenue to address health disparities experienced by Aboriginal and Torres Strait Islanders. Despite the scant evidence about how Aboriginal and Torres Strait Islanders access and use health technology, the Australian government has prioritised research that uses technology to enable people to manage their health and promote better health outcomes. Older Aboriginal and Torres Strait Islander women are cultural leaders in their communities, enabling them to provide valuable insights about the safety and efficacy of health care messaging. However, no research has engaged older Aboriginal and Torres Strait Islander, women as partners in digital health research.ObjectiveThis paper provides a protocol for co-designed translational research that privileges older Aboriginal & Torres Strait Islander women’s cultural expertise to design and test a framework for accessible, culturally safe and feasible digital health technologies.MethodsThis mixed-methods research project will use the collective impact approach, a user-centred, co-design methodology and yarning circles, a recognised Indigenous research methodology. A series of yarning circles with three different communities will elucidate enablers and barriers to access health information; co-create a framework clarifying what works and does not work for digital health promotion in their communities; and test the framework by co-creating three digital health information programs.ConclusionsPrivileging the cultural expertise of older Aboriginal and Torres Strait Islander women will provide a novel perspective and vital guidance that end users and developers can trust and rely upon to create and evaluate culturally safe and efficacious digital health promotion programs.

Applying collective impact in Aboriginal health services and research: three case studies tell an important story.

Co-design is the latest buzzword in healthcare services and research and is ubiquitous in Australian funding grants and policy documents. There are no standards for what constitutes co-design and it is often confused with less collaborative processes such as consultation. Collective impact is a co-design tool used for complex and entrenched problems. It uses a systematic approach and requires power and resource sharing. We applied collective impact to three research projects with Aboriginal communities. This paper explores how collective impact can enhance participation and outcomes in healthcare services and research. We evaluated the collective impact process and outcomes in three translational health research projects with Aboriginal people and communities using a case study approach. We adapted the model using an iterative co-design approach. We adapted the collective impact model in three ways: 1) replaced the precondition of 'problems that are urgent' with 'problems that are complex and entrenched'; 2) added to the 'common agenda' the requirement to establish a planned exit and long-term sustainability strategy from the outset; and 3) added the delivery of a public policy outcome as a result of the collective impact process. Aboriginal and Torres Strait Islander health is an important public policy priority that requires new and different approaches to service delivery and research. This study adapted the collective impact approach and developed the Rambaldini model through three translational health research case studies and found that a modified collective impact approach is an effective tool for engagement and outcomes.

Equally Well. A collective impact approach to integration in New Zealand, Australia and the UK.

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)

Collective Impact Approaches to Promoting Community Health and Wellbeing in a Regional Township: Learnings for Integrated Care

This Perspective Paper explores the challenges of implementing local initiatives guided by the tenets of the Collective Impact (CI) approach. As such, it draws implications of CI for integrated health and social care efforts to improve and sustain health and social outcomes within a community-wide context, based on our efforts to deploy a CI intervention in the regional town of Muswellbrook, New South Wales (NSW) Australia. A program of health and wellbeing activities providing mental health and wellness messages and activities was implemented in the township over 2 years by the Family Action Centre (FAC), University of Newcastle, Australia. A key takeaway was the importance of authentic community engagement and active involvement as opposed to mere consultation.