Capability for change at community health centers serving Asian Pacific Islanders: An exploratory study of a cancer screening evidence-based intervention

Hee Yon Sohng, Alan Kuniyuki, Jane Edelson, Rosy Chang Weir, Hui Song, Shin-Ping Tu

Research output: Contribution to journalArticle

6 Scopus citations


Background: Understanding and enhancing change capabilities, including Practice Adaptive Reserve (PAR), of Community Health Centers (CHCs) may mitigate cancer-related health disparities. Materials and Methods: Using stratified random sampling, we recruited 232 stafffrom seven CHCs serving Asian Pacific Islander communities to complete a self-administered survey. We performed multilevel regression analyses to examine PAR composite scores by CHC, position type, and number of years worked at their clinic. Results: The mean PAR score was 0.7 (s.d. 0.14). Higher scores were associated with a greater perceived likelihood that clinic staffwould participate in an evidence-based intervention (EBI). Constructs such as communication, clinic flow, sensemaking, change valence, and resource availability were positively associated with EBI implementation or trended toward significance. Conclusions: PAR scores are positively associated with perceived likelihood of clinic staffparticipation in cancer screening EBI. Future research is needed to determine PAR levels most conducive to implementing change and to developing interventions that enhance Adaptive Reserve.

Original languageEnglish (US)
Pages (from-to)7451-7457
Number of pages7
JournalAsian Pacific Journal of Cancer Prevention
Issue number12
StatePublished - Dec 1 2013
Externally publishedYes



  • Health care delivery/HSR
  • Health disparities
  • Primary care issues
  • Special population
  • Underserved/minority

ASJC Scopus subject areas

  • Epidemiology
  • Oncology
  • Public Health, Environmental and Occupational Health
  • Cancer Research

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