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Leadership networks in Catholic parishes : implications for implementation research in health
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    Through two case studies of Catholic parishes in Massachusetts, this study explores the implications of leader-centered versus distributed leadership in Catholic parishes for the implementation of evidence-based health interventions. The two parishes involved in the study differ from each other in several ways. In the first, parishioners are less engaged in leadership activities at the decision-making level in the parish. A small group of lay volunteers work with the parish priest and other ordained leaders on parish activities. In the second parish, a large and active lay volunteer leadership have forged an organizational structure that allows more independence from the pastor's direct oversight. In this parish, lay volunteer leaders are the prime drivers of organizational programs and events. In 2012-2013, three types of networks were assessed at each parish: discussion, collaboration, and outside-of-parish ties. The contrasts between each parish include differences in density of collaboration, in frequency of discussion, and network centrality of the respective parish priests. We further identified key actors in the network structures at each parish. We discuss the implications of these findings for understanding organizational capacity in the context of health program implementation.

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    R21 MD005976/MD/NIMHD NIH HHS/United States
    R21MD005976/MD/NIMHD NIH HHS/United States
    U48DP001946/DP/NCCDPHP CDC HHS/United States
    U54 CA156732/CA/NCI NIH HHS/United States
    U54CA156734/CA/NCI NIH HHS/United States
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