Evaluating 
Adaptive Capacity and 
Skills + Resources 
in the Consumer Health Advocacy Field in Missouri 
Kat Athanasiades 
@KatAthanasiades 
kathanasiades@innonet.org 
AEA 2014, Denver, CO
https://www.flickr.com/photos/an_untrained_eye/6630719431
1 What and Why 
2 How 
3 So What? 
https://www.flickr.com/photos/an_untrained_eye/6630719431
1 What and Why 
https://www.flickr.com/photos/bobaubuchon/7029173397
2 How 
Theory of Change- Advocacy for Positive 
Health System Change 
State of the Field 2013 5 Year Strategies Ideal Future Field 2018 
Skills + Resources Skills + Resources 
Different 
strategies 
affect 
different field 
dimensions 
Connectivity Connectivity 
Composition 
Adaptive Capacity 
Composition 
Adaptive Capacity 
Field Frame Field Frame
2 How 
Theory of Change- Advocacy for Positive 
Health System Change 
State of the Field 2013 5 Year Strategies Ideal Future Field 2018 
Skills + Resources Skills + Resources 
Connectivity Connectivity 
Composition 
Adaptive Capacity 
Composition 
Adaptive Capacity 
Field Frame Field Frame
2 How 
Adaptive Capacity- 
Participatory Assessment 
Interviews 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Adaptive Capacity- 
Participatory Assessment 
Interviews 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Adaptive Capacity- 
Strongly 
Disagree 
Strongly 
Agree 
Reasons 
to 
Disagree 
Reasons 
STATEMENT to Agree 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Adaptive Capacity- 
Strongly 
Disagree 
Strongly 
Agree 
Reasons 
to 
Disagree 
Reasons 
to Agree 
“We respond to the 
moves of the opposition 
in a timely way.” 
My organization 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Adaptive Capacity- 
Strongly 
Disagree 
Strongly 
Agree 
Reasons 
to 
Disagree 
Reasons 
to Agree 
“We respond to the 
moves of the opposition 
in a timely way.” 
My organization 
The field of consumer health 
advocates 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Adaptive Capacity- 
Participatory Assessment 
Interviews 
https://www.flickr.com/photos/myklroventine/3333757313
2 How 
Skills + Resources- 
Participatory Assessment 
Interviews 
Advocates’ Survey 
https://www.flickr.com/photos/alatryste/3933874400
3 So What 
Are there significant skill or knowledge gaps we need to address among certain 
types of advocates? 
Where should we build skills within organizations vs. linking advocates with different 
skill sets together? 
Between what kinds of advocates is there a connectivity problem and why? And 
with what kinds of policy issues will this trip us up? 
Do “missing constituencies” in the policy arena warrant supporting new 
organizations or building the capacity of existing organizations who represent them? 
Where and among whom do we need to support increased time for shared political 
analysis? 
What other constraints to adaptive capacity can be addressed via grantmaking or 
auxiliary supports? 
https://www.flickr.com/photos/bobaubuchon/7029173397
3 So What 
Examples-https:// 
www.flickr.com/photos/bobaubuchon/7029173397
Field Organization 
0.47 0.81 
3 So What 
Adaptive Capacity- 
Collective Efficacy Survey 
-2 -1 0 1 2 
0.45 0.87 
Lower adaptive 
capacity 
Adaptive Capacity H-Forms 
Higher adaptive 
capacity 
-2 -1 0 1 2 
Lower adaptive 
capacity 
Higher adaptive 
capacity
3 So What 
Skills + Resources-
Outcomes 
Policy focus: Medicaid (blue) 
(n = 34 organizations) 
Audiences 
AWARENESS WILL ACTION 
PUBLIC INFLUENCERS DECISION MAKERS
Outcomes 
Policy focus: Medicaid (blue) & Nutrition (red) 
(n = 34 organizations) 
Audiences 
AWARENESS WILL ACTION 
PUBLIC INFLUENCERS DECISION MAKERS
Policy focus: Medicaid (blue) & Nutrition (red) 
(n = 34 organizations) 
Advocacy Capacity Building 
Coalition Building 
Communications and 
Messaging 
Community Mobilization 
Community Organizing 
Demonstration Programs 
Public Education Campaign 
Influencer Education 
Leadership Development 
Litigation 
Lobbying 
Media Advocacy 
Model Legislation 
Political Will Campaigns 
Policy Analysis/Research 
Policymaker Education 
Public Education 
Public Forums 
Public Polling 
Regulatory Feedback 
Voter Outreach 
Outcomes 
Audiences 
AWARENESS WILL ACTION 
PUBLIC INFLUENCERS DECISION MAKERS
So What? 
https://www.flickr.com/photos/an_untrained_eye/6630719431
Thank you! 
Kat Athanasiades 
@KatAthanasiades 
kathanasiades@innonet.org

Evaluating Adaptive Capacity and Skills + Resources

  • 1.
    Evaluating Adaptive Capacityand Skills + Resources in the Consumer Health Advocacy Field in Missouri Kat Athanasiades @KatAthanasiades kathanasiades@innonet.org AEA 2014, Denver, CO
  • 2.
  • 3.
    1 What andWhy 2 How 3 So What? https://www.flickr.com/photos/an_untrained_eye/6630719431
  • 4.
    1 What andWhy https://www.flickr.com/photos/bobaubuchon/7029173397
  • 5.
    2 How Theoryof Change- Advocacy for Positive Health System Change State of the Field 2013 5 Year Strategies Ideal Future Field 2018 Skills + Resources Skills + Resources Different strategies affect different field dimensions Connectivity Connectivity Composition Adaptive Capacity Composition Adaptive Capacity Field Frame Field Frame
  • 6.
    2 How Theoryof Change- Advocacy for Positive Health System Change State of the Field 2013 5 Year Strategies Ideal Future Field 2018 Skills + Resources Skills + Resources Connectivity Connectivity Composition Adaptive Capacity Composition Adaptive Capacity Field Frame Field Frame
  • 7.
    2 How AdaptiveCapacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313
  • 8.
    2 How AdaptiveCapacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313
  • 9.
    2 How AdaptiveCapacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons STATEMENT to Agree https://www.flickr.com/photos/myklroventine/3333757313
  • 10.
    2 How AdaptiveCapacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons to Agree “We respond to the moves of the opposition in a timely way.” My organization https://www.flickr.com/photos/myklroventine/3333757313
  • 11.
    2 How AdaptiveCapacity- Strongly Disagree Strongly Agree Reasons to Disagree Reasons to Agree “We respond to the moves of the opposition in a timely way.” My organization The field of consumer health advocates https://www.flickr.com/photos/myklroventine/3333757313
  • 12.
  • 13.
    2 How AdaptiveCapacity- Participatory Assessment Interviews https://www.flickr.com/photos/myklroventine/3333757313
  • 14.
    2 How Skills+ Resources- Participatory Assessment Interviews Advocates’ Survey https://www.flickr.com/photos/alatryste/3933874400
  • 15.
    3 So What Are there significant skill or knowledge gaps we need to address among certain types of advocates? Where should we build skills within organizations vs. linking advocates with different skill sets together? Between what kinds of advocates is there a connectivity problem and why? And with what kinds of policy issues will this trip us up? Do “missing constituencies” in the policy arena warrant supporting new organizations or building the capacity of existing organizations who represent them? Where and among whom do we need to support increased time for shared political analysis? What other constraints to adaptive capacity can be addressed via grantmaking or auxiliary supports? https://www.flickr.com/photos/bobaubuchon/7029173397
  • 16.
    3 So What Examples-https:// www.flickr.com/photos/bobaubuchon/7029173397
  • 17.
    Field Organization 0.470.81 3 So What Adaptive Capacity- Collective Efficacy Survey -2 -1 0 1 2 0.45 0.87 Lower adaptive capacity Adaptive Capacity H-Forms Higher adaptive capacity -2 -1 0 1 2 Lower adaptive capacity Higher adaptive capacity
  • 18.
    3 So What Skills + Resources-
  • 19.
    Outcomes Policy focus:Medicaid (blue) (n = 34 organizations) Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS
  • 20.
    Outcomes Policy focus:Medicaid (blue) & Nutrition (red) (n = 34 organizations) Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS
  • 21.
    Policy focus: Medicaid(blue) & Nutrition (red) (n = 34 organizations) Advocacy Capacity Building Coalition Building Communications and Messaging Community Mobilization Community Organizing Demonstration Programs Public Education Campaign Influencer Education Leadership Development Litigation Lobbying Media Advocacy Model Legislation Political Will Campaigns Policy Analysis/Research Policymaker Education Public Education Public Forums Public Polling Regulatory Feedback Voter Outreach Outcomes Audiences AWARENESS WILL ACTION PUBLIC INFLUENCERS DECISION MAKERS
  • 22.
  • 23.
    Thank you! KatAthanasiades @KatAthanasiades kathanasiades@innonet.org