Developing an organizational capacity assessment tool for programs to prevent or delay disability in Taiwan

Developing an organizational capacity assessment tool for programs to prevent or delay disability in Taiwan | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 25 December 2025 V1 Latest version Share on Developing an organizational capacity assessment tool for programs to prevent or delay disability in Taiwan Authors : Wan-Yu Chiu 0000-0002-7782-971X , Hui-Fen Mao , Ling-Hui Chang , Hsiao-Wei Yu , and Ya-Mei Chen [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.176668760.01727308/v1 120 views 42 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Background Disability-prevention programs are widely implemented as national strategies to reduce disability, yet their effectiveness varies. Beyond participant-level factors, organizational factors also merit investigation. Purpose Taiwan has implemented a national Disability Prevention Program involving multiple service agencies. This study developed a tool to assess organizational capacity for delivering these programs and to describe reported organizational support during implementation. Methods Building on Dunn’s framework, we created an organizational capacity instrument, established content validity through a two-round expert review, and conducted a census of all service organizations that participated in the program over a two-year period. Exploratory factor analysis identified the instrument’s structure, and confirmatory factor analysis evaluated reliability and validity. Results A total of 392 service organizations responded (response rate 95%). Six domains were identified: internal effectiveness, responsiveness, professionalism, community collaboration, environmental factors, and sustainability. Sustainability was added as a new domain based on expert recommendations, and overall content validity was high (I-CVI ≥ 0.80; S-CVI = 0.97). Model fit was acceptable to good (χ 2 = 296.61; CFI = 0.96; RMSEA = 0.05; SRMR = 0.03). By domain, community collaboration received the lowest. In regression analyses, internal effectiveness was the strongest predictor of whether managers felt that program content met participants’ needs. Discussion Internal effectiveness emerged as a key component of organizational capacity. The newly added sustainability domain highlights a future priority for strengthening organizations’ ability to maintain disability-prevention programs over time. In contrast, community collaboration received low scores and was not a significant predictor of whether managers felt that program content met participants’ needs, highlighting a gap between policy emphasis on partnerships and the criteria managers currently use when evaluating program delivery. Conclusion This validated instrument provides a structured way to assess organizational capacity across multiple domains in disability-prevention programs. It can be used to describe current self-rated capacity and support levels and to inform future efforts to strengthen organizational support for community-dwelling older adults. Supplementary Material File (01 developing an organizational capacity instrument 1224_submit.docx) Download 291.56 KB Information & Authors Information Version history V1 Version 1 25 December 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords frailty instrument development organizational factors prevent and delay disability Authors Affiliations Wan-Yu Chiu 0000-0002-7782-971X National Taiwan University Institute of Health Policy and Management View all articles by this author Hui-Fen Mao National Taiwan University School of Occupational Therapy View all articles by this author Ling-Hui Chang National Cheng Kung University Department of Occupational Therapy View all articles by this author Hsiao-Wei Yu National Taiwan University Institute of Health Policy and Management View all articles by this author Ya-Mei Chen [email protected] National Taiwan University Institute of Health Policy and Management View all articles by this author Metrics & Citations Metrics Article Usage 120 views 42 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Wan-Yu Chiu, Hui-Fen Mao, Ling-Hui Chang, et al. Developing an organizational capacity assessment tool for programs to prevent or delay disability in Taiwan. Authorea . 25 December 2025. DOI: https://doi.org/10.22541/au.176668760.01727308/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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