Re-examining the Role of Patients in Community-Based Interventions

2019 ◽  
pp. 125-138
Author(s):  
Khary K. Rigg ◽  
Amanda Sharp ◽  
Kyaien O. Conner ◽  
Kathleen A. Moore
Keyword(s):  
Community Based Interventions ◽  
Community Based

scholarly journals Promoting Social Change: The Experience of Health Action Zones in England

2005 ◽  
Vol 34 (3) ◽  
pp. 427-445 ◽  
Author(s):  
LINDA BAULD ◽  
KEN JUDGE ◽  
MARIAN BARNES ◽  
MICHAELA BENZEVAL ◽  
MHAIRI MACKENZIE ◽  
...  
Keyword(s):  
Social Programs ◽  
Organisational Structure ◽  
Community Based Interventions ◽  
Community Based ◽  
Great Expectations ◽  
Policy Makers ◽  
Limited Impact ◽  
Health Action ◽  
The Uk

When New Labour came to power in the UK in 1997 it brought with it a strong commitment to reducing inequality and social exclusion. One strand of its strategy involved a focus on area-based initiatives to reduce the effects of persistent disadvantage. Health Action Zones (HAZs) were the first example of this type of intervention, and their focus on community-based initiatives to tackle the wider social determinants of health inequalities excited great interest both nationally and internationally. This article draws on findings from the national evaluation of the initiative. It provides an overview of the HAZ experience, and explores why many of the great expectations associated with HAZs at their launch failed to materialise. It suggests that, despite their relatively limited impact, it is best to consider that they made a good start in difficult circumstances rather than that they failed. As a result there are some important lessons to be learned about the role of complex community-based interventions in tackling seemingly intractable social problems for policy-makers, practitioners and evaluators. Social programs are complex undertakings. They are an amalgam of dreams and personalities, rooms and theories, paper clips and organisational structure, clients and activities, budgets and photocopies, and great intentions. (Weiss, 1998: 48)

scholarly journals Effects of Community-Based Interventions in Reducing the Obesity and Overweight Rate Among Iranian Women: Using Urban Health Equity Assessment and Response Tool

2019 ◽  
Vol 7 (3) ◽  
pp. 99-104 ◽  
Author(s):  
Farzaneh Rassam ◽  
Leila Khedmat ◽  
Farnaz Khatami
Keyword(s):  
Health Equity ◽  
Urban Health ◽  
Overweight And Obesity ◽  
Community Based Interventions ◽  
Community Based ◽  
Obesity And Overweight ◽  
Before And After ◽  
Critical Issues ◽  
The Mean

Introduction: The increasing prevalence of overweight and obesity is one of the most critical issues of urban health. The current study investigated the effects of community-based interventions on modification of overweight and obesity. Methods: A program based on the Urban Health Equity Assessment and Response Tool (Urban HEART) was developed and implemented in 2013-2014. A total of 166 Iranian females aged 15 years or older who were classified as overweight or obese using body mass index (BMI) were randomly selected and gave verbal consent to participate in this study. The intervention was carried out for a duration of 4 months. Results: The mean age of subjects was 43.6±12.2 years. The total number of overweight and obese individuals were 75 (45.2%) and 91 (54.8%), respectively. The mean BMI of the patients before and after the intervention was 30.3±2.7 and 29.4±2.7 kg/m2 , respectively (P < 0.05). Higher education level and greater floor area were recognized as valid predictors for reduced BMI after the intervention (P < 0.001). Conclusion: This study successfully represents the collaborative role of the community in improving health status by reducing overweight and obesity. The Urban HEART provided distinct opportunities for presenting the promising results of interventions to health policymakers and managers so they can adjust macro and micro policies for achieving better community health outcomes.

scholarly journals The role of public health in addressing child maltreatment in Canada

2010 ◽  
Vol 31 (1) ◽  
pp. 39-44 ◽  
Author(s):  
SM Jack
Keyword(s):  
Public Health ◽  
Child Maltreatment ◽  
Surveillance Systems ◽  
Long Term Outcomes ◽  
Community Based Interventions ◽  
Community Based ◽  
Complex Issue ◽  
Short And Long Term

Child maltreatment is a significant health and social issue given its prevalence across the general population and the significant short- and long-term outcomes associated with maltreatment in childhood. There is a need for a comprehensive, collaborative and multisectoral approach for identification, prevention and intervention of this complex issue. Within this multisectoral collaboration, it is essential for public health in Canada to define its role in addressing and preventing child maltreatment. This commentary summarizes how public health can address the issue of child maltreatment in Canada by specifically: 1) measuring the magnitude of maltreatment through public health surveillance systems such as the Canadian Incidence Study of Reported Child Abuse and Neglect; 2) identifying modifiable risk factors; 3) identifying and evaluating community-based interventions to prevent violence; and 4) implementing evidence-based primary prevention strategies.

scholarly journals INTEREST GROUP SESSION—RURAL AGING: INNOVATIONS THAT SUPPORT RURAL OLDER ADULTS’ HEALTH AND WELL-BEING: MODELS, NETWORKS, CASE STUDIES, REFLECTIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S552-S552
Author(s):  
Roger O’Sullivan ◽  
Lyn Holley ◽  
Marc A Guest
Keyword(s):  
Older Adults ◽  
Adult Development ◽  
Rural Areas ◽  
Well Being ◽  
Educational Game ◽  
Community Based Interventions ◽  
Community Based ◽  
Rural Aging ◽  
Rural Older Adults

Abstract Access of rural older people to health and wellness services is limited and becoming progressively more limited as trends toward increasing centralization of Government and private services continue. “Top-down” or urban centric models for rural service delivery often miss context essential to effectiveness and sustainability. In this symposium, each presenter in this multidisciplinary group of researchers presents innovative, community-based interventions that address these challenges using different methodologies and in respect to different needs Maiden (Psychology) compares the utilization of mental health services by rural older adults over time with their need for such services. Through the lens of social gerontology Holley examines networks of support that have intersected successfully to generate local solutions to unmet needs of rural-dwelling older adults. Crowther and Ford within a nursing and care context explore community-based models that draw upon the role of culture to integrate care for rural older adults. Katz, from an adult development perspective, reports on an educational game-intervention developed to reduce cognitive decline which is tailored specifically for older adults in rural areas. Wiese presents evidence from a pilot home-based approach that demonstrates a model for increasing rates of AD detection and treatment in a rural retired farm worker community in Florida. Our discussant, an emerging scholar in the field of rural gerontology, will reflect on the major themes that emerge from these multidisciplinary perspectives, especially the role of intersecting networks in community-based innovations and rural aging.

The Role of Evaluation in Developing Community-Based Interventions

2004 ◽  
Vol 12 (3-4) ◽  
pp. 71-88 ◽  
Author(s):  
Sondra Seung Ja Doe ◽  
Daniel Lowery
Keyword(s):  
Community Based Interventions ◽  
Community Based

scholarly journals The Role of Youth Program Leaders in the Use of Technology: Challenges and Opportunities for Youth-Serving Organizations

2013 ◽  
Vol 8 (3) ◽  
pp. 83-94
Author(s):  
Mimi Nichter ◽  
Lynne Borden ◽  
Veronica Przybyl
Keyword(s):  
Young People ◽  
Lessons Learned ◽  
Community Based Interventions ◽  
Community Based ◽  
Program Leaders ◽  
Youth Program ◽  
Use Of Technology ◽  
Community Based Programs ◽  
Challenges And Opportunities

Youth-serving organizations offer young people an opportunity to gain skills and advance their knowledge of current and evolving technology through experiential learning. The key to ensuring that young people have meaningful learning experiences is directly related to the youth program leader who is responsible for designing and implementing these programs. Programs conducted by well-trained and well-prepared adults are an essential component of community-based interventions. To date, there is relatively limited research on how technology such as smart phones can be used in community-based programs and the success or failure of this as a strategy for delivering information and engaging young people in a program. In this paper, we discuss how technology was introduced into eight programs conducted by youth-serving organizations in the Southwest. We discuss the training of youth program leaders and their experience using technology at their sites, highlighting what worked and what was problematic, how challenges were overcome, and lessons learned.

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