scholarly journals Community Health Partnerships for Chronic Disease Prevention Among Latinos: The San Diego Prevention Research Center

2013 ◽  
Vol 34 (1-2) ◽  
pp. 17-29 ◽  
Author(s):  
John P. Elder ◽  
Guadalupe X. Ayala ◽  
Elva M. Arredondo ◽  
Gregory A. Talavera ◽  
Thomas L. McKenzie ◽  
...  
1993 ◽  
Vol 7 (3) ◽  
pp. 208-220 ◽  
Author(s):  
Robert M. Goodman ◽  
Allan Steckler ◽  
Sandra Hoover ◽  
Randy Schwartz

Purpose. This article reports on a process evaluation of three Planned Approach to Community Health (PATCH) projects and three Community Chronic Disease Prevention Programs (CCDPP) that operated in the State of Maine. PATCH and CCDPP are similar approaches to community health promotion developed and disseminated by the Centers for Disease Control. The evaluators studied how the Planned Approach to Community Health and the Community Chronic Disease Prevention Program models worked as community health strategies across the six field sites. Research Methods Used. Qualitative methods were used in a cross-case comparison of the six field sites. In studying each site, the evaluators focused on six stages common to both the Planned Approach to Community Health and the Community Chronic Disease Prevention Program models: Stage 1: conducting a community needs assessment; Stage 2: analyzing needs assessment data; Stage 3: setting priorities for the project based on the data; Stage 4: implementing activities; Stage 5: producing process outcomes; and Stage 6: institutionalizing the project. The analysis focused on how each of the six communities traversed these stages. Summary of Findings. Eight recommendations for refining Planned Approach to Community Health and Community Chronic Disease Prevention strategies resulted from the study: 1) do a community capacity assessment prior to initiating a community needs assessment; 2) do not overly rely on Behavioral Risk Factor Surveys; 3) analyze needs assessment data rapidly for community consumption; 4) allow flexibility and community input in determining priority health objectives; 5) provide technical assistance throughout a project, not just in the beginning; 6) fund at least one full-time local coordinator and extensive capacity building; 7) emphasize multiple interventions around one chronic condition at a time; and 8) emphasize program institutionalization. Conclusions. Community development approaches like Planned Approach to Community Health and Community Chronic Disease Prevention are promising health promotion strategies. To be optimally effective, however, these strategies need refinement based on systematic study in field settings. Because this study was limited to six sites in Maine, some of these findings may have limited generalizability.


2020 ◽  
Vol 44 (5) ◽  
pp. 336-340
Author(s):  
Eloise Howse ◽  
Lucie Rychetnik ◽  
Leah Marks ◽  
Andrew Wilson

2012 ◽  
Vol 28 (2) ◽  
pp. 257-268 ◽  
Author(s):  
C. I. J. Nykiforuk ◽  
D. Schopflocher ◽  
H. Vallianatos ◽  
J. C. Spence ◽  
K. D. Raine ◽  
...  

Systems ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 61
Author(s):  
Melanie Pescud ◽  
Lucie Rychetnik ◽  
Steven Allender ◽  
Michelle J. Irving ◽  
Diane T. Finegood ◽  
...  

Within the field of chronic disease prevention, research efforts have moved to better understand, describe, and address the complex drivers of various health conditions. Change-making is prominent in this paper, and systems thinking and systems change are prioritised as core elements of prevention research. We report how the process of developing a theory of systems change can assist prevention research to progress from understanding systems, towards impactful action within those systems. Based on Foster-Fishman and Watson’s ABLe change framework, a Prevention Systems Change Framework (PSCF) was adapted and applied to an Australian case study of the drivers of healthy and equitable eating as a structured reflective practice. The PSCF comprises four components: building a systemic lens on prevention, holding a continual implementation focus, integrating the systemic lens and implementation focus, and developing a theory of change. Application of the framework as part of a systemic evaluation process enabled a detailed and critical assessment of the healthy and equitable eating project goals and culminated in the development of a theory of prevention systems change specific to that project, to guide future research and action. Arguably, if prevention research is to support improved health outcomes, it must be more explicitly linked to creating systems change.


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