Overcoming barriers to conducting culturally sensitive community-based health promotion research

2008 ◽  
Author(s):  
Tamika R. Bailey
2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
Z Pardoel ◽  
V Widyaningsih

Abstract   In Southeast Asia, it is common practice to have community-based interventions targeting health promotion, prevention and management of diseases. Often interventions developed by WHO or health programmes in the regions are copied. From literature it is known that community-based interventions are more effective when tailored to the local language, including the lingo, and custom traditions and adapted to preferences, needs, values, interests, religion, and other sociocultural specific aspects. Cultural and contextual adaptation of an intervention is difficult and dynamic, and to date there is no practical and scientific base how to do this. In this presentation the developing of contextual and culturally sensitive and responsive capacity building materials for health promotion and screening by community volunteers and community groups will be elaborated by the following topics: Development of general capacity building methods and curricula, taking into account local training needs of community workers Tools for pre-test post-test of training to assess the level of understanding by participants Tools for measuring contextual and cultural sensitivity of training modules and training activities Tools for adjustment of training and materials to context and culture, building on the findings in the previous tools   The presentation will show the application of these tools and the final outcome when applying them in practice.


2009 ◽  
Vol 2 (1) ◽  
pp. e14-e15 ◽  
Author(s):  
Jana J. Peterson ◽  
Charles Drum ◽  
Gloria L. Krahn ◽  
Susan Wingenfeld ◽  
Tom W. Seekins

1996 ◽  
Vol 11 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Susan M. Blake ◽  
Carl J. Caspersen ◽  
John Finnegan ◽  
Richard A. Crow ◽  
Maurice B. Mittlemark ◽  
...  

Purpose. To assess organizational and employee participation during three community-wide worksite exercise competitions in two communities. Design. A one-group, posttest-only design was used. Lack of controls, exercise baseline, and the short-term nature of the interventions were limitations. Setting. The Minnesota Heart Health Program conducted annual exercise campaigns between 1982 and 1989 within three intervention communities to reduce behavioral risk for cardiovascular disease. The Shape Up Challenge was a worksite exercise competition designed, in conjunction with other campaign activities, to increase levels of physical activity. Subjects. A total of 119 participating companies in two Minnesota communities, and 17,626 employees within these worksites, composed the subjects in this study. Intervention. Eligible worksites were invited to participate in a month-long competition during which employees recorded minutes spent daily in aerobic activities. Incentives were established to promote intragroup cooperation and intergroup competition. Companies competed for awards that were based on average minutes of exercise per employee versus per participant. Measures. Numbers of companies recruited and participating, campaign activities, minutes of exercise, and costs were recorded on implementation logs. Companies completed surveys describing business type, number and sex of employees, existing health promotion programs, and perceived benefits of participation. Results. Of the 365 companies invited to participate, 33 % participated (range 15 % to 50%). Participating companies were more likely than nonparticipating companies to offer other health promotion programs and perceived greater benefits from participation. Women and smaller companies had significantly greater participation rates than men and larger companies. Average employee participation rates ranged from as high as 84% in smaller organizations to as low as 16% as organization size increased. Conclusions. Community-based worksite exercise competitions appear to be a viable strategy for promoting employee exercise, particularly in smaller companies. Group-based contingencies applied in natural work units may facilitate employee participation. Further research is needed to assess the relative efficacy of this approach, compare alternative incentives, and identify strategies to enhance exercise maintenance after the intervention has ceased.


2017 ◽  
Vol 19 (4) ◽  
pp. 573-580 ◽  
Author(s):  
Anne Dressel ◽  
Robert Schneider ◽  
Melissa DeNomie ◽  
Jennifer Kusch ◽  
Whitney Welch ◽  
...  

Most low-income Americans fail to meet physical activity recommendations. Inactivity and poor diet contribute to obesity, a risk factor for multiple chronic diseases. Health promotion activities have the potential to improve health outcomes for low-income populations. Measuring the effectiveness of these activities, however, can be challenging in community settings. A “Biking for Health” study tested the impact of a bicycling intervention on overweight or obese low-income Latino and African American adults to reduce barriers to cycling and increase physical activity and fitness. A randomized controlled trial was conducted in Milwaukee, Wisconsin, in summer 2015. A 12-week bicycling intervention was implemented at two sites with low-income, overweight, or obese Latino and African American adults. We found that randomized controlled trial methodology was suboptimal for use in this small pilot study and that it negatively affected participation. More discussion is needed about the effectiveness of using traditional research methods in community settings to assess the effectiveness of health promotion interventions. Modifications or alternative methods may yield better results. The aim of this article is to discuss the effectiveness and feasibility of using traditional research methods to assess health promotion interventions in community-based settings.


2015 ◽  
Vol 49 (3) ◽  
pp. 101-104
Author(s):  
Amrit Tewari ◽  
Utkal Mohanty ◽  
Ashima Goyal

ABSTRACT Background An Indian Council of medical Research (ICMR) task force project was started in 1985 covering a population of 120,000 of Raipur Rani block of Haryana to study the feasibility of implementation of oral health promotion and prevention in the community and in the schools by utilizing existing manpower at different sectors. Objectives (i) To evaluate the long-term role of healthcare workers in imparting primary preventive strategies of oral health to adult community (ii) To study the knowledge, attitude and practice of the community regarding oral health. Methodology A total of 600 households (300 in experimental block and 300 in control block) were included by stratified random sampling method depending on the distance from Community Health centre of Raipur Rani to assess KAP and Caries activity among the population. Results The use of toothbrush as an oral hygiene method is being practiced by 96.6% of population in the experimental area compared to 84% in the control population where no oral health promotion activity was carried out. A great variation was seen in the frequency of its usage; 56% of the population in experimental area brushes twice per day compared to 7% of control area. According to the present data, 80% of the population in the experimental area is aware about the etiology, progress and consequences of gum diseases due to continuous oral health education delivered by the trained health staff during their routine beat program. In the control area where no oral health program was implemented, this knowledge was seen in 22 to 35% of the population. Conclusion In a developing country like India there is a pressing need of community-based oral health programs to reduce the burden of oral diseases, improve quality of life and reduce out of pocket expenditure incurring toward treatment of these diseases. How to cite this article Goyal A, Gauba K, Mohanty U, Tewari A. Community-based Oral Health Education Program in a Rural Population of Haryana: A 25 years Experience. J Postgrad Med Edu Res 2015;49(3):101-104.


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