scholarly journals Health promoting ideas and actions generated by community engagement in an underserved Swedish area

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Magnusson ◽  
H B Forslund ◽  
C Berg ◽  
K Wretlind ◽  
M Hallmyr ◽  
...  

Abstract Background For an intervention to contribute to decreased health gaps, people living in underserved areas must participate in the research-to-action process during the development of the intervention. Methods for increased engagement and participation have been developed within the community-based participatory research (CBPR) paradigm. Group Level Assessment (GLA) is a qualitative, participatory methodology that is designed for a large group to generate and evaluate relevant needs and priorities within a lens of action for positive social change. Influence of researchers is tuned down in favour of partnership and impact from the community. Ideally, the process results in participant-driven data and relevant action plans. The aim was to apply GLA to generate reflections on the situation in the community, aligning towards action for change. Methods We applied GLA together with people living in Gårdsten, an underserved Swedish suburb where obesity, caries and other illnesses are prevalent. Residents were recruited by posters and post cards at a community center and by snowball sampling. In total, 47 residents attended at least one of eight GLA sessions held over a five-month time period. The majority were women. Outcomes were reflections, suggestions and actions for change. Results Themes were: resident pride of the area, the importance of communication and of places to meet, a feeling of being abandoned by society, and a desire for more collaboration between schools and parents. Immediate results were a language café and inquiries from the community about information regarding teeth, food and health. When the results were presented for stakeholders in a report and an exhibition, new collaborations were founded and old were refreshed. Conclusions GLA helped residents identify what they thought valuable and relevant concerning health issues and supported them in taking actions to achieve change. Key messages Participatory processes that directly engage community residents can result in fruitful discussions and actions. Methodologies like GLA that support such processes may contribute to closing the health gap.

2021 ◽  
Author(s):  
Maria Magnusson ◽  
Lisa M. Vaughn ◽  
Katharina Wretlind ◽  
Heléne Bertéus Forslund ◽  
Christina Berg

Abstract Background For an intervention to contribute to decreased health gaps, people living in underserved areas must participate in the research-to-action process during the development of the intervention. The purpose of this study was to collaborate with residents living in a Swedish underserved area to generate health and wellness priorities and actions with specific interests in dental health and nutrition. Methods We applied Group Level Assessment (GLA) together with people living in a Swedish neighborhood where obesity, dental caries and other illnesses are prevalent. GLA is a qualitative, participatory methodology that is designed for a large group to generate and evaluate relevant needs and priorities within a lens of action for positive social change. Residents were recruited by posters, postcards and snowball sampling. In total, 47 residents participated. Eight GLA sessions were held over a five-month time period. Results The GLA sessions resulted in reflections, proposals and actions for change by the residents. Adolescent and parent need for support, improved communication and more meeting places were highlighted as priorities for promoting health and well-being. The results were presented for stakeholders in a report and an exhibition and some of the participants started a language café. Conclusions GLA helped residents identify what they thought valuable and relevant concerning health issues and supported them in taking actions to achieve change.


2009 ◽  
Vol 28 (2) ◽  
pp. 61-72 ◽  
Author(s):  
Alice de Wolff ◽  
Pedro Cabezas ◽  
Linda Chamberlain ◽  
Aldo Cianfarani ◽  
Phillip Dufresne ◽  
...  

Community-based participatory research is an enabling and empowering practice that is based in principles that overlap with those of mental health recovery. Using a participatory approach, an advocacy group called the Dream Team, whose members have mental health issues and live in supportive housing, planned and conducted a study of the neighbourhood impact of two supportive housing buildings in Toronto. The study found that tenants do not harm neighbourhood property values and crime rates, and that they do make important contributions to the strength of their neighbourhoods. This article demonstrates the strength of a self-directed collective of individuals who are prepared to challenge stigma and discrimination, and documents their use of participatory action research as a proactive strategy to contribute their knowledge to discussions that shape the communities, services, and politics that involve them.


2020 ◽  
Vol 35 (2) ◽  
Author(s):  
Latrice Rollins ◽  
Tandeca King Gordon ◽  
Adrianne Proeller ◽  
Terry Ross ◽  
Anne Phillips ◽  
...  

The Morehouse School of Medicine Prevention Research Center implemented initiatives in direct response to priorities identified through a community-based participatory research driven health needs and assets assessment. Led by a community-majority coalition board, the assessment coupled secondary data with primary survey data collected by and from 607 Atlanta community residents. This paper will detail the assessment process, which included identification of community residents’ health priorities and policies, systems, or environmental issues that impact community health. We will also describe the process of disseminating the assessment results through community conversations to increase community residents’ awareness of these priorities to effect change.


2020 ◽  
Author(s):  
Marinda Asiah Nuril Haya ◽  
Shuhei Ichikawa ◽  
Yukino Shibagaki ◽  
Akame Machijuu Genki Project Community Advisory Board ◽  
Hideki Wakabayashi ◽  
...  

Abstract Background: Public health programs are commonly designed as one-fit for all, to solve problems with high prevalence or cost. However, differences in community’s values and interest might create gaps between health program’s objectives and its implementation. We hypothesized that implementation of community-based participatory research (CBPR) which involve community in every step, can promote more effective program and empower community. This first step of CBPR aimed to assess community needs and develop tailored program for community in rural Japan.Methods: This study applied sequential exploratory mixed-method study (qualitative followed by quantitative). First, we formed community advisory board (CAB) that represented community organization, city officials, and university researchers. CAB conducted group discussions with community residents to identify community’s health issues and strength. Records of group discussions were analyzed with thematic analysis and developed into questionnaire. Questionnaire was sent to all households in community to get priority score of health issues and proposed action, also to assess the willingness to participate in community health program. CAB designed program based on overall results.Results: Ten group discussions with 68 participants generated the following health issues: 1) Diseases, 2) Unhealthy behavior, and 3) Unsupportive environment. Nature, vacant lot, and local farms were considered as local strength. From 1470 households, 773 questionnaires were collected. Cancer, lifestyle-related diseases, and cerebrovascular diseases were ranked highest as health problems. Improving services and access for medical checkup were considered most important. Utilization of public space, local farm, and collaboration with community health office came next for proposed action. Female, people who practice preventive behavior and have high commitment to community were more likely to attend community health program. Almost half participants were unwilling to attend, with majority were work-related reasons. Taking consideration of feasibility and target coverage, CAB decided to develop community program to tackle lifestyle-related diseases. To make advantage of local resources, the main activities centered on health education classes, cooking classes, healthy cafeteria, local farmers market, exercise classes and sports events.Conclusions: CBPR approach was useful to identify community’s needs and to develop a community-based health program that address the needs by utilizing local strength.


2019 ◽  
Vol 21 (1) ◽  
pp. 37-48 ◽  
Author(s):  
Elizabeth Chen ◽  
Cristina Leos ◽  
Sarah D. Kowitt ◽  
Kathryn E. Moracco

Introduction. The purpose of this review is to compare and contrast the values, purpose, processes, and outcomes of human-centered design (HCD) and community-based participatory research (CBPR) approaches to address public health issues and to provide recommendations for how HCD can be incorporated into CBPR partnerships and projects. Review Process. By consulting published literature, source materials, and experts on both approaches, a team of researchers completed a three-phased process of synthesizing key similarities and differences between HCD and CBPR and generating recommendations for ways to integrate HCD strategies in CBPR projects. Results. There are five HCD strategies that can be readily incorporated into CBPR projects to improve outcomes: (1) form transdisciplinary teams, (2) center empathy, (3) recruit and work with “extreme users,” (4) rapidly prototype, and (5) create tangible products or services. Conclusions. Integrating HCD in CBPR projects may lead to solutions that potentially have greater reach, are more readily adopted, are more effective, and add innovation to public health services, products, and policies.


2019 ◽  
Vol 40 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Andrew M. Subica ◽  
Jason A. Douglas

Tobacco-related health disparities (TRHD) (e.g., respiratory disease, cancer) have been repeatedly shown to disproportionately affect individuals living in disadvantaged communities. In our recent community-guided geospatial study, we found evidence for a previously unrecognized TRHD involving tobacco shops, which were associated with increased crime and violence in South Los Angeles: a large, disadvantaged urban community. Our findings revealed tobacco shops may directly endanger the health of community residents in South Los Angeles by negatively shaping neighborhood crime and violence. In this commentary, we explore reasons why tobacco shops may perpetuate TRHDs and other health disparities in disadvantaged communities. Using our study as a case example, we further describe how community-partnered research grounded in community-based participatory research principles may empower stakeholders in disadvantaged communities to generate positive downstream outcomes such as tobacco-related policy changes.


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