scholarly journals Leveraging Arts for Justice, Equity, and Public Health: The Skywatchers Program and Its Implications for Community-Based Health Promotion Practice and Research

2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 91S-100S
Author(s):  
Rabbi Nancy E. Epstein ◽  
Anne Bluethenthal ◽  
Deirdre Visser ◽  
Clara Pinsky ◽  
Meredith Minkler

Arts have long addressed the conditions that cause ill health, such as poverty, social inequality, and structural racism, and have recently taken on increased significance for public health. This article illuminates the potential for cross-sector collaboration between community-based health promotion and community-engaged arts to address the social determinants of health and build neighborhood assets at multiple levels of the social-ecological model. It features Skywatchers, a collaborative community arts ensemble of artists and residents of the culturally rich but economically poor Tenderloin neighborhood in San Francisco, California, and its original values-based “relational, durational, conversational, and structural” methodology focused on process over product and leveraging arts for justice and equity. Now, 10 years into its work, Skywatchers offers lessons about building reciprocal relationships, cocreating artworks, and promoting arts-based advocacy to improve the conditions that foster poor health in the neighborhood. The article discusses implications for community-based health promotion practice that delineate commitments and challenges shared between the two fields, their distinct roles and tools, and the potential for more widespread partnerships. It concludes with implications for policy and advocacy and a vision for expanded community-based participatory research to better understand the impact of arts on community health and well-being.

2018 ◽  
Vol 46 (20_suppl) ◽  
pp. 20-26 ◽  
Author(s):  
Bente Wold ◽  
Maurice B. Mittelmark

Aims: This debate paper traces the development of innovative methods for undertaking health promotion research with a socialecological orientation, with a few examples drawn from 30 years of research on adolescent health promotion research at the University of Bergen. Conclusion: We aim to show how the social-ecological model is becoming more evident as a guide to research, using three cases that illustrate progress and potential. The first case is the Norwegian part of the European Network of Health Promoting Schools. The second case is a project just underway, The COMPLETE study, which is a community-led effort to promote students’ mental health and create a good psychosocial learning environment. The third case is a developing idea for the next generation of social-ecological research on adolescent well-being, using an asset approach to foster social inclusion and sense of community in multiple settings.


Author(s):  
Kim Foreman ◽  
Sandra Byrd Chappelle

Chapter 4 looks at the growing understanding of the relationship (intersectionality) between human health and other leading indicators of well-being that has come as a consequence of an increase in understanding of the social determinants of health. These indicators include full employment, educational attainment, and fair mortgage lending. It looks at examples of the work of nongovernment organizations (NGOs) together with public health officials and hospitals.


Author(s):  
Colin Palfrey

This book examines the evidence on the effectiveness and cost-effectiveness of health promotion policies and projects, with particular emphasis on the UK. As an introduction, this chapter clarifies the key concepts in the health promotion literature such as ‘new public health’, civil society, poverty and empowerment. It first considers the potentially disputed assumption that ‘health’ is an unequivocal concept before discussing the social determinants of health, the emergence of a ‘new public health’ in the UK that consists of health promotion as a model of health policy, and the role of civil society in health promotion. It also explains what poverty is, the impact of public health and health promotion interventions, the purpose of health promotion, and motives for improving people's health (such as empowerment, charity, economics). Finally, it reflects on the future for health promotion.


2020 ◽  
Vol 69 (1) ◽  
pp. 7-14
Author(s):  
Debra L. Fetherman ◽  
Timothy G. McGrane ◽  
Joan Cebrick-Grossman

Background The majority of U.S. worksites are smaller worksites that often employ low-wage workers. Low-wage workers have limited access to, and participation in, workplace health promotion programs. Community-based participatory research (CBPR) has been identified as a key method to directly engage employers in identifying the health promotion needs of smaller workplaces. This article describes a four-phased process where CBPR was used to tailor a workplace health promotion program to meet the needs of a smaller workplace that employees low-wage workers. Outcomes of this program were measured and reported over time. Methods The CBPR approach was based on the Social Ecological Model along with two additional health promotion models. Publicly available evidence-based tools were also used for this four-phased process which included the following: (a) initial program assessment, (b) program planning, (c) program implementation, and (d) program evaluation. Key strategies for developing a comprehensive workplace health promotion program guided the process. Findings The workplace’s capacity for promoting health among its employees was improved. There were sustainable improvements in the health interventions and organizational supports in place. Conclusion/Application to Practice A CBPR approach may be a way to build the capacity of smaller workplaces with low-wage employees to address the health promotion needs of their workforces. The use of publicly available strategies and tools which incorporate the social ecological determinants of health is of equal importance.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract This workshop aim is to explore the call that is proposed by the WHO declarations of Nairobi and Shangai, that institutions should move forward to become health literate organizations. This workshop addresses qualitative and quantitative health literacy research work settings of health and non-health professionals. Health literacy has evolved into a significant public health and health promotion goal which is especially influenced by the social and cultural background, the availability of resources, and the settings in which it is practised. Basically, health literacy can be defined as the knowledge and skills to access, understand, appraise and apply health information in order to promote health and well-being. For a long period most research had focused on adult patients in clinical settings, but in the recent past there have been significant efforts from research, practice, and policy towards citizens in other organizational settings, which is due to findings stating that effective health literacy promotion begins and continues across all settings in a whole society approach since health is mostly shaped outside the health care setting. Such approaches can also be influential when addressing the reduction of health inequalities. The main objective of this workshop is to present first time empirical findings and developments from ongoing research projects of the Health Literacy in workplace (ProLiSa). Thereby, it will shed light on the health literacy of professionals, and link the current debate with contemporary public health approaches to advance the field of health literacy. The workshop will include 5 presentations with up to 15 minutes input followed by discussions. The first presentation is a tentative to understand health literacy and ehealth tools to improve quality of life. From Brazil a second presentation will consider health care organizations (hospitals) and the perspective to move to health literate organizations. From Portugal a third presentation will consider migration and integration and the case of health literacy as a foundation to promote cultural sensitiveness in the organizational setting. A forth presentation will consider how communicating with migrants can be a challenge and how children’s health literacy, digital technology can become and critical help. Finally the last presentation considers the role of health literacy and physical activity as buffers to counter act work related stress. This workshop offers a forum for researchers, practitioners and policy-makers interested in health literacy. By dialogue and two-way communication lively interaction and vivid discussions will be facilitated. This will allow discussing results with regard to their benefit for improving health literacy research, practice, and policy-making, support further synergies, break down barriers between research infrastructures, facilitate networking and collaboration, and support international capacity building. Key messages There is need for empirical health literacy research in work settings. It will allow informing sustainable and effective interventions and the development and application of better tools. Addressing the social environment will have impact on public health research & practice, will facilitate the development of health literate organizations, new concepts/strategies for health promotion.


Author(s):  
Alan Cribb

This chapter explores some of the things that are entailed by calls for anti-reductionism or ‘holism’ in health policy. In particular, it considers what is sometimes called the ‘social context’ of health. Many reforming currents in health policy are informed by, and draw attention to, the importance of seeing health—including clinical medicine and individual well-being—in social terms. It has, for example, become a truism in health services quality-improvement work that a realistic prospect of change depends upon ‘systems thinking’—analysing and addressing the broad range of factors that shape the practices one is hoping to improve. Systems thinking has strong resonances and overlaps with traditions in public health and health promotion which also, of course, look at health in social terms, including as something that needs addressing at a population level.


2015 ◽  
Vol 8 (8) ◽  
pp. 94
Author(s):  
Raheleh Ghaumi ◽  
Tayebe Aminee ◽  
Akram Aminaee ◽  
Mojgan Dastoury

<p>The present study focuses on analyzing national and international Community-Based Participatory Research (CBPR) studies published from 2000 to 2010 in order to identify and categorize the possible factors that affect social participation for improving the public health. Clearly, improving the public health necessitates a combination of the participation and responsibility by the social members and the attempts by public health policy-makers and planners. CBPR studies are selected as the corpus since they seek to encourage active and informed participation of the social members in fulfilling the health related goals. The present study is conducted through meta-synthesis within a qualitative framework. The results revealed a set of factors within the structural capacities which were employed by the CBPR researchers for achieving the health promotion goals. The structural capacities employed in the interventions could be considered on the cultural and social grounds. The cultural grounds were divided into scientific and religious attempts. For the scientific attempts, the results highlighted the participation of higher education institutes including universities and research centers as well as educational institutes such as schools and the relevant institutions. And regarding the religious attempts, the results indicated that the cooptation of religious centers played the greatest role in enhancing the public participation.</p>


1996 ◽  
Vol 10 (4) ◽  
pp. 262-269 ◽  
Author(s):  
David R. Buchanan

Using select practice variables from Rothman's typology of models of community organization, this case study of the Massachusetts Community-Based Public Health Consortium analyses potential sources of conflict in collaborations between academic institutions and community coalitions. Based on different socialization experiences and organizational expectations, the goals, assumptions, basic change strategies, salient practitioner roles, conceptions of the client population, and client roles of the respective organizations were found to differ between these two partners and to be a source of chronic, unproductive tensions in consortium deliberations. The article concludes with recommendations for facilitating the development of more mutually trustworthy academic-community linkages to achieve public health promotion goals. These recommendations include (1) developing a greater awareness of the respective kinds of assumptions academic and community partners are likely to bring into new partnerships and (2) developing a more highly integrated model of community-based public health that capitalizes on the strengths of both the social planning and locality development approaches.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F S Sisenop ◽  
M N Natan ◽  
J L Lindert

Abstract Background The ongoing community-based participatory research (CBPR) project is based on a representative cross-sectional study on health and well-being in a rural region of Germany (n = 655). Methods We use a wide array of participatory methods to involve the general public, politicians and experts such as conferences open to the public including the use of the Mentimeter app, e-participation via an online-forum, working groups on topics identified by the public, a Delphi survey elicit expert opinions and focus groups to get deeper knowledge on key aspects. Results The results confirm the interest the public has in understanding better scientific research in the field of public health. The diversity of people (most notably age, social background) is a challenge in reaching out to people. Presenting statistical data to non-experts requires the researchers to re-think ways of presenting data, therefore basic knowledge on data research has to be taught. Usage of the tools such as the Mentimeter app offers a low-threshold for empowering people to take part in participatory conferences. Conclusions Sustainability is of utmost importance for participatory research. The population not only has the need but deserves timely information on results. Key challenges are communication, building trust and implementing sustainable CBPR projects. CBPR helps in building mutual trust, knowledge and science - public co-operations. Conferences open to the public that are tailored to the public`s needs and competences show the great interest people have in scientific knowledge generated through population-based surveys. By participatory research, Public Health Science can contribute to society, empower the general public. Key messages There is an existing interest in CBPR by the general public. It can be assumed that promoting CBPR in a sustainable manner will increase that interest. The diversity of participants is a challenge as well as communicating scientific data to non-experts.


Sign in / Sign up

Export Citation Format

Share Document