scholarly journals Community-Based Strategies for Health Priority Setting and Action Planning

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.

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.


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.


Author(s):  
Ashleigh Domingo ◽  
Kerry-Ann Charles ◽  
Michael Jacobs ◽  
Deborah Brooker ◽  
Rhona M. Hanning

In partnership with communities of the Williams Treaties First Nations in southern Ontario (Canada), we describe an approach to work with communities, and highlight perspectives of food security and sustainability, including priorities and opportunities to revitalize local food systems as a pathway to food security and food sovereignty. The objectives of our project were: (1) to build a shared understanding of food security and sustainability; and (2) to document community priorities, challenges and opportunities to enhance local food access. Utilizing an Indigenous methodology, the conversational method, within the framework of community-based participatory research, formative work undertaken helped to conceptualize food security and sustainability from a community perspective and solidify interests within the four participating communities to inform community-led action planning. Knowledge generated from our project will inform development of initiatives, programs or projects that promote sustainable food systems. The community-based actions identified support a path towards holistic wellbeing and, ultimately, Indigenous peoples’ right to food security and food sovereignty.


2011 ◽  
Vol 12 (6) ◽  
pp. 900-911 ◽  
Author(s):  
Amy J. Schulz ◽  
Barbara A. Israel ◽  
Chris M. Coombe ◽  
Causandra Gaines ◽  
Angela G. Reyes ◽  
...  

The elimination of persistent health inequities requires the engagement of multiple perspectives, resources, and skills. Community-based participatory research (CBPR) is one approach to developing action strategies that promote health equity by addressing contextual as well as individual-level factors, and that can contribute to addressing more fundamental factors linked to health inequity. Yet many questions remain about how to implement participatory processes that engage local insights and expertise, are informed by the existing public health knowledge base, and build support across multiple sectors to implement solutions. This article describes a CBPR approach used to conduct a community assessment and action planning process, culminating in development of a multilevel intervention to address inequalities in cardiovascular disease in Detroit, Michigan. The authors consider implications for future efforts to engage communities in developing strategies toward eliminating health inequities.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S746-S747
Author(s):  
Caroline Gelman ◽  
Nancy Giunta

Abstract Many Latino older adults delay seeking help for symptoms of Alzheimer’s Disease or Related Dementia (ADRD) due to substantial barriers to services. Community-based Natural helpers (NHs) can increase health-related knowledge and can serve as full partners in health education and promotion. This paper presents the process and product of the first phase of a community-based participatory research study to develop a culturally-tailored intervention increasing knowledge about ADRD and services in East Harlem, NY. We describe the results of the initial survey and development of El Barrio SHARE, an intervention that recruits and trains community residents to provide information and referrals about dementia, tapping into natural community networks of people (hairdressers, bodega clerks, mail carriers) who interact with and have longstanding relationships with older adults in the course of their work. NHs are well-positioned to observe and detect problems, and can link elders to relevant, culturally-sensitive resources, accessible support, and treatment.


Crisis ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Lindsay L. Sheehan ◽  
Patrick W. Corrigan ◽  
Maya A. Al-Khouja ◽  

Abstract. Background: Past scholarly efforts to describe and measure the stigma surrounding suicide have largely viewed suicide stigma from the perspective of the general public. Aims: In the spirit of community-based participatory research (CBPR), the current study brought together a diverse stakeholder team to qualitatively investigate the suicide stigma as experienced by those most intimately affected by suicide. Method: Seven focus groups (n = 62) were conducted with suicide attempt survivors, family members of those who died by suicide, and suicide loss therapists. Results: Themes were derived for stereotypes (n = 30), prejudice (n = 3), and discrimination (n = 4). People who attempted suicide were seen as attention-seeking, selfish, incompetent, emotionally weak, and immoral. Participants described personal experiences of prejudice and discrimination, including those with health professionals. Conclusion: Participants experienced public stigma, self-stigma, and label avoidance. Analyses reveal that the stigma of suicide shares similarities with stereotypes of mental illness, but also includes some important differences. Attempt survivors may be subject to double stigma, which impedes recovery and access to care.


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