scholarly journals El arte y la creatividad como nuevas formas de bienestar. Primera fase de ARTYS La Experimental, proyecto de Arte y Salud Comunitaria en la Colonia Experimental de Villaverde Alto (Madrid)

2019 ◽  
pp. 150
Author(s):  
Silvia Siles
Keyword(s):  
Action Research ◽  
Community Health ◽  
Public Space ◽  
Community Intervention ◽  
Research Process ◽  
Community Art ◽  
Calidad De Vida ◽  
Toma De Decisiones ◽  
Art Community ◽  
Health Assets

Resumen: El presente artículo tiene como objetivo describir la primera fase del proyecto de investigación ARTYS La Experimental, un proyecto de Arte y Salud comunitaria, que se lleva a cabo en la Colonia Experimental del barrio madrileño de Villaverde Alto. Se trata de una propuesta práctica diseñada durante el proceso por todas las personas implicadas en él. De esta manera, pretende crear nuevas oportunidades para mejorar el bienestar y la salud de un colectivo concreto a través de la creatividad y promover el uso de las prácticas artísticas como vehículo para mejorar la calidad de vida de la vecindad. Además, parte de los preceptos del arte basado en la comunidad, las prácticas artísticas colaborativas, el arte activista, la promoción de la salud comunitaria a través de los activos en salud, la metodología de investigación-acción participativa y la intervención comunitaria. Se trata de la fase inicial de un proceso que tiene como protagonista acciones artísticas en el espacio público, la participación activa y la toma de decisiones colectiva y que ha tenido lugar desde mayo de 2017 y hasta finales de enero de 2018. Por último, se presenta un análisis y una discusión de los resultados obtenidos hasta el momento de la publicación de este texto.  Palabras clave: arte basado en la comunidad, prácticas artísticas colaborativas, salud comunitaria, activos en salud, investigación-acción participativa, espacio público. Abstract: The purpouse of this paper is to describe the first phase of the research project ARTYS La Experimental, which is an Art & Community Health Project that took place in La Colonia Experimental, a neighborhood located in Villaverde Alto in the province of Madrid. The practical proposal is designed during the process by the people involved in it. Thus, the project intends to create new opportunities for a collective group to improve their health and wellbeing across the creativity and the artistic practices as a way of increasing the neighborhood’s quality of life. The project is based on the community art-based projects, collaborative arts, activist art, community health promote through health assets, action-research participative method and community intervention. This phase of the research process has been developed from May 2017 to the end of January 2018 which includes artistic actions in the public space, active participation and collective decision-making as key protagonists. Lastly, analysis and disscusion of the results achieved to date are written in this publication.  Keywords: community art-based projects, collaborative arts, community health, health assets, action-research participative, public space.   DOI: http://dx.doi.org/10.7203/eari.10.12608

scholarly journals Grassroots innovations as salutogenic practices in a slum of Medellín

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Martinez-Herrera ◽  
J C Molina
Keyword(s):  
Community Health ◽  
Public Space ◽  
Urban Health ◽  
Social Transformation ◽  
Well Being ◽  
Alternative Response ◽  
Bottom Up ◽  
Grassroots Innovation ◽  
Innovation Practices ◽  
Health Assets

Abstract Background WHO pointed out urbanization as one of the main troubles and defiances for public health in the 21st century because of the increasing urban health inequalities. The United Nations SDGs 11 promotes local strategies to create environments that expand the resources of a healthier, sustainable, livable for life. Basically, grassroots innovation practices (GIP) are shown as boosters and leading figures of urban social transformation in Slums. On average, 20% in Medellin live in Slums with poverty conditions extremely high. Methods In 2018, a qualitative case study focused on urban health and salutogenesis was carried out using an interpretative scope by communitarian narrative explanation building analysis. 32 participants, inhabitants and founders of the Slum, mainly adults, were involved in semi-structured Interviews, Photovoice and Mapping of Community Assets. All ethical aspects were conceived to respect the voices on the struggles for being renowned as part of the city. Results El Faro built on a settlement space by its residents through a process which they have called 'dignity and resistance' has transform as a consequence of a set of drivers of four GIP developed around the community. Among them, water management, creation of public space and artistic training. GIP have mobilized community health assets, allowing the development of an important sense of community coherence (SoC-C), with which the community faces their situation of poverty, modifying the conditions that reproduce it and setting up coherent experiences. Conclusions GIP are configured as an alternative response to local needs and structural limitations and confrontations. SOC-C has contributed to generate health and well-being, through a process of empowerment that promotes a critical, reflective and proactive citizenship in front of its environment. New research based on salutogenesis is needed as a spotlight institutional governance strategy to bottom up housing public policies. Key messages SOC-C generates mobilization of own community health assets to face the local situation of poverty in a bottom up process; alluring meaningful processes and raising social cohesion experiences. Social and urban transformation from the community are possible and attributable to a result of grassroots innovation practices.

scholarly journals Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e040043
Author(s):  
Sara Calderón-Larrañaga ◽  
Blanca Valls-Pérez ◽  
Adrián Cardo-Miota ◽  
Blanca Botello ◽  
Nieves Lafuente ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Action Research ◽  
Community Development ◽  
Community Health ◽  
Research Study ◽  
Training Programme ◽  
Care Workers ◽  
Asset Based Community Development ◽  
Health Assets

IntroductionAsset-based community development (ABCD) is a strategy aimed at strengthening communities of interest through the identification and enhancement of those protective resources (also called ‘health assets’) that contribute to improve population health. Although primary care is specially well placed to contribute to ABCD by facilitating patients’ access to community health assets, the implementation of ABCD approaches is limited, in part due to training deficiencies amongst general practitioners. In this study, we will develop a training programme on ABCD aimed at general practice trainees and evaluate its implementation and scale-up in Andalusia, Spain. We will also investigate whether the programme may contribute to strengthen the community orientation of the primary care practices involved in the study.Methods and analysisWe will undertake a mixed methods, multilevel and multicentric action research study drawing on theoretical frameworks relevant to learning (pedagogy) and community health promotion. The intervention will be implemented and evaluated in eight different study areas over 48 months. It will comprise a classroom-based session and a practical exercise, which will involve general practice trainees producing a map of community health assets relevant to common health conditions. In each study area, we will set up a stakeholder group to guide our study. We will run the intervention sequentially across the eight study areas, and modify and refine it iteratively by incorporating the findings from the evaluation. We will employ qualitative (interviews and focus groups with general practice trainees, primary care workers, members of the teaching units and policymakers) and quantitative methods (self-administered questionnaires with an approximate sample of 157 general practice trainees and 502 primary care workers).Ethics and disseminationEthics approval from the Andalusian Regional Health Council has been granted (6/2020). It is envisaged that this research will provide relevant, evidence-based guidance on how best to incorporate learning on ABCD into the general practice training curriculum. Findings will be disseminated in an ongoing manner and will target the following audiences: (1) general practice trainees, primary care workers and members of the teaching units, (2) policymakers and strategic decision makers and (3) the academic community.

Public space of the trustworthiness of sociological knowledge: The case of electoral research

2020 ◽  
pp. 13-22
Author(s):  
OLEKSANDR STEGNII
Keyword(s):  
Public Space ◽  
Research Process ◽  
Negative Influence ◽  
Election Campaign ◽  
Sociological Research ◽  
Good Tool ◽  
Sociological Knowledge ◽  
The Public ◽  
Approval Ratings ◽  
The Impact

The paper analyses specific features of sociological data circulation in a public space during an election campaign. The basic components of this kind of space with regard to sociological research are political actors (who put themselves up for the election), voters and agents. The latter refer to professional groups whose corporate interests are directly related to the impact on the election process. Sociologists can also be seen as agents of the electoral process when experts in the field of electoral sociology are becoming intermingled with manipulators without a proper professional background and publications in this field. In a public space where an electoral race is unfolding, empirical sociological research becomes the main form of obtaining sociological knowledge, and it is primarily conducted to measure approval ratings. Electoral research serves as an example of combining the theoretical and empirical components of sociological knowledge, as well as its professional and public dimensions. Provided that sociologists meet all the professional requirements, electoral research can be used as a good tool for evaluating the trustworthiness of results reflecting the people’s expression of will. Being producers of sociological knowledge, sociologists act in two different capacities during an election campaign: as analysts and as pollsters. Therefore, it is essential that the duties and areas of responsibility for professional sociologists should be separated from those of pollsters. Another thing that needs to be noted is the negative influence that political strategists exert on the trustworthiness of survey findings which are going to be released to the public. Using the case of approval ratings as an illustration, the author analyses the most common techniques aimed at misrepresenting and distorting sociological data in the public space. Particular attention is given to the markers that can detect bogus polling companies, systemic violations during the research process and data falsification.

Design of the Tool (web) EMAeHealth supporting decision-making during pregnancy and postpartum: Collaborative Action Research Study. (Preprint)

2020 ◽  
Author(s):  
Isabel Artieta-Pinedo ◽  
Carmen Paz-Pascual ◽  
Paola Bully ◽  
Maite Espinosa ◽  
Keyword(s):  
Action Research ◽  
Maternal Education ◽  
Monitoring And Evaluation ◽  
Research Process ◽  
Collaborative Action Research ◽  
Public Healthcare ◽  
Self Assessment ◽  
Collaborative Action ◽  
Patient Decision ◽  
Pregnancy And Postpartum

BACKGROUND Background: Despite the benefit it can give women, Maternal Education needs new tools that increase its effectiveness and scope OBJECTIVE To develop a multifunctional, personalized eHealth platform aimed at the self-management of health in relation to maternity METHODS The International Patient Decision Aid Standards (IPDAS) were applied. A website prototype was developed for implementation in the public health system using a collaborative action research process in which experts and patients participate, with qualitative research techniques as well as prioritization and consensus techniques. RESULTS A website is proposed which includes (1) systematically updated information related to clinical practice guidelines, (2) interaction between peers and users/professionals, (3) instruments for self-assessment of health needs as a basis for working on counseling, agreement on actions, help in the search for resources, monitoring and evaluation of results and (4) access for women to their clinical data and the option of sharing them with other health agents. These components, with different access requirements, would be permanently reviewed through iterative cycles depending on the frequency and effectiveness resulting from their use and would be accessible from any digital device CONCLUSIONS This public healthcare website would facilitate use, maintenance and effectiveness to increase quality of care without increasing costs. The participation of professionals and users in the creation of new tools will result in greater satisfaction with their use, with the decisions made, and with the decision process itself.

scholarly journals Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 367
Author(s):  
Pilar Charle-Cuéllar ◽  
Noemí López-Ejeda ◽  
Mamadou Traore ◽  
Adama Balla Coulibaly ◽  
Aly Landouré ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Community Intervention ◽  
Health Workers ◽  
Acute Malnutrition ◽  
Control Group ◽  
Supportive Supervision ◽  
Supervision Group ◽  
Different Levels

(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.

scholarly journals Prostatectomía radical y calidad de vida: resultados en un centro de alta complejidad

2018 ◽  
Vol 27 (02) ◽  
pp. 141-146
Author(s):  
Catalina Sánchez Basto ◽  
Juan Cataño Cataño ◽  
Ana Lizcano Herrera ◽  
Julián Chavarriaga Soto ◽  
Paola Orrego Rojas ◽  
...  
Keyword(s):  
Cáncer De Próstata ◽  
Calidad De Vida ◽  
Toma De Decisiones

Introducción La prostatectomía radical (PR) es el patrón de oro para el manejo quirúrgico con intención curativa del cáncer de próstata. Sin embargo, tiene secuelas importantes como la incontinencia urinaria y la disfunción eréctil. El objetivo de este estudio es describir la prevalencia de las secuelas y el compromiso de calidad de vida de los pacientes llevados a PR abierta en un centro de alta complejidad. Materiales y Métodos Se revisaron los datos de los pacientes llevados a prostatectomía radical en el Hospital Universitario San Ignacio desde el año 2005 hasta el año 2015. Se seleccionaron aquellos que tuvieran más de 12 meses de postoperatorio, previo consentimiento informado verbal por vía telefónica se aplicó el cuestionario UCLA PCI. La información fue organizada para su análisis en una base de datos construida con ese fin para posterior aplicación de las estadísticas descriptivas que permitieran resumir y describir los resultados. Resultados Durante los años analizados, se realizaron 231 prostatectomías radicales. Se logró tener contacto con 112 de ellos a los cuales se les aplicó el cuestionario UCLA PCI. En el dominio de función urinaria, 57% de los pacientes reportan tener “control total de la orina,” 53% nunca tienen escape involuntario de la orina, 82% no requieren el uso de protectores y 62% presentan goteo de orina menos de 1 vez por semana. En cuanto a la función sexual, 69,3% califican su habilidad para tener una erección como pobre o muy pobre, 25% regular y 7% buena o muy buena. Para 20% la erección es suficiente para lograr el coito. Y para 52% esa función implica un problema en su vida. El impacto en la calidad de vida mostró que un 91,8% de los pacientes consideran que su salud es en general buena muy buena o excelente y un 70% no tienen ningún tipo de limitación física. Conclusiones La prostatectomía radical tiene un impacto importante no despreciable en la calidad de vida de los pacientes, especialmente en lo referente a la función urinaria y sexual. Su impacto en la calidad de vida debe ser considerado al momento de realizar la consejería previa a la toma de decisiones en el manejo definitivo del cáncer de próstata con el fin de que el paciente tenga unas expectativas claras en ese sentido.

Taking the road less taken: reorienting the state for periurban water security

2017 ◽  
Vol 18 (4) ◽  
pp. 528-545 ◽  
Author(s):  
Vishal Narain ◽  
Pranay Ranjan ◽  
Sumit Vij ◽  
Aman Dewan
Keyword(s):  
Action Research ◽  
Water Supply ◽  
Service Providers ◽  
Intervention Strategy ◽  
Water Security ◽  
Research Process ◽  
The State ◽  
The Road ◽  
Water Users ◽  
Building Community

This paper describes the intervention strategy to improve water security in Sultanpur, a village in periurban Gurgaon, India. Most approaches to improving natural resource management in periurban contexts focus on mobilising the community; little attention is paid to reorienting the state or strengthening the user-bureaucracy interface. This paper describes the action research process that was followed to reorient civic agencies engaged in the provisioning of water and to break from a situation of distrust and prisoners' dilemma between water users and service providers. The paper argues that the creation and provision of a platform for direct engagement between water users and service providers can be a key tool for improving periurban water security. These platforms can provide support in building community resilience to face challenges such as climate variability and urbanisation, both of which threaten periurban water security. The action research emphasises on building the community's capacity to ask for improved water supply and to negotiate with state service providers, rather than augmenting water supply physically.

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