调查-设计-实践-反思:改善全民健康的社区参与行动迭代过程。

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2024-12-01 Epub Date: 2024-08-07 DOI:10.1007/s10900-024-01385-y
Marisa S Rosen, Ann E Rogers, Mary J Von Seggern, Brandon L Grimm, Athena K Ramos, Michaela A Schenkelberg, Regina E Idoate, David A Dzewaltowski
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引用次数: 0

摘要

背景:以社区为基础的联盟是社区参与工作的一种常见策略,其目标是改善各种人群的健康状况。联盟组织工作所遵循的典型流程包括顺序步骤、缓慢步骤和时间密集步骤。这些流程还将地方决策局限于选择循证政策或计划:我们提出了一种基于过程控制理论的社区行动流程--调查-设计-实践-反思(IDPR),在该流程中,社区中心(即联盟)以非顺序、快速、高效的方式组织灵活的工作,利用当地资产和数据,就人口健康服务的提供和生产做出决策。我们使用定性方法,说明并分析了 IDPR 在一个社区案例研究中的使用情况,该案例研究是 Wellscapes 项目的一部分:结果:我们发现,社区成员遵循 IDPR 社区行动流程,快速设计、组织、实施了基于社区的儿童人群体育活动原型--面向所有儿童的课后 "公园游戏 "机会,并获得了反馈:讨论:按照 IDPR 社区行动流程,社区联盟通过反馈及时学习,该流程协调了关于哪些社 区服务符合社区需求的决策(提供决策)和如何组织生产居民健康服务的决策(生产 决策)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Investigate-Design-Practice-Reflect: An Iterative Community-Engaged Action Process to Improve Population Health.

Background: Community-based coalitions are a common strategy for community engagement efforts targeting the improvement of a variety of population health outcomes. The typical processes that coalitions follow to organize efforts include steps that are sequential, slow, and time intensive. These processes also limit local decision-making to the selection of evidence-based policies or programs.

Methods: We present a process control theory-based Community Action Process, Investigate-Design-Practice-Reflect (IDPR), where community hubs (i.e., coalitions) organize agile efforts in a non-sequential, rapid, and efficient manner to harness local assets and data to make decisions regarding the provision and production of population health services. Using qualitative methods, we illustrate and analyze the use of IDPR in a one community case study as part of Wellscapes, a Type 3-hybrid implementation-effectiveness community randomized controlled trial to improve children's population health physical activity.

Results: We found community members followed the IDPR Community Action Process to rapidly design, organize, deliver, and receive feedback on a community-based, children's population physical activity prototype, an afterschool Play-in-the-Park opportunity for all children.

Discussion: Following IDPR afforded the community coalition timely learning through feedback within a process that coordinated decisions regarding what community services met community needs (provision decisions) and how to organize the production of the population health services (production decisions).

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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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