The StrongWomen Change Clubs: engaging residents to catalyze positive change in food and physical activity environments.

The StrongWomen Change Clubs: engaging residents to catalyze positive change in food and physical activity environments.
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DOI:
10.1155/2014/162403
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发表时间:
2014
影响因子:
--
通讯作者:
Junot B
Junot B
中科院分区:
医学4区
文献类型:
--
作者:
Seguin RA;Folta SC;Sehlke M;Nelson ME;Heidkamp-Young E;Fenton M;Junot B

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导论.肥胖症的流行是一个多方面的公共卫生问题。需要积极的政策和环境变化来支持更健康的饮食和增加身体活动。方法. StrongWomen Change Clubs(SWCC)是通过康奈尔大学和塔夫茨大学的研究人员与美国七个州的农村城镇的社区合作伙伴(合作推广教育工作者)之间的学术社区研究伙伴关系发展起来的。推广教育工作者担任当地领导人,每人招募10-15名居民开展一个项目,以改善营养或体育活动环境的某些方面。大多数居民在公民参与方面的经验有限(或没有)。在实施后的6个月和12个月,研究小组进行了关键的线人采访SWCC领导人,以捕捉他们的看法程序的过程中,基准的成就,和自我效能。结果在12个月时,每个SWCC都完成了一个基准;大多数完成了三个或更多基准。他们介绍了实现基准的共同程序,如建立关系和利用利益攸关方伙伴关系。实现基准的障碍包括忙碌的日程安排以及对变革的抵制和缓慢的步伐。结论研究结果表明,社区变革举措,涉及利益相关者,建立在现有的活动和组织资源,并建立可行的时间表和目标,可以成功地催化环境变化。
Introduction. The epidemic of obesity is a multifaceted public health issue. Positive policy and environmental changes are needed to support healthier eating and increased physical activity. Methods. StrongWomen Change Clubs (SWCCs) were developed through an academic-community research partnership between researchers at Cornell University and Tufts University and community partners (cooperative extension educators) in rural towns in seven U.S. states. Extension educators served as the local leader and each recruited 10–15 residents to undertake a project to improve some aspect of the nutrition or physical activity environment. Most residents had limited (or no) experience in civic engagement. At 6 and 12 months after implementation, the research team conducted key informant interviews with SWCC leaders to capture their perceptions of program process, benchmark achievement, and self-efficacy. Results. At 12 months, each SWCC had accomplished one benchmark; the majority had completed three or more benchmarks. They described common processes for achieving benchmarks such as building relationships and leveraging stakeholder partnerships. Barriers to benchmark achievement included busy schedules and resistance to and slow pace of change. Conclusion. Findings suggest that community change initiatives that involve stakeholders, build upon existing activities and organizational resources, and establish feasible timelines and goals can successfully catalyze environmental change.