Stirring up the mud: using a community-based participatory approach to address health disparities through a faith-based initiative.

Stirring up the mud: using a community-based participatory approach to address health disparities through a faith-based initiative.
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DOI:
10.1353/hpu.0.0221
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发表时间:
2009-11
影响因子:
1.4
通讯作者:
Calman N
Calman N
中科院分区:
医学4区
文献类型:
--
作者:
Kaplan SA;Ruddock C;Golub M;Davis J;Foley R Sr;Devia C;Rosen R;Berry C;Barretto B;Carter T;Irish-Spencer E;Marchena M;Purcaro E;Calman N

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本案例研究提供了一个中期评估的布朗克斯健康REACH信仰为基础的倡议四年实施。该研究采用定性方法来确定经验教训,并反映使用基于社区的参与性方法来制定和评估旨在解决健康差距的基于信仰的计划的好处和挑战。主要调查结果涉及的作用,牧区领导,提供一个宗教背景下的健康促进和健康平等的信息,创建一个双语/双文化的计划的挑战的重要性,以及需要提供管理支持,奠定计划协调员。这项研究还确定了有关以社区为基础的评价的经验教训,以及解决社区对评价和方案之间平衡的关切的重要性。最后,该研究确定了未来的挑战,包括计划制度化和可持续性的问题。
This case study provides a mid-course assessment of the Bronx Health REACH faith-based initiative four years into its implementation. The study uses qualitative methods to identify lessons learned and to reflect on the benefits and challenges of using a community-based participatory approach for the development and evaluation of a faith-based program designed to address health disparities. Key findings concern the role of pastoral leadership, the importance of providing a religious context for health promotion and health equality messages, the challenges of creating a bilingual/bi-cultural program, and the need to provide management support to the lay program coordinators. The study also identifies lessons learned about community-based evaluation and the importance of addressing community concern about the balance between evaluation and program. Finally, the study identifies the challenges that lie ahead, including issues of program institution-alization and sustainability.
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