The Road to Resilience: Insights on Training Community Coalitions in the Los Angeles County Community Disaster Resilience Project.
The Road to Resilience: Insights on Training Community Coalitions in the Los Angeles County Community Disaster Resilience Project.
复制标题
抗灾之路：洛杉矶县社区抗灾项目中社区联盟培训的见解。
DOI：
10.1017/dmp.2016.46
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发表时间：
2016
影响因子：
2.7
通讯作者：
Eisenman,DavidP
中科院分区：
文献类型：
--
作者：
Cha,BibliaS;Lawrence,RachelI;Bliss,JesseC;Wells,KennethB;Chandra,Anita;Eisenman,DavidP
目的地方卫生部门(LHD)对社区复原力(CR)的实施缺乏指导。在洛杉矶县社区抗灾能力(LACCDR)项目的第一个规划年，我们探索了社区联盟如何对4个CR杠杆(教育、参与、伙伴关系和社区自给自足)做出反应。方法选择16个社区，随机分为试验组和对照预备组。8个CR联盟每月举行会议，计划CR建立活动或接受公共卫生护士的CR培训。训练有素的观察员在每次会议上记录了联盟对CR的理解和适用情况。采用定性内容分析方法对4个水平的结构化观察报告进行分析。结果对41份报告的分析表明，联盟在规划年经历了一个学习和应用CR概念的过程。团体对教育、社区自给自足和参与的想法产生了共鸣，但增加伙伴关系是具有挑战性的。结论LHD可以通过预测理解CR所需的时间和促进参与来支持联盟。了解在规划和实施CR-建设活动的早期阶段出现的问题是至关重要的。土地发展机构可以利用LACCDR项目规划年的经验作为指南，以应对在实施CR模式时出现的挑战和问题。(灾难医学公共卫生准备。2016；10：812-821)
Objective Local health departments (LHDs) have little guidance for operationalizing community resilience (CR). We explored how community coalitions responded to 4 CR levers (education, engagement, partnerships, and community self-sufficiency) during the first planning year of the Los Angeles County Community Disaster Resilience (LACCDR) Project. Methods Sixteen communities were selected and randomly assigned to the experimental CR group or the control preparedness group. Eight CR coalitions met monthly to plan CR-building activities or to receive CR training from a public health nurse. Trained observers documented the coalitions’ understanding and application of CR at each meeting. Qualitative content analysis was used to analyze structured observation reports around the 4 levers. Results Analysis of 41 reports suggested that coalitions underwent a process of learning about and applying CR concepts in the planning year. Groups resonated with ideas of education, community self-sufficiency, and engagement, but increasing partnerships was challenging. Conclusions LHDs can support coalitions by anticipating the time necessary to understand CR and by facilitating engagement. Understanding the issues that emerge in the early phases of planning and implementing CR-building activities is critical. LHDs can use the experience of the LACCDR Project’s planning year as a guide to navigate challenges and issues that emerge as they operationalize the CR model. (Disaster Med Public Health Preparedness. 2016;10:812–821)