Community-Based Participatory Research Shows How a Community Initiative Creates Networks to Improve Well-Being
Community-Based Participatory Research Shows How a Community Initiative Creates Networks to Improve Well-Being
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DOI：
10.1016/j.amepre.2009.08.008
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发表时间：
2009-12-01
影响因子：
5.5
通讯作者：
Perlow, Kathy M.
中科院分区：
文献类型：
--
作者：
Letcher, Abby S.;Perlow, Kathy M.
背景资料：30多年的研究证据表明，社会参与与人类健康和福祉之间存在着深刻的关系。在支持性社会环境中扮演有意义角色的人寿命更长，生病更少，残疾更少，从危及生命的事件中恢复得更快。然而，尽管有充分的证据表明，社会参与的复杂现象已被证明是难以解开的，在创建政策或方案，以优化不同社区的健康。对于弱势群体，什么样的背景下邀请有意义的参与和改善福祉的问题的答案仍然不清楚。目的：本研究探讨了不同的参与者如何参与一个支持性网络，并提出了一个理论模型的社区建设健康促进。方法：本研究以社区参与式研究的原则，透过深入访谈进行质性研究，结果：与参与服务交换计划有关的四个主要主题被确定：（1）参与动机;（2）服务交换或互惠对该计划至关重要，在异质群体中具有明显的益处;（3）服务交换或互惠对该计划具有重要意义。（3）个人和社区成长的发生;（4）健康促进和改善福祉。一个模型，如何参与服务交换导致社区building presented.Conclusions：该模型表明，互惠的机会是健康的社区发展的异质群体的根本。进一步研究互惠如何鼓励不同的人群共同努力，创造一个愈合的景观可能会提供一个有价值的框架，促进健康。(Am J Prev Med 2009;37（6S 1）：S292-S299）（C）2009年美国预防医学杂志
Background: Evidence from more than 30 years of research suggests a profound relationship between social participation and human health and well-being. People who hold meaningful roles in Supportive social Contexts live longer, get sick less often, suffer less disability, and recover faster from life-threatening events. However, despite ample evidence of benefit, the complex phenomenon of social participation has proved difficult to untangle in creating policies or programs for optimizing health in diverse communities. For vulnerable populations, the answer to the question of what contexts invite meaningful participation and improve well-being remains unclear.Purpose: This study explores how diverse participants engage in a supportive network and proposes a theoretic model of community-building for health promotion.Methods: Principles of community-based participatory research were used for qualitative study using in-depth interviews, with a purposeful sample of 28 members of a service exchange program in an urban community.Results: Four primary themes that were related to participation in the service exchange program were identified: (1) motivation for participation; (2) service exchange, or reciprocity, as vital to the program, with distinct benefits in a heterogeneous group; (3) Occurrence of personal and community growth; and (4) health promotion and improved well-being. A model of how participation in the service exchange leads to community-building is presented.Conclusions: The model Suggests that opportunities for reciprocity are fundamental to healthy community development in heterogeneous groups. Further study of how reciprocity encourages diverse populations to work together to create a landscape of healing may provide a valuable framework for health promotion. (Am J Prev Med 2009;37(6S1):S292-S299) (C) 2009 American journal of Preventive Medicine