Using Photovoice as a community diagnosis tool

本研究的目的是探讨PhotoVoice作为社区诊断的有效工具1)评估主题和目标社区特征之间的难度差异2)作为PhotoVoice工具的信度、效度和可用性通过使用其他方法在P群岛选择了5个社区，目标人群主要是小学生和他们的父母。数据收集方法采用1)照片和写下故事，2)使用光声进行小组讨论。研究人员作为外部促进者参与小组讨论。我们的研究设计在2004年被鹿儿岛大学医学院伦理委员会判定为不适用根据PhotoVoice的三个步骤目标来评估PhotoVoice的有效性。A社区的参与者解决问题(第二步)，而B社区的参与者持有共同的问题(第一步)1)评估主题之间的差异被揭示在学龄儿童的情况下，但在父母或成人的情况下没有发现差异。2)在4个社区举行了参与者光声社区会议，参与者包括家庭班级成员、老年人俱乐部成员和社区中心课程成员，研究人员的挡风玻璃调查结果与小组讨论的结果基本一致。因此，表面效度得到了部分认可。PhotoVoice可能是一种有效的社区诊断工具。

The purpose of this study has been discussed the use of Photovoice as an effective tool for community diagnosis.1)Differences the degree of difficulty of Photovoice between assessment theme or target community characteristics2)Reliability, validity and availability as a tool of photovoice through using with another approaches 5 communities in P archipelago were selected, and target population were mainly schoolchildren and their parents.Data collection methods used 1)photograph with writing down stories, 2)group discussion using photovoice.The researcher as a outside facilitator pariticipated with group discussion.Our study design was judged inapplicable by the Ethical Board at Kagoshima University School of Medicine in 2004.As the results of action research,The effectiveness of photovoice was evaluated by the three steps goals of photovoice. Participants in A community tackle problems (second step), but participants in B hold problems in common (first step).1)The differences was revealed between assessment theme in the case of schoolchildren, but not in the case of parents or adults. The differences was revealed between communities for some unknown reason.2)Community meetings using participants' photovoice were held at 4 communities.Participants of community meetings are the members of family class, old people's club and course of community center.The results of Windshield Survey by the researcher was similar to the results of group discussion. Therefore face validity was partially approved. Photovoice may be an effective tool for community diagnosis.