Evaluation of health promotion programs based on a review of roles of the elderly in the communities

本研究的目的是通过对札幌市周边地区实施的社区老年人健康促进项目的回顾，运用行动研究的方法，从定量和定性两个方面对长期效果进行评价。最初，公民的参与是强制性的。然而，积极开展区域活动，以促进参与，克服危险感的增加，分担问题，增加相互互动，以及公民之间的争斗。干预区与对照区相比，志愿者的活动（p=0.047）和与邻居的交流（p=0.057）变得更加活跃。甚至在与居民和行政部门以及其他人进行的访谈中，也提到了加强区域联系和促进社会参与的例子，作为其有效性的例子。

The objects of this research are to evaluate the health promotion program processes based on a review of the elderly in in the communities, implemented in areas adjacent to Sapporo City, using action research, and quantitatively and qualitatively to verify long-term effects. Originally, participation by the citizens was obligatory. However, regional activities were proactively created for participation, overcoming an increase in the sense of danger, sharing problems, increased mutual interaction, and feuds between the citizens. Comparing the "intervention areas" and the "control areas", the activities of the volunteers (p=0.047) and the communication with neighbors (p=0.057) became more active. Even in the interviews conducted with the residents and the administration, and others, the strengthening of regional bonds and the promotion of social participation were cited as examples of their effectiveness.