Evaluating Community Involvement in the Prevention of Asthma in Puerto Rico

描述（由申请人提供）：拟议研究的目标是对政府-社区伙伴关系模式促进社区参与波多黎各实施“促进健康和初级预防哮喘社区干预方案”的过程进行形成性评估。目标是：[1]评估“自上而下”和“自下而上”的社区健康促进实践方法如何在方案周期的每个阶段融合，因为“促进健康和哮喘初级预防的社区干预方案”强调社区赋权和哮喘管理的个人责任；[2]描述并向项目利益相关者提供反馈，说明在这种情况下，如何在促进社区参与预防哮喘的过程中推进社区赋权进程；b[3]描述本项目所采用的行动框架如何解决了实施该框架的低收入社区所承受的不成比例的高哮喘负担。这些目标将通过面对面的深入访谈来实现，这些访谈将纳入负责执行有关方案的“社区卫生咨询委员会”（或COPSCOs）所有成员的观点和观点。深度访谈将通过使用NVIVO7软件进行内容分析进行分析。该培训计划中提出的研究与“防治哮喘行动”的“优先领域3：消除少数民族人口和贫困人口中不成比例的哮喘负担”有关，这是美国卫生与公众服务部发布的一份报告，该报告有助于为国家心肺和血液研究所（NHLBI）的“国家哮喘教育和预防计划”（NAEPP）制定课程。这是因为在西班牙裔低收入社区实施了“促进健康和初级预防哮喘社区干预方案”，该方案是促进波多黎各卫生当局与社区组织和机构之间合作的伙伴关系的产物。这项研究与公共卫生的相关性在于，它涉及健康促进实践的方法及其在社区层面上对哮喘问题的应用。

DESCRIPTION (provided by applicant): The goal of the research proposed is to conduct a formative evaluation of the process by which a model of government-community partnership promotes community involvement in the implementation in Puerto Rico of the 'Community Intervention Program for Health Promotion and Primary Prevention of Asthma'. The objectives are: [1] asses how 'top-down' and 'bottom-up' approaches to community health promotion practice merge at each stage of the program cycle, given the emphasis the 'Community Intervention Program for Health Promotion and Primary Prevention of Asthma' places on both community empowerment and individual responsibility for asthma management; [2] describe and provide feedback to program stakeholders of how, in this context, the process of community empowerment was advanced in the process of procuring community involvement in the prevention of asthma; [3] describe how the framework for action employed by the program of interest has addressed the disproportionately high burden of asthma endured by the low-income communities where it has been implemented. These objectives will be achieved through face-to-face in-depth interviews that will incorporate the views and perspectives of all the members of the 'Community Health Advisory Committees' (or COPSCOs) in charge of implementing the program of interest. In-depth interviews will be analyzed through the use of content analysis employing NVIVO7 software. The research proposed in this training plan is related the 'Priority Area 3: Eliminate the Disproportionate Burden of Asthma in Minority Populations and Those Living in Poverty' of 'Action Against Asthma', a report issued by the US Department Health and Human Services that assists in setting the course for the 'National Asthma Education and Prevention Program' (NAEPP) of the National Heart, Lung, and Blood Institute (NHLBI). This is due to the fact that the 'Community Intervention Program for Health Promotion and Primary Prevention of Asthma' is implemented in low-income communities of Hispanic Origin and is the product of a partnership that promotes collaboration between the Puerto Rico's health authorities and community organizations and agencies. The relevance of this research to public health is that it deals with approaches to health promotion practice and its application to the problem of asthma at a community level.