Evaluating Community Involvement in the Prevention of Asthma in Puerto Rico

描述(由申请人提供)：本研究培训计划中提出的研究的目标是对机构-社区合作模式促进社区参与波多黎各防治哮喘1计划的实施过程进行形成性评估。通过这种方式，申请者旨在制定一个框架，以评估社区赋权作为一种社会行动进程，这是社区健康促进实践的所有方面所不可或缺的。这项研究的目标是：[1]评估“自上而下”和“自下而上”的社区健康促进实践方法在项目周期的每个阶段如何融合，因为“Alianza”强调社区赋权和个人对哮喘管理的责任。[2]描述并向项目利益攸关方提供反馈，说明如何通过促进社区参与预防哮喘来推进社区赋权进程。[3]分析阿兰扎族1的拥护者和社区成员之间的权力关系，并确定他们如何才能对后者更具授权，因为前者是作为机构代表从权力职位进入这种关系的。[4]描述这一行动框架如何促进方案的可持续性，并有助于解决参与者低收入社区所承受的哮喘的沉重负担。这些目标将通过采用社区会议、深入访谈、参与者观察和文件审查的数据收集方法来实现。将在整个研究过程中进行数据分析和解释。在将拟议会议和面谈过程中产生的录音转录后，研究将使用内容分析，并辅之以定性分析软件包。申请者将在三角测量过程中使用她的实地笔记、获得的文件和反思备忘录，这将增加研究的背景、深度和严谨性。这项研究培训计划中建议的研究与美国卫生与公众服务部发布的报告“优先领域2：减轻哮喘患者的负担”1和“优先领域3：消除少数群体和贫困人口中不成比例的哮喘负担”有关，该报告帮助为国家心肺血液研究所(NHLBI)的“国家哮喘教育和预防计划”(NAEPP)设定课程。这项研究与公共卫生的相关性在于，它涉及促进健康的做法及其在利用赋权目标在社区一级解决哮喘问题方面的应用。

DESCRIPTION (provided by applicant): The goal of the study proposed in this research training plan is to conduct a formative evaluation of the process by which a model of institutional-community collaboration promotes community involvement in the implementation of the 'Allies Against Asthma in Puerto Rico1 program. In this way, the applicant aims to develop a framework to assess community empowerment as a social action process that is integral to all aspects of community health promotion practice. The objectives of the study 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 'Alianza' places on both community empowerment and individual responsibility for asthma management. [2] Describe and provide feedback to program stakeholders of how the process of community empowerment was advanced by promoting community involvement in the prevention of asthma. [3] Analyze the power relations between the champions of the 'Alianza1 and community members and determine how they can become more empowering for the latter, given the fact that the former enter the relationship from positions of power as institutional representatives. [4] Describe how this framework for action promotes program sustainability and contributes to address the high burden of asthma endured by the participant low-income community. These objectives will be achieved by employing the data collection methods of community meetings, in-depth interviews, participant observation, and document review. Data analysis and interpretation will be ongoing throughout the study. After transcribing the audio recordings produced during the course of the proposed meetings and interviews, the study will use content analysis, aided by a qualitative analysis software package. The applicant will use her field notes, the documents obtained, and reflective memos in the process of triangulation, which will add context, depth, and rigor to the study. The study proposed in this research training plan is related to 'Priority Area 2: Reduce the Burden of Asthma for People with the Disease1 and '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). The relevance of this research to public health is that it deals with health promotion practice and its application to the use of empowerment objectives to address the problem of asthma at a community level.