Elliott S J, Taylor S M, Cameron R, Schabas R
Department of Geography, McMaster University, Hamilton, Ontario, Canada.
Health Educ Res. 1998 Dec;13(4):607-22. doi: 10.1093/her/13.4.607.
This paper presents initial findings of the Canadian Heart Health Initiative, Ontario Project (CHHIOP). CHHIOP has two primary objectives. The programmatic objective is to coordinate and refine a system for supporting effective, sustained community-based heart health activities. This paper addresses the scientific objective: to develop knowledge of factors that influence the development of predisposition and capacity to undertake community-based heart health activities in public health departments. A systems theory framework for an ecological approach to health promotion informs the conceptualization of the key constructs, measured using a two-stage longitudinal design which combines quantitative and qualitative methods. This paper reports the results of the first round of quantitative survey data collected from all health departments in Ontario (N = 42) and individuals within each health department involved in heart health promotion (n = 262). Results indicate low levels of implementation of heart health activities, both overall and for particular risk factors and settings. Levels of capacity are also generally low, yet predisposition to undertake heart health promotion activities is reportedly high. Analyses show that implementation is positively related to capacity but not predisposition, while predisposition and capacity are positively related. Overall, results suggest predisposition is a necessary but not sufficient condition for implementation to occur; capacity-related factors appear to be the primary constraint. These findings are used to inform strategies to address CHHIOP's programmatic objective.
本文介绍了加拿大心脏健康倡议安大略项目（CHHIOP）的初步研究结果。CHHIOP有两个主要目标。项目目标是协调和完善一个支持有效的、持续的社区心脏健康活动的系统。本文阐述科学目标：了解影响公共卫生部门开展社区心脏健康活动的易感性和能力发展的因素。一种基于生态方法的健康促进系统理论框架为关键结构的概念化提供了依据，这些结构通过结合定量和定性方法的两阶段纵向设计进行测量。本文报告了第一轮定量调查数据的结果，这些数据来自安大略省所有卫生部门（N = 42）以及每个卫生部门中参与心脏健康促进的个人（n = 262）。结果表明，心脏健康活动的实施水平总体较低，针对特定风险因素和环境的实施水平也较低。能力水平通常也较低，但据报道开展心脏健康促进活动的易感性较高。分析表明，实施与能力呈正相关，但与易感性无关，而易感性和能力呈正相关。总体而言，结果表明易感性是实施发生的必要但非充分条件；与能力相关的因素似乎是主要制约因素。这些研究结果为实现CHHIOP项目目标的策略提供了参考。
