Smith Lynne T, Johnson Donna B, Lamson Erica, Sitaker Marilyn
Center for Public Health Nutrition, University of Washington, Seattle, Wash 98195, USA.
Prev Chronic Dis. 2006 Apr;3(2):A64. Epub 2006 Mar 15.
Washington State's Healthy Communities pilot projects were developed to test approaches and recommendations of the Washington State Nutrition and Physical Activity Plan and to provide a statewide model for implementation. The Healthy Communities program included plans for ongoing process evaluation to ensure implementation. Two years into the first project, however, the evaluation team recognized that data for evaluation were inadequate to explain the experiences of the pilot community partnership. The team sought a framework through which to better understand how the community partnership functioned, including what worked well and how guidance and technical assistance could best be provided. The evaluation team identified the community health governance model of Lasker and Weiss through a literature search and applied this model to existing Healthy Communities project evaluation data. The team also designed a new survey tool based on the model and used it in the second pilot community. The new tool provides feedback to community partners to help guide project implementation and tests the applicability of a theoretical model to public health practice.
华盛顿州的健康社区试点项目旨在测试华盛顿州营养与身体活动计划的方法和建议，并为全州范围内的实施提供一个典范。健康社区项目包括持续进行过程评估的计划，以确保项目的实施。然而，在第一个项目开展两年后，评估团队认识到用于评估的数据不足以解释试点社区伙伴关系的经验。该团队寻求一个框架，以便更好地理解社区伙伴关系是如何运作的，包括哪些方面运作良好，以及如何能最好地提供指导和技术援助。评估团队通过文献检索确定了拉斯克和韦斯的社区卫生治理模型，并将该模型应用于现有的健康社区项目评估数据。该团队还基于该模型设计了一种新的调查工具，并在第二个试点社区中使用。这种新工具向社区伙伴提供反馈，以帮助指导项目实施，并测试一种理论模型在公共卫生实践中的适用性。
