Peterson Jane W, Lachance Laurie L, Butterfoss Frances D, Houle Christy R, Nicholas Elisa A, Gilmore Lisa A, Lara Marielena, Friedman Amy R
King County Allies Against Asthma program of the King County Asthma Forum (KCAF), Seattle University College of Nursing in Seattle, Washington, USA.
Health Promot Pract. 2006 Apr;7(2 Suppl):56S-65S. doi: 10.1177/1524839906287067.
For health improvement efforts to effectively address community needs, community members must be engaged in planning and implementing public health initiatives. For Allies Against Asthma's coalitions, the community included not only the subpopulation of individuals who suffer disproportionately from asthma but also the individuals and institutions that surround them. Through a quantitative self-assessment survey, informal discussion among coalition leadership, and interviews with key informants, data relevant to community engagement identified a number of important ways the Allies coalitions approached community involvement. Respondents' comments made clear that the way the coalitions conduct their work is often as important as what they do. Across coalitions, factors that were identified as important for community involvement included (a) establishing a commitment to community involvement, (b) building trust, (c) making participation feasible and comfortable, (d) responding to community identified needs, (e) providing leadership development opportunities, and (f) building a shared commitment to desired outcomes.
为使改善健康的努力能有效满足社区需求,社区成员必须参与公共卫生倡议的规划和实施。对于“对抗哮喘联盟”的各联盟而言,社区不仅包括哮喘患病率过高的亚人群体,还包括他们周围的个人和机构。通过定量自我评估调查、联盟领导层之间的非正式讨论以及对关键信息提供者的访谈,与社区参与相关的数据确定了“对抗哮喘联盟”各联盟实现社区参与的一些重要方式。受访者的评论明确表明,联盟开展工作的方式往往与其所做的事情同样重要。在各个联盟中,被确定为对社区参与至关重要的因素包括:(a) 确立对社区参与的承诺;(b) 建立信任;(c) 使参与变得可行且舒适;(d) 回应社区确定的需求;(e) 提供领导力发展机会;(f) 建立对预期成果的共同承诺。