Williams Karen Jaynes, Gail Bray Patricia, Shapiro-Mendoza Carrie K, Reisz Ilana, Peranteau Jane
Center for Excellence in Health Disparities Research, Cardiovascular Disease and Stroke at Texas Southern University, Houston, TX, USA.
Health Promot Pract. 2009 Jan;10(1):67-75. doi: 10.1177/1524839906294419. Epub 2007 Jul 24.
The authors discuss strategies used and lessons learned by a health foundation during development of a community health assessment model incorporating community-based participatory research (CBPR) approaches. The assessment model comprises three models incorporating increasing amounts of CPBR principles. Model A combines local-area analysis of quantitative data, qualitative information (key informants, focus groups), and asset mapping. Model B, a community-based participatory model, emphasizes participatory rural appraisal approaches and quantitative assessment using rapid epidemiological assessment. Model C, a modified version of Model B, is financially more sustainable for our needs than Model B. The authors (a) describe origins of these models and illustrate practical applications and (b) explore the lessons learned in their transition from a traditional, nonparticipatory, quantitative approach to participatory approaches to community-health assessment. It is hoped that this article will contribute to the growing body of knowledge of practical aspects of incorporating CBPR approaches into community health assessments.
作者们讨论了一个健康基金会在开发一个纳入基于社区的参与性研究(CBPR)方法的社区健康评估模型过程中所采用的策略和汲取的经验教训。该评估模型由三个融入了越来越多CBPR原则的模型组成。模型A结合了定量数据的局部分析、定性信息(关键信息提供者、焦点小组)和资产映射。模型B是一个基于社区的参与性模型,强调参与性农村评估方法和使用快速流行病学评估进行定量评估。模型C是模型B的改进版本,在满足我们需求方面比模型B在财务上更具可持续性。作者们(a)描述了这些模型的起源并举例说明其实际应用,(b)探讨了在从传统的、非参与性的定量方法向参与性的社区健康评估方法转变过程中汲取的经验教训。希望本文将有助于增加将CBPR方法纳入社区健康评估实际方面的知识体系。