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评估当地的健康干预能力。

Assessing local capacity for health intervention.

作者信息

Alfonso Moya L, Nickelson Jen, Hogeboom David L, French Jennifer, Bryant Carol A, McDermott Robert J, Baldwin Julie A

机构信息

Florida Prevention Research Center at the University of South Florida College of Public Health, 13201 Bruce B Downs Blvd., Tampa, FL 33612, USA.

出版信息

Eval Program Plann. 2008 May;31(2):145-59. doi: 10.1016/j.evalprogplan.2008.01.001. Epub 2008 Jan 24.

DOI:10.1016/j.evalprogplan.2008.01.001
PMID:18308396
Abstract

Because of their location within the practice realm, participatory, community-based public health coalitions offer many lessons about implementing and sustaining local interventions. This paper presents a case study of capacity assessment at the local level. Capacity evaluation methods are presented, with emphasis on the theoretical framework used to guide the evaluation. The capacity evaluation framework presented herein was theoretically based and designed to generate practical information to facilitate the adoption of a locally tailored youth obesity prevention program, VERB Summer Scorecard (VSS). Using multiple methods, four aspects of community capacity were assessed, including community, knowledge and skills, resources, and power. Within each category, factors that facilitated or impeded program implementation were distinguished. The evaluation protocol was designed to generate information increasing community capacity to sustain a community-based obesity prevention program. Capacity tables were used as a program-planning tool and as a system for sharing implementation and sustainability requirements with potential adopters. This case study also explores how to use capacity assessment results to empower coalitions to serve as catalysts for development of local programs in other communities.

摘要

由于其在实践领域中的定位,参与式、基于社区的公共卫生联盟提供了许多关于实施和维持地方干预措施的经验教训。本文介绍了一个地方层面能力评估的案例研究。文中介绍了能力评估方法,重点阐述了用于指导评估的理论框架。本文提出的能力评估框架基于理论,旨在生成实用信息,以促进采用因地制宜的青少年肥胖预防计划——“活力暑期记分卡”(VSS)。通过多种方法,对社区能力的四个方面进行了评估,包括社区、知识与技能、资源和权力。在每个类别中,区分了促进或阻碍项目实施的因素。评估方案旨在生成信息,以增强社区维持基于社区的肥胖预防项目的能力。能力表被用作项目规划工具以及与潜在采用者分享实施和可持续性要求的系统。本案例研究还探讨了如何利用能力评估结果,使联盟能够成为其他社区地方项目发展的催化剂。

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