Downey Laura H, Ireson Carol L, Scutchfield F Douglas
Department of Community Health Sciences at the University of Southern Mississippi, 118 College Drive, Hattiesburg, MS 39406, USA.
Health Promot Pract. 2009 Jul;10(3):419-27. doi: 10.1177/1524839907301408. Epub 2008 Mar 5.
Efforts have been made in one rural Appalachian county to broaden local participation in a community health assessment. Through a series of community forums and a photovoice project, residents named community health needs and assets, framed potential solutions, and selected possible action steps to improve the local health status. Photographs and narratives from the photovoice project supplemented information from preliminary health forums to devise a framework of possible solutions to the identified health problems. Analysis of forum transcripts suggests that participants who used an issue guide that used photovoice images and stories were able to transition from broad approaches of change to specific action steps more than participants in other forums who used a more traditional forum issue guide. Community members are more easily able to identify solutions to local health issues when forum discussions are informed by local images and narratives.
在阿巴拉契亚山区的一个乡村县，人们已做出努力以扩大社区健康评估的本地参与度。通过一系列社区论坛和一个摄影之声项目，居民们明确了社区的健康需求和资产，构思了潜在的解决方案，并选择了可能的行动步骤来改善当地的健康状况。摄影之声项目的照片和叙述补充了初步健康论坛的信息，以设计出针对已确定健康问题的可能解决方案框架。对论坛记录的分析表明，使用包含摄影之声图像和故事的问题指南的参与者，比使用更传统论坛问题指南的其他论坛参与者，更能从广泛的变革方法过渡到具体的行动步骤。当论坛讨论以本地图像和叙述为依据时，社区成员更容易确定当地健康问题的解决方案。
