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[通过城市社区能力建设实现赋权——一种新的标准化工具的初步结果与评估]

[Empowerment by capacity building in urban quarters--first results and assessment of a new standardised instrument].

作者信息

Trojan A, Nickel S

机构信息

Universitätsklinikum Hamburg-Eppendorf, Zentrum für Psychosoziale Medizin, Institut für Medizin-Soziologie, Hamburg.

出版信息

Gesundheitswesen. 2008 Dec;70(12):771-8. doi: 10.1055/s-0028-1103306. Epub 2008 Dec 11.

Abstract

AIMS

Capacity building is regarded as an intermediate outcome and success parameter for community health promotion and empowerment. The first aim of the study was the development and examination of a tool to measure capacity building in the context of a programme of health promotion for children and parents in a socially disadvantaged quarter in Hamburg (about 3000 residents, 60% with migration background). The second aim was to measure capacity building within a period of five years.

METHOD

A survey was carried out with 27 professionals from the health and social field. Dimensions of the instrument were: citizen participation, local leadership, available resources, networking and co-operation, support of residents. At the same time, we tested to what extent the instrument is suitable for resident surveys. Furthermore, pretest instrument and results were discussed with our advisory board regarding potential improvements.

RESULTS

The result of the project, in addition to its practical use in the quarter, consists of the generation of a psychometrically tested instrument to measure capacity building. Furthermore, the experience contributed to the expertise on how such a study can be conducted. A comparison of the situation in 2006 with the situation in 2001 showed considerable improvements in all dimensions of capacity building in the quarter.

CONCLUSION

Establishing the instrument on a long-term basis calls for more intensive examination not only of the chances, but also the limitations of the tool. We mainly attribute the overall positive picture that was gained within a period of five years to the generally supportive climate of development in the quarter as well as to the strong and continuous commitment of individual persons involved.

摘要

目的

能力建设被视为社区健康促进与赋权的中间成果及成功参数。本研究的首要目的是开发并检验一种工具,用以衡量汉堡一个社会处境不利区域(约3000名居民,60% 有移民背景)针对儿童及其父母的健康促进项目中的能力建设情况。第二个目的是在五年时间内衡量能力建设情况。

方法

对来自健康与社会领域的27名专业人员进行了一项调查。该工具的维度包括:公民参与、地方领导力、可用资源、网络与合作、居民支持。与此同时,我们测试了该工具适用于居民调查的程度。此外,还就预测试工具及结果与我们的咨询委员会讨论了潜在的改进之处。

结果

该项目的成果,除了在该区域的实际应用外,还包括生成了一种经过心理测量测试的衡量能力建设的工具。此外,这些经验也丰富了关于如何开展此类研究的专业知识。2006年与2001年的情况对比显示,该区域能力建设的各个维度都有显著改善。

结论

要长期确立该工具,不仅需要更深入地审视其机遇,还需审视其局限性。我们认为,在五年时间内取得的总体积极成果主要归功于该区域普遍有利的发展氛围以及相关个人的坚定持续投入。

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