Centre for Health Promotion Studies, School of Public Health, University of Alberta, 5-10 University Terrace, 8303-112 Street, Edmonton, Alberta, Canada T6G 2T4.
Glob Health Promot. 2010 Jun;17(2):34-43. doi: 10.1177/1757975910365225.
This article explores facilitators and barriers to individual and organizational capacity to address priority strategies for community-level chronic disease prevention. Interviews were conducted with a group of participants who previously participated in a community priority-setting workshop held in two Alberta communities. The goal of the workshop was to bring together key community stakeholders to collaboratively identify action strategies for preventing chronic diseases in their communities. While capacity building was not the specific aim of the workshop, it could be considered an unintended byproduct of bringing together community representatives around a specific issue. One purpose of this study was to examine the participants' capacity to take action on the priority strategies identified at the workshop. Eleven one-on-one semi-structured interviews were conducted with workshop participants to examine facilitators and barriers to individual and organizational level capacity building. Findings suggest that there were several barriers identified by participants that limited their capacity to take action on the workshop strategies, specifically: (i) organizations' lack of priorities or competing priorities; (ii) priorities secondary to the organizational mandate; (iii) disconnect between organizational and community priorities; (iv) disconnect between community organization priorities; (v) disconnect between organizations and government/funder priorities; (vi) limited resources (i.e. time, money and personnel); and, (vii) bigger community issues. The primary facilitator of individual capacity to take action or priority strategies was supportive organizations. Recognition of these elements will allow practitioners, organizations, governments/funders, and communities to focus on seeking ways to improve capacity for chronic disease prevention.
本文探讨了个人和组织在解决社区层面慢性病预防优先策略方面的能力的促进因素和障碍。采访了一组参与者，他们之前参加了在阿尔伯塔省两个社区举行的社区优先事项设定研讨会。研讨会的目的是召集主要社区利益相关者，共同确定预防社区慢性病的行动策略。虽然能力建设不是研讨会的具体目标，但它可以被视为将社区代表聚集在一个具体问题周围的意外副产品。本研究的目的之一是检查参与者在研讨会上确定的优先策略方面采取行动的能力。对研讨会参与者进行了 11 次一对一的半结构化访谈，以检查个人和组织层面能力建设的促进因素和障碍。研究结果表明，参与者确定了几个限制其采取行动的障碍，具体包括：(i) 组织缺乏优先事项或竞争优先事项；(ii) 优先事项次于组织任务；(iii) 组织和社区优先事项之间脱节；(iv) 社区组织之间的优先事项脱节；(v) 组织与政府/资助者之间的优先事项脱节；(vi) 资源有限（即时间、金钱和人员）；以及 (vii) 更大的社区问题。采取行动或优先策略的个人能力的主要促进因素是支持性组织。认识到这些因素将使从业者、组织、政府/资助者和社区能够专注于寻找提高慢性病预防能力的方法。
