Department of Public Health, Academic Medical Centre/University of Amsterdam, Amsterdam, The Netherlands.
Health Promot Int. 2012 Sep;27(3):416-26. doi: 10.1093/heapro/dar047. Epub 2011 Sep 6.
While active participation is regarded essential in health promotion worldwide, its application proves to be challenging. Notably, participants' experiences are infrequently studied, and it is largely unknown why lay citizens would want to play an active role in promoting the health of the community they belong to. Aiming to produce practical insights to further the application of the participation principle, this qualitative study examined participants' driving motives in a diverse array of health promotion undertakings. Six projects in The Netherlands were used as case studies, including a community-project promoting mental health, peer education against harmful substance use, a health support group, health policy development, physical activity and healthy life style courses. The study involved 24 participants, who played a variety of active roles. Semi-structured interviews were conducted, transcribed verbatim and subjected to content analysis. We found four main motives driving lay citizens in their active participation in health promotion projects: 'purposeful action', 'personal development', 'exemplary status' and 'service and reciprocity'. The motives reflected crucially distinct personal desires in the participation process, namely to produce tangible results, to experience advancements for oneself, to gain personal recognition as a role model and to have or maintain valued relationships. The implications of the findings are discussed for researchers and professionals in health promotion.
虽然积极参与被认为是全球健康促进的关键，但它的应用却具有挑战性。值得注意的是，参与者的经验很少被研究，而且很大程度上不清楚为什么普通公民会希望在促进他们所属社区的健康方面发挥积极作用。为了提供实际的见解，以进一步推动参与原则的应用，本定性研究调查了参与者在各种健康促进活动中的驱动动机。该研究使用了荷兰的六个项目作为案例研究，包括一个促进心理健康的社区项目、反对有害物质使用的同伴教育、一个健康支持小组、卫生政策制定、体育活动和健康生活方式课程。研究涉及 24 名参与者，他们扮演着各种积极的角色。进行了半结构化访谈，逐字记录并进行了内容分析。我们发现了四个主要的动机，这些动机促使普通公民积极参与健康促进项目：“有目的的行动”、“个人发展”、“模范地位”和“服务和互惠”。这些动机反映了参与过程中截然不同的个人愿望，即产生切实的成果、为自己体验进步、获得个人认可作为榜样以及拥有或维持有价值的关系。研究结果对健康促进的研究人员和专业人员具有启示意义。
