Active Living by Design, North Carolina Institute for Public Health, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Am J Prev Med. 2012 Nov;43(5 Suppl 4):S329-36. doi: 10.1016/j.amepre.2012.06.025.
Despite substantial increases in improving the translation of health promotion research into practice, community initiatives still struggle with maintaining changes once grant funding has ended. Researchers, funders, and community practitioners are interested in practices that maintain and sustain their efforts.
This qualitative study conducted a content analysis of evaluation findings from Active Living by Design (ALbD) to identify activities that community coalitions implemented to maintain their initiative and secure ongoing influence in communities.
Investigators analyzed data from interviews, focus groups, and the Progress Reporting System to identify sustainability approaches clustering into five areas: partnership expansion, sustainable funding, permanent advisory committees, policy change, and institution/organization change.
Partnership expansion occurred across sectors and disciplines and into broader geographic areas. Additional funding extended beyond grants to earned income streams and dedicated tax revenues. Permanent advisory committees were established to inform decision makers about a range of active living impacts. Policy changes in zoning and comprehensive plans ensured maintenance of health-promoting built environments. Sustainability through institution/organization changes led to allocation of dedicated staff and incorporation of active living values into agency missions.
Active Living by Design partnerships defined and messaged their projects to align with policymakers' interests and broad partnership audiences. They found innovative supporters and adapted their original vision to include quality of life, nonmotorized transport, and other complementary efforts that expanded their reach and influence. These sustainability strategies altered awareness within communities, changed community decision-making processes, and created policy changes that have the potential to maintain environments that promote physical activity for years to come.
尽管在将健康促进研究转化为实践方面有了实质性的提高，但社区倡议在资助结束后仍难以维持所做出的改变。研究人员、资助者和社区从业者都对能够维持和持续努力的实践感兴趣。
本定性研究对“通过设计促进积极生活”（ALbD）的评估结果进行了内容分析，以确定社区联盟为维持其主动性并确保在社区中持续发挥影响力而实施的活动。
研究人员分析了来自访谈、焦点小组和进展报告系统的数据，以确定可持续性方法可分为五个领域：合作伙伴关系扩展、可持续资金、常设咨询委员会、政策变化和机构/组织变化。
合作伙伴关系扩展到了各个部门和学科，并扩展到了更广泛的地理区域。除了赠款之外，还有额外的资金用于赚取收入流和专用税收。设立了常设咨询委员会，以便决策者了解一系列积极生活的影响。分区和综合规划方面的政策变化确保了促进健康的建筑环境得以维持。通过机构/组织变化实现可持续性，导致分配了专门的工作人员，并将积极生活的价值观纳入机构使命。
“通过设计促进积极生活”的合作伙伴关系确定并传达了他们的项目，以符合政策制定者的利益和广泛的合作伙伴受众。他们找到了创新的支持者，并调整了他们最初的愿景，包括生活质量、非机动交通和其他互补的努力，从而扩大了他们的影响力。这些可持续性战略改变了社区内部的意识，改变了社区决策过程，并创造了政策变化，有可能在未来多年维持促进身体活动的环境。
