Montemurro Genevieve R, Raine Kim D, Nykiforuk Candace I J, Mayan Maria
School of Public Health, University of Alberta, University Terrace, Edmonton, AB, Canada T6G 2T4.
Centre for Health Promotion Studies, School of Public Health, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, Canada T6G 1C9
Health Promot Int. 2014 Sep;29(3):463-73. doi: 10.1093/heapro/dat008. Epub 2013 Feb 27.
Community capacity-building is a central element to health promotion. While capacity-building features, domains and relationships to program sustainability have been well examined, information on the process of capacity-building as experienced by practitioners is needed. This study examined this process as experienced by coordinators working within a community-based chronic disease prevention project implemented in four communities in Alberta (Canada) from 2005-2010 using a case study approach with a mixed-method design. Data collection involved semi-structured interviews, a focus group and program documents tracking coordinator activity. Qualitative analysis followed the constant comparative method using open, axial and selective coding. Quantitative data were analyzed for frequency of major activity distribution. Capacity-building process involves distinct stages of networking, information exchange, partnering, prioritizing, planning/implementing and supporting/ sustaining. Stages are incremental though not always linear. Contextual factors exert a great influence on the process. Implications for research, practice and policy are discussed.
社区能力建设是健康促进的核心要素。虽然能力建设的特征、领域以及与项目可持续性的关系已得到充分研究，但仍需要了解从业者所经历的能力建设过程的相关信息。本研究采用案例研究方法和混合方法设计，考察了2005年至2010年在加拿大艾伯塔省四个社区实施的一个基于社区的慢性病预防项目中协调员所经历的这一过程。数据收集包括半结构化访谈、焦点小组讨论以及跟踪协调员活动的项目文件。定性分析采用持续比较法，运用开放编码、轴心编码和选择编码。对定量数据进行分析，以确定主要活动分布的频率。能力建设过程包括建立网络、信息交流、建立伙伴关系、确定优先事项、规划/实施以及支持/维持等不同阶段。这些阶段是渐进的，但并不总是线性的。背景因素对这一过程有很大影响。文中还讨论了该研究对研究、实践和政策的启示。
