1 Health, Nature & Sustainability Research Group, School of Health & Social Development, Deakin University, Burwood, Victoria, Australia.
2 School of Health Sciences, Swinburne University of Technology, Melbourne, Australia.
Glob Health Promot. 2019 Jun;26(2):82-92. doi: 10.1177/1757975917715038. Epub 2017 Aug 23.
In an era characterised by the adverse impacts of climate change and environmental degradation, health promotion programmes are beginning to actively link human health with environmental sustainability imperatives. This paper draws on a study of health promotion and sustainability programmes in Australia, providing insights to evaluation approaches being used and barriers and enablers to these evaluations. The study was based on a multi-strategy research involving both quantitative and qualitative methods. Health promotion practitioners explained through surveys and semi-structured interviews that they focused on five overarching health and sustainability programme types (healthy and sustainable food, active transport, energy efficiency, contact with nature, and capacity building). Various evaluation methods and indicators (health, social, environmental, economic and demographic) were identified as being valuable for monitoring and evaluating health and sustainability programmes. Findings identified several evaluation enablers such as successful community engagement, knowledge of health and sustainability issues and programme champions, whereas barriers included resource constraints and competing interests. This paper highlights the need for ecological models and evaluation tools to support the design and monitoring of health promotion and sustainability programmes.
在气候变化和环境恶化负面影响的时代，健康促进计划开始积极将人类健康与环境可持续性目标联系起来。本文借鉴了澳大利亚健康促进和可持续性计划的研究，提供了对正在使用的评估方法以及这些评估的障碍和促进因素的见解。该研究基于涉及定量和定性方法的多策略研究。健康促进从业者通过调查和半结构化访谈解释说，他们专注于五种总体健康和可持续性计划类型（健康和可持续性食品、主动交通、能源效率、与自然接触和能力建设）。确定了各种评估方法和指标（健康、社会、环境、经济和人口统计学），这些方法和指标对于监测和评估健康和可持续性计划具有价值。研究结果确定了一些评估促进因素，例如成功的社区参与、对健康和可持续性问题以及计划拥护者的了解，而障碍则包括资源限制和利益冲突。本文强调需要生态模型和评估工具来支持健康促进和可持续性计划的设计和监测。
