Faculty of Health Studies, University of Bradford, Bradford, UK.
Better Start Bradford Innovation Hub, Born in Bradford, Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Health Expect. 2019 Jun;22(3):575-584. doi: 10.1111/hex.12887. Epub 2019 Apr 10.
Evidence for early intervention and prevention-based approaches for improving social and emotional health in young children is robust. However, rates of participation in programmes are low. We explored the dynamics which affect levels of community readiness to address the issues of social and emotional health for pregnant women, young children (0-4 years) and their mothers.
A deprived inner-city housing estate in the north of England. The estate falls within the catchment area of a project that has been awarded long-term funding to address social and emotional health during pregnancy and early childhood.
We interviewed key respondents using the Community Readiness Model. This approach applies a mixed methodology, incorporating readiness scores and qualitative data. A mean community readiness score was calculated enabling the placement of the community in one of nine possible stages of readiness. Interview transcripts were analysed using a qualitative framework approach to generate contextual information to augment the numerical scores.
An overall score consistent with vague awareness was achieved, indicating a low level of community readiness for social and emotional health interventions. This score suggests that there will be a low likelihood of participation in programmes that address these issues.
Gauging community readiness offers a way of predicting how willing and prepared a community is to address an issue. Modifying implementation plans so that they first address community readiness may improve participation rates.
有充分证据表明，早期干预和基于预防的方法可改善幼儿的社会和情绪健康。然而，参与这些项目的比例很低。我们探讨了影响社区准备程度的各种因素，这些因素涉及到解决孕妇、幼儿（0-4 岁）及其母亲的社会和情绪健康问题。
英格兰北部一个贫困的内城住宅区。该住宅区属于一个项目的覆盖范围，该项目已获得长期资金，以解决怀孕和幼儿期的社会和情绪健康问题。
我们使用社区准备模型对关键受访者进行了访谈。这种方法采用了混合方法，包括准备程度评分和定性数据。计算出一个平均社区准备程度得分，使社区能够被置于九个可能的准备阶段之一。使用定性框架方法分析访谈记录，以生成上下文信息来补充数字分数。
总体得分表明存在模糊意识，表明社区对社会和情绪健康干预措施的准备程度较低。这一得分表明，参与解决这些问题的项目的可能性较低。
衡量社区准备程度提供了一种预测社区对解决某个问题的意愿和准备程度的方法。修改实施计划，使其首先解决社区准备程度问题，可能会提高参与率。
