Alabama Cooperative Extension System, Auburn University, Mail: 2121, Rev. Abraham Woods Jr Blvd, Ste 1700, Birmingham, AL 35203. Email:
School of Forestry and Wildlife Sciences, Auburn University, Auburn, Alabama.
Prev Chronic Dis. 2019 Aug 29;16:E116. doi: 10.5888/pcd16.190062.
Obesity rates in the United States are trending upward, and disadvantaged populations continue to have disproportionate rates of obesity. In Alabama, the ALProHealth initiative used community-based participatory research to work with community coalitions to implement research-based interventions that addressed issues related to the lack of opportunities for physical activity in 14 counties whose populations are at high risk of obesity. Coalitions developed work plans and timelines for implementing interventions on the basis of issues discussed during focus groups at the beginning of the ALProHealth initiative. These 14 coalitions implemented 101 interventions related to physical activity in 16 communities. In this evaluation, we measured potential reach and improvements in amenities. The largest reach for an intervention was achieved through marketing and communication efforts, while the most popular intervention, undertaken by the largest number of communities, centered on installing or repairing playground equipment at community parks. Community-based participatory research is an effective method for addressing health issues at the local level, as interventions are developed and readily adopted through active partnerships with community leaders and residents.
美国的肥胖率呈上升趋势，弱势群体的肥胖率仍然不成比例。在阿拉巴马州，ALProHealth 计划利用基于社区的参与式研究与社区联盟合作，实施基于研究的干预措施，解决 14 个县缺乏体育活动机会的问题，这些县的人口肥胖风险很高。联盟根据 ALProHealth 计划开始时焦点小组讨论的问题制定了工作计划和时间表，以实施干预措施。这 14 个联盟在 16 个社区实施了 101 项与体育活动相关的干预措施。在这项评估中，我们衡量了潜在的覆盖范围和设施的改善。干预措施的最大覆盖范围是通过营销和沟通努力实现的，而最受欢迎的干预措施是由最多的社区开展的，主要集中在社区公园安装或修复游乐设备上。基于社区的参与式研究是解决地方一级健康问题的有效方法，因为通过与社区领导和居民的积极合作，干预措施得以制定并迅速得到采纳。
