Instiute of Sports Science, University of Bayreuth, Bayreuth, Germany.
Department for Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Front Public Health. 2020 Jan 24;8:4. doi: 10.3389/fpubh.2020.00004. eCollection 2020.
Capacity building for health promotion is a relevant precondition for sustainable, health-related changes in community settings. So far, there are few evidence-based recommendations about how to implement and evaluate community capacity building approaches. ACTION for men (A4M) is a project designed to build and evaluate capacities for health promotion in three rural communities in Bavaria, Germany, via a participatory approach including multiple community stakeholders. The project specifically aims at improving physical activity (PA) in men over 50 years of age (50 plus). As a strategy to build the communities' capacities, we set up stakeholder groups in so far two communities. Those stakeholder groups will be facilitated over a period of 1-3 years. In regular meetings, the group members will be motivated to actively participate in planning and implementing PA programs for men 50 plus. The facilitation will systematically address key domains of community capacity (e.g., critical awareness, problem assessment, resource mobilization). The evaluation of the capacity building processes will be carried out using a mixed-methods design. Evaluation instruments consist of structured documentations and face-to-face interviews with stakeholder group participants (and drop-outs) as well as a pre-post-test using a standardized questionnaire in order to detect activity-related changes in men 50 plus from the involved communities. In community three, we will conduct the same procedure with a delay of 6 months. Building community capacity for health promotion programs is the primary aim in A4M, and thus differs from previous research in which capacity is mostly a means to an end or an "incidental" result of a health promotion program. Therefore, A4M is expected to deliver important findings about how to implement and evaluate capacity building processes for health promotion, as well as how to address physical activity in community settings.
促进健康的能力建设是在社区环境中实现可持续、与健康相关的变革的相关前提。到目前为止，关于如何实施和评估社区能力建设方法，几乎没有基于证据的建议。ACTION for men (A4M) 是一个旨在通过包括多个社区利益相关者的参与式方法，在德国巴伐利亚州的三个农村社区中建立和评估健康促进能力的项目。该项目特别旨在提高 50 岁以上男性的身体活动（PA）。作为建立社区能力的策略，我们在迄今为止的两个社区中成立了利益相关者小组。这些利益相关者小组将在 1-3 年内得到促进。在定期会议上，小组成员将被激励积极参与为 50 岁以上男性规划和实施 PA 计划。促进将系统地解决社区能力的关键领域（例如，批判性意识、问题评估、资源调动）。将使用混合方法设计来评估能力建设过程。评估工具包括对利益相关者小组成员（以及辍学者）进行结构化记录和面对面访谈，以及使用标准化问卷进行前后测试，以检测来自参与社区的 50 岁以上男性的与活动相关的变化。在社区三，我们将延迟 6 个月进行相同的程序。在 A4M 中，促进健康计划的社区能力建设是主要目标，因此与之前的研究不同，之前的研究中能力大多是达到目的的手段或健康促进计划的“偶然”结果。因此，A4M 有望提供有关如何实施和评估健康促进能力建设过程以及如何在社区环境中解决身体活动问题的重要发现。
