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农村社区参与 Ciclovía:从研究干预到社区采用。

Participation and engagement of a rural community in Ciclovía: progressing from research intervention to community adoption.

机构信息

Department of Health Systems and Population Health, Hans Rosling Center for Population Health, University of Washington, 3980 15th Avenue NE, UW Mailbox 351621, Seattle, WA, 98195, USA.

Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N, M3-B232, Seattle, WA, 98109, USA.

出版信息

BMC Public Health. 2021 Oct 30;21(1):1964. doi: 10.1186/s12889-021-11980-6.

Abstract

BACKGROUND

Open streets events, where roads are temporarily closed to motorized vehicles, can provide safe spaces for physical activity (PA) and become sustainable community infrastructure. Since 2016, we have collaborated with a rural community to implement an open streets event, named ciclovía. In 2019, ciclovía was adopted as a community-wide program. This paper describes the process of building and progressing a ciclovía from a research intervention to a community-adopted program and participation of a rural community in ciclovía.

METHODS

We used community-based participatory research to foster bidirectional learning on how to optimize the content and implementation of ciclovía to be feasible and acceptable for rural communities. The community-academic partnership focused on: 1) understanding the science of ciclovía; 2) learning the implementation process; 3) creating tools to facilitate planning, implementation, and evaluation of ciclovía; and 4) developing transition steps from a research intervention to a community-adopted program.

RESULTS

The progression of the research intervention to community adoption spanned 2 years. First, the partnership met quarterly to discuss the science of ciclovía, its utility, and its adaptation for rural communities. Second, the partnership studied processes that facilitated ciclovía implementation. Third, the partnership created the ciclovía planning guide and tools for communities to establish their own ciclovía. The guide included forming a planning committee, setting meeting and communication plans, marketing and promotion, and selecting evaluation tools. Fourth, the transition steps from research intervention to community adoption included creating roles and responsibilities, implementing ciclovía using the planning guide, and convening listening sessions for improvement on implementation. Community attendance at ciclovía doubled from 189 individuals (126 children and 63 adults) when it was a research intervention to 394 individuals (277 children and 117 adults) when it was a community program.

CONCLUSIONS

The progression from a research intervention to a community-adopted program encompasses multiple steps that involve bidirectional learning and partnership with the community. Lessons learned from this study are integrated into a disseminatable ciclovía planning guide.

摘要

背景

开放街道活动,即暂时关闭机动车道,为体育活动(PA)提供安全空间,并成为可持续的社区基础设施。自 2016 年以来,我们一直与一个农村社区合作实施一项名为 ciclovía 的开放街道活动。2019 年,ciclovía 被采纳为全社区计划。本文描述了将 ciclovía 从研究干预措施发展为社区采用的计划以及农村社区参与 ciclovía 的过程。

方法

我们使用基于社区的参与式研究,促进双向学习,了解如何优化 ciclovía 的内容和实施,使其对农村社区具有可行性和可接受性。该社区-学术伙伴关系侧重于:1)了解 ciclovía 的科学;2)学习实施过程;3)创建工具以促进 ciclovía 的规划、实施和评估;4)制定从研究干预措施到社区采用计划的过渡步骤。

结果

从研究干预措施到社区采用的发展过程跨越了 2 年。首先,该伙伴关系每季度开会讨论 ciclovía 的科学、效用及其对农村社区的适应性。其次,该伙伴关系研究了促进 ciclovía 实施的过程。第三,该伙伴关系创建了 ciclovía 规划指南和工具,供社区建立自己的 ciclovía。该指南包括成立规划委员会、制定会议和沟通计划、营销和推广以及选择评估工具。第四,从研究干预措施到社区采用的过渡步骤包括创建角色和责任、使用规划指南实施 ciclovía 以及召开听证会以改进实施。当 ciclovía 是研究干预措施时,社区参与人数为 189 人(126 名儿童和 63 名成年人),当它是社区计划时,社区参与人数增加到 394 人(277 名儿童和 117 名成年人)。

结论

从研究干预措施到社区采用的计划的发展包括多个步骤,涉及与社区的双向学习和伙伴关系。本研究中的经验教训已纳入可传播的 ciclovía 规划指南中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af37/8556949/edf82939caa0/12889_2021_11980_Fig1_HTML.jpg

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