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在德国进行参与式身体活动干预之前,对社区变革准备情况的评估。

Evaluation of community readiness for change prior to a participatory physical activity intervention in Germany.

机构信息

Medical Sociology, University of Regensburg, Dr.-Gessler-Straße 17, Regensburg 93051, Germany.

Department of Health Services Research and Policy, Research School of Population Health, College of Health and Medicine, Australian National University, Australia.

出版信息

Health Promot Int. 2021 Dec 13;36(Supplement_2):ii40-ii52. doi: 10.1093/heapro/daab161.

Abstract

A lack of communities' readiness for change is reported as a major barrier toward an effective implementation of health promoting interventions in community settings. Adding an alternative readiness assessment approach to existing research practice, this study aimed to investigate how a selected community could be evaluated in-depth regarding its readiness for change based on multiple key informant perspectives, with the intention of using this knowledge for the preparation of improved local physical activity (PA) interventions for men above 50 years of age. We conducted semi-structured face-to-face key informant interviews with stakeholders and relevant persons from a local German community (N = 15). The interview guide was based on a comprehensive summary of community readiness dimensions. After verbatim transcription, we conducted thematic analysis to synthesize the complex results regarding community readiness related to PA. The data supported that the community disposed of a variety of resources regarding PA and showed signs of readiness for change. However, a certain degree of saturation regarding PA programs existed. The need for health enhancing PA interventions for men was only partly recognized. The local authority considered PA to be particularly important in the context of mobility and traffic safety. Including multiple stakeholders contributed to a balanced and in-depth assessment of community readiness and was helpful for determining starting points for tailored PA interventions due to the detection of complex relationships and structures. The study delivers preliminary evidence that a qualitative multi-perspective community readiness assessment adds value to quantified single-perspective readiness assessment research practice.

摘要

社区对变革的准备不足被报道为在社区环境中有效实施促进健康干预措施的主要障碍。本研究旨在通过多个关键知情人的视角深入评估一个选定的社区对变革的准备情况,以此作为对现有研究实践的替代准备情况评估方法,目的是利用这些知识为 50 岁以上男性的当地改善体力活动 (PA) 干预措施做准备。我们对当地德国社区的利益相关者和相关人员进行了半结构化的面对面关键知情人访谈(N=15)。访谈指南基于社区准备度维度的综合摘要。在逐字转录后,我们进行了主题分析,以综合与 PA 相关的社区准备度的复杂结果。数据表明,社区在 PA 方面拥有各种资源,并且表现出对变革的准备迹象。然而,针对 PA 项目存在一定程度的饱和。对男性进行健康促进 PA 干预的需求仅部分得到认可。地方当局认为 PA 在流动性和交通安全方面尤为重要。包括多个利益相关者有助于对社区准备情况进行平衡和深入的评估,并有助于确定定制 PA 干预措施的起点,因为可以发现复杂的关系和结构。该研究提供了初步证据,表明定性的多视角社区准备情况评估为量化的单视角准备情况评估研究实践增添了价值。

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