Medical Sociology, University of Regensburg, Dr.-Gessler-Straße 17, Regensburg 93051, Germany.
Health Promot Int. 2021 Dec 13;36(Supplement_2):ii65-ii78. doi: 10.1093/heapro/daab165.
To implement sustainable health-promoting structures in a setting, various agents must work together. In the Capital4Health research network, participatory stakeholder groups consisting of key persons, stakeholders, representatives of the target group, and facilitating experts are assembled in five settings (child care center, school, company, rural community, nursing home). In a Cooperative Planning process, the various groups meet regularly to plan and implement strategies to promote physical activity across different settings. This study evaluates whether participatory stakeholder groups have been established and also examines the capacity-building processes that took place in these stakeholder groups. For process evaluation, 78 group meetings were documented in 16 different stakeholder groups using a semi-structured protocol based on established capacity-building domains. For outcome evaluation, six semi-structured interviews (1-2 per setting) with facilitating experts were conducted. Data were analyzed by content analysis. Across all settings, capacity-building processes were successful to a certain degree (e.g. problem assessment, resource mobilization). However, in most groups it was difficult to broadly assess problems, to establish sustainable networks, or to find persons with leadership characteristics. Also, irregular participation, lack of motivation to take over responsibility, and minimal institutional readiness for structural and personal changes often hindered the progress of the projects. Stakeholder groups can actively involve setting members in the development of physical activity promotion programs. It seems challenging, however, to sustainably establish such groups that continue working independently without assistance from a facilitating expert.
为了在特定环境中实现可持续的健康促进结构，需要各种机构共同努力。在 Capital4Health 研究网络中，参与者利益相关者群体由关键人员、利益相关者、目标群体代表和促进专家组成，共分为五个环境（儿童保育中心、学校、公司、农村社区、养老院）。在合作规划过程中，各个群体定期会面，计划和实施在不同环境中促进身体活动的策略。本研究评估了参与式利益相关者群体是否已经建立，并检查了这些利益相关者群体中发生的能力建设过程。为了进行过程评估，使用基于既定能力建设领域的半结构化协议，在 16 个不同的利益相关者群体中记录了 78 次小组会议。为了进行结果评估，对 16 个利益相关者群体中的 16 名促进专家进行了 6 次半结构化访谈（每个环境 1-2 次）。通过内容分析对数据进行了分析。在所有环境中，能力建设过程在一定程度上取得了成功（例如，问题评估、资源动员）。然而，在大多数群体中，很难广泛评估问题，建立可持续的网络，或找到具有领导能力的人。此外，不规则的参与、缺乏承担责任的动机以及对结构和人员变革的最小机构准备，常常阻碍了项目的进展。利益相关者群体可以积极让环境成员参与制定身体活动促进计划。然而，要持续建立能够在没有促进专家协助的情况下独立工作的此类群体似乎具有挑战性。
