Sadeghzadeh Claire, Sheppard Brett, de Groot Juliana, De Marco Molly
The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Health Educ Behav. 2022 Feb;49(1):141-149. doi: 10.1177/10901981211058075. Epub 2021 Dec 28.
In North Carolina, rural communities experience high rates of chronic illness due to health inequities exacerbated by the decline of major industries. Community gardens increase access to fresh produce and opportunities for physical activity and may offer additional benefits. These benefits can be difficult to measure as they are often unplanned or unintended. This article describes how we utilized Ripple Effect Mapping (REM), a participatory approach for evaluating complex interventions, to understand the impact of a SNAP-Ed-funded program. We purposively selected six community gardens to participate in 2-hour, facilitated REM sessions. On average, 15 people participated in each session. Participants developed a map of benefits using Appreciative Inquiry, mind mapping, and consensus-building methods. The map organized benefits across three levels: first ripple (individual), second ripple (interpersonal), and third ripple (community). In addition, participants coded benefits using the Community Capitals Framework. After the sessions, the research team extracted identified impacts into a matrix, aligned them with the SNAP-Ed Evaluation Framework, and developed digitized maps. These data corroborated findings from previous evaluations and offered insight into community-identified benefits not previously documented, including other types of capital generated by community gardens in rural communities. In addition, REM was an effective approach to measure and report several SNAP-Ed evaluation indicators, including LT11: Unexpected Benefits. Ultimately, the research team found REM to be an effective community-engaged method for understanding a complex intervention's benefits while centering participant community voices and transferring ownership of the data to community partners, a key principle in equitable evaluation.
在北卡罗来纳州,由于主要产业的衰退加剧了健康不平等现象,农村社区慢性病发病率很高。社区花园增加了新鲜农产品的获取途径以及体育活动机会,可能还会带来其他益处。这些益处往往难以衡量,因为它们通常是无计划的或非预期的。本文描述了我们如何利用涟漪效应映射法(REM)——一种评估复杂干预措施的参与式方法,来了解一项由补充营养援助计划教育项目(SNAP-Ed)资助的项目的影响。我们有目的地挑选了六个社区花园参与为期两小时的、有主持人引导的REM会议。平均每次会议有15人参加。参与者运用肯定性探究、思维导图和建立共识的方法绘制了一份益处地图。该地图将益处分为三个层次:第一涟漪(个人)、第二涟漪(人际)和第三涟漪(社区)。此外,参与者使用社区资本框架对益处进行编码。会议结束后,研究团队将确定的影响提取到一个矩阵中,使其与SNAP-Ed评估框架保持一致,并绘制了数字化地图。这些数据证实了先前评估的结果,并深入了解了社区确定的、此前未记录的益处,包括农村社区中社区花园产生的其他类型的资本。此外,REM是衡量和报告几个SNAP-Ed评估指标的有效方法,包括LT11:意外益处。最终,研究团队发现REM是一种有效的社区参与方法,有助于理解复杂干预措施的益处,同时以参与者的社区声音为中心,并将数据所有权转移给社区伙伴,这是公平评估的一项关键原则。