Thomas Jefferson University Hospitals, Philadelphia, PA, USA.
The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
Health Promot Pract. 2022 Mar;23(2):338-344. doi: 10.1177/15248399211059810.
Photovoice is a participatory action research method that was founded on mobilizing communities toward action. However, there is limited research detailing the action stages of photovoice that are meant to follow the initial research. In this article, we describe the action stage of a youth photovoice project conducted at the planning phase of a Community Health Needs Assessment of the Latino community in North Philadelphia. In collaboration with local leaders, we utilized photovoice to prioritize the health needs identified in the assessment. We announced a request for proposals and launched twelve, 1-year, community catalyst grants in the amount of US$50,000 each. While grants were funded and implemented, the participants continued to exhibit their findings in Philadelphia City Hall and engage with city policymakers. We developed a health policy workshop where Philadelphia youth beyond the original photovoice participants could learn advocacy skills and policy research to develop a proposal addressing a priority health need identified through photovoice. This workshop was expanded into a year-round program where participants can be matched with a career mentor, engage in professional development sessions, and continue to refine and advocate for their policy proposal. We found that successful action planning stemmed from setting goals several steps ahead of the current stage of action while enhancing the ability to center community voice in guiding action forward. Photovoice influenced decision-making throughout each of the steps taken toward action. Future research should recognize and describe action planning as a central tenet of photovoice methodologies.
摄影法是一种参与式行动研究方法，旨在动员社区采取行动。然而，目前关于摄影法的行动阶段的研究有限，这些阶段旨在紧随初始研究。在本文中，我们描述了在费城北部拉丁裔社区的社区卫生需求评估的规划阶段进行的青年摄影法项目的行动阶段。我们与当地领导人合作，利用摄影法来确定评估中确定的健康需求的优先级。我们发布了一份提案请求，并启动了 12 个为期 1 年、每个社区催化剂 5 万美元的赠款。在赠款得到资助和实施的同时，参与者继续在费城市政厅展示他们的发现，并与城市政策制定者进行接触。我们开发了一个健康政策研讨会，让最初摄影法参与者之外的费城青年可以学习宣传技巧和政策研究，以制定一项通过摄影法确定的优先健康需求的提案。该研讨会扩展为一个全年计划，参与者可以与职业导师配对，参加专业发展课程，并继续完善和倡导他们的政策提案。我们发现，成功的行动计划源于在当前行动阶段之前设定几个步骤的目标，同时增强将社区声音置于指导行动向前的中心位置的能力。摄影法影响了朝着行动采取的每一步骤的决策。未来的研究应该认识到并描述行动规划是摄影法方法学的核心原则之一。
