School of Medicine, University of California, Riverside, Riverside, CA, USA.
University of Southern California, Los Angeles, CA, USA.
Health Educ Behav. 2024 Jun;51(3):436-445. doi: 10.1177/10901981231151628. Epub 2023 Feb 16.
This article reports on a 3-year longitudinal study focused on the impact of cross-sector, collective impact approaches to creating cultures of campus health. The study sought to understand the integration of health and well-being concepts into university operations, including business practices and policies, as well as the contribution of public health initiatives focused on health-promoting universities to creating cultures of campus health for students, staff, and faculty. Research was carried out from spring 2018 to spring 2020 via focus group data collection and rapid qualitative analysis involving template and matrix analysis. A total of 18 focus groups were conducted across the 3-year study, six with students, eight with staff, and four with faculty. The initial cohort included 70 participants: 26 students, 31 staff, and 13 faculty. Qualitative analysis findings indicate a general pattern of change over time from a primary focus on well-being characterized by programs and services (e.g., fitness classes) to policy and structural-level interventions (e.g., stairwell beautification and hydration stations) promoting well-being for all. Grass-top and grassroots leadership and action were instrumental to changes in working and learning environments, policies, and campus environment/infrastructure. This work contributes to the growing literature on health-promoting universities and colleges and demonstrates the critical role of both top-down and ground-up approaches and leadership efforts to create more equitable and sustainable cultures of campus health and well-being.
本文报道了一项为期 3 年的纵向研究，重点关注跨部门、集体影响方法对创建校园健康文化的影响。该研究旨在了解健康和福祉概念融入大学运营的情况，包括商业实践和政策，以及关注促进健康的大学的公共卫生举措对为学生、教职员工创造校园健康文化的贡献。研究于 2018 年春季至 2020 年春季通过焦点小组数据收集和快速定性分析进行，涉及模板和矩阵分析。在为期 3 年的研究中，共进行了 18 次焦点小组，其中 6 次与学生、8 次与员工、4 次与教师进行。最初的队列包括 70 名参与者：26 名学生、31 名员工和 13 名教师。定性分析结果表明，随着时间的推移，一般会出现从以关注以健康促进计划和服务（例如健身课程）为特点的健康为主的模式转变为关注通过政策和结构层面的干预措施（例如美化楼梯间和安装饮水机）促进全体人员健康的模式。草根和基层领导和行动对于工作和学习环境、政策以及校园环境/基础设施的变化至关重要。这项工作为促进健康的学院和大学的文献做出了贡献，并展示了自上而下和自下而上的方法以及领导努力对于创造更公平和可持续的校园健康和福祉文化的关键作用。
