Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Universitätsstraße 31, 93053, Regensburg, Germany.
Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nuremberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
BMC Public Health. 2023 Aug 29;23(1):1654. doi: 10.1186/s12889-023-16593-9.
With the emergence of SARS-CoV-2 a global pandemic impacted on health promotion, overlapping and hindering efforts to overcome the worldwide pandemic of lacking physical activity (PA). Nationwide lockdowns, the closure of public facilities and sports venues, made it significantly more difficult to sustain community-run PA projects. In our case study, we explore (a) under which circumstances a community-basedhealth promotion project can be maintained during crisis and (b) what resilience capacities are important for community project coordinators to deal with those aggravating circumstances.
Our case study looks at a community-based project called BIG, an exercise promotion project for women in difficult life circumstances. The case study was conducted between July 2021 and January 2022 with six municipalities implementing the project. Following a triangulation approach, we used minutes from short exchanges (n=17) with community project coordinators, information brochures about current exercise classes (n=6) and semi-structured qualitative interviews with project coordinators (n=6). All data were analyzed using the framework approach.
All sites showed a high level of willingness to adapt to the pandemic situation and to maintain the project as best as possible. Findings highlight that coordinators whose work routine was characterized by intense relationship management with participants and trainers demonstrated higher levels of adaptive and absorptive capacities on an individual level than coordinators of those communities with less social cohesion. At a community level, important resources for strengthening adaptive and absorptive resilience capacities were job security of the coordinators, sufficient financial resources to adapt classes to changing circumstances, and a supportive organizational climate in the coordinators' working environment to allow them to react flexibly according to current pandemic regulations.
Despite high resilience capacities especially on an individual level, the low-threshold nature of the project could not be maintained at a pre-pandemic level. For many women, participation in the project was no longer possible at times. Awareness should be raised in communities that PA promotion programs are crucial to strengthening physical and mental health, even in times of crisis. It seems necessary to find permanent funding options for such programs, to integrate them permanently into municipal structures.
随着 SARS-CoV-2 全球大流行,健康促进工作受到影响,与克服全球缺乏身体活动(PA)的大流行重叠并阻碍了这一工作。全国范围的封锁、公共设施和体育场馆的关闭,使得维持社区运行的 PA 项目变得更加困难。在我们的案例研究中,我们探讨了(a)在何种情况下,在危机期间可以维持基于社区的健康促进项目,以及(b)对于社区项目协调员来说,哪些弹性能力对于应对这些加剧的情况很重要。
我们的案例研究着眼于一个名为 BIG 的基于社区的项目,这是一个针对处于困境中的女性的锻炼促进项目。该案例研究于 2021 年 7 月至 2022 年 1 月期间进行,共有 6 个市实施了该项目。采用三角测量方法,我们使用了与社区项目协调员进行的简短交流记录(n=17)、当前锻炼课程的信息手册(n=6)和对项目协调员的半结构化定性访谈(n=6)。所有数据均采用框架方法进行分析。
所有地点都表现出高度的意愿,愿意适应大流行情况并尽可能地维持项目。研究结果表明,那些工作常规以与参与者和培训师进行密切关系管理为特点的协调员,在个人层面上表现出更高水平的适应和吸收能力,而那些社区社会凝聚力较低的协调员则表现出较低的适应和吸收能力。在社区层面,增强适应和吸收弹性能力的重要资源包括协调员的工作保障、适应不断变化的情况的足够财务资源,以及协调员工作环境中支持性的组织氛围,使他们能够根据当前的大流行规定灵活反应。
尽管有很高的弹性能力,尤其是在个人层面上,但该项目的低门槛性质无法维持在大流行前的水平。许多女性在某些时候无法再参加该项目。应该在社区中提高认识,即 PA 促进计划对于加强身心健康至关重要,即使在危机时期也是如此。似乎需要为这些计划找到永久的资金来源,将其永久纳入市政结构。