Sanders Catherine E, Borron Abigail, Lamm Alexa J, Harrell Ellen, Worley Barbara
Department of Agricultural and Human Sciences, North Carolina State University, Raleigh, NC USA.
Department of Agricultural Leadership, Education and Communication, University of Georgia, Athens, GA USA.
Discov Glob Soc. 2024;2(1):30. doi: 10.1007/s44282-024-00055-7. Epub 2024 Jun 6.
Rural communities across the United States experience increased risk and prevalence of chronic diseases associated with both individual and community-based factors. Thus, there is a need for rural capacity development for chronic disease prevention. Traditional health promotion and intervention approaches often focus on diet-related health disparities from a positivist, evidence-based paradigm. To counter positivist bias within health promotion research, a hybridized approach is proposed using a critical-constructivist paradigm incorporating dialectical thinking, appreciative inquiry, and dialectical inquiry to address cultural and structural barriers, as well as community-based social norms, through evaluation of community-based health promotion interventions. Three dialectical models were identified through interviews with community coalition members: social ties, infrastructure, and worldviews, examining underlying assumptions and counter assumptions. By revealing the dialectic assumptions and counter assumptions within project implementation, practitioners can engage in constructive dialogue with communities to determine more effective and culturally responsive pathways for project development.
美国各地的农村社区因个体和社区层面的因素，面临着更高的慢性病风险和患病率。因此，有必要开展农村慢性病预防能力建设。传统的健康促进和干预方法通常从实证主义、循证范式的角度关注与饮食相关的健康差异。为了对抗健康促进研究中的实证主义偏见，本文提出了一种混合方法，即运用批判性建构主义范式，结合辩证思维、肯定性探究和辩证探究，通过评估基于社区的健康促进干预措施，来解决文化和结构障碍以及基于社区的社会规范问题。通过与社区联盟成员的访谈，确定了三种辩证模型：社会关系、基础设施和世界观，同时审视了潜在假设和反假设。通过揭示项目实施过程中的辩证假设和反假设，从业者可以与社区进行建设性对话，以确定更有效且符合文化需求的项目发展路径。
