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以村庄为基层社区组织的健康老龄化成果研究:能力发展框架

Healthy Aging Outcomes Research With Villages as Grassroots Community-Based Organizations: A Framework for Capacity Development.

作者信息

Greenfield Emily A, Pope Natalie E

机构信息

School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.

出版信息

Gerontologist. 2025 Jun 12;65(7). doi: 10.1093/geront/gnaf145.

Abstract

BACKGROUND AND OBJECTIVES

There is growing attention to the role of community-based organizations (CBOs), such as Villages, in promoting healthy aging. Villages typically operate as grassroots CBOs and help connect residents with a variety of resources to age better within their place-based communities (e.g., neighborhood or town). Yet empirical evidence on the outcomes of their work-alone or in partnership with other organizations across health and social care systems-remains in its nascence. We aimed to develop a framework for capacity development (the attainment of requisite resources to achieve a desired goal) toward the design and implementation of outcomes research with Villages.

RESEARCH DESIGN AND METHODS

We used qualitative data from a series of virtual summits designed for Village participants (e.g., members, volunteers, staff) across the United States (US). Data were primarily from small-group discussion groups that cumulatively engaged approximately 400 people, with discussion topics such as how Villages influence healthy aging and conditions for high-quality research partnerships. We conducted a multiphase coding process alongside extensive memo writing to develop a framework grounded in the participants' reflections.

RESULTS

Our analysis yielded four thematic categories: (a) understanding and motivation for research, (b) partnerships, (c) theorizing Village interventions and programs, and (d) data systems and research protocols.

DISCUSSION AND IMPLICATIONS

Findings suggest that designing and implementing outcomes research with Villages requires not only human and technical capital, but also social capital and theory development. Especially given Villages' diverse organizational forms and resources, the framework can help assess readiness for, and address capacity needs, concerning engagement in outcomes research for Villages and similar CBOs.

摘要

背景与目标

社区组织(如“村庄”)在促进健康老龄化方面的作用日益受到关注。“村庄”通常作为基层社区组织运作,帮助居民与各种资源建立联系,以便在其所在社区(如邻里或城镇)更好地养老。然而,关于其单独工作或与卫生和社会护理系统中的其他组织合作所取得成果的实证证据仍处于起步阶段。我们旨在为能力发展(获取实现预期目标所需资源)制定一个框架,以用于设计和开展与“村庄”相关的成果研究。

研究设计与方法

我们使用了来自为美国各地“村庄”参与者(如成员、志愿者、工作人员)举办的一系列虚拟峰会的定性数据。数据主要来自累计约400人参与的小组讨论,讨论话题包括“村庄”如何影响健康老龄化以及高质量研究伙伴关系的条件等。我们在广泛撰写备忘录的同时进行了多阶段编码过程,以基于参与者的反思制定一个框架。

结果

我们的分析产生了四个主题类别:(a)研究的理解与动机,(b)伙伴关系,(c)对“村庄”干预措施和项目进行理论化,以及(d)数据系统和研究方案。

讨论与启示

研究结果表明,设计和开展与“村庄”相关的成果研究不仅需要人力和技术资本,还需要社会资本和理论发展。特别是考虑到“村庄”多样的组织形式和资源,该框架有助于评估“村庄”及类似社区组织参与成果研究的准备情况,并满足其能力需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7e/12257479/60d2fa6ebadd/gnaf145_fig1.jpg

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