Engaging communities in health intervention research/practice

Chiu, Lai Fong

doi:10.1080/09581590701771725

Cited by 17 publications

(10 citation statements)

References 11 publications

(4 reference statements)

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“…It also ignores the power relations as well as the fluid and situational nature of human groups (Chiu, 2008). We agree with Walter (2007), who suggests approaching community as a "multi-dimensional-dynamic system (people and organizations, consciousness, actions, and context) of which we are a part" (p. 68).…”

Section: The Various Meanings Of Community and Community Capacity Buisupporting

confidence: 66%

Community Capacity Building for Health

et al. 2012

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There is a great deal of literature examining the benefits and relevance of community participation and community capacity building in health promotion and disease prevention endeavors. Academic literature embracing principles and commitment to community participation in health promotion practices often neglects the complexities involved and the flexibility required to work within this approach. This article addresses some of these challenges through a case study of two projects funded by Provincial Wellness Grants in Newfoundland and Labrador, a province in Canada with a strong tradition of community ties and support systems. In addition to addressing the unique circumstances of the community groups, this research allowed the authors to examine the situational context and power relations involved in the provision of services as well as the particular forms of subjectivity and citizenship that the institutional practices support. Recognizing this complex interdependency is an important step in creating more effective intervention practices.

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Section: The Various Meanings Of Community and Community Capacity Buisupporting

confidence: 66%

Community Capacity Building for Health

et al. 2012

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“…39 The community engagement process involves 3 stages: (1) planning; (2) program design; and (3) implementation, monitoring, and evaluation. 40 Importantly, in this study, we collaborated with numerous stakeholders including key personnel of the region's department for the aging, senior center directors and staff, and community members of each senior center. Through our community partnership, members of the research team became more knowledgeable about the community and its members, and elements of the intervention were refined for application based upon the culture of the community settings.…”

Section: Introductionmentioning

confidence: 99%

Improving Heart Failure Self-care Through a Community-Based Skill-Building Intervention

Dickson

Melkus

Dorsen

et al. 2015

Journal of Cardiovascular Nursing

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“…However, little is known about its effectiveness, or how researchers/practitioners engage with communities. 319 Researchers and practitioners need to be flexible in accommodating the ambiguity implicit in the concepts of 'community' and 'ethnicity'. The efficacy of social networks has similarly been questioned.…”

Section: Community Participationmentioning

confidence: 99%

The organisation and delivery of health improvement in general practice and primary care: a scoping study

Peckham

Falconer

Gillam

et al. 2015

Health Serv Deliv Res

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BackgroundThis project examines the organisation and delivery of health improvement activities by and within general practice and the primary health-care team. The project was designed to examine who delivers these interventions, where they are located, what approaches are developed in practices, how individual practices and the primary health-care team organise such public health activities, and how these contribute to health improvement. Our focus was on health promotion and ill-health prevention activities.AimsThe aim of this scoping exercise was to identify the current extent of knowledge about the health improvement activities in general practice and the wider primary health-care team. The key objectives were to provide an overview of the range and type of health improvement activities, identify gaps in knowledge and areas for further empirical research. Our specific research objectives were to map the range and type of health improvement activity undertaken by general practice staff and the primary health-care team based within general practice; to scope the literature on health improvement in general practice or undertaken by health-care staff based in general practice and identify gaps in the evidence base; to synthesise the literature and identify effective approaches to the delivery and organisation of health improvement interventions in a general practice setting; and to identify the priority areas for research as defined by those working in general practice.MethodsWe undertook a comprehensive search of the literature. We followed a staged selection process involving reviews of titles and abstracts. This resulted in the identification of 1140 papers for data extraction, with 658 of these papers selected for inclusion in the review, of which 347 were included in the evidence synthesis. We also undertook 45 individual and two group interviews with primary health-care staff.FindingsMany of the research studies reviewed had some details about the type, process or location, or who provided the intervention. Generally, however, little attention is paid in the literature to examining the impact of the organisational context on the way services are delivered or how this affects the effectiveness of health improvement interventions in general practice. We found that the focus of attention is mainly on individual prevention approaches, with practices engaging in both primary and secondary prevention. The range of activities suggests that general practitioners do not take a population approach but focus on individual patients. However, it is clear that many general practitioners see health promotion as an integral part of practice, whether as individual approaches to primary or secondary health improvement or as a practice-based approach to improving the health of their patients. Our key conclusion is that there is currently insufficient good evidence to support many of the health improvement interventions undertaken in general practice and primary care more widely.Future ResearchFuture research on health improvement in general practice and by the primary health-care team needs to move beyond clinical research to include delivery systems and be conducted in a primary care setting. More research needs to examine areas where there are chronic disease burdens – cancer, dementia and other disabilities of old age. Reviews should be commissioned that examine the whole prevention pathway for health problems that are managed within primary care drawing together research from general practice, pharmacy, community engagement, etc.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Engaging communities in health intervention research/practice

Cited by 17 publications

References 11 publications

Community Capacity Building for Health

Community Capacity Building for Health

Improving Heart Failure Self-care Through a Community-Based Skill-Building Intervention

The organisation and delivery of health improvement in general practice and primary care: a scoping study

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