What is Asset-Based Community Development and How Might It Improve the Health of People With Long-Term Conditions? A Realist Synthesis

Blickem, Christian; Dawson, Shoba; Kirk, Susan; Vassilev, Ivaylo; Mathieson, A. McL; Harrison, Rebecca; Bower, Peter; Lamb, James L.

doi:10.1177/2158244018787223

Cited by 50 publications

(62 citation statements)

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“…This study through illuminating underlying mechanisms contributes new insights relevant to theories of readiness to change and interventions which include a social environmental dimension to self‐management support through providing socially based options to improve health and well‐being (eg social prescribing and asset‐based approaches) . Identifying rationales for making changes through engaging with options that might lead to change resonates with behaviour change and self‐management theory which highlight the need for building a relationship of trust through rapport , establishing in people's minds a need to be engaged in new practices and finding workable solutions that are most likely to be adopted by individual patients (eg Transtheoretical Model of Change, Motivational Interviewing, Motivational Model of Patient Self‐Management and Patient Self‐Management) …”

Section: Discussionmentioning

confidence: 83%

Identifying the processes of change and engagement from using a social network intervention for people with long‐term conditions. A qualitative study

Vassilev

Rogers

Kennedy

et al. 2018

Health Expectations

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Background Personal and community networks are recognized as influencing and shaping self‐management activities and practices. An acceptable intervention which facilitates self‐management by mobilizing network support and improves network engagement has a positive impact on health and quality of life. This study aims to identify the processes through which such changes and engagement take place. Methods The study was conducted in the south of England in 2016‐2017 and adopted a longitudinal case study of networks design. Purposive sample of respondents with long‐term conditions (n = 15) was recruited from local groups. Barriers and facilitators to implementation were explored in interviews with key stakeholders (5). Results Intervention engagement leads to a deepening of relationships within networks, adding new links and achieving personal objectives relevant for improving the health and well‐being of users and network members. Such changes are supported through two pathways: the mobilization of network capabilities and by acting as a nudge. The first is a gradual process where potentially relevant changes are further contemplated by forefronting immediate concerns and negotiating acceptable means for achieving change, prioritizing objective over subjective valuations of support provided by network members and rehearsing justifications for keeping the status quo or adopting change. The second pathway changes are enacted through the availability of a potential fit between individual, network and environmental conditions of readiness. Conclusions The two pathways of network mobilization identified in this study illuminate the individual, network and environmental level processes involved in moving from cognitive engagement with the intervention to adopting changes in existing practice.

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Section: Discussionmentioning

confidence: 83%

Identifying the processes of change and engagement from using a social network intervention for people with long‐term conditions. A qualitative study

Vassilev

Rogers

Kennedy

et al. 2018

Health Expectations

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“…Open coding was initially used to analyze the transcripts (Coffey & Atkinson, 1996). Data were then analyzed thematically, using a constant comparison approach Blickem et al (2018). Note.…”

Section: Discussionmentioning

confidence: 99%

“…All of the interviews were conducted in person within the organizations where the individuals were based. An interview guide was developed based upon the authors' knowledge of the topic area and an article written by the authors (Blickem et al, 2018). The interview guide (see the appendix) focused on a number of key questions that aimed to elicit information about participants' understanding of ABCD approaches, any examples of work that they have undertaken or knew about, how this approach may fit in with their organizational outcomes in the long-term, successes of this approach, and specific challenges/barriers.…”

Section: Participants and Recruitmentmentioning

confidence: 99%

“…However, there is currently limited evidence about the mechanisms underlying ABCD programs and the populations and contexts for which they are most suited. A realist synthesis by the authors (Blickem et al, 2018) provided some insights into possible key criteria for ABCD approaches, including how they work and what outcomes might be expected (Tables 1 and 2; Blickem et al, 2018).…”

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confidence: 99%

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Asset-Based Community Development: Narratives, Practice, and Conditions of Possibility—A Qualitative Study With Community Practitioners

et al. 2019

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Background Socioeconomically disadvantaged populations have shorter life expectancies than their more affluent counterparts and are more likely to suffer from a number of long-term and potentially life-limiting illnesses and associated risk factors (Marmot, 2010; Marmot & Wilkinson, 1999). Socioeconomic disparities also have the potential to affect upon the awareness, diagnosis, treatment, and control of these illnesses (

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“…2). We can embed a collaborative care approach (CCA) within an Assets Based Community Development Model (ABCD; Blickem et al 2018;Kretzmann and McKnight 1996). In this way we hope to create a robust and interlocking system that eliminates redundancy while ensuring population-based CAN prevention from a strength-based, solution-focused perspective (UNCRC GC 13-II).…”

Section: Increase System Collaborationmentioning

confidence: 99%

Achieving Comprehensive Prevention of Child Abuse and Neglect

Risser

Svevo-Cianci²,

Karim³

et al. 2019

Int. Journal on Child Malt.

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The United States has developed a comprehensive array of child abuse and neglect (CAN) prevention resources and has allocated funding to provide these resources. Policy makers, practitioners, and advocates are committed to CAN prevention. However, the current paradigm used to prevent CAN is inadequate for four reasons. First, system-level policies and infrastructure are not fully aligned with children's needs for a safe and stable upbringing. Second, access to effective CAN prevention resources is not ubiquitous. Third, most people do not have clear roles in preventing CAN in their everyday lives. Fourth, fear of stigma prevents caregivers from seeking support and accessing services. We must shift the paradigm so that all policies promote child well-being, every family has equitable access to all opportunities, and every individual feels entitled to advocate for and engage in CAN prevention. By embedding an adapted Health Belief Model (aHBM) into an ecological model, we can improve policies, behaviors, and beliefs at all levels of the social ecology in order to shift the paradigm. In order to scale knowledge and advocacy for preventing CAN to the population, we propose a strategy that increases system collaboration, leverages existing infrastructure, and adopts multi-source funding models that invest in prevention services to inoculate society against CAN.

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What is Asset-Based Community Development and How Might It Improve the Health of People With Long-Term Conditions? A Realist Synthesis

Abstract: Background Long-Term Conditions and Self-Management Support Socially and economically deprived populations experience disproportionately higher levels of long-term health problems, and the prevalence of long-term conditions (LTCs) are increasing along with rates of multimorbidity (

Cited by 50 publications

References 43 publications

Identifying the processes of change and engagement from using a social network intervention for people with long‐term conditions. A qualitative study

Identifying the processes of change and engagement from using a social network intervention for people with long‐term conditions. A qualitative study

Asset-Based Community Development: Narratives, Practice, and Conditions of Possibility—A Qualitative Study With Community Practitioners

Achieving Comprehensive Prevention of Child Abuse and Neglect

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