• Title, Summary, Keyword: community participation approaches

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A Model for Community Participation in Breast Cancer Prevention in Iran

  • Ahmadian, Maryam;Samah, Asnarulkhadi Abu
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2419-2423
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    • 2012
  • Context: Genuine community participation does not denote taking part in an action planned by health care professionals in a medical or top-down approach. Further, community participation and health education on breast cancer prevention are not similar to other activities incorporated in primary health care services in Iran. Objective: To propose a model that provides a methodological tool to increase women's participation in the decision making process towards breast cancer prevention. To address this, an evaluation framework was developed that includes a typology of community participation approaches (models) in health, as well as five levels of participation in health programs proposed by Rifkin (1985&1991). Method: This model explains the community participation approaches in breast cancer prevention in Iran. In a 'medical approach', participation occurs in the form of women's adherence to mammography recommendations. As a 'health services approach', women get the benefits of a health project or participate in the available program activities related to breast cancer prevention. The model provides the five levels of participation in health programs along with the 'health services approach' and explains how to implement those levels for women's participation in available breast cancer prevention programs at the local level. Conclusion: It is hoped that a focus on the 'medical approach' (top-down) and the 'health services approach' (top-down) will bring sustainable changes in breast cancer prevention and will consequently produce the 'community development approach' (bottom-up). This could be achieved using a comprehensive approach to breast cancer prevention by combining the individual and community strategies in designing an intervention program for breast cancer prevention.

Mobile health for community participation: Research patterns and directions (모바일 헬스를 활용한 지역사회 참여: 연구유형 분석과 방향 제언)

  • Kim, Dong Ha;Hong, Jihye;Ha, Eunji;Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.32 no.4
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    • pp.67-78
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    • 2015
  • Objectives: This study aims to examine the trends of mobile-health research in terms of community participation. Methods: A set of 24 peer-reviewed articles were identified for review. Two authors independently reviewed the articles using a literature review matrix and reexamined as a team. Review categories include: general characteristics, research methods, levels and ranges of community participation, and research topics. Results: Most of the articles were published in 2013-2014, including one domestic paper. Multidisciplinary approaches were used in 65% of the studies. Community participation was at low or mid-levels of Arnstein's participation model. In mobile-health research so far, the level of participation tends to improve as more diverse stakeholders participate in health promotion initiatives with mobile-health. The review yielded five types of mobile-health research for community health promotion: improving the quality of primary healthcare through the community health workers' capacity enhancement; improving the data collection capabilities; facilitating exchanges of community information and resources; reinforcing community identity; and monitoring physical environment of the communities. Conclusions: Although at an early stage of research development, application of mobile-health to community health promotion via participation has a potential. Multi-disciplinary approaches should be fostered for further development.

Community Participation in Cholangiocarcinoma Prevention in Ubon Ratchathani, Thailand: Relations with Age and Health Behavior

  • Songserm, Nopparat;Bureelerd, Onanong;Thongprung, Sumaporn;Woradet, Somkiattiyos;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7375-7379
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    • 2015
  • A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.

Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

  • Jayakrishnan, Radhakrishnan;Mathew, Aleyamma;Uutela, Antti;Auvinen, Anssi;Sebastian, Paul
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2891-2896
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    • 2013
  • Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

A Study on the Relationship between Community Cohesion and Community Participation for the Foundation of Community Welfare Planning (지역사회복지계획의 기반조성을 위한 지역사회응집력과 지역사회참여의 관계에 관한 연구)

  • Kang, Dae-Sun;Ryu, Ki-Hyung
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.27-53
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    • 2007
  • Until now, the strategies for increasing community participation has been focusing on the administrative legal institutionalization, but these have not brought substantive effects. So, the need of strategies utilizing the community culture which was formed by the residents and community has been issued on recently. The purpose of this study is to explore the strategies utilizing the community culture. So, it was identified the socio-demographic variables affected the community cohesion (community social networks, community solidarity, place-attachment), that is called community spirit and culture. And through path analysis, it was analyzed the relationship among residents' socio-demographic background, community cohesion, and community participation. The findings are as follows. : the community cohesion's three elements altogether affected positively to the community participation. When regarding the residents characteristics, the strategies for increasing the participation relating to community solidarity was most relevant. the socio-demographics affecting to community solidarity are gender, age, the beneficiary, religion, job type, household income, the length of residence. the women was low at level of participation. The most important variables affecting the community cohesion are the age, the residence duration. Based on these results, the relevant strategies or approaches for increasing community participation are as follows. : using and sharing of the aged's community knowledge, making the long term living and final settlement of community residents, increasing and creating the income for the low-income residents, increasing of religious organization and its members' responsibility to community, and the purposeful extension and relevancy of women's participation. Ultimately, this study is to contribute to fomulate the residents- cultural asset driven's community welfare planning.

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The principles and values of health promotion: building upon the Ottawa charter and related WHO documents (건강증진이 기반한 주요 원칙과 가치: 오타와 헌장 및 세계보건기구 관련 문헌 등을 중심으로)

  • Lee, Myoung-Soon
    • Korean Journal of Health Education and Promotion
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    • v.32 no.4
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    • pp.1-11
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    • 2015
  • Objectives: This paper reviews the main principles and values underlying health promotion and reflects upon recent health promotion efforts in Korea. Methods: The essay approaches these issues through the framework of the Ottawa Charter for Health Promotion (WHO, 1986) and other related (WHO) documents. The Ottawa Charter has been an important basis for health promotion worldwide over the last three decades since 1986. Emphasizing the instrumental value of health and the prerequisites for health, it provides the definition of health promotion and elaborates the strategies for health promotion as well as the main health promotion actions. Results: Beyond the values of health as both a fundamental human right and a resource for everyday life, the values and principles related to health promotion shown in WHO documents and other literature include holism, social justice and equity, public and community participation, autonomy, empowerment, socioecological approaches to health, sustainability, intersectoral collaboration, partnership-building, responsibility for health, and so on. Conclusions: Reflecting, subjectively, on health promotion efforts in Korea, some values, including holism in terms of target population, equity, public and community participation, empowerment, and socio-ecological approaches have been realized to some extent, while other values like intersectoral collaboration and partnership have not been considered sincerely in public efforts relating to health promotion. Therefore, future health promotion efforts in Korea should concentrate on incorporating these critical values and principles-based approaches into health promotion activities.

Strengthening Community Action for Health Promotion : Working with Communities (건강증진사업을 위한 지역사회 참여와 연대 구축 - 지역사회 건강증진 활동 강화를 위한 노력)

  • Lee, Myoung-Soon
    • Proceedings of The Korean Society of Health Promotion Conference
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    • pp.231-252
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    • 2005
  • Community action is an essential component for health promotion. Through effective community action, a community can gain control over its health & health determinants, and improve the quality of its life. The Ottawa Charter for Health Promotion (WHO, 1984)stated that a health promotion program that stimulates and strengthens community health activity is one of the five main action areas in the field of health promotion. This paper reviews the meaning and key concept of community health promotion action, and discusses ways to strengthen community action as defined by the Ottawa Charter for Health Promotion. It discusses the principle of community participation for health promotion, and, taking a successful example of a community-based health promotion program, it provides an illustrative example of how to build partnerships and coalitions in a community. Community development theories for community-based approaches are also introduced, along with their key concepts. Finally, the paper assesses the barriers to effective community health promotion action in Korea, and proposes several strategies for strengthening community action for health promotion.

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Place Assets and Types of Rural Experience Tourism Villages: Case Study on Rural Experience Tourism Villages in Gyeonggi Province (농촌체험관광마을의 장소자산과 유형 : 경기도 농촌체험관광마을을 사례로)

  • Koh, Sun-Young
    • Journal of the Korean association of regional geographers
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    • v.14 no.4
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    • pp.418-435
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    • 2008
  • This research examines classification of rural experience tourism villages and case study of 4 villages in Gyeonggi Province through theoretical studies on residents' participation and roles as the subject of regional development in the perspectives of place assets. The four types classified are as follows: 1) community systemization, 2) individual systemization, 3) community integration, and 4) individual integration. In order to achieve type of community integration, we pay attention to get more interests in intensifying the community systemization and further alternative approaches to rural tourism villages.

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The Effects of Emotional Awareness Level and Stress on Social Participation in Stroke Disabled Persons Living in the Community (지역사회에 거주하는 뇌졸중 장애인의 정서적 자각 수준과 스트레스가 지역사회 참여에 미치는 영향)

  • Lim, Young-Myoung;Yoo, Doo-Han
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.323-331
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    • 2019
  • The purpose of this study was to identify the emotional and stress factors of the stroke victims living in the community and to investigate the effect of these factors on the level of social participation. Data collection collected data on the level of emotional awareness, stress, and social participation in welfare centers, public health centers, and stroke disabled people using community services. The level of social participation according to general characteristics was analyzed by descriptive statistics and one-way ANOVA. Emotional factors, stress factors, and social participation levels were analyzed by pearson correlation analysis and multiple regression analysis. As a result, there were no statistically significant factors in the sub-domains of emotional factors that affect social participation performance and satisfaction. In the sub-areas of stress factors, personal internal stress and interpersonal stress were statistically significant variables. The explanatory power showed social participation accomplishment was 34% and satisfaction was 33%. Therefore, various approaches should be made considering stressful factors to achieve rehabilitation into the local community, and additional research is needed to identify psychosocial variables that affect social participation.

Using Community-Based Participatory Research(CBPR) for Health Promotion (건강증진을 위한 지역사회 기반 참여연구의 적용 방안)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.141-158
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    • 2009
  • Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.