| Dokumentenart: | Artikel | ||||
|---|---|---|---|---|---|
| Titel eines Journals oder einer Zeitschrift: | Health Promotion International | ||||
| Verlag: | Oxford Univ. Press | ||||
| Ort der Veröffentlichung: | OXFORD | ||||
| Band: | 36 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | Supple | ||||
| Seitenbereich: | ii65-ii78 | ||||
| Datum: | 2021 | ||||
| Institutionen: | Medizin > Institut für Epidemiologie und Präventivmedizin > Medizinische Soziologie | ||||
| Identifikationsnummer: |
| ||||
| Stichwörter / Keywords: | PHYSICAL-ACTIVITY; COMMUNITY CAPACITY; HEALTH-PROMOTION; OLDER-ADULTS; CARE; DIMENSIONS; INACTIVITY; QUALITY; GENDER; capacity building; evaluation; physical activity; participatory approach | ||||
| Dewey-Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status: | Veröffentlicht | ||||
| Begutachtet: | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden: | Ja | ||||
| Dokumenten-ID: | 55794 |
Web of ScienceZusammenfassung
Y To implement sustainable health-promoting structures in a setting, various agents must work together. In the Capital4Health research network, participatory stakeholder groups consisting of key persons, stakeholders, representatives of the target group, and facilitating experts are assembled in five settings (child care center, school, company, rural community, nursing home). In a Cooperative ...
Zusammenfassung
Y To implement sustainable health-promoting structures in a setting, various agents must work together. In the Capital4Health research network, participatory stakeholder groups consisting of key persons, stakeholders, representatives of the target group, and facilitating experts are assembled in five settings (child care center, school, company, rural community, nursing home). In a Cooperative Planning process, the various groups meet regularly to plan and implement strategies to promote physical activity across different settings. This study evaluates whether participatory stakeholder groups have been established and also examines the capacity-building processes that took place in these stakeholder groups. For process evaluation, 78 group meetings were documented in 16 different stakeholder groups using a semi-structured protocol based on established capacity-building domains. For outcome evaluation, six semi-structured interviews (1-2 per setting) with facilitating experts were conducted. Data were analyzed by content analysis. Across all settings, capacity-building processes were successful to a certain degree (e.g. problem assessment, resource mobilization). However, in most groups it was difficult to broadly assess problems, to establish sustainable networks, or to find persons with leadership characteristics. Also, irregular participation, lack of motivation to take over responsibility, and minimal institutional readiness for structural and personal changes often hindered the progress of the projects. Stakeholder groups can actively involve setting members in the development of physical activity promotion programs. It seems challenging, however, to sustainably establish such groups that continue working independently without assistance from a facilitating expert. Lay Summary It is well known that public health programs are most effective when health experts, setting members and the target group work together in developing and implementing suitable interventions that fit the needs of the target group. Stakeholder groups are well suited to facilitate the regular exchange between the different agents and the health experts. Although stakeholders are experts in their various living environments, it is often necessary to expand various capacities in order to successfully plan, implement and maintain interventions in the long term. We are interested in what is required to successfully establish such stakeholder groups, and how the capacity-building processes will work in them, in order to understand which capacities are easiest to improve and in which domains it is more difficult. Therefore, we monitored 15 different stakeholder groups over a time span of 3 years; these were assembled in five settings (child care center, school, company, rural community, nursing home) and addressed interventions for encouraging a physically active lifestyle. In total, 78 group meetings were documented using a semi-structured protocol based on established capacity-building domains. Afterwards, we held interviews with the health experts involved to identify barriers and enablers of the group processes.
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