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Wittek M, Manke-Reimers F, Schmitt E. Implementation behavior of communities regarding relatives caring for people with dementia : A quantitative study among German communities. Z Gerontol Geriatr 2024; 57:296-301. [PMID: 37674060 PMCID: PMC11208208 DOI: 10.1007/s00391-023-02232-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 08/03/2023] [Indexed: 09/08/2023]
Abstract
BACKGROUND Actors from the community (CAs) play a fundamental role in the support of caring relatives (CRs) of people with dementia (PWD). As their support is not sufficient, the implementation of support services needs to be optimized; however, little is known about the factors associated with the implementation behavior of CAs. AIM This study aimed to investigate the association of person-related factors with the implementation behavior of CAs. METHODS In a cross-sectional study, 205 CAs from 16 German communities were surveyed with the community implementation behaviour questionnaire (CIBQ), which is based on the theoretical domains framework. Logistic regression analyses were conducted to identify person-related factors associated with the implementation behavior regarding support services for CRs of PWD. RESULTS Implementing support services for CRs of PWD is positively and significantly (p < 0.001) associated with the agreement of CAs with the CIBQ domains. Higher scores in the CIBQ increase the chance that CAs implemented support services for the target group. CONCLUSION The CIBQ is a tool to determine the status of implementation behavior of communities. This enables an analysis of the areas CAs need to work on in order to optimize the implementation of support services for CRs of PWD or other health and care-related topics.
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Affiliation(s)
- Maren Wittek
- Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Germany.
- Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Ruprecht-Karls-University of Heidelberg, Alte Brauerei, Röngtenstraße 7, 68167, Mannheim, Germany.
| | - Fabian Manke-Reimers
- Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Ruprecht-Karls-University of Heidelberg, Alte Brauerei, Röngtenstraße 7, 68167, Mannheim, Germany
| | - Eric Schmitt
- Institute of Gerontology, Ruprecht-Karls-University of Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Germany
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Schröder M, Babitsch B, Hassel H. Assessing readiness for childhood obesity prevention in German municipalities: application of the community readiness model. Health Promot Int 2023; 38:daad169. [PMID: 38071434 DOI: 10.1093/heapro/daad169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Abstract
The World Health Organization has identified childhood obesity as one of the most serious public health problems of the 21st century. Understanding a municipality's readiness to address it is crucial to achieve successful interventions. However, the preparedness of German municipalities to address childhood obesity has not yet been investigated. This study is the first in Germany to apply the community readiness model (CRM) in this context. The purpose was to determine readiness of five municipalities for childhood obesity prevention and to identify factors that influence their readiness. Therefore, 27 semi-structured key informant interviews were conducted. First, the interviews were analysed following the CRM protocol to categorize the municipalities into a readiness level between one and nine. In a second step, a content analysis was carried out for an in-depth interpretation of the readiness scores. The municipalities achieved an average readiness of 3.84, corresponding to the 'Vague Awareness' stage. A lack of prioritization and leadership support, insufficient low-threshold efforts, a lack of knowledge and problem awareness as well as a lack of structures and resources were identified as factors that can determine municipal readiness to prevent childhood obesity. This study not only extends the application of the CRM to childhood obesity in German municipalities but also offers practical implications for professionals in assessing readiness.
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Affiliation(s)
- Maike Schröder
- Department of New Public Health, Osnabrück University, Nelson-Mandela-Straße 13, 49076, Osnabrück, Germany
- Department of Applied Sciences and Health, Coburg University of Applied Sciences and Arts, Friedrich-Streib-Straße 2, 96450, Coburg, Germany
| | - Birgit Babitsch
- Department of New Public Health, Osnabrück University, Nelson-Mandela-Straße 13, 49076, Osnabrück, Germany
| | - Holger Hassel
- Department of Applied Sciences and Health, Coburg University of Applied Sciences and Arts, Friedrich-Streib-Straße 2, 96450, Coburg, Germany
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Trojan A, Lorentz C, Süß W, Nickel S. [Comparing Community Capacities by Local Actors and External Experts: An Audit of Health Promotion Activities in Lenzsiedlung, Hamburg]. DAS GESUNDHEITSWESEN 2023; 85:83-90. [PMID: 34560800 PMCID: PMC11248458 DOI: 10.1055/a-1532-1911] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
AIM The questionnaire "Capacity building in Neighbourhoods (KEQ)" has five dimensions which are regarded as intermediary outcome results of community health promotion. The questionnaire was to be completed by local actors and thus has some features of self-evaluation. We wanted to find out whether external experts make similar or more critical assessments. METHODS We conducted an audit of the health promotion activities in our intervention area (Hamburg neighbourhood Lenzsiedlung) in two steps. Five external health promotion experts functioned as auditors with experience in evaluating good practice projects of health promotion. The first part of the audit was a document-based evaluation, the second part a visit-based one during a two-day stay in the intervention area. RESULTS In the comparison of local actors' assessments (KEQ questionnaire results) with those of external experts in the document-based audit, the judgements of external experts were more positive on all five dimensions of the questionnaire (deviations from +0.1 to +0.9 on a scale from 1 to 5). In the visit-based audit, there was convergence in the assessments of the local actors and the external experts. They were partly identical; only the dimension "local leadership" was viewed slightly more critically by the external experts. CONCLUSIONS Based on our discussion of the four methodical problems of the comparison, we conclude that, on the whole, local actors do not tend to evaluate their activities too positively. However, if resources are available, one should try to confirm local views of outcomes by external assessments.
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Affiliation(s)
- Alf Trojan
- Institut für Medizinische Soziologie,
Universitätsklinikum Hamburg-Eppendorf, Hamburg,
Deutschland
| | - Christian Lorentz
- Institut für Medizinische Soziologie,
Universitätsklinikum Hamburg-Eppendorf, Hamburg,
Deutschland
| | - Waldemar Süß
- Institut für Medizinische Soziologie,
Universitätsklinikum Hamburg-Eppendorf, Hamburg,
Deutschland
| | - Stefan Nickel
- Institut für Medizinische Soziologie,
Universitätsklinikum Hamburg-Eppendorf, Hamburg,
Deutschland
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Schröder M, Schnabel M, Hassel H, Babitsch B. Application of the Community Readiness Model for childhood obesity prevention: a scoping review. Health Promot Int 2022; 37:6680028. [PMID: 36047636 DOI: 10.1093/heapro/daac120] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The Community Readiness Model (CRM) provides an approach to determine community readiness (CR), which is the degree of a community's preparedness to address a health issue. This scoping review aims to characterize internationally existing applications of the CRM for childhood obesity prevention. Therefore, a systematic literature research was conducted in PubMed, Cochrane Library, LIVIVO and Google Scholar. Of 285 identified records, 17 studies met the eligibility criteria and were included in the scoping review. The CRM has already been applied to childhood obesity prevention in the USA (n = 10), Australia (n = 4), UK (n = 1), Iran (n = 1) and South Africa (n = 1). Mainly geographically defined communities (n = 12) like counties and cities were analysed but also schools (n = 4) and churches (n = 1). The scoping review revealed various methodological changes to the standard protocol of which some are particularly relevant for the application to childhood obesity prevention. The identified studies reported readiness scores in the low to mid-range of the nine-point readiness scale. To increase CR, strategies were proposed that addressed raising awareness and knowledge of childhood obesity, but also supporting connectivity in and between settings. This scoping review provides researchers and health promoters with an overview of international CR measurements and setting-specific strategies to increase CR. It highlights the potential of targeted interventions to increase readiness and shows tentative support for the assumption of a possible link between CR level and changes in obesity prevalence.
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Affiliation(s)
- Maike Schröder
- Coburg University of Applied Sciences and Arts, Department of Holistic Health Sciences, Coburg, Germany.,Osnabrück University, Department of New Public Health, Osnabrück, Germany
| | - Monika Schnabel
- Coburg University of Applied Sciences and Arts, Department of Holistic Health Sciences, Coburg, Germany
| | - Holger Hassel
- Coburg University of Applied Sciences and Arts, Department of Holistic Health Sciences, Coburg, Germany
| | - Birgit Babitsch
- Osnabrück University, Department of New Public Health, Osnabrück, Germany
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Herbert-Maul A, Abu-Omar K, Till M, Fleuren T, Wolff AR, Reimers AK. Präventionsdilemma auf kommunaler Ebene? PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2022. [PMCID: PMC9255498 DOI: 10.1007/s11553-022-00964-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Hintergrund Von Gesundheitsförderung profitieren häufig vorwiegend sozial privilegierte Personen während sozial Benachteiligte seltener erreicht werden. Ob dieses Präventionsdilemma auch auf kommunaler Ebene besteht, wurde bislang kaum erforscht. Ziel der Arbeit Die Studie untersucht anhand von zwei bayernweiten Projektausschreibungen zur kommunalen Bewegungsförderung, ob sozioökonomisch deprivierte Kommunen, die geringe Angebotsstrukturen der Gesundheitsförderung aufweisen, durch solche Ausschreibungen erreicht werden und welche Faktoren die Bereitschaft zur Beteiligung beeinflussen. Methoden Es werden Bevölkerungsdaten und sozioökonomische Deprivationsdaten von (n = 171) Kommunen aus drei Gruppen (teilnehmende/interessierte Kommunen und deprivierte Vergleichskommunen) verglichen. Durch eine systematische Internetrecherche werden die Gesundheitsförderungsaktivitäten ausgewählter Kommunen erhoben. Barrieren und Förderfaktoren für die Umsetzung der Projekte werden mittels einer Dokumentenanalyse erfasst. Ergebnisse Die teilnehmenden und interessierten Kommunen weisen höhere Einwohnerzahlen und geringere Deprivationswerte als der Durchschnitt der Kommunen in Bayern auf und stellen mehr Angebote der Gesundheitsförderung bereit als deprivierte Vergleichskommunen. Großen Einfluss auf die Teilnahme an den Projekten haben finanzielle Faktoren, politische Unterstützung und engagierte Personen. Diskussion Die Ergebnisse dieser Studie deuten auf ein Präventionsdilemma auf kommunaler Ebene hin. Um gesundheitlichen Ungleichheiten zwischen Kommunen vorzubeugen, sollten benachteiligte Kommunen in die Gestaltung von Förderprogrammen einbezogen werden, um diese Programme an deren Bedürfnisse anzupassen.
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Affiliation(s)
- Annika Herbert-Maul
- Department für Sportwissenschaft und Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058 Erlangen, Deutschland
| | - Karim Abu-Omar
- Department für Sportwissenschaft und Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058 Erlangen, Deutschland
| | - Maike Till
- Department für Sportwissenschaft und Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058 Erlangen, Deutschland
| | - Tobias Fleuren
- Department für Sportwissenschaft und Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058 Erlangen, Deutschland
| | - Andrea R. Wolff
- Koordinierungsstelle gesundheitliche Chancengleichheit, Landeszentrale für Gesundheit in Bayern, München, Deutschland
| | - Anne K. Reimers
- Department für Sportwissenschaft und Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, 91058 Erlangen, Deutschland
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Prävention und Gesundheitsförderung in verschiedenen Lebenswelten. Public Health 2022. [DOI: 10.1016/b978-3-437-22262-7.00033-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Dadaczynski K, Krah V, Frank D, Zügel-Hintz E, Pöhlmann F. Promoting Navigation Health Literacy at the Intersection of Schools and Communities. Development of the Game-Based Intervention Nebolus. Front Public Health 2021; 9:752183. [PMID: 34869169 PMCID: PMC8635644 DOI: 10.3389/fpubh.2021.752183] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 10/26/2021] [Indexed: 11/13/2022] Open
Abstract
Emerging empirical evidence indicates a limited health literacy for a substantial proportion of children and adolescents. Although it is generally agreed upon promoting health literacy as early as possible in the lifespan, there is a lack of interventions addressing children and adolescents and their primary living environments. This article describes the development of Nebolus, a game-based intervention aiming to promote navigation health literacy at the intersection of schools and communities. Its intervention foundation lies in a socio-ecological understanding of health as well as in the Entertainment Education approach. Following an extensive literature search on health-related location-based games, a co-creation process was initiated that involved adolescents, community stakeholders, and design/IT professionals in all phases of the intervention development. The final Nebolus intervention includes three core activities: (1) a Nebolus rally app for adolescents aged 12 to 16 years, (2) an online planning tool allowing local health service providers/professionals to set up own Nebolus rallies, and (3) accompanying teaching material on health literacy in the school setting to be used before and after the Nebolus rallies. This article provides an overview of the intervention layout and discusses strengths and challenges of its development and implementation.
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Affiliation(s)
- Kevin Dadaczynski
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Fulda, Germany
- Centre for Applied Health Science, Leuphana University Lueneburg, Lueneburg, Germany
| | - Verena Krah
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Fulda, Germany
| | - Demian Frank
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Fulda, Germany
| | - Elisabeth Zügel-Hintz
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Fulda, Germany
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Muellmann S, Brand T, Jürgens D, Gansefort D, Zeeb H. How many key informants are enough? Analysing the validity of the community readiness assessment. BMC Res Notes 2021; 14:85. [PMID: 33750436 PMCID: PMC7941941 DOI: 10.1186/s13104-021-05497-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 02/23/2021] [Indexed: 11/10/2022] Open
Abstract
Objective Communities are important settings for health promotion and prevention. The community readiness assessment offers a structured approach to assess resources and opportunities to tackle a health problem within a community. The assessment relies on semi-structured interviews with key informants from the communities. A number of 4–6 key informant interviews are recommended in the literature. However, it is unclear whether this is sufficient to obtain a valid representation of the respective community. This study analysed whether increasing the number of key informants from 4–6 to 12–15 alters the results of the community readiness assessment. Results A total of 55 community readiness interviews were carried out in 4 communities. Overall, the community readiness scores showed little variation after having interviewed 10 key informants in a community. However, even after completing 10 interviews in a community, key informants were still able to identify up to 6 new information items regarding community efforts for physical activity promotion among the elderly, contact and communication channel for informing or approaching the target group, or barriers to participation. Supplementary Information The online version contains supplementary material available at 10.1186/s13104-021-05497-9.
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Affiliation(s)
- Saskia Muellmann
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Tilman Brand
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Dorothee Jürgens
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Dirk Gansefort
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany.,Association for Health Promotion and Academy of Social Medicine Lower Saxony, Fenskenweg 2, 30165, Hannover, Germany
| | - Hajo Zeeb
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany. .,Health Sciences Bremen, University of Bremen, Bremen, Germany.
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