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Warraitch A, Wacker C, Biju S, Lee M, Bruce D, Curran P, Khraisha Q, Hadfield K. Positive Impacts of Adolescent Involvement in Health Research: An Umbrella Review. J Adolesc Health 2024; 75:218-230. [PMID: 38597838 DOI: 10.1016/j.jadohealth.2024.02.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 02/15/2024] [Accepted: 02/16/2024] [Indexed: 04/11/2024]
Abstract
Despite an increased recognition of the right of adolescents to be involved in decisions that affect them, young people continue to be under-involved in health research. One of the reasons is a lack of awareness among researchers on the current evidence base around the benefits of involving adolescents. To address this, we conducted an umbrella review to synthesize the evidence on the positive impacts of adolescent involvement in health research. This umbrella review was preregistered with PROSPERO (CRD42021287467). We searched 11 databases, Google Scholar, PROSPERO, reference lists, 10 journals, websites of 472 organizations, and sought input from experts. Ultimately, we included 99 review articles. We found that adolescent involvement has many positive impacts on young people, including increased knowledge and skills; personal development; financial benefits; career and academic growth; enhanced relationships; and valuing their experience. The positive impacts of adolescent involvement on the research itself include increased relevance of the study to adolescents, improved recruitment, development of more adolescent-friendly materials, enhanced data collection and analysis, and more effective dissemination. Researchers also benefited from adolescents' involvement through increased knowledge, skills, and a shift in their attitudes. The evidence supporting the positive impacts of adolescent involvement in research is substantial but limited by a lack of rigorous evaluation, inconsistent reporting, and unclear evaluation methods.
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Affiliation(s)
- Azza Warraitch
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland.
| | - Ciara Wacker
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Sanjana Biju
- Department of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland
| | - Maria Lee
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Delali Bruce
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Engineering, Stanford University, Stanford, California
| | - Paul Curran
- Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Qusai Khraisha
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Kristin Hadfield
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
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Smith C, Frerichs L, Hoover S, Robinson-Ezekwe N, Khanna A, Wynn M, Ellerby B, Joyner L, Lindau ST, Corbie G. "If you're in a community together, then you're basically a family": Perceptions of community among a predominantly African-American/Black youth cohort in a semi-rural region in the Southeastern United States. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:880-905. [PMID: 36349440 PMCID: PMC10006289 DOI: 10.1002/jcop.22945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 09/08/2022] [Accepted: 09/18/2022] [Indexed: 06/02/2023]
Abstract
Geographic racism gives rise to health inequities that impact communities in detrimental ways. Southern ethnic minority groups, particularly African American/Black semi-rural communities, are subject to especially unjust outcomes in health, education, and wealth. Asset-based community development (ABCD) is a way of engaging with communities in participatory and positive ways that center community voices as expert. Youth can participate in ABCD, are sensitive to the ways in which their communities are structured, and have insights as to how to improve the places they live. We undertook a qualitative interview study which included a cognitive mapping exercise with 28 youth to understand how African American/Black youth who had participated in an ABCD-informed summer program conceptualized community and preferences about where they lived. Using a phenomenological approach to qualitative analysis, our study revealed that many youth defined community as a combination of people and place, enjoyed engaging with unique resources in their communities as well as seeking peace and quiet, experienced hardships as "something everybody knows" when observing constraints on their communities, and were committed to their communities and interested in seeing-and participating in-their flourishing. Our study provides a nuanced and contemporary understanding of the ways in which African American/Black semi-rural youth experience community which can contribute to cyclical asset-based development strategy aimed at empowering young people and improving health outcomes in resilient communities.
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Affiliation(s)
- Cambray Smith
- School of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Leah Frerichs
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
| | - Stephanie Hoover
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Nicole Robinson-Ezekwe
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Anisha Khanna
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | | | - Brian Ellerby
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | - Linda Joyner
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | - Stacy Tessler Lindau
- Department of OB/GYN, University of Chicago, Chicago, IL
- Department of Medicine, University of Chicago, Chicago, IL
| | - Giselle Corbie
- School of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Medicine, University of North Carolina, Chapel Hill, NC
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Healy J, Ramirez S, Knapp M, Johnson C. Asset mapping score analysis: a novel public health research methodology applied to maternal and child health resources in New Orleans. Arch Public Health 2023; 81:33. [PMID: 36855065 PMCID: PMC9976511 DOI: 10.1186/s13690-023-01042-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 02/15/2023] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND Asset mapping is a commonly used method in public health to identify and describe the resources within a community. However, there is currently a lack of standardization in the methods used for asset mapping, which can make it difficult for users to apply the method and compare results between different studies. In this article, we present a new approach called Asset Mapping Score Analysis (AMSA), which is a framework for collecting and organizing data on community assets. We provide an example of the AMSA method through its application in the evaluation of maternal and child health resources in New Orleans, Louisiana. RESULTS The AMSA approach consists of five steps and results in a data collection tool that uses a scoring system to quantify the functional and content areas defined by the users. This method is flexible, reproducible, quantitative, inexpensive, and can be adapted to fit the needs of different geographic areas and fields of study. It can also be repeated over time to monitor changes in systems. We conducted a pilot study to examine the participation of local maternal and child health organizations in four functional areas (education, direct services, policy/advocacy, and research) and 22 content areas. CONCLUSIONS In addition to describing the AMSA method and providing an example of its application, we also discuss the methodological issues involved in using the AMSA approach. These include considerations related to study design, data analysis, and interpreting results. We assess the strengths, limitations, and potential future directions of the AMSA method. Finally, we present the results of our AMSA study on maternal and child health organizations in New Orleans to illustrate the utility of this approach. Our findings suggest that the AMSA method is a valuable tool for understanding and characterizing the assets and resources within a community.
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Affiliation(s)
- Jack Healy
- Center of Excellence in Maternal and Child Health, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
- Texas Christian University School of Medicine, TCU Box 297085, Fort Worth, TX, 76129, USA.
| | - Shokufeh Ramirez
- Center of Excellence in Maternal and Child Health, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - Megan Knapp
- Department of Public Health Sciences, Xavier University of Louisiana, New Orleans, LA, USA
| | - Carolyn Johnson
- Center of Excellence in Maternal and Child Health, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
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Thijssen M, Kuijer-Siebelink W, Lexis MA, Nijhuis-van der Sanden MWG, Daniels R, Graff M. What matters in development and sustainment of community dementia friendly initiatives and why? A realist multiple case study. BMC Public Health 2023; 23:296. [PMID: 36759811 PMCID: PMC9909928 DOI: 10.1186/s12889-023-15125-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 01/24/2023] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND Dementia friendly communities (DFCs) are seen as key to participation of people with dementia and carers. Dementia-friendly initiatives (DFI) are important building blocks for the growth of DFCs. Therefore, it is essential to understand how DFIs are developed and sustained to secure the growth of DFCs. This study identifies contextual factors and mechanisms that influence the development and sustainment of Dutch DFIs. It also explains how these contextual factors and mechanisms are interrelated and the outcomes to which they lead. METHODS Mixed methods, namely interviews, observations, documentation and focus groups, were used for this realist multiple case study. Participants were professionals (n = 46), volunteers (n = 20), people with dementia (n = 1) and carers (n = 2) who were involved in development and sustainment of DFIs in four Dutch DFCs. RESULTS This study revealed three middle-range program theories as final outcomes: development of a support base, collaboration, and participation in DFIs by people with dementia and carers. These theories address institutional, organisational, interpersonal and individual levels in the community that are essential in development and sustainment of DFIs. CONCLUSIONS The development and sustainment of DFIs requires the development of a support base, collaboration, and participation in DFIs by people with dementia and their carers.
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Affiliation(s)
- Marjolein Thijssen
- Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands. .,Radboud University Medical Center, Radboud Alzheimer Center, Nijmegen, The Netherlands.
| | - Wietske Kuijer-Siebelink
- grid.450078.e0000 0000 8809 2093HAN University of Applied Sciences, School of Education, Nijmegen, The Netherlands ,grid.10417.330000 0004 0444 9382Radboud University Medical Center, Radboudumc Health Academy, Research on Learning and Education, Nijmegen, the Netherlands
| | - Monique A.S. Lexis
- grid.413098.70000 0004 0429 9708Zuyd University of Applied Sciences, Research Centre Assistive Technology in Care, Heerlen, the Netherlands
| | - Maria W. G. Nijhuis-van der Sanden
- grid.10417.330000 0004 0444 9382Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands
| | - Ramon Daniels
- grid.413098.70000 0004 0429 9708Zuyd University of Applied Sciences, Research Centre Assistive Technology in Care, Heerlen, the Netherlands
| | - Maud Graff
- grid.10417.330000 0004 0444 9382Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, The Netherlands ,grid.10417.330000 0004 0444 9382Radboud University Medical Center, Radboud Alzheimer Center, Nijmegen, The Netherlands
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Frerichs L, Smith C, Hoover S, Robinson-Ezekwe N, Khanna A, Ellerby B, Joyner L, Wynn M, Wrenn J, Stith D, Lindau S, Corbie G. Comparative Evaluation of 2 Work Experience Approaches for Predominantly Black Youth in a Rural Community: Implications for Public Health Workforce Development. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2023; 29:21-32. [PMID: 36448755 PMCID: PMC9718253 DOI: 10.1097/phh.0000000000001661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
CONTEXT In order to create a more diverse workforce, there is a need to involve historically excluded youth in public health-related work. Youth involvement in asset-based work experience approaches is especially relevant for rural areas with workforce shortages. OBJECTIVE To explore the public health workforce development implications of community-based career exploration and asset mapping work experience from the perspective of Black youth. DESIGN We used qualitative in-depth interviews with youth, aged 14 to 22 years, who participated in a work experience program anchored in several rural counties in southeastern United States. A phenomenological lens was applied for qualitative analyses with iterative, team-based data coding. Participants were also surveyed pre- and postprogram to supplement findings. PROGRAM A rural community-based organization's work experience program consisted of 2 tracks: (1) Youth Connect-a career exploration track that included work placement within community agencies; and (2) MAPSCorps-a track that employs youth to conduct asset mapping for their community. RESULTS We interviewed 28 of 31 total participants in the 2 tracks. We uncovered 4 emergent profiles in how youth described shifts in their perceptions of community: (1) Skill Developers; (2) Community Questioners; (3) Community Observers; and (4) Community Enthusiasts. In comparing between tracks, youth who participated in work experience that involved asset mapping uniquely described increased observation and expanded view of community resources and had greater increases in research self-efficacy than youth who participated only in career exploration. CONCLUSION Asset mapping work experience that is directly placed in rural communities can expose Black youth to and engage them in essential public health services (assessing and mobilizing community assets) that impact their community. This type of program, directly integrated into rural communities rather than placed near academic centers, could play a role in creating a more diverse public health workforce.
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Affiliation(s)
- Leah Frerichs
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Cambray Smith
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- School of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC
| | - Stephanie Hoover
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Nicole Robinson-Ezekwe
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Anisha Khanna
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Brian Ellerby
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | - Linda Joyner
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | | | - Jonina Wrenn
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Doris Stith
- Community Enrichment Organization, Tarboro, NC
| | - Stacy Lindau
- Department of OB/GYN, University of Chicago, Chicago, IL
- Department of Medicine, University of Chicago, Chicago, IL
| | - Giselle Corbie
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Medicine, University of North Carolina, Chapel Hill, NC
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Morris EL, Hauer J, Bogetz JF. Asset-Based Health Care for Children With Severe Neurologic Impairment. Pediatrics 2022; 150:188716. [PMID: 35922560 DOI: 10.1542/peds.2021-055654] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/09/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
| | - Julie Hauer
- Seven Hills Pediatric Center, Groton, Massachusetts.,Division of General Pediatrics, Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts
| | - Jori F Bogetz
- Division of Bioethics and Palliative Care, Department of Pediatrics, University of Washington School of Medicine, Treuman Katz Center for Pediatric Bioethics and Palliative Care and Resilience Laboratory, Center for Clinical and Translational Research, Seattle Children's Hospital and Research Institute, Seattle, Washington
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Porwit K, Bójko M, Korzycka M, Mazur J. Expectations for engagement in community issues as perceived by young people. JOURNAL OF MOTHER AND CHILD 2022; 25:178-188. [PMID: 35245008 PMCID: PMC9097659 DOI: 10.34763/jmotherandchild.20212503si.d-21-00024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 11/12/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Involvement in constructive activities is an important but rarely empirically studied developmental asset. OBJECTIVE The aim of the study is to assess the intentions of Polish youth to undertake prosocial activities after graduating from high school, and the selected determinants of these intentions. MATERIAL AND METHODS Anonymous surveys were conducted in 213 schools within the last round of the HBSC (Health Behaviour in School-aged Children) survey in 2018. The nationwide representative sample included 4,972 students aged 11.1-18.5 (mean age 15.4 ± 1.73). The main dependent variable was the Expectations for Engagement in Community Issues Index (EECII), built on the basis of 3 questions and ranged 0-12 points. Its relationship with 10 demographic and socio-economic variables was studied. RESULTS The mean EECII score was 5.59 (SD = 2.65). Seven factors and three significant two-way interactions were indicated in the general linear model. The strongest correlation was found to be between the EECII level and recognised personal values, current participation in youth groups, and the level of social ties in the neighbourhood. Girls achieve higher EECII levels than boys. However, factors such as family social position and attitudes towards school modify the gender differences. Higher family social position measured on subjective scale increases the tendency to plan prosocial activities in the group coming from low affluence families. CONCLUSIONS Polish youth have an average inclination towards prosocial activities. When planning activities aimed at strengthening the involvement of young people, it is worth considering the specificity of various demographic and social groups.
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Affiliation(s)
- Katarzyna Porwit
- Centre of Migration Research, University of Warsaw, Warsaw, Poland, E-mail:
| | - Martyna Bójko
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Magdalena Korzycka
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Joanna Mazur
- Department of Humanization in Medicine and Sexology, University of Zielona Gora, Zielona Gora, Poland
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Schroeer C, Voss S, Jung-Sievers C, Coenen M. Digital Formats for Community Participation in Health Promotion and Prevention Activities: A Scoping Review. Front Public Health 2021; 9:713159. [PMID: 34869143 PMCID: PMC8634959 DOI: 10.3389/fpubh.2021.713159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 10/12/2021] [Indexed: 12/28/2022] Open
Abstract
Objectives: Digital technologies in public health are primarily used in medical settings and mostly on an individual and passive way of use. There are research gaps on digital media facilitating participation, empowerment, community engagement, and participatory research in community settings. This scoping review aims to map existing literature on digital formats that enable participation in the field of health promotion and prevention in community settings. Design: The databases Medline, EMBASE, and PsycINFO were used to identify studies published from 2010 up to date (date of literature search) onward that used digital formats in all or in the main sequences of the process to enable high levels of participation in health promotion and prevention activities in community settings. Results: This review identified nine out of 11 included studies relevant to the research question. We found five studies that applied qualitative participatory research, two studies on peer support and one study each on empowerment and crowdsourcing. The digital technologies used varied widely and included social media platforms, bulletin boards, online forum webpages, and customized web providers and programs. Most studies mentioned anonymity, flexibility, and convenience as benefits of digital interventions. Some papers reported limitations such as difficulties by interpreting written-only data or the possibility of selection bias due to the digital divide. Conclusion: This scoping review identified only few studies relevant to our objective, indicating an existing gap in research on this topic. Digital formats were found to be particularly suitable for purposes where anonymity and flexibility are beneficial, such as for online peer exchange and peer support programs.
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Affiliation(s)
- Claudia Schroeer
- Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, LMU Munich, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| | - Stephan Voss
- Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, LMU Munich, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| | - Caroline Jung-Sievers
- Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, LMU Munich, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| | - Michaela Coenen
- Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, LMU Munich, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
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Dimensions of Community Assets for Health. A Systematised Review and Meta-Synthesis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115758. [PMID: 34072002 PMCID: PMC8198194 DOI: 10.3390/ijerph18115758] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 05/18/2021] [Accepted: 05/23/2021] [Indexed: 12/03/2022]
Abstract
Since Aaron Antonovsky’s salutogenesis theory and Morgan and Ziglio’s health assets model were first proposed, there has been a growing concern to define the resources available to the individual and the community to maintain or improve health and well-being. The aim of the present study was to identify the dimensions that characterise community assets for health. To this end, we conducted a systematised review with a meta-synthesis and content analysis of research or projects involving asset mapping in the community. Articles that met our eligibility criteria were: (1) based on the salutogenic approach and (2) described an assets mapping process and among their results, explained what, how and why particular community assets for health had been selected. The search included primary studies in the published and grey literature which were selected from websites and electronic databases (Web of Science, MEDLINE, Scopus, EBSCOhost, Dialnet, SciELO). Of the 607 records examined by a single reviewer, 34 were included in the content analysis and 14 in the qualitative synthesis. Using an inductive process, we identified 14 dimensions with 24 categories, for which in-depth literature reviews were then carried out to define specific indicators and items. These dimensions were: utility, intention, previous use, accessibility (“circumstances–opportunity–affordability”), proximity-walkability, connectivity, intelligibility (visibility, transparency), identity (uniqueness, appropriability, attachment), design (configuration, functionality, comfort), safety (objective/subjective), diversity, the dimension of public and private, and sustainability (which includes maintenance, profitability or economic sustainability, environmental sustainability, centrality-participation and equity-inclusiveness).
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Seow H, McMillan K, Civak M, Bainbridge D, van der Wal A, Haanstra C, Goldhar J, Winemaker S. #Caremongering: A community-led social movement to address health and social needs during COVID-19. PLoS One 2021; 16:e0245483. [PMID: 33444420 PMCID: PMC7808573 DOI: 10.1371/journal.pone.0245483] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 01/03/2021] [Indexed: 11/18/2022] Open
Abstract
Background To combat social distancing and stay-at-home restrictions due to COVID-19, Canadian communities began a Facebook social media movement, #Caremongering, to support vulnerable individuals in their communities. Little research has examined the spread and use of #Caremongering to address community health and social needs. Objectives We examined the rate at which #Caremongering grew across Canada, the main ways the groups were used, and differences in use by membership size and activity. Methods We searched Facebook Groups using the term “Caremongering” combined with the names of the largest population centres in every province and territory in Canada. We extracted available Facebook analytics on all the groups found, restricted to public groups that operated in English. We further conducted a content analysis of themes from postings in 30 groups using purposive sampling. Posted content was qualitatively analyzed to determine consistent themes across the groups and between those with smaller and larger member numbers. Results The search of Facebook groups across 185 cities yielded 130 unique groups, including groups from all 13 provinces and territories in Canada. Total membership across all groups as of May 4, 2020 was 194,879. The vast majority were formed within days of the global pandemic announcement, two months prior. There were four major themes identified: personal protective equipment, offer, need, and information. Few differences were found between how large and small groups were being used. Conclusions The #Caremongering Facebook groups spread across the entire nation in a matter of days, engaging hundreds of thousands of Canadians. Social media appears to be a useful tool for spreading community-led solutions to address health and social needs.
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Affiliation(s)
- Hsien Seow
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
- * E-mail:
| | - Kayla McMillan
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Margaret Civak
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Daryl Bainbridge
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Alison van der Wal
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada
| | | | - Jodeme Goldhar
- Dalla Lana School of Public Health, Toronto, Ontario, Canada
| | - Samantha Winemaker
- Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
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Lapena C, Continente X, Sánchez Mascuñano A, Pons Vigués M, Pujol Ribera E, López MJ. Qualitative evaluation of a community-based intervention to reduce social isolation among older people in disadvantaged urban areas of Barcelona. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:1488-1503. [PMID: 32185842 DOI: 10.1111/hsc.12971] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 01/27/2020] [Accepted: 02/16/2020] [Indexed: 06/10/2023]
Abstract
This study analyses participants' and coordinators' perceptions of the implementation process and perceived benefits of a community-based intervention to reduce social isolation among older adults. The 'School of Health for Older People' is a weekly community intervention that promotes resources among individuals and communities in order to enhance their ability to identify problems and activate solutions, encouraging participation in the community. A qualitative approach was employed, based on semi-structured interviews and focus groups (FGs). This study was carried out in Barcelona. Two coordinators (community nurses) and 26 community-dwelling people aged 65 and over who attended the School of Health for Older People in the neighbourhoods of Besòs and Guineueta, participated in in-depth interviews and FGs between January and February 2016. Views and experiences about the intervention were explored. The main perceived effects of the intervention were expanding knowledge of health issues and of community activities, encouraging participants to go out, giving them a feeling of being heard, and peer relationships, increasing participants' contacts and knowledge while the main negative features were related to repetition of certain contents. The benefits identified included learning something about health and their own neighbourhood and breaking the habit of staying at home. Social isolation might be prevented by increasing the number of contacts with peers and sharing a common interest, since it could help to give them a sense of belonging to a community.
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Affiliation(s)
- Carolina Lapena
- Centre d'Atenció Primària Sanllehy. Gerència d'Àmbit d'Atenció Primària Barcelona Ciutat, Institut Català de la Salut, Barcelona, Spain
- Unitat de Suport a la Recerca Barcelona Ciutat. Fundació Institut Universitari per a la recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAP Jordi Gol), Barcelona, Spain
| | - Xavier Continente
- Evaluation and Intervention Methods Service, Public Health Agency of Barcelona, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain
- Sant Pau Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
| | - Alba Sánchez Mascuñano
- Preventive Medicine Department, University Hospital of Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
| | - Mariona Pons Vigués
- Unitat de Suport a la Recerca Barcelona Ciutat. Fundació Institut Universitari per a la recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAP Jordi Gol), Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
- Universitat de Girona, Girona, Spain
- Servei Català de la Salut (CatSalut), Barcelona, Spain
| | - Enriqueta Pujol Ribera
- Unitat de Suport a la Recerca Barcelona Ciutat. Fundació Institut Universitari per a la recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAP Jordi Gol), Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
| | - Maria J López
- Evaluation and Intervention Methods Service, Public Health Agency of Barcelona, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain
- Sant Pau Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
- University Pompeu Fabra, Barcelona, Spain
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Jatho A, Mugisha NM, Kafeero J, Holoya G, Okuku F, Niyonzima N. Mobile cancer prevention and early detection outreach in Uganda: Partnering with communities toward bridging the cancer health disparities through "asset-based community development model". Cancer Med 2020; 9:7317-7329. [PMID: 32810394 PMCID: PMC7541131 DOI: 10.1002/cam4.3387] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 07/26/2020] [Accepted: 07/27/2020] [Indexed: 12/28/2022] Open
Abstract
Background Communities in low‐income countries are characterized by limited access to cancer prevention and early detection services, even for the commonest types of cancer. Limited resources for cancer control are one of the contributors to cancer health disparities. We explored the feasibility and benefit of conducting outreaches in partnership with local communities using the “asset‐based community development (ABCD)” model. Methods We analyzed the quarterly Uganda cancer institute (UCI) community outreach cancer health education and screening output reported secondary data without individual identifiers from July 2016 to June 2019 to compare the UCI‐hospital‐based and community outreach cancer awareness and screening services based on the ABCD model. Results From July 2016 to June 2019, we worked with 107 local partners and conducted 151 outreaches. Of the total number of people who attended cancer health education sessions, 201 568 (77.9%) were reached through outreaches. Ninety‐two (95%) cancer awareness TVs and radio talk‐shows conducted were sponsored by local partners. Of the total people screened; 22 795 (63.0%) cervical, 22 014 (64.4%) breast, and 4904 (38.7%) prostate screening were reached through community outreach model. The screen‐positive rates were higher in hospital‐based screening except for Prostate screening; cervical, 8.8%, breast, 8.4%, prostate, 7.1% than in outreaches; cervical, 3.2%, breast, 2.2%, prostate, 8.2%. Of the screened positive clients who were eligible for precancer treatment like cryotherapy for treatment of precervical cancer lesions, thousands‐folds monetary value and productive life saved relative to the market cost of cancer treatment and survival rate in Uganda. When the total number of clients screened for cervical, breast, and prostate cancer are subjected to the incremental cost of specific screening, a greater portion (98.7%) of the outreach cost was absorbed through community partnership. Conclusions Outreaching and working in collaboration with communities as partners through asset‐based community development model are feasible and help in cost‐sharing and leverage for scarce resources to promote primary prevention and early detection of cancer. This could contribute to bridging the cancer health disparities in the target populations.
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Affiliation(s)
- Alfred Jatho
- National Cancer Center Graduate School of Cancer Science and Policy, Goyang, Republic of Korea.,Uganda Cancer Institute, Kampala, Uganda
| | | | | | | | - Fred Okuku
- Uganda Cancer Institute, Kampala, Uganda
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