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.
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.
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.
Jayakrishnan, Radhakrishnan;Mathew, Aleyamma;Uutela, Antti;Auvinen, Anssi;Sebastian, Paul
Asian Pacific Journal of Cancer Prevention
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v.14
no.5
/
pp.2891-2896
/
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.
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.
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.
The purpose of this study is to find out how work participation of the elderly and their general characteristics - socio-demographic, economic, and health traits - influence on their self-esteem. The data was collected through one on one interviews of 295 elderly. Data on general attributes and the discrepancies in the level of self-esteem between work participants and non-participants were analyzed by using t-test and ANOVA, while the effects of work participation on their self-esteem were analyzed by multiple regression analysis. Results of this study shows us that work participation is the strongest predictor that determine the level of self-esteem for the elderly. In other words, work participation can make the aged better off and give them a sense of security and satisfaction. Finally, these findings may be used for realizing us the importance of the work participation program and developing and designing new promising approaches of work participation program, which meet psychological needs of the elderly as well as their economic needs.
The purposes of the study were to investigate the participation of artists in paper circuit computing learning and to conduct an in-depth study on the formation and development of practical knowledge. To do this, we selected as research participants six artists who participated in the learning program of an art museum, and used various methods such as pre-open questionnaires, participation observation, and individual interviews to collect data. The collected data were analyzed based on community of practice theory. Results showed that the artists participated in the learning based on a desire to use new technology or find a new work production method for interacting with their audiences. In addition, the artists actively formed practical knowledge in the curriculum and tried to apply paper circuit computing to their works. To continuously develop the research, participants formed a study group or set up a practical goal through planned exhibitions. The results of this study can provide implications for practical approaches to, and utilization of, paper circuit computing.
Proceedings of The Korean Society of Health Promotion Conference
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2005.09a
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pp.231-252
/
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.
Journal of the Korean association of regional geographers
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v.14
no.4
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pp.418-435
/
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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