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Dowlen R, Pina I, Liddon L, Robertshaw H, Robertshaw L, Armitage C, Astill S. Using Ripple Effects Mapping to understand the longer-term impacts of delivering a dance programme for older adults on dance artists. Arts Health 2024:1-17. [PMID: 38700328 DOI: 10.1080/17533015.2024.2347984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 04/22/2024] [Indexed: 05/05/2024]
Abstract
BACKGROUND The dance workforce plays a central role in delivering arts and health programmes yet there is little exploration of how programme delivery impacts dance artists in a professional or personal capacity. This study explored the experiences of dance artists delivering Dance On, which engages inactive older people 55yrs+. METHODS Ripple Effects Mapping was used to explore the short- and long term experiences and practices of dance artists delivering a dance programme. FINDINGS Two ripples were developed 1) Becoming a specialist 2) Connecting with communities. These ripples highlighted the strengths of the sustained nature of the programme and emphasised the need for ongoing support from employing organisations, communities, and dance artist peers. CONCLUSION This study showcases the central role dance artists play in upholding the outcomes we observe in arts and health work - their role, expertise, and commitment to programmes should be further illuminated and supported through ongoing discourse about their practice.
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Affiliation(s)
- Robyn Dowlen
- School of Biomedical Sciences, University of Leeds, Leeds, UK
| | - Ilaria Pina
- School of Biomedical Sciences, University of Leeds, Leeds, UK
| | | | | | | | | | - Sarah Astill
- School of Biomedical Sciences, University of Leeds, Leeds, UK
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2
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Mwakisha J, Adika B, Nyawade S, Phori PM, Nidjergou NN, Silouakadila C, Fawcett S. Kenya's Experience: Factors Enabling and Impeding the COVID-19 Response. Health Promot Pract 2024; 25:220-226. [PMID: 36734323 PMCID: PMC9899671 DOI: 10.1177/15248399221117566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This case study describes the country-level response to the COVID-19 pandemic in Kenya between February 2020 and May 2021. We organize the presentation of COVID-19 response strategies across the five stages of (a) engagement, (b) assessment, (c) planning, (d) action/implementation, and (e) evaluation. We describe the participatory monitoring and evaluation (M&E) process implemented in collaboration with the WHO Regional Office for Africa Monitoring and Evaluation Team. The M&E system was used to organize and make sense of emerging data regarding specific response activities and changing COVID incidence. We share the results of that collaborative sensemaking, with particular attention to our analysis of the factors that facilitated and those that impeded our pandemic response. We conclude with lessons learned and practical implications from Kenya's experience to help guide future country-level responses to rapidly changing public health crises.
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Affiliation(s)
| | - Ben Adika
- World Health Organization, Kenya
Country Office Nairobi, Kenya
| | | | | | | | - Cleph Silouakadila
- World Health Organization Regional
Office for Africa, Brazzaville, Congo
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3
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Charles-Rodriguez U, Aborawi A, Khatiwada K, Shahi A, Koso S, Prociw S, Sanford C, Larouche R. Hands-on-ground in a new country: a community-based participatory evaluation with immigrant communities in Southern Alberta. Glob Health Promot 2023; 30:25-34. [PMID: 37310169 PMCID: PMC10748455 DOI: 10.1177/17579759231176293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 04/30/2023] [Indexed: 06/14/2023]
Abstract
Immigrants experience a high risk of mental health deterioration following settlement in Canada. Immigrant communities benefit from health-promoting interventions that stimulate social inclusion and belonging as protective factors. In this context, community gardens have been recognized as interventions that promote healthy behaviours, place attachment and belonging.This article summarizes our experience conducting a community-based participatory evaluation (CBPE), engaging community stakeholders in planning, implementing and evaluating a community garden for immigrants. We conducted a CBPE to provide relevant and timely feedback to inform programme adaptation and development. Participants, interpreters and organizers were engaged through surveys, focus groups and semi-structured interviews. Participants expressed a range of motivations, benefits, challenges and recommendations. The garden was a place that fostered learning and promoted healthy behaviours, including physical activity and socialization. However, there were challenges in organization and communication with participants. Findings were used to adapt the activities to immigrants' needs and expand the programming of collaborating organizations. Stakeholder engagement facilitated capacity building and direct use of findings. This approach may catalyse sustainable community action with immigrant communities.
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Affiliation(s)
| | - Aiat Aborawi
- Faculty of Health Sciences, University of Lethbridge, Canada
| | | | - Ashmita Shahi
- Faculty of Health Sciences, University of Lethbridge, Canada
| | - Silvia Koso
- Faculty of Health Sciences, University of Lethbridge, Canada
| | - Savanna Prociw
- Community researchers, Lethbridge Family Services, Canada
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4
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Akintobi TH, Barrett R, Hoffman L, Scott S, Davis K, Jones T, Brown NDV, Fraire M, Fraire R, Garner J, Gruner A, Hill J, Meckel R, Obi C, Omunga P, Parham Q, Rice T, Samples O, Terrill T. The community engagement course and action network: strengthening community and academic research partnerships to advance health equity. Front Public Health 2023; 11:1114868. [PMID: 37404270 PMCID: PMC10317472 DOI: 10.3389/fpubh.2023.1114868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 04/28/2023] [Indexed: 07/06/2023] Open
Abstract
Background Historically Black Colleges and Universities and Minority Serving Institutions are uniquely positioned to implement community-campus research partnerships based on a history of service, the pursuit of community trustworthiness and student demographics often similar to surrounding marginalized communities. The Morehouse School of Medicine Prevention Research Center collaborates with members of Historically Black Colleges and Universities, Minority Serving Institutes, and community organizations on the Community Engaged Course and Action Network. This network is the first of its kind and aims to strengthen members' ability to implement Community-Based Participatory Research (CBPR) principles and partnerships. Projects address public health priorities including mental health among communities of color, zoonotic disease prevention, and urban food deserts. Materials and methods To assess the effectiveness of the network, a Participatory Evaluation framework was implemented to conduct process evaluation which included review of partnership structures, operations, project implementation processes, and preliminary outcomes of the research collaborations. A focus group of Community Engagement Course and Action Network members (community and academic) was also conducted to identify benefits and challenges of the network with emphasis on key areas for improvement to further enhance the relationships between partners and to facilitate their subsequent community-campus research. Results Network improvements were tied to themes strengthening community-academic partnerships including sharing and fellowship, coalition building and collaboration, and greater connections and awareness of community needs through their current community-academic partnerships. The need to conduct ongoing evaluation during and after implementation, for determining the early adoption of CBPR approaches was also identified. Conclusion Evaluation of the network's processes, infrastructure, and operation provides early lessons learned to strengthen the network. Ongoing assessment is also essential for ensuring continuous quality improvement across partnerships such as determining CBPR fidelity, assessing partnership synergy, and dynamics, and for quality improvement of research protocol. The implications and potential for advancing implementation science through this and similar networks are great towards advancing leadership in modeling how foundations in community service can advance to CBPR partnership formation and ultimately, health equity approaches, that are local defined and assessed.
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Affiliation(s)
- Tabia Henry Akintobi
- Morehouse School of Medicine Prevention Research Center, Atlanta, GA, United States
| | - R. Barrett
- Morehouse School of Medicine Prevention Research Center, Atlanta, GA, United States
| | - L. Hoffman
- Morehouse School of Medicine Prevention Research Center Community Coalition Board, Atlanta, GA, United States
| | - S. Scott
- Morehouse School of Medicine Prevention Research Center, Atlanta, GA, United States
| | - K. Davis
- Morehouse School of Medicine Prevention Research Center, Atlanta, GA, United States
| | - T. Jones
- Morehouse School of Medicine Prevention Research Center, Atlanta, GA, United States
| | - N. De Veauuse Brown
- Georgia State University, School of Public Health, Atlanta, GA, United States
| | - M. Fraire
- Coalition of Latino Leaders (CLILA), Dalton, GA, United States
| | - R. Fraire
- Coalition of Latino Leaders (CLILA), Dalton, GA, United States
| | - J. Garner
- Georgia State University, School of Public Health, Atlanta, GA, United States
| | - A. Gruner
- Coalition of Latino Leaders (CLILA), Dalton, GA, United States
| | - J. Hill
- Georgia State University, School of Public Health, Atlanta, GA, United States
| | - R. Meckel
- Georgia Department of Natural Resources, Atlanta, GA, United States
| | - C. Obi
- Fort Valley State University College of Agriculture, Family Sciences and Technology, Fort Valley, GA, United States
| | - P. Omunga
- Savannah State University, Political Science and Public Affairs, Savannah, GA, United States
| | - Q. Parham
- Savannah State University, Political Science and Public Affairs, Savannah, GA, United States
| | - T. Rice
- Dalton State College Allied Health and Social Work, Dalton, GA, United States
| | - O. Samples
- Fort Valley State University College of Agriculture, Family Sciences and Technology, Fort Valley, GA, United States
| | - T. Terrill
- Fort Valley State University College of Agriculture, Family Sciences and Technology, Fort Valley, GA, United States
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5
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Fawcett S, Holt C, Solar-Hormazabal O, Eijkemans G, Partridge D, Jordan S, Bryan C, Zhu A, Kimball Williams A, Hassaballa-Muhammad R, Hill E. Equity Lens Protocol: Reflecting on Harms From the COVID-19 Response and Mitigation Strategies Implemented in a Local Public Health System. Health Promot Pract 2023:15248399231173702. [PMID: 37177790 PMCID: PMC10185473 DOI: 10.1177/15248399231173702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
This report describes an Equity Lens Protocol and its use to guide partners' systematic reflection on harms and mitigation strategies of the COVID-19 response in a local public health system. This process evaluation tool is based on the Guidance document for assuring an equitable response to COVID-19 prepared by the Pan American Health Organization. We used a participatory approach to engage public health partners in systematically reflecting on harms, mitigation strategies, and lessons learned and implications for practice. Outputs from using this tool included identified: (a) specific harms (e.g., loss of income and challenges to learning) related to particular COVID-19 response measures (e.g., home confinement and school closure) and (b) mitigation strategies implemented to reduce harms. In response to the protocol's guiding questions, partners also identified lessons learned and practice recommendations for strengthening equity work in public health responses (e.g., an equitable response requires an investment in people, structures, and relationships before a crisis). This report-and accompanying protocol-illustrates use of a practical method for systematic reflection on public health responses through an equity lens.
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Affiliation(s)
- Stephen Fawcett
- The University of Kansas, Lawrence, KS,
USA
- World Health Organization Collaborating
Center for Community Health and Development, Lawrence, KS, USA
| | | | | | - Gerry Eijkemans
- Pan American Health Organization and WHO
Regional Office for the Americas, Washington, DC, USA
| | - Dan Partridge
- Lawrence-Douglas County Health Department,
Lawrence, KS, USA
| | - Sonia Jordan
- Lawrence-Douglas County Health Department,
Lawrence, KS, USA
| | - Charlie Bryan
- Lawrence-Douglas County Health Department,
Lawrence, KS, USA
| | - Aihua Zhu
- Lawrence-Douglas County Health Department,
Lawrence, KS, USA
| | - Alex Kimball Williams
- Lawrence-Douglas County Health Department and
Unified Command Health Equity Advisor, Lawrence, KS, USA
| | - Ruaa Hassaballa-Muhammad
- Lawrence-Douglas County Health Department and
Unified Command Health Equity Advisor, Lawrence, KS, USA
| | - Erica Hill
- Lawrence-Douglas County Health Department and
Unified Command Health Equity Advisor, Lawrence, KS, USA
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6
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Edalati S, Omidvar N, Takian A, Rasam F, Ghodsi D, Majdzadeh R. Participatory evaluation of municipal obesity prevention clubs in Tehran city: Strengths, challenges, and future direction. Front Public Health 2023; 11:1055210. [PMID: 36875369 PMCID: PMC9978347 DOI: 10.3389/fpubh.2023.1055210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 01/23/2023] [Indexed: 02/18/2023] Open
Abstract
Background and aim Community-based initiatives are important for obesity prevention. This study aimed to evaluate the activities of municipal obesity prevention clubs (OBCs) in Tehran, Iran, using a participatory approach. Methods The evaluation team was formed, and the members identified the OBC's strengths, and challenges and provided suggestions for change through a participatory workshop, observation, focus group discussions, reviewing relevant documents (n = 97), and 35 interviews with involved stakeholders. The MAXQDA software was used for data analysis. Results An empowerment training program for volunteers was identified as one of the strengths of OBCs. Despite the obesity prevention efforts of OBCs through public exercise sessions, healthy food festivals, and educational sessions, several challenges were identified that hinder participation in OBCs. These challenges included poor marketing strategies, poor training approaches in participatory planning, insufficient motivational support for volunteers, low perceived recognition of volunteers by the community, volunteers' low food and nutrition literacy, poor educational services in the communities, and limited funding for health promotion activities. Conclusion Weaknesses in all stages of community participation, including information, consultation, collaboration, and empowerment, in OBCs were detected. Facilitating a more enabling environment for informing and involving citizens, expanding neighborhood social capital, and involving health volunteers, academia, and all potential governmental sectors to collaborate for obesity prevention is recommended.
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Affiliation(s)
- Sareh Edalati
- Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nasrin Omidvar
- Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amirhossein Takian
- Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.,Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.,Health Equity Research Centre, Tehran University of Medical Sciences, Tehran, Iran
| | - Farzaneh Rasam
- Department of Social and Cultural Affairs of Tehran Municipality, Health Department, The Tehran Municipality's Organization, 15th District, Tehran, Iran
| | - Delaram Ghodsi
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Majdzadeh
- Community-Based Participatory Research Center, Tehran University of Medical Sciences, Tehran, Iran.,Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.,School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Clarke GS, Douglas EB, House MJ, Hudgins KE, Campos S, Vaughn EE. Empowering Indigenous Communities Through a Participatory, Culturally Responsive Evaluation of a Federal Program for Older Americans. Am J Eval 2022; 43:484-503. [PMID: 36510484 PMCID: PMC9732784 DOI: 10.1177/10982140211030557] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
This article describes our experience of conducting a 5-year, culturally responsive evaluation of a federal program with Indigenous communities. It describes how we adapted tenets from "participatory evaluation models" to ensure cultural relevance and empowerment. We provide recommendations for evaluators engaged in similar efforts. The evaluation included stakeholder engagement through a Steering Committee and an Evaluation Working Group in designing and implementing the evaluation. That engagement facilitated attention to Indigenous cultural values in developing a program logic model and medicine wheel and in gathering local perspectives through storytelling to facilitate understanding of community traditions. Our ongoing assessment of program grantees' needs shaped our approach to evaluation capacity building and development of a diverse array of experiential learning opportunities and user-friendly tools and resources. We present practical strategies from lessons learned during the evaluation design and implementation phases of our project that might be useful for other evaluators.
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Affiliation(s)
| | | | | | - Kristen E.G. Hudgins
- Office of Performance and Evaluation, Center for Policy and
Evaluation, Administration for Community Living, U.S. Department of Health and Human
Services, Washington, DC, USA
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8
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Phori PM, Fawcett S, Nidjergou NN, Silouakadila C, Hassaballa R, Siku DK. Participatory Monitoring and Evaluation of the COVID-19 Response in the Africa Region. Health Promot Pract 2022; 24:432-443. [PMID: 36218867 PMCID: PMC10159789 DOI: 10.1177/15248399221095524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
As the COVID-19 pandemic swept throughout the world, it created a demand for information to help understand the public health response and its effects. Limited capacity to see and interpret data-"sensemaking" with measures of progress-affects the use of data for quality improvement. The World Health Organization Regional Office for Africa (WHO AFRO) supported partners from the Member States in using a participatory monitoring and evaluation system to document and systematically reflect on the COVID-19 response at the country level. The WHO AFRO's COVID-19 Response Monitoring and Evaluation (M&E) team captured and communicated response activities based on available reports from 35 of the 47 member countries. By reviewing reports and communications, the M&E team documented nearly 8,000 COVID-19 response activities during the study period (January 2020 through July 2021). A "sensemaking" protocol was used to support country partners in identifying factors associated with increases or decreases in both new cases and response activities. This report describes this participatory M&E approach and process of shared sensemaking. We illustrate with a country-level case study of the COVID-19 response in the Africa Region.
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Affiliation(s)
| | | | | | - Cleph Silouakadila
- World Health Organization Regional Office for Africa, Brazzaville, Congo
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9
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Webber T, Bowles J, Constantinides A, Belk M, Morley E. Evaluating a Smart Healthcare System Design Through Participatory Approach. Stud Health Technol Inform 2022; 295:312-315. [PMID: 35773871 DOI: 10.3233/shti220725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Advances in computer communication technology have enabled the rapid growth of e-health services for delivering healthcare, such as facilitating online consent and data sharing between patients and health professionals. Developing a patient-centric healthcare system is challenging because by necessity, it should be secure, reliable, and resilient to cyber threats, whilst remaining user-friendly. Key to any development aiming for a refined proof-of-concept (PoC) system is the pursuit of comprehensive public system testing and evaluation. This paper focuses on the methodology and results obtained from the participatory approach adopted by the EU H2020 project Serums to evaluate and demonstrate the effectiveness of a smart healthcare system based on emergent technologies like blockchain, data lake, and multi-factor authentication. We discuss the challenges faced by remote PoC system evaluations with end-users as a consequence of the Covid-19 pandemic.
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Affiliation(s)
- Thais Webber
- School of Computer Science, University of St Andrews, UK
| | - Juliana Bowles
- School of Computer Science, University of St Andrews, UK
| | | | - Marios Belk
- University of Cyprus, Cyprus & Cognitive UX LTD, Cyprus
| | - Emma Morley
- School of Computer Science, University of St Andrews, UK
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Halsall T, McCann E, Armstrong J. Engaging young people within a collaborative knowledge mobilization network: Development and evaluation. Health Expect 2021; 25:617-627. [PMID: 34953012 PMCID: PMC8957748 DOI: 10.1111/hex.13409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 09/01/2021] [Accepted: 10/22/2021] [Indexed: 11/26/2022] Open
Abstract
Background It is critical that mental health systems place a focus on prevention and early intervention focused on young people while integrating youth voice to guide priority directions. Objective This study was designed to better understand how youth advisories can be utilized to influence strategic directions within integrated knowledge mobilization networks operating within the youth mental health system. Design To support this objective, we reviewed the detailed stages of development in establishing a youth advisory within a national network designed to support the integration of youth services. We also engaged the advisory in a participatory evaluation process that examined the extent to which the network had created processes to include youth voice in decision‐making. Results Results from the surveys identified moderate to high levels of individual engagement as well as strong development of processes and procedures that support the inclusion of youth voice across the network. Discussion Major successes and challenges are presented and discussed with respect to the development of the advisory. The findings are useful for youth advocates and adult allies working to support youth engagement (YE) in knowledge mobilization to enhance the mental health services system. This study also contributes to research and evaluation efforts examining YE and represents an exemplar methodology for evaluating YE efforts at the system level. Patient or Public Contribution Young people as mental health service users and youth mental health advocates were involved in the design, data collection, analysis and interpretation of the data as well as the preparation of this manuscript.
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Affiliation(s)
- Tanya Halsall
- Youth Research Unit, University of Ottawa Institute of Mental Health Research at The Royal, Ottawa, Ontario, Canada.,Department of Neuroscience, Carleton University, Ottawa, Ontario, Canada
| | - Emma McCann
- Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
| | - Julia Armstrong
- Mental Health and Substance Use, Mental Health Commission of Canada, Ottawa, Ontario, Canada
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Holt CM, Fawcett SB, Hassaballa-Muhammad R, Partridge D, Jordan S. Participatory Monitoring and Evaluation of the COVID-19 Response in a Local Public Health System. Health Promot Pract 2021; 22:750-757. [PMID: 34590896 PMCID: PMC8564246 DOI: 10.1177/15248399211041085] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic tested the capacity of local
health systems to understand and respond to changing conditions. Although data
on new cases of COVID-19 were widely shared in communities, there was less
information on the multisector response activities and factors associated with
implementation. To address this gap, this empirical case study examined (a) the
pattern of implementation of COVID-19 response activities and (b) the factors
and critical events associated with both the pattern of new cases and the
implementation of the local COVID-19 response. We used a participatory
monitoring and evaluation system to capture, code, characterize, and communicate
580 COVID-19 response activities implemented in the city of Lawrence and Douglas
County, Kansas. Collaboration across sectors including public health, medical
services, city/county government, businesses, social services, public schools,
and universities enabled the local public health system’s response effort.
Documentation results showed the varying pattern of new COVID-19 cases and
response activities over time and the factors identified as enabling or impeding
the response and related new cases. Similar participatory monitoring and
evaluation methods can be used by local health systems to help understand and
respond to the changing conditions of COVID-19 response and recovery.
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Affiliation(s)
| | | | | | - Dan Partridge
- Lawrence-Douglas County Public Health, Lawrence, KS, USA
| | - Sonia Jordan
- Lawrence-Douglas County Public Health, Lawrence, KS, USA
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Rodela K, Wiggins N, Maes K, Campos-Dominguez T, Adewumi V, Jewell P, Mayfield-Johnson S. The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in Measurement to Sustain the Profession. Front Public Health 2021; 9:674858. [PMID: 34239855 PMCID: PMC8258143 DOI: 10.3389/fpubh.2021.674858] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 05/17/2021] [Indexed: 11/21/2022] Open
Abstract
Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been involved as data collectors, they have seldom been engaged as full partners in all stages of evaluation and research. This manuscript details the current work being done by the CI Project, demonstrating how CHWs are able to contribute to the integrity, sustainability, and viability of CHW programs through the collaborative development and adoption of a set of common process and outcome constructs and indicators for CHW practice and CHW program implementation.
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Affiliation(s)
- Keara Rodela
- Immigrant and Refugee Community Organization, Portland, OR, United States
| | - Noelle Wiggins
- Wiggins Health Consulting LLC, Portland, OR, United States
| | - Kenneth Maes
- Director, Applied Anthropology Graduate Program, School of Language, Culture and Society, Oregon State University, Corvallis, OR, United States
| | | | - Victoria Adewumi
- Manchester City Health Department, Manchester, NH, United States
| | - Pennie Jewell
- Nottawaseppi Huron Band of the Potawatomi, Fulton, MI, United States
| | - Susan Mayfield-Johnson
- School of Health Professions, University of Southern Mississippi, Hattiesburg, MS, United States
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13
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Mark MM, Allen JB, Goodwin JL. Stakeholder Involvement in Evaluation: Does it Affect Observers' Perceptions of an Evaluation? And Which Stakeholder Group(s) Do People Think Should to Participate? Eval Rev 2021; 45:166-190. [PMID: 34693763 DOI: 10.1177/0193841x211055937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
BACKGROUND Stakeholders are often involved in evaluation, such as in the selection of specific research questions and the interpretation of results. Except for the topic of whether stakeholder involvement increases use, a paucity of research exists to guide practice regarding stakeholders. OBJECTIVES We address two questions: (1) If a third-party observer knows stakeholders were involved in an evaluation, does that affect the perceived credibility, fairness, and relevance of the evaluation? (2) Among individuals with a possible stake in an evaluation, which stakeholder group(s) do they want to see participate; in particular, do they prefer that multiple stakeholder groups, rather than a single group, participate? RESEARCH DESIGN Six studies are reported. All studies address the former question, while Studies 3 to 5 also focus on the latter question. To study effects of stakeholder involvement on third-party views, participants read summaries of ostensible evaluations, with stakeholder involvement noted or not. To examine a priori preferences among potential stakeholders, participants completed a survey about alternative stakeholder group involvement in an evaluation in which they would likely have an interest. RESULTS AND CONCLUSIONS Across studies, effects of reported stakeholder participation on third-parties' views were not robust; however, small effects on perceived fairness sometimes, but not always, occurred after stakeholder involvement and its rationales had been made salient. All surveys showed a large preference for the involvement of multiple, rather than single stakeholder groups. We discuss implications for research and practice regarding stakeholder involvement, and for research on evaluation more generally.
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Cardinali F, Carzaniga S, Duranti G, Labella B, Lamanna A, Cerilli M, Caracci G, Carinci F. A nationwide participatory programme to measure person-centred hospital care in Italy: Results and implications for continuous improvement. Health Expect 2021; 24:1145-1157. [PMID: 34014021 PMCID: PMC8369125 DOI: 10.1111/hex.13231] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 02/01/2021] [Accepted: 02/21/2021] [Indexed: 02/06/2023] Open
Abstract
Background Patient‐centredness has been targeted by the Italian government as a key theme for the future development of health services. Objective Measuring patient‐centred health services in partnership with citizens, health professionals and decision makers. Design National participatory survey in a large test set of hospitals at national level. Setting and participants A total of 387 hospital visits conducted in 16 Italian regions by over 1,500 citizens and health professionals during 2017‐2018. Main variables and outcome measures An ad hoc checklist was used to assess person‐centredness in hospital care through 243 items, grouped in 4 main areas, 12 sub‐areas and 29 person‐centred criteria (scored 0‐10). GEE linear multivariate regression was used to explore the relation between hospital characteristics and person‐centredness. Results Person‐centred scores were moderately high, with substantial variation overall (median score: 7.0, range: 3.2‐9.5) and by area (Care Processes: 6.8, 2.0‐9.8; Access: 7.4, 2.7‐9.7; Transparency: 6.7, 3.4‐9.5 and Relationship: 7.3, 0.8‐10.0). Multivariate regression found higher scores for increasing volumes of activity (quartile increase: +0.21; 95% CI: 0.13, 0.29) and lower scores in the south and islands (−1.03; −1.62,‐0.45). Discussion The checklist has been applied successfully by over 1,500 collaborators who assessed hospitals in 16 distinct Regions and Autonomous Provinces of Italy. Despite an overall positive mark, all scores were highly variable by location and hospital characteristics. Conclusion and patient or public contribution A national participatory programme to improve patient‐centredness in Italian hospitals highlighted critical areas with the direct input of citizens.
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Affiliation(s)
- Flavia Cardinali
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Sara Carzaniga
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Giorgia Duranti
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Barbara Labella
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Alessandro Lamanna
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Micaela Cerilli
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Giovanni Caracci
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy
| | - Fabrizio Carinci
- Italian National Agency for Regional Health Services (AGENAS), Roma, Italy.,University of Bologna, Bologna, Italy
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Huang YS, Harvey B. Beyond Indicators and Success Stories: An Emerging Method to Assess Social Learning in Large-Scale Transdisciplinary Research Programs. Front Sociol 2021; 6:649946. [PMID: 34239919 PMCID: PMC8258259 DOI: 10.3389/fsoc.2021.649946] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 06/03/2021] [Indexed: 05/17/2023]
Abstract
Facilitated learning approaches are increasingly being used as a means to enhance climate and sustainability collaborations working across disciplines, regions, and scales. With investments into promoting and supporting inter- and transdisciplinary learning in major programs on complex global challenges like climate change on the rise, scholars and practitioners are calling for a more grounded and empirical understanding of learning processes and their outcomes. Yet, methodologies for studying the interplay between learning and change in these initiatives remain scarce, owing to both the "hard to measure" nature of learning and the complexity of large-scale program implementation and evaluation. This paper proposes a new method for studying social learning in the context of large research programs. It aims to analyze the social learning of researchers and practitioners engaged in these programs and assess the contributions of this learning to the resilience of the natural and social systems that these programs seek to influence. We detail the theoretical basis for this new approach and set out six steps for developing multi-layered contribution pathways and contribution stories with stakeholders to document both the process and outcomes of social learning. The proposed method, we argue, can strengthen our analytical capacity to uncover the structural drivers and barriers to social learning that are often masked by the complexity of large-scale programs. An illustrative example, drawn from a large-scale climate adaptation research program, provides evidence on how this method might advance our methodological strategies for studying learning in these programs. We conclude by highlighting two key methodological contributions brought about through this approach, and by reflecting on opportunities for further methodological development. Enriching our understanding of learning and change processes, we argue, is an important avenue for understanding how we can pursue transformations for sustainability.
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Affiliation(s)
- Ying-Syuan Huang
- Department of Integrated Studies in Education, McGill University, Montréal, QC, Canada
- United Nations University Institute for the Advanced Study of Sustainability, Tokyo, Japan
- *Correspondence: Ying-Syuan Huang,
| | - Blane Harvey
- Department of Integrated Studies in Education, McGill University, Montréal, QC, Canada
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Johnson LJ, Rohde J, Cramer ME, Zimmerman L, Geary CR, Tibbits MK, Rizzo M, Estabrooks PA. Participatory needs assessment and action planning for a clinical and translational research network. J Clin Transl Sci 2020; 5:e69. [PMID: 33948288 DOI: 10.1017/cts.2020.568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The goal of this study was to assess the utility of participatory needs assessment processes for continuous improvement of developing clinical and translational research (CTR) networks. Our approach expanded on evaluation strategies for CTR networks, centers, and institutes, which often survey stakeholders to identify infrastructure or resource needs, using the case example of the Great Plains IDeA-CTR Network. Our 4-stage approach (i.e., pre-assessment, data collection, implementation of needs assessment derived actions, monitoring of action plan) included a member survey (n = 357) and five subsequent small group sessions (n = 75 participants) to better characterize needs identified in the survey and to provide actionable recommendations. This participatory, mixed-methods needs assessment and strategic action planning process yielded 11 inter-related recommendations. These recommendations were presented to the CTR steering committee as inputs to develop detailed, prioritized action plans. Preliminary evaluation shows progress towards improved program capacity and effectiveness of the network to respond to member needs. The participatory, mixed-methods needs assessment and strategic planning process allowed a wide range of stakeholders to contribute to the development of actionable recommendations for network improvement, in line with the principles of team science.
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García de Jalón S, Chiabai A, Mc Tague A, Artaza N, de Ayala A, Quiroga S, Kruize H, Suárez C, Bell R, Taylor T. Providing Access to Urban Green Spaces: A Participatory Benefit-Cost Analysis in Spain. Int J Environ Res Public Health 2020; 17:E2818. [PMID: 32325854 PMCID: PMC7216070 DOI: 10.3390/ijerph17082818] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 04/10/2020] [Indexed: 11/28/2022]
Abstract
The opening up of green spaces could provide significant benefits to society. This study develops a framework to assess the economic benefits and costs of public interventions providing citizen access to urban green spaces. The Thinking Fadura project in Getxo (Spain) was used as a case study. A method for participatory benefit-cost analysis is developed, where a stakeholder-participatory evaluation is combined with a standard cost-benefit analysis. The participatory evaluation followed a bottom-up approach in a sequential evaluation including three main focal points: key stakeholders and experts, visitors and the general public. The assessment demonstrates that the Thinking Fadura project's benefits outweigh the costs. The results suggest that projects designed with the purpose of improving green space accessibility to the general public can be beneficial from a societal perspective. The highest economic benefits were an increase in the amenity and recreational value and an increase in people's physical activity. The participatory evaluation indicates that giving access to people of lower socio-economic status and vulnerable groups and improving recreational use were perceived as the most beneficial. An increase in noise, dirt, and risk of criminal activities as well as potential conflicts between green space users were perceived as the most negative impacts of opening a previously restricted area to the general public. The economic assessment of Thinking Fadura project could serve as a model in the decision-making process in locations where the use of greenspaces is restricted.
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Affiliation(s)
| | - Aline Chiabai
- Basque Centre for Climate Change (BC3), 48940 Leioa, Spain; (A.C.); (A.M.T.); (N.A.); (A.d.A.)
| | - Alyvia Mc Tague
- Basque Centre for Climate Change (BC3), 48940 Leioa, Spain; (A.C.); (A.M.T.); (N.A.); (A.d.A.)
| | - Naiara Artaza
- Basque Centre for Climate Change (BC3), 48940 Leioa, Spain; (A.C.); (A.M.T.); (N.A.); (A.d.A.)
- Department of Applied Economics I, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
| | - Amaia de Ayala
- Basque Centre for Climate Change (BC3), 48940 Leioa, Spain; (A.C.); (A.M.T.); (N.A.); (A.d.A.)
- Department of Applied Economics I, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
| | - Sonia Quiroga
- Department of Economics, Universidad de Alcalá, 28801 Alcalá de Henares, Spain; (S.Q.); (C.S.)
| | - Hanneke Kruize
- National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands;
| | - Cristina Suárez
- Department of Economics, Universidad de Alcalá, 28801 Alcalá de Henares, Spain; (S.Q.); (C.S.)
| | - Ruth Bell
- Department of Epidemiology & Public Health, University College London, London WC1E 7HB, UK;
| | - Timothy Taylor
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro Campus, RCH Treliske, Truro TR1 3HD, UK;
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Lalani M, Hall K, Skrypak M, Laing C, Welch J, Toohey P, Seaholme S, Weijburg T, Eyre L, Marshall M. Building motivation to participate in a quality improvement collaborative in NHS hospital trusts in Southeast England: a qualitative participatory evaluation. BMJ Open 2018; 8:e020930. [PMID: 29627818 PMCID: PMC5892757 DOI: 10.1136/bmjopen-2017-020930] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES This study explores the barriers and facilitators that impact on the motivation of practitioners to participate in a quality improvement collaborative. DESIGN A qualitative and formative evaluation using a participatory approach, the researcher-in-residence model which embraces the concept of 'coproducing' knowledge between researchers and practitioners using a range of research methods such as participant observation, interviews and documentary analysis. The design, creation and application of newly generated evidence are facilitated by the researcher through negotiation and compromise with team members. PARTICIPANTS Senior and middle managers, doctors and nurses. SETTING Two hospitals in Southeast England participating in a Patient Safety Improvement Collaborative and the facilitator (host) of the collaborative, based in Central London. RESULTS The evaluation has revealed facilitators and barriers to motivation categorised under two main themes: (1) inherent motivation and (2) factors that influence motivation, interorganisational and intraorganisational features as well as external factors. Facilitators included collaborative 'champions,' individuals who drove the quality improvement agenda at a local level, raising awareness and inspiring colleagues. The collaborative itself acted as a facilitator, promoting shared learning as well as building motivation for participation. A key barrier was the lack of board engagement in the participating National Health Service organisations which may have affected motivation among front-line staff. CONCLUSIONS Collaboratives maybe an important way of engaging practitioners in quality improvement initiatives. This study highlights that despite a challenging healthcare environment in the UK, there remains motivation among individuals to participate in quality improvement programmes as they recognise that improvement approaches may facilitate positive change in local clinical processes and systems. Collaboratives can harness this individual motivation to facilitate spread and adoption of improvement methodology and build engagement across their membership.
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Affiliation(s)
- Mirza Lalani
- Research Department of Primary Care and Population Health, University College London, London, UK
| | | | | | - Chris Laing
- The Royal Free London NHS Foundation Trust, London, UK
| | - John Welch
- University College London Hospitals NHS Foundation Trust, London, UK
| | | | | | | | - Laura Eyre
- Research Department of Primary Care and Population Health, University College London, London, UK
| | - Martin Marshall
- Research Department of Primary Care and Population Health, University College London, London, UK
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19
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LaVela SL, Balbale S, Hill JN. Experience and Utility of Using the Participatory Research Method, Photovoice, in Individuals With Spinal Cord Injury. Top Spinal Cord Inj Rehabil 2018; 24:295-305. [PMID: 30459492 PMCID: PMC6241227 DOI: 10.1310/sci17-00006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Background: There is a need to engage persons with spinal cord injuries/disorders (SCI/D) in research methodologies beyond traditional approaches. This provides an opportunity for individuals to convey their perspectives in a variety of ways. Photovoice empowers people to share their perspectives through photographs and narrative; this is well-suited for individuals who are less comfortable speaking up when other methods are used, such as focus groups. Objective: To examine photovoice methodology in US Veterans with SCI/D to describe their experiences with and the utility of photovoice. We also provide a sample of content (qualitative data) to illustrate how individuals with SCI/D conceptualized function and factors important to them. Methods: Photovoice, a qualitative participatory research method, was used to collect photographs from Veterans with SCI/D, which was followed by personal narratives describing the meaning of their photos. Results: Participants (N = 9) were 64 years old, on average, and 75% had paraplegia. Participants discussed the challenges with taking photographs, but they enjoyed participating, appreciated inclusion, and hoped the information they provided would help others with disabilities. Conclusion: These findings suggest that despite challenges and ethical barriers, individuals with SCI/D are interested in, highly capable of, and should be given the opportunity to be included in studies like this that empower participants to share their views using novel ways of expression. These findings demonstrate the desirability, feasibility, and utility of using photovoice in individuals with SCI/D. This method may be used to understand factors impacting health and well-being and can be made available to individuals with SCI/D to minimize inequalities in research opportunities.
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Affiliation(s)
- Sherri L. LaVela
- Department of Veterans Affairs, Edward Hines, Jr. VA Hospital, Hines, Illinois
- Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Salva Balbale
- Department of Veterans Affairs, Edward Hines, Jr. VA Hospital, Hines, Illinois
| | - Jennifer N. Hill
- Department of Veterans Affairs, Edward Hines, Jr. VA Hospital, Hines, Illinois
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20
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Ahonen EQ, Zanoni J, Forst L, Ochsner M, Kimmel L, Martino C, Ringholm E, Rodríguez E, Kader A, Sokas R. Evaluating goals in worker health protection using a participatory design and an evaluation checklist. New Solut 2013; 23:537-560. [PMID: 24704811 PMCID: PMC9088608 DOI: 10.2190/ns.23.4.b] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Spanish-speaking immigrant workers in construction are considered hard to reach and at high risk for work-related injury and fatality. This evaluation study describes the use of participatory methods and an evaluation checklist to consider a health and safety (H&S) training program for these workers. A previously developed training manual and model were disseminated to eight worker centers (WCs) through participatory research collaboration. It incorporated H&S training for workers while strengthening the role of WCs as sources for leadership development and worker empowerment. Design, delivery, reaction, application, and extension were assessed through individual interviews with participants, trained trainers, and center staff and through observation of training sessions and partner debriefs; pre- and post-training tests assessed participant learning. Results indicate moderate learning and application by participants and strong evidence for structural gains in and among WCs. We conclude that such partnerships and models are valuable tools for collaborating with hard-to-reach workers.
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Affiliation(s)
- Emily Q Ahonen
- Social and Behavioral Sciences and Environmental Health Science Departments, Indiana University Richard M. Fairbanks School of Public Health in Indianapolis
| | - Joseph Zanoni
- Illinois Occupational and Environmental Health and Safety Education and Research Center, University of Illinois at Chicago
| | - Linda Forst
- Environmental and Occupational Health Sciences, UIC School of Public Health
| | - Michele Ochsner
- Rutgers University Occupational Training and Education Consortium
| | | | - Carmen Martino
- Rutgers Occupational Training and Education Consortium (OTEC)
| | | | | | | | - Rosemary Sokas
- Department of Human Science, School of Nursing and Health Studies, Georgetown University
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21
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Kramer L, Schwartz P, Cheadle A, Rauzon S. Using photovoice as a participatory evaluation tool in Kaiser Permanente's Community Health Initiative. Health Promot Pract 2012; 14:686-94. [PMID: 23159999 DOI: 10.1177/1524839912463232] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Photovoice is a community-based participatory research method that provides participants who traditionally have little voice in community policy decisions, with training in photography, ethics, critical dialogue, photo captioning, and policy advocacy. Photovoice has been used primarily as a needs assessment and advocacy tool and only rarely as a pre-/postintervention evaluation method. This article describes the use of Photovoice as a participatory evaluation method in the Community Health Initiative, a 6-year, multisite community-based obesity prevention initiative, sponsored by Kaiser Permanente. Fifty community participants (including six youth) from six Community Health Initiative communities used photos and captions to identify, from their perspective, the most significant accomplishments from the initiative at both baseline and follow-up. Accomplishments identified included increased access to fresh/healthy food in local neighborhoods; policy changes supporting a "healthy eating, active living" community; increased access to physical activity; changes to the built environment creating increased neighborhood walkability/safety; and leadership development.
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Affiliation(s)
- Leila Kramer
- Center for Community Health and Evaluation, Seattle, WA, USA
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22
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Scarinci IC, Johnson RE, Hardy C, Marron J, Partridge EE. Planning and implementation of a participatory evaluation strategy: a viable approach in the evaluation of community-based participatory programs addressing cancer disparities. Eval Program Plann 2009; 32:221-8. [PMID: 19232727 PMCID: PMC2833106 DOI: 10.1016/j.evalprogplan.2009.01.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2008] [Revised: 12/31/2008] [Accepted: 01/04/2009] [Indexed: 05/09/2023]
Abstract
Community-based participatory research (CBPR) has been posited as a promising methodology to address health concerns at the community level, including cancer disparities. However, the major criticism to this approach is the lack of scientific grounded evaluation methods to assess development and implementation of this type of research. This paper describes the process of development and implementation of a participatory evaluation framework within a CBPR program to reduce breast, cervical, and colorectal cancer disparities between African Americans and whites in Alabama and Mississippi as well as lessons learned. The participatory process involved community partners and academicians in a fluid process to identify common ground activities and outcomes. The logic model, a lay friendly approach, was used as the template and clearly outlined the steps to be taken in the evaluation process without sacrificing the rigorousness of the evaluation process. We have learned three major lessons in this process: (1) the importance of constant and open dialogue among partners; (2) flexibility to make changes in the evaluation plan and implementation; and (3) importance of evaluators playing the role of facilitators between the community and academicians. Despite the challenges, we offer a viable approach to evaluation of CBPR programs focusing on cancer disparities.
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Affiliation(s)
- Isabel C Scarinci
- University of Alabama at Birmingham, Division of Preventive Medicine, Birmingham, AL 35294-4410, USA.
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