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Activating communities for health promotion: a process evaluation method

T M Wickizer1, M Von Korff, A Cheadle

  • 1Department of Health Services, University of Washington, Seattle 98195.

American Journal of Public Health
|April 1, 1993
PubMed
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Community activation, a measure of community organization for health, was assessed in 28 western communities. Findings show activation levels vary, with higher income areas being more activated, highlighting a need for better evaluation methods.

Area of Science:

  • Public Health
  • Community Organization
  • Health Promotion

Background:

  • Traditional evaluations of community-based prevention programs often overlook the organizational processes involved.
  • A novel approach, termed community activation, was developed to analyze community organization efforts for health promotion.

Purpose of the Study:

  • To introduce and evaluate a method for measuring community activation.
  • To analyze the status of community organization for health promotion in western communities.

Main Methods:

  • A key informant survey was administered to 762 informants across 28 western communities.
  • Community activation levels were rated by informants.
  • Interorganizational activities were analyzed using network analytic techniques.

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Main Results:

  • Community activation levels varied significantly among the surveyed communities.
  • Program coordination, a key aspect of community activation, occurred only about 30% of the time on average.
  • Higher income communities demonstrated higher levels of community activation compared to lower income communities.

Conclusions:

  • There is a recognized need for improved data on health-related community organization activities.
  • Key informant surveys are a viable method for gathering this information.
  • Measures of community organization status, like community activation, can enhance the evaluation of health promotion programs.