社区主导的变革:通过催化社区倡议实现政策,系统和环境影响的进展
Travis R Moore1, Yuilyn A Chang Chusan1, Emily Sanderson1
1ChildObesity180, Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, United States of America.
PloS one
|November 10, 2025
概括
由社区主导的行动,得到社区催化,先进的政策,系统和环境 (PSE) 变革的支持. 能力建设战略和背景因素是实施社区知情行动和加强当地准备的关键.
科学领域:
- 公共卫生干预 公共卫生干预
- 基于社区的参与式研究
- 健康 公平 卫生 公平
背景情况:
- 催化社区倡议旨在通过社区主导的行动促进政策,系统和环境 (PSE) 的变化.
- 利益相关者驱动的社区传播 (SDCD) 理论指导了该倡议的能力建设和实施方法.
- 社区合作伙伴和当地倡导者在整合当地见解和资源方面发挥了关键作用.
研究的目的:
- 通过社区主导的行动评估实施PSE变革的进展.
- 评估SDCD信息化策略在增强社区能力方面的作用.
- 确定影响PSE变化进展的上下文因素.
主要方法:
- 一种混合方法的方法,结合网络调查和深度访谈.
- 使用代开发的代码书和双重编码进行定性数据的主题分析.
- 调查评估了行动实施情况;采访探讨了影响和情境影响.
主要成果:
- 21项社区知情行动在6个社区中得到优先考虑和实施,解决了食物获取和幼儿计划等多样化的当地需求.
- 大多数行动正在进行中,部分成功,能力建设战略 (同行网络,技术援助) 证明是关键的.
- 委员会协同作用,组织能力和COVID-19等外部因素显著影响了进展.
结论:
- 由社区主导的行动,在有针对性的能力建设的支持下,在当地环境的基础上,显示出实现PSE变革的希望.
- SDCD理论为理解和支持社区驱动的健康倡议提供了有价值的框架.
- 解决上下文因素对于优化社区卫生工作的成功和可持续性至关重要.
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