A critical look to community wisdom: Applying the World Café method to health promotion and prevention

Recchia, Virginia; Dodaro, Antonio; Marco, Elisabetta De; Zizza, Antonella

doi:10.1002/hpm.3594

Cited by 11 publications

(6 citation statements)

References 36 publications

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“…Ultimately, residents, stakeholders, and experts should be able to come together to engage in shared plan and decision making where at least some power is transferred to nonexperts [ 43 , 60 – 62 ]. In other collaborative decision-making processes, group model-building or World Café-style discussions have been utilized to establish a common understanding of broader community needs and the value of addressing the SDoH through the CHIP, which may help to improve community member participation—a shared goal of many of the jurisdictions that participated in this study [ 63 , 64 ]. Pre-existing local coalitions (e.g., social safety net coalitions) also helped strengthen relationships and support broader partner participation in the planning process; therefore, establishing and maintaining similar arrangements can help improve collaboration between local partners during a CHIP’s development.…”

Section: Discussionmentioning

confidence: 99%

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Hatton,

Kale,

Pollack Porter

et al. 2024

BMC Public Health

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Background Community health improvement plans (CHIPs) are strategic planning tools that help local communities identify and address their public health needs. Many local health departments have developed a CHIP, yet there is a lack of research on the extent to which these plans address root causes of health disparities such as the social determinants of health. This study aims to inventory the social determinants of health included in 13 CHIPs and examine facilitators and challenges faced by local health departments and partners when trying to include the social determinants of health. Methods We conducted a comparative plan evaluation by scoring 13 CHIPs on their inclusion of equity orientation, inclusive planning processes, and five social determinants of health: health care access and quality, the neighborhood and built environment, economic stability, social and community context, and education access and quality. To supplement the plan evaluation, we conducted 32 in-depth interviews with CHIP leaders and stakeholders to understand the factors contributing to the inclusion and exclusion of the social determinants of health in the planning process. Results CHIPs received an average score of 49/100 for the inclusion of the social determinants of health. Most plans addressed health care access and quality and the neighborhood and built environment, but they often did not address economic stability, the social and community context, and education access and quality. Regarding their overall equity orientation, CHIPs received an average score of 35/100, reflecting a relative lack of attention to equity and inclusive planning processes in the plans. Interviews revealed that challenges engaging partners, making clear connections between CHIPs and social determinants, and a lack of capacity or public and partner support often led to the exclusion of the social determinants of health. Recommendations to improve planning processes include improving data infrastructure, providing resources for dedicated planning staff and community engagement incentives, and centering equity throughout the planning process. Conclusions Although local health departments can leverage CHIPs to improve population health and address health disparities, they face a range of challenges to including the social determinants of health in CHIPs. Additional resourcing and improved data are needed to facilitate broader inclusion of these determinants, and more work is needed to elevate equity throughout these planning processes.

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Section: Discussionmentioning

confidence: 99%

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Hatton,

Kale,

Pollack Porter

et al. 2024

BMC Public Health

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“…Both individual approaches, such as the interview of an expert, or approaches involving the interaction between the study participants, such as Delphi, benchmarking, focus group discussion, and the World Café methods, exist to collect data or ideas from people or a group of people [21]. In this study, the World Café method was applied because it is an appreciated and inspiring method that allows collaborative conversations, hence stimulating creativity and collective wisdom and sharing practical knowledge [9,21]. While in some World Café studies, the consensus and dissensus are assessed (e.g., [17]), this assessment was not performed in this study because the objective of the workshop was to achieve a collective listing and ranking of needs and expectations related to livestock biosecurity training.…”

Section: Discussionmentioning

confidence: 99%

“…The World Café Method. The World Café is an inspiring and flexible participatory process to explore emerging themes or topics, to collect best practices or suggestions, to generate improvements or recommendations, and to define priorities for the implementation of projects or research agendas [9]. The method is used in various settings such as community health service [10], consumer service [11], manufacturing [12], research prioritization [13], activity planning, and elicitation of community group perspectives [14], plant and public health program evaluation and planning [13,15,16], and animal health [17].…”

Section: Methodsmentioning

confidence: 99%

Scanning European Needs and Expectations Related to Livestock Biosecurity Training by Using the World Café Method

Saegerman,

Niemi,

De Briyne

et al. 2024

Transboundary and Emerging Diseases

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The European Union Animal Health Law (2016/429) emphasizes disease prevention, underpinned by livestock biosecurity, surveillance, and traceability, as key aspects to minimize the risk of animal diseases. An important element of biosecurity is the training of key actors involved in implementing it. However, their needs and expectations regarding this training are poorly known. Under the COST action BETTER (CA20103), a World Café was organized to identify the needs and expectations of biosecurity training for farmers, veterinary practitioners, veterinary students, and other actors. A total of 78 participants distributed in four groups participated in the World Café. Needs and expectations were identified and ranked in decreasing order of importance. For farmers, the most important aspects were training focusing on practical aspects, the planning of training sessions in the day to accommodate workload, the need to prepare multiple reminders of upcoming training, and the short duration of events. For veterinary practitioners, it was considered that a mixed approach, including a theoretical and a practical part where people are invited to create a biosecurity plan and a follow-up report, were the most important features of training. For veterinary students, creating a good knowledge of the main principles of biosecurity was found as an essential element of training. Regarding other actors, gaining an understanding in the spread of pathogens and the repercussions on the cost of animal products that diseases might have (consumers), training on good/best practices of cleaning and disinfection and the development of clear protocols (transporters), and a mixture of formal and informal training and training on communication skills (other actors) were considered important. The World Café was a useful method to have a first identification, discussion, and differentiation on livestock biosecurity training needs and expectations of the key actors, although additional follow-up research involving more participants from more diverse countries with different coverage of cultures and education would be beneficial. These needs and expectations are relevant and should be considered when designing new training courses.

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“…20 The World Café is an inclusive and structured methodology in which small groups of participants ponder and discuss questions of interest in a comfortable and welcoming "café" environment. 21 At regular time intervals, participants move between groups and tables and build on and link previously voiced ideas to evolve ongoing rounds of dialogue. As discussions progress, data are collected as key concepts, outlined ideas, drawings, paintings, and models.…”

Section: Program Overviewmentioning

confidence: 99%

Experiences of dialogue in advance care planning educational programs

et al. 2023

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Background Advance care planning (ACP) is a process in which adults engage in an ongoing dialogue about future medical treatment and care. Though ACP is recommended to improve the quality of end-of-life care, the details of the dialogue experience in ACP are unknown. Objective To explore participants’ experiences of dialogue in an ACP educational program that encouraged them to discuss the value of a way of life. Research design This qualitative descriptive study used the focus group interview method. Data were analyzed using qualitative content analysis. Participants and research context A dialogue-based ACP educational program was conducted in four regions in Japan for local citizens to discuss the value of their way of life. A total of 66 individuals (mean age = 55.5 ± 17.2 years; 50 women and 16 men) participated in focus group interviews. Ethical considerations This study was approved by the Ethical Review Committee of Tokyo Women’s Medical University (no. 4723) and Kyoto University (no. R2099). Findings Five main themes were extracted: discussing one’s thoughts with others in a considerate manner, reflecting on one’s way of life through others, feeling a sense of connection with others through storytelling, realizing the difficulties of talking about “what if” topics, and turning one’s eyes toward the future through the dialogue. These themes were interrelated and illustrated the complexity of the experience of discussing values. Conclusions The results suggest that dialogue in ACP is useful in clarifying values. They also indicated the need for dealing with the ethical challenges of discussing value and the importance of caring for the interlocutor to have a safe dialogue. In the ACP process, safety in dialogue may improve readiness in ACP, and health practitioners who support ACP need to address the ethical challenges entailing dialogue about values.

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A critical look to community wisdom: Applying the World Café method to health promotion and prevention

Abstract: Patient experiences and ideas are key components for improving health promotion and prevention. Engaging patients and other stakeholders in sharing their practices

Cited by 11 publications

References 36 publications

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Inclusive and intersectoral: community health improvement planning opportunities to advance the social determinants of health and health equity

Scanning European Needs and Expectations Related to Livestock Biosecurity Training by Using the World Café Method

Experiences of dialogue in advance care planning educational programs

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