Involving Communities in Community Assessment

Clark, Rebecca; Cary, Susan; Diemert, Grover; Ceballos, Rose; Sifuentes, Maria; Atteberry, Irene; Vue, Fu; Trieu, Sandy

doi:10.1046/j.1525-1446.2003.20606.x

Cited by 48 publications

(58 citation statements)

References 10 publications

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“…All focus groups were held by AJM, a nurse and bilingual moderator of Somali descent with a PHD degree and significant knowledge of conducting focus groups. When choosing a facilitator of focus group with a diverse cultural background the person need to be respected, credible and preferably a member of the cultural group [21,22]. GEP, a physiotherapist and a Swedish native, kept field notes of the interactions occurring and ensured that everyone had the opportunity to speak.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

Somali women's view of physical activity—a focus group study

Persson

2015

Physiotherapy

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Background: Physical inactivity presents a major public health challenge and is estimated to cause six to ten percent of the major non-communicable diseases. Studies show that immigrants, especially women, have an increased risk of non-communicable diseases compared to ethnic Swedes. Somali immigrant women have increased rates of overweight and obesity, low fitness levels and low levels of cardiorespiratory fitness compared to non-immigrant women. These findings suggest that Somali women are at increased risk of developing lifestyle-related diseases. Few studies explore determinants of physical activity among Somali women. The aim of this study was to explore Somali women's views and experiences of physical activity after migration to Sweden. Methods: A qualitative focused ethnographic approach was used in this study. Four focus groups were conducted with twenty-six Somali women ranging from 17 to 67 years of age. Focus group discussions were recorded, transcribed verbatim and analysed using qualitative content analysis. Results: The analysis resulted in four main themes and ten categories: Life in Somalia and Life in Sweden, Understanding and enhancing health and Facilitators and barriers to physical activity. Great differences were seen between living in Somalia and in Sweden but also similarities such as finding time to manage housework, the family and the health of the woman. The extended family is non-existent in Sweden, making life more difficult. Health was considered a gift from God but living a healthy life was perceived as the responsibility of the individual. Misconceptions about enhancing health occurred depending on the woman's previous life experience and traditions. There was an awareness of the importance of physical activity among the participants but lack of knowledge of how to enhance activity on an individual basis. Enhancing factors to an active lifestyle were identified as being a safe and comfortable environment.

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Section: Data Collection Proceduresmentioning

confidence: 99%

Somali women's view of physical activity—a focus group study

Persson

2015

Physiotherapy

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“…Focus groups have often been used to conduct CBPR (Clark et al, 2003). They provide people with a structured opportunity to speak freely on issues pertinent to the research.…”

Section: Focus Groupsmentioning

confidence: 99%

Community-based participatory research (CBPR) in South Africa: Engaging multiple constituents to shape the research question

Mosavel

Simon

Stade

et al. 2005

Social Science & Medicine

147

131

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Community engagement is an on-going, arduous, and necessary process for developing effective health promotion programs. The challenges are amplified when the particular health issue or research question is not prominent in the consciousness of the targeted community. In this paper, we explore the community-based participatory research (CBPR) model as a means to negotiate a mutual agenda between communities and researchers.The paper is focused on the (perceived) need for cervical cancer screening in an under-resourced community in Cape Town, South Africa. Cervical cancer is a significant health problem in this community and elsewhere in South Africa. Unlike HIV-AIDS, however, many Black South Africans have not been educated about cervical cancer and the importance of obtaining screening. Many may not consider screening a priority in their lives.Our research included extensive consultations and informal interviews with diverse community and regional stakeholders. Following these, we conducted 27 focus groups and 106 demographic surveys with randomly selected youth, parents, local health care personnel, educators and school staff. Focus group data were summarized and analyzed cross-sectionally. Community stakeholders were involved throughout this research.Our consultations, interviews, and focus group data were key in identifying the concerns and priorities of the community. By engaging community stakeholders, we developed a research framework that incorporated the community's concerns and priorities, and stressed the intersecting roles of poverty, violence, and other cultural forces in shaping community members' health and wellbeing. Community members helped to refocus our research from cervical cancer to 'cervical health,' a concept that acknowledged the impact on women's bodies and lives of HIV-AIDS and STDs, sexual violence, poverty, and multiple social problems. We conclude that the research agenda and questions in community-based health research should not be considered immutable. They need to be open to negotiation, creativity, and constant reinvention.

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“…Deliberation is a critical component of local community health need assessments and a primary method of democratically engaging the public [33]. The impetus behind deliberation in healthcare is to spur broader objectives of stimulating discussion to achieve consensus from the public about health service priorities [24].…”

Section: A Model For Engaging the Public To Improve Healthmentioning

confidence: 99%