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Activating communities for health promotion: A process evaluation method

Author

Listed:
  • Wickizer, T.M.
  • Von Korff, M.
  • Cheadle, A.
  • Maeser, J.
  • Wagner, E.H.
  • Pearson, D.
  • Beery, W.
  • Psaty, B.M.

Abstract

Objectives. To date, evaluations of community-based prevention programs have focused on assessing outcomes, not the process of organizing communities for health promotion. An approach was developed to analyze community organization efforts aimed at advancing community health objectives. These organizational processes are referred to as community activation. Methods. Information was gathered from 762 informants through a key informant survey conducted in 28 western communities. The data collected included informant ratings of community activation and information about interorganizational activities analyzed through network analytic techniques. Results. Activation levels, as measured by informant ratings, varied across communities. Program coordination, as measured by network analysis, occurred, on average, approximately 30% of the time. Higher income communities tended to be more activated than lower income communities. Conclusions. There is a widely recognized need for improved information about health-related community organization activities. It appears possible to gather such information through key informant surveys and to develop measures of community organization status that can be used in the evaluation of community health promotion programs.

Suggested Citation

  • Wickizer, T.M. & Von Korff, M. & Cheadle, A. & Maeser, J. & Wagner, E.H. & Pearson, D. & Beery, W. & Psaty, B.M., 1993. "Activating communities for health promotion: A process evaluation method," American Journal of Public Health, American Public Health Association, vol. 83(4), pages 561-567.
    • Handle: RePEc:aph:ajpbhl:1993:83:4:561-567_6
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    Citations

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    Cited by:

    1. Viadro, Claire I. & Earp, Jo Anne L. & Altpeter, Mary, 1997. "Designing a process evaluation for a comprehensive breast cancer screening intervention: Challenges and opportunities," Evaluation and Program Planning, Elsevier, vol. 20(3), pages 237-249, August.
    2. Heflinger, Craig Anne, 1996. "Measuring service system coordination in managed mental health care for children and youth," Evaluation and Program Planning, Elsevier, vol. 19(2), pages 155-163, May.
    3. Allen Cheadle & Edward Wagner & Carolyn Anderman & Mary Walls & Colleen McBride & Michelle A. Bell & Richard F. Catalano & Eric Pettigrew, 1998. "Measuring Community Mobilization in the Seattle Minority Youth Health Project," Evaluation Review, , vol. 22(6), pages 699-716, December.
    4. Nilsen, Oystein, 1996. "Community health promotion: concepts and lessons from contemporary sociology," Health Policy, Elsevier, vol. 36(2), pages 167-183, May.
    5. Hawe, Penelope & Noort, Michelle & King, Lesley & Jordens, Christopher, 1997. "Multiplying Health Gains: the critical role of capacity-building within health promotion programs," Health Policy, Elsevier, vol. 39(1), pages 29-42, January.
    6. Friedman, Stacey R. & Reynolds, Jesse & Quan, Michael A. & Call, Stephanie & Crusto, Cindy A. & Kaufman, Joy S., 2007. "Measuring changes in interagency collaboration: An examination of the Bridgeport Safe Start Initiative," Evaluation and Program Planning, Elsevier, vol. 30(3), pages 294-306, August.
    7. Valente, Thomas W. & Coronges, Kathryn A. & Stevens, Gregory D. & Cousineau, Michael R., 2008. "Collaboration and competition in a children's health initiative coalition: A network analysis," Evaluation and Program Planning, Elsevier, vol. 31(4), pages 392-402, November.

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