Facilitators and barriers to implement community engagement approaches in health promotion projects: A qualitative study in 13 projects in Spain

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Viola Cassetti , María Victoria López-Ruiz , Ana Egea-Ronda , Dory Aviñó Juan Ulpiano , Carmen Belén Benedé Azagra
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Abstract

Objectives

Evidence shows that community health promotion projects should be participatory. However, contextual factors affect the ways these projects can be designed and implemented. This article is part of a study to implement evidence-based guidelines to promote community engagement and it describes barriers and facilitators that can influence its implementation.

Study design

Qualitative explorative study using semi-structured interviews and interactive workshops in 13 community health promotion projects across Spain.

Methods

Data were collected through semi-structured interviews and workshops with 68 participants from core working groups and key stakeholders from 13 community health projects. Descriptive thematic analysis helped identify codes related to barriers and facilitators. Data were then organized in a matrix to identify how each factor influenced each project (content analysis) and to what degree (totally, partially or absent).

Results

Fourteen facilitators were identified, related to internal organization and strategies to work effectively; and seven barriers, related to lack of resources, dependence on external factors and not knowing how to evaluate.

Conclusions

Most of the factors identified are related to the organisation of the project, with no apparent relation with community engagement. This suggests that organisational structures should be prioritise to ensure the quality of community health promotion projects and their continuity, and to enable engagement of community members throughout a project.
在健康促进项目中实施社区参与方法的促进因素和障碍:对西班牙13个项目的定性研究
目的有证据表明,社区健康促进项目应具有参与性。然而,环境因素会影响这些项目的设计和实施方式。本文是一项研究的一部分,旨在实施以证据为基础的指导方针,以促进社区参与,并描述了可能影响其实施的障碍和促进因素。研究设计在西班牙13个社区健康促进项目中采用半结构化访谈和互动研讨会进行定性探索性研究。方法通过半结构化访谈和讲习班收集数据,来自13个社区卫生项目的68名核心工作组和主要利益相关者。描述性专题分析有助于确定与障碍和促进因素有关的代码。然后将数据组织在一个矩阵中,以确定每个因素如何影响每个项目(内容分析)以及影响程度(全部、部分或缺席)。结果确定了14个促进因素,涉及到内部组织和有效工作的策略;还有七个障碍,与缺乏资源、依赖外部因素和不知道如何评估有关。大多数确定的因素与项目的组织有关,与社区参与没有明显的关系。这表明应该优先考虑组织结构,以确保社区健康促进项目的质量及其连续性,并使社区成员能够参与整个项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Public Health in Practice
Public Health in Practice Medicine-Health Policy
CiteScore
2.80
自引率
0.00%
发文量
117
审稿时长
71 days
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