Building a community-based participatory approach to child, youth, and family health: Learnings from organizational engagement in the Peel Region of Ontario.

Sara Martel, Christine Heidebrecht, Chelsea D'Silva, Nikita Singh, Dianne Fierheller, Ian Zenlea
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Abstract

Background and objectives: As hospital-based pediatric clinicians and researchers, we conducted engagement with representatives from public, private, and nonprofit organizations in the Peel Region of Ontario. Objectives were to build relationships and inform research, education, innovation, and programming to improve the health of local children, youth, and families (CYF).

Method: Relevant public, private, and nonprofit organizations were identified through an extensive environmental scan. Semistructured interviews and focus groups were conducted with front-line, managerial, and executive representatives. Analysis consisted of thematic analysis and quantitative content analysis. All participants were invited to a 1-day community networking event to discuss the engagement findings and brainstorm next steps.

Results: Final sample was n = 155 individuals from n = 61 organizations. The community networking event included n = 45 participants from n = 41 organizations. Participants identified the top three health issues facing families as: (a) mental health and wellbeing (63%); (b) socioeconomic insecurity (52%); (c) lack of physical activity (43%). Major themes included: holistic health and wellness; equity and sociocultural dimensions of health; cross-sector/organizational collaboration and integration; need for inclusive, action-oriented, and participatory approaches.

Conclusions: Insights from these engagement activities led to the development of a community-based participatory research (CBPR) approach to CYF health in Peel. In this article we posit CBPR and a population health approach can come together in research and care to prioritize equity, collaboration, and active participation in a community-wide approach to CYF health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

建立以社区为基础的儿童、青年和家庭健康参与性方法:从安大略皮尔地区组织参与中获得的经验。
背景和目的:作为以医院为基础的儿科临床医生和研究人员,我们与安大略省皮尔地区的公立、私立和非营利组织的代表进行了接触。目标是建立关系并为研究、教育、创新和规划提供信息,以改善当地儿童、青年和家庭(CYF)的健康。方法:通过广泛的环境扫描确定相关的公共,私人和非营利组织。对一线、管理和执行代表进行了半结构化访谈和焦点小组。分析分为专题分析和定量内容分析。所有参与者都被邀请参加为期一天的社区网络活动,讨论参与结果并集思广益下一步。结果:最终样本为n = 61个组织的n = 155个人。社区网络活动包括n = 41个组织的n = 45名参与者。与会者指出,家庭面临的三大健康问题是:(a)心理健康和福祉(63%);(b)社会经济不安全(52%);(c)缺乏身体活动(43%)。主要主题包括:整体健康和保健;健康的公平和社会文化层面;跨部门/组织协作与整合;需要采取包容、面向行动和参与性的方法。结论:从这些参与活动中获得的见解促成了以社区为基础的参与性研究(CBPR)方法的发展,以促进皮尔市青少年健康。在本文中,我们假设CBPR和人口健康方法可以在研究和护理中结合起来,优先考虑公平、合作和积极参与社区范围内的CYF健康方法。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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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