Dissertations / Theses on the topic 'Participatory Health Research'
To see the other types of publications on this topic, follow the link: Participatory Health Research.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Participatory Health Research.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Dickson, Geraldine. "Participatory action research and health promotion, the grandmothers' story." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq24012.pdf.
Full text
2
Starkey, Fenella Anne. "Participatory research with mental health service users : a strategy for empowerment?" Thesis, University of Bristol, 2005. http://hdl.handle.net/1983/457c5125-d383-4ba5-88c8-ea5357e93d9f.
Full textAbstract:
Literature, including service users' own accounts, confirms that people labelled as `mentally ill' experience oppression and powerlessness both in their contacts with psychiatric services and more widely in society. There are calls to challenge this oppression by engaging in strategies for empowerment, for example via advocacy and campaigning by the mental health user/survivor movement. Research has also been identified as a strategy for empowerment for mental health service users. This dissertation proposes participatory research (PR) as a potentially empowering research methodology consisting of a process of investigation, education and action in which participants work jointly with researchers throughout. This research therefore aims to: explore the nature of oppression and power in the lives of mental health service users in Britain; assess the extent to which participatory research can function as a strategy for empowerment for mental health service users; consider the extent to which PR principles can be adhered to in research with mental health service users; and highlight issues for methodological development arising from the practice of PR. These aims were explored via a year-long PR project in which the author worked jointly with a group of mental health service users to design and undertake research, and to take action based on its findings. Fieldwork data are analysed in the context of existing theoretical, conceptual and empirical literature on oppression, power, empowerment and PR. It is concluded that PR can facilitate processes of individual and group empowerment for mental health service users, and may therefore be a first step towards the longer-term goal of achieving empowerment in the liberational sense of changing oppressive social structures. This latter goal is more likely to be achieved by combining research with other strategies for empowerment such as collective action and campaigning, and by joining together with other oppressed groups with common interests, such as the disability movement.
3
Bruck, Demaree K. "Engaging Teenagers in Suicide Research through Youth Participatory Action Research." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1504799248601175.
Full text
4
Tsang, Woo Che-moy Betty. "A participatory action research : the effectiveness of a health education/promotion programme." Thesis, University of Exeter, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438758.
Full text
5
Ramstetter, Catherine. "Participatory Action Research to Assess and Enhance Coordinated School Health in One Elementary School." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276537211.
Full text
6
Schetzina, Karen E. "Community-Based Participatory Research Approaches to Obesity Prevention in Appalachia." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/5012.
Full text
7
Serrato, Vidal Jesus Alfredo. "MENTAL HEALTH TREATMENT PERSPECTIVE OF HISPANIC POPULATION: A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH." CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/737.
Full textAbstract:
This study’s purpose is to shed some light on providers perspective of Hispanics with mental health issues experience, explore providers experience, Hispanics reason for terminating treatment and review providers recommendation to maintain Hispanic individuals and families in treatment. Other studies have established that Hispanics disproportionately underutilize mental health services in comparison to other population. Assuming Hispanics continue to grow and maintain the majority minority in the region of focus in Southern California where the study was conducted, then the finding in this study may serve to improve both Hispanics access to services and agencies and providers improving services to this population. Furthermore, the study can be utilized by other interns, social worker and professionals alike as a form of an in-service on Hispanics perspective of mental health and how to overcome some of the barriers when servicing this population. This qualitative study used individual interviews as a resource to shed some light on themes from the perspective of a variety of mental health providers. Individual interviews were audio recorded via a digital recorder then transcribed to a Word file. A variety of themes on the subject matter emerged from participants responses.
8
Davis, Meg Elizabeth Doyle Eva. "A pilot study of community based participatory research methods among Brazilian church members." Waco, Tex. : Baylor University, 2007. http://hdl.handle.net/2104/5050.
Full text
9
MacIntyre, Linda Margaret. "How can non-government organizational perspectives inform community based participatory research in Malawi, Central Africa?" Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378499.
Full text
10
Hooper, Oliver R. "Health(y) talk : pupils' conceptions of health within physical education." Thesis, Loughborough University, 2018. https://dspace.lboro.ac.uk/2134/36203.
Full textAbstract:
Schools, and in particular physical education (PE), have been increasingly recognised for the role that they play in promoting healthy, active lifestyles amongst children and young people in light of the public health agenda (Armour and Harris, 2013). However, whilst schools have been recognised for the role that they can play in promoting health to children and young people, concerns have been expressed with regard to the status of health in PE and the approaches and practices used to address health-related learning (Cale et al., 2016). A particular concern in this regard is what children and young people know and understand about health , and how they come to conceive this within PE, with a growing body of literature suggesting that pupils conceptions are relatively superficial and simplistic (see Harris et al. (2016) for an overview). Accordingly, the purpose of this research is to explore pupils conceptions of health within PE. The research was comprised of four phases which took place over an 18-month period within the East Midlands region of England. Phase one involved an online survey being distributed to all state secondary schools (n = 293) and with a total of 52 schools responding. Phase two involved semi-structured interviews being conducted with 13 PE teachers at two case study schools and focus groups with 117 pupils (aged 11-12) at the same schools. A participatory approach underpinned the study and relevant methods/techniques were employed within pupil focus groups to generate discussion and elicit pupils conceptions of health . Examples of the methods/techniques employed included: drawings, concept cartoons and statement sheets. Pupils worked interactively with one another to undertake and discuss tasks/activities in line with the youth voice agenda that underpinned the research. This agenda is often allied with participatory methods (Heath et al., 2009) and seeks to privilege the voices of younger participants, recognising that children and young people are competent social agents, capable of both understanding and articulating their own experiences (Christensen and James, 2008). Phase three involved follow-up focus groups with the same pupils who participated during the preceding phase, and a similar participatory approach was employed. Phase four involved semi-structured focus groups being conducted with the same PE teachers at each school. Data generated were analysed using a Foucauldian-inspired discourse analysis. The findings of the study highlight that the vast majority of pupils conceptions of health were reductive, limited and limiting. These conceptions of health were identified as being underpinned by: corporeal notions, aesthetic orientations and healthist influences. In addition, they aligned with normative conceptions of health , that were evidently influenced by public health discourses, which may well have been promulgated by and through PE. Whilst pupils did not necessarily consider that PE influenced their conceptions of health , there were evident links, which PE teachers themselves acknowledged and problematised. Positively, it was highlighted that there were some pupils who were able to disrupt normative conceptions of health and, in doing so, they demonstrated their capacity for criticality. As such, the challenge for PE is now to consider how it might support pupils to develop their capacities to receive, interpret and be critical of health-related information. If it can do so, it may well be that critically-inclined conceptions of health can be fostered within, through and by the subject.
11
Allen, Katherine Louise. "Hubble, bubble, toil and trouble : meddling in mental health services using participatory action research." Thesis, University of Central Lancashire, 2018. http://clok.uclan.ac.uk/25390/.
Full textAbstract:
This thesis explores whether participatory action research (PAR) can be a vehicle for knowledge democracy in mental health by telling the compelling tale of a team of mental health service users formed to conduct a PAR project in adult NHS mental health services. PAR is a methodology that seeks change through action and the collaborative efforts of participants, often people from marginalised groups. The team, self-named PAR Excellence, actively participated in every step of the research process, from the initial identification of the research topic (shared decision making in mental health), literature review, research design, data collection and analysis, to dissemination. The original contribution to knowledge is in two parts: findings on shared decision making and the use of recorded service user experiences in mental health, and findings on the PAR process itself. Through these intertwining efforts, an original analysis of knowledge democracy in the context of adult NHS mental health services in the UK has been reached. Having chosen shared decision making in mental health, PAR Excellence developed a multi-media library of service user experiences to be used as a shared decision making resource. They explored with NHS mental health staff whether this approach supported shared decision making through qualitative focus groups and interviews. It was concluded that whilst the use of recorded service user experiences as a shared decision making resource was generally welcomed in principle by staff, in practice there was limited utilisation of the resource. However, it was highly valued as an opportunity for staff reflective practice, and when used judiciously, showed the potential for having a profound effect for service users. It was also found that shared decision making is a complex concept that has many different meanings amongst staff, and they work in a system where true shared decision making cannot consistently occur. However, it was discovered that staff found the involvement of service users in the research process gave the project authenticity and credibility over research generated purely by traditional researchers, and were therefore more likely to engage with it. The shared decision making resource also provoked a particularly positive response in staff members who have used mental health services themselves. Throughout the project, qualitative focus groups were also held with PAR Excellence to explore the participatory process and its outcomes overall. These findings established that the motivations of the team (who were highly critical of mental health services) were rooted in a profound understanding of the power mental health services had over them, dissatisfaction with services, and a deep sense of injustice. This led the team to express a concept of subversive "meddling" in mental health services to address these issues. They found that whilst personal transformation through PAR was achievable, the potential for more general, external transformation was limited due to the enmeshment of the political and economic climate in which mental health services operate.
12
Lama, Tshering. "A participatory action research approach to telemedicine supported health care delivery in rural Nepal." Thesis, Northumbria University, 2011. http://nrl.northumbria.ac.uk/11374/.
Full textAbstract:
Rural and geographically isolated, the majority of Nepalese communities have very low incomes, poor transportation, and scarce health care resources; these people provide the context for this study. The consequences of these deprivations include high maternal and infant mortality rates, high prevalence of infectious disease and poverty. There are therefore exceptional challenges and disparities in meeting health care needs. However the recent advent of modern information communication technology (ICT) or Telemedicine has unleashed a new wave of opportunities for supporting the delivery of health care services. Despite suggestions that telemedicine will offer hope in developing countries there is only limited published evidence to support this claim. Telemedicine is and must remain a process of the delivery of care rather than a technology. The system must connect patients and healthcare professionals in a chain of care, rather than follow the wide array of existing or new and advanced technology. The successful introduction of telemedicine with tangible outputs requires an in-depth understanding of the existing health care system of the country and its challenges; strongly expressed ‘genuine need’ for the service by all the stakeholders as interested partners (patients, practitioners, health care service providers and the public); the actual status of ICT infrastructure in the country and costs. This study used a Participatory Action Research (PAR) approach to explore the feasibility, acceptability and impact of a telemedicine system in partnership with Dhulikhel Hospital: Kathmandu University Hospital and with three of its 12 rural, remote outreach centres, and the populations they serve. Participatory, repeated data collection methods included surveys, interviewing, listening and being with staff and communities over a two year period. The researcher and researched engaged in a complex inter-locking journey from which the Unlocking, Unblocking and Validation concepts emerged. The findings of this study emphasise the pivotal role that the rural health care workers play. Telemedicine not only has a place in improving access to healthcare through enhanced communication but it also empowers health care workers. These people need continued support to develop their competencies and boost their confidence within the changing health care environment. In conclusion telemedicine is primarily about people rather than technology. Effective and holistic telemedicine development is built upon a combined, interactive model involving access, communication and empowerment.
13
Antle, David. "The use of laboratory and participatory ergonomic research models to investigate working posture in industry." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121371.
Full textAbstract:
Consensus on physical mechanisms linking work posture to discomfort and disorder risk has not been reached. The objective of this dissertation was to use a series of laboratory studies to identify measurements associated with discomfort and disorder risk in lower limb, back and neck/shoulder regions, and assess how these measurement outcomes differ between standing, seated and sit-standing postures. Participatory intervention methods were also used to investigate workplace factors that impact on posture selection and rotation. In the core set of investigations, healthy participants performed an industrially-modelled box-folding task over three 34-minute sessions in standing, seated and sit-standing postures (developed using a novel foot stand) while lower limb vascular parameters, trunk and upper limb muscular parameters, postural kinetics and discomfort were measured. Links between discomfort in various body regions and changes in the vascular, muscular and kinetic outcomes were investigated within and between postures. Investigation at a partner enterprise was conducted using 'participatory ergonomics' investigation methods and establishment of an "Ergonomics Team". Results show that during standing work, increases in blood volume and postural sway are associated with lower limb discomfort, and initially higher levels of shared activation between bilateral hip musculature are associated with higher levels of back discomfort. In comparison to standing, seated work leads to improved lower limb vascular and discomfort outcomes, but increases muscular demands and discomfort in the back and neck/shoulder regions. Also in comparison to standing, the sit-standing posture led to improved lower limb outcomes, with no significant differences in back and neck/shoulder outcomes. Together, findings reveal that each posture has positive and negative consequences. Data suggests that frequent (15-20min) rotation between postures may prevent onset of unwanted effects. Meanwhile, early investigations at the workplace revealed key policy, work organization and design issues that influenced the choice of appropriate laboratory methods and may affect knowledge uptake related to posture selection and rotation in the plant. As such, an integrated, participatory ergonomics approach may be optimal in ensuring that relevant laboratory methods are developed to produce usable knowledge for the workplace, and key knowledge translation strategies are in place for dissemination back to the workplace.Les mécanismes reliant la posture de travail à l'inconfort et au risque de maladie ne sont toujours pas bien compris. L'objectif de cette dissertation était d'utiliser une série d'études de laboratoires afin d'identifier ces mécanismes pour les régions des membres inférieurs, du dos et des membres supérieurs, et d'évaluer comment ces mesures diffèrent entre les postures debout, assis, et assis-debout. Des méthodes d'intervention participative ont aussi été utilisées afin d'investiguer les facteurs de travail ayant un impact sur la sélection et la rotation des postures.Dans la majorité des investigations, des participants en santé ont effectué une tâche de pliage de boites modélisée d'après l'industrie durant trois séances de 34 minutes en posture debout, assis et assis-debout (à l'aide d'un support de pieds nouvellement développé) alors qu'étaient enregistrés des paramètres vasculaires aux membres inférieurs, des paramètres musculaires à la colonne et au membre supérieur, la cinétique de posture et l'inconfort. Des liens entre l'inconfort à diverses régions corporelles et les changements des mesures vasculaires, musculaires et cinétiques ont été évalués pour chaque posture et entre elles. Une investigation à une entreprise partenaire a été effectuée en utilisant des méthodes d'ergonomie participative et en établissant une 'Équipe Ergo'. Les résultats démontrent que durant le travail debout, des augmentations de volume sanguin et d'oscillation de la posture étaient associés à l'inconfort au membre inférieur, et une élévation initiale des niveaux d'activation mutuelle entre la musculature bilatérale des hanches était associée à des niveaux plus élevés d'inconfort du dos. En comparaison à la posture debout, la posture assis-debout a mené à des améliorations des mesures du membre inférieur, sans différences significatives des mesures du dos et de la région cou-épaules. Ensemble, ces résultats démontrent que chaque posture a des effets positifs et négatifs. Les données suggèrent qu'une rotation fréquente (15-20min) entre les postures pourrait prévenir l'apparition d'effets indésirables. Par ailleurs, les investigations préliminaires en entreprise ont révélé des aspects-clés de nature politiques, d'organisation du travail et de design qui ont influencé le choix des méthodes de laboratoire appropriées et qui pourront influencer l'utilisation des connaissances en lien avec le choix et la rotation des postures à l'usine. De surcroit, une approche intégrée d'ergonomie participative serait optimale pour assurer le développement de méthodes de laboratoire pertinentes afin de produire des connaissances applicables en milieu de travail et d'implanter des stratégies de courtage de connaissances pour la dissémination en milieu de travail.
14
Lee, John Won. "An examination of the effectiveness of community-based participatory research projects in producing intended health outcomes /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3276993.
Full text
15
Lindquist-Grantz, Robin. "Youth Participatory Action Research as a Strategy for Adolescent Suicide Prevention." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin149131648280023.
Full text
16
Mitchell, Richard Charles. "Applying a child rights perspective in BC's Capital Health Region, participatory action research in child and youth health care." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0001/MQ41383.pdf.
Full text
17
Testen, Anna Louise. "Participatory Research to Improve Soil and Plant Health on Vegetable Farms in Tanzania and Ohio." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1491990803745543.
Full text
18
Fieldhouse, J. "Exploring the applicability of participatory action research in community mental health care in the UK." Thesis, University of the West of England, Bristol, 2017. http://eprints.uwe.ac.uk/25601/.
Full text
19
Speers, Wendy Jane. "Student nurses' feedback from mental health service users in practice : a participatory action research study." Thesis, Open University, 2012. http://oro.open.ac.uk/49079/.
Full textAbstract:
This study involved student nurses, lecturers, mentors and service users in working together to design, evaluate and refine a system enabling student mental health nurses to seek feedback from service users. The feedback concerned students' interpersonal skills and occurred in practice, at the point of service delivery. Although the drive to engage service users in service delivery, research and education has mainstream acceptance, much remains to be learned about how to achieve meaningful involvement. Mental health professionals are striving to adopt the recovery model and harness service user expertise through the development of more reciprocal relationships. This research aims to contribute to this wider thrust, by exploring the experiences of those concerned when students attempt to learn from rather than about service users. Conducted over two years, a participatory action research approach was adopted. Data came from interviews held with those implementing the system for feedback, and from the deliberations of the participants guiding the process. Thematic analysis produced evidence of relevance to nurse educationalists, mental health nurses and researchers. Although contextual, findings indicated that service users volunteering to give feedback had a positive experience. Students' experience lay on a continuum. Those with a stronger sense of self were more willing and able to ask for feedback than less confident students. Cultural adjustment to the role change required presented a challenge and tested self-awareness. Over time, all students achieved deep learning and, for some, learning appeared transformative. Recommendations relate to the system for seeking feedback and the conduct of participatory action research. Overall, the study concluded that both allowed the development of more equitable relationsh ips, in which mental health nurses respected the expertise of service users. This potentially benefits student development, recoveryorientated practice, service users and Higher Education Institutions searching for meaningful ways to involve service users in learning and formative assessment.
20
Davidson, S. "Participatory action research to improve physical health care within a crisis resolution home treatment service." Thesis, University of Salford, 2012. http://usir.salford.ac.uk/38086/.
Full textAbstract:
The thesis presents a participatory action research (PAR) study focusing on improving physical health assessment at a Crisis Resolution Home Treatment (CRHT) service. The aim of the study was to develop a robust and consistent approach in addressing an issue that had not previously been researched. It had been reported via clinical audit that physical health interventions were being missed and by means of an action research group (ARG) an inter-professional approach was used through which co-researchers were facilitated to discuss and explore the issue. The origins and key elements of PAR are illuminated and justification is given for its choice to answer the research questions by means of a problem-focused and context-specific approach within an emergent design. Five action research cycles included exploring the perspectives of professionals', service user experiences and a regional survey to capture current practice. Among a number of findings serviceusers described their physical well-being as extremely important and appreciated having this aspect of care assessed. Professionals viewed physical and mental health as inextricable and the regional survey revealed variable practice across the Northwest of England CRHT services. The study findings were used to generate actionable knowledge to improve clinical practice in physical health care which ultimately led to the embedding of physical health interventions within care pathways and the development of a service-user physical health questionnaire entitled Brief Overview of Physical health (BOP). Physical health strategies were absent in CRHT services within the region, and although physical assessment was taking place in many services, practice was inconsistent. This research developed an evidence based best practice framework that has wider national applicability and potentially offers clarity for existing vague Department of Health guidance. The challenges of utilising a PAR approach are examined including obtaining NHS ethical approval, staff turnaround and length of time to complete the project. The findings were augmented by substantive critical reflections focusing on salient aspects of the research process. Finally, the strength of the research is the sustained change to clinical practice within the CRHT service commensurate with the cultural and behavioural changes that colleagues made in the process of developing practice. It is argued that the research empowered colleagues with critical and research awareness, to continue in the process of transforming care.
21
Weierbach, Florence M., Mary Kay Goldschmidt, E. Cha, Rebecca Sutter, and C. Sutter. "Merging Education and Practice Program Grants with Community Based Participatory Research." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7382.
Full text
22
Taylor, Ashley Rae. "Innovating for Global Health through Community-Based Participatory Research: Design of Mechanical Suction Machines for Rural Health Clinics in Malawi." Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/72975.
Full textAbstract:
Clinicians in low and middle-income countries (LMIC) face many challenges, including high patient-to-staff ratios, limited resources, and inconsistent access to electricity. This research aimed to improve health outcomes in LMIC through an enlightened understanding of challenges associated with healthcare technology. To understand LMIC barriers to acquiring, maintaining, and repairing medical equipment, a community-based participatory study was conducted at three clinical settings in southern Malawi. Thirty-six clinical staff participated in surveys and focus groups to provide information on medical device challenges. Results from the study emphasize the importance of community-based participatory innovation to improve global health. Many clinical staff expressed frustration regarding inability to prevent patient mortality attributed to equipment failure.
Data from the community-based participatory study of medical technology conducted in Malawi revealed key insights for designing for low and middle income countries, and more specifically, for communities in southern Malawi. Specifically, partner communities identified mechanical suction machines as a top priority for design innovation. Working with technical and clinical staff in Malawian communities, a prototype mechanical suction machine was designed and constructed.
This work suggests that engineers working in low and middle income countries face a unique sundry of design requirements that require an intimate understanding of the local community, including community leaders, community beliefs and values, and locally available resources. Technology innovation for global health should incorporate community expertise and assets, and health and technical education efforts should be developed to increase working knowledge of medical devices.Master of Science
23
Zanko, Ashley Lee. "Evaluating the Potential Public Health Impact of Community Gardens in a Health Disparate Region: A case study approach." Thesis, Virginia Tech, 2012. http://hdl.handle.net/10919/31677.
Full textAbstract:
While community gardens (CG) have emerged as a popular public health strategy to improve fruit and vegetable access and consumption, few studies provide evidence-based principles to inform the initiation and maintenance of CG. Grounded in Community-based Participatory Research and guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, this mixed methods case study explores the potential public health impact of CG in the DRR. Six CG completed harvest logs during the 2011 season. Following the growing season, CG leader key informant interviews (N=6) and CG participant focus groups were conducted (N=21) using a semi-structured script, guided by RE-AIM dimensions. The five RE-AIM dimensions and associated components were used to develop a coding matrix and identify emerging themes. Three researchers coded the transcribed interviews using a deductive approach, which included coding raw data into meaning units. The six CG yielded 811 pounds of produce. The majority of focus group participants (95%) stated they would continue CG participation. From qualitative analysis, themes emerged such as increased the number of residents participating in CG, increased consumption of produce, key characteristics of successful CG leaders and locations, programs associated with CG, and adequate funding and resources necessary for maintenance. This study provides important insights to promote the potential public health impacts of CG in the DRR. Findings provide best-practice opportunities to promote the successful adoption, implementation, and maintenance of CG in similar communities.Master of Science
24
Marais, Frederick. "Participatory public health research : a multi-method community-based study of TB in migrant African communities." Thesis, Imperial College London, 2006. http://hdl.handle.net/10044/1/7337.
Full text
25
Bryant, Wendy. "An occupational perspective on user involvement in mental health day services." Thesis, Brunel University, 2008. http://bura.brunel.ac.uk/handle/2438/3365.
Full textAbstract:
This participatory action research project enabled service users to influence the modernisation of local mental health day services. The modernisation programme was based on principles of social inclusion, and there were limited understandings of how it could be applied locally. Interpretations of policy gave priority to the relocation of services and facilitating individual recovery. An occupational perspective informed the design, implementation and analysis, emphasising what people chose to do. Critical ethnography informed the role of the researcher. Service user involvement was understood as a democratic process, drawing on direct experience for service development. A forum, established for four years, worked on and supported three research strands, focused on social networking. Service users captured their use of a social lounge using photography in Strand A. In Strand B a checklist was used to investigate social activities. Userled social groups were explored in Strand C through individual interviews. All the findings were systematically analysed and service users were involved in this for Strands A and B. The findings of this research emphasised the importance of social networking within the day services. Strand A indicated the benefits of a safe space, before getting involved and moving on. The final report from this strand led to ongoing funding being allocated for a safe space. For Strand B many social and recreational activities were identified by service users. Stigma was recognised as an ongoing barrier to sustained inclusion. A poster was designed and displayed locally to share the findings. Themes from Strand C demonstrated that user-led groups required active collaboration with mental health services to survive and thrive. A final stage of analysis aimed to uncover the details of taking an occupational perspective. The findings indicated that varied occupational forms involved different service users in different ways, enabling more people to participate. Making the functions of the different events explicit was important for negotiating participation. Meanings were expressed in shared and individual reflection as the research unfolded. Understanding and attending to these aspects facilitated meaningful service user involvement in this research, enabling many people to influence the development of the services they received.
26
Olive, Nicole Christine. "Assessing Children\'s Restaurant Menus in a Health Disparate Region." Thesis, Virginia Tech, 2013. http://hdl.handle.net/10919/23156.
Full textAbstract:
Obesity is an increasing problem in the United States with 17% of youth currently classified as obese and an even higher prevalence of obesity among disadvantaged populations. The food environment may be contributing to these high rates as there has been a well documented association among increased away from home food consumption and excess adiposity, as well as evidence to support that children\'s diets are composed of a large portion of restaurant foods. The main purpose of this study is to describe the quality of restaurant food offered to children in a rural health disparate region. Two trained research assistants conducted systematic audits of all food outlets offering a children\'s menu in the Dan River region using the Children\'s Menu Assessment (CMA) tool. A composite score for each outlet for was calculated from the 29 scored items on the CMA. The total sample consisted of 137 outlets with CMA scores ranging from -4 to 9 with a mean score of 1.6+2.7. Scores were lowest in the predominantly Black block groups (0.2+0.4) when compared to the predominately White block groups (1.4+1.6) and Mixed block groups (2.6+2.4) with significantly lower scores in the predominantly Black block group than the Mixed block groups (F=4.3; p<0.05). The results of this study reveal a lack of few healthy food options available for children in this region. These findings have the potential to contribute to public health efforts in developing public policy changes or environmental interventions for the children\'s food environment in the Dan River Region.Master of Science
27
Fisher, Christopher M. "Assessing sexual health information & resource provision in Indiana youth-serving community-based organizations utilizing community-based participatory research methods." [Bloomington, Ind.] : Indiana University, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378347.
Full textAbstract:
Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2009.Title from PDF t.p. (viewed on Jul 8, 2010). Source: Dissertation Abstracts International, Volume: 70-10, Section: B, page: 6149. Adviser: Michael Reece.
28
Kanko, Ivonne G. "Perceptions of Community-Based Participatory Research from Community and Academic Members." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3396.
Full textAbstract:
Community-based participatory research (CBPR) is an increasingly popular form of public health research. However, little is known about the application of CBPR and the levels of involvement for partners in specific phases of the partnership. This phenomenological study addressed the application of CBPR from the perspectives of 7 academic researchers and 6 community members experienced in CBPR. Arnstein's ladder of citizenship participation and the community coalition action theory provided the framework for the study. Semi-structured interviews addressed participants' levels of involvement in the CBPR process, as well as challenges, concerns, successes, and recommendations for improvement. Interview transcripts were analyzed by identifying recurrent themes relevant to the experience of being a CBPR partner. These themes were then used to develop descriptions of their experience. Results indicated that participants knew the term CBPR and had experienced it, but not all participants understood the depth of CBPR and how much bargaining power they could have for their community. Sustainability of partnerships and programs was a major concern. Ethical problems were also raised regarding the long-term commitment to projects and the need for CBPR partnership evaluation. Results may be used to strengthen awareness of the principles of CBPR to advance culturally tailored public health interventions.
29
Hohl, Bernadette Callahan. "WORKING WITH THE COMMUNITY TO DEVELOP A NEW MEASURE OF NEIGHBORHOOD YOUTH SUPPORT." Diss., Temple University Libraries, 2013. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/214790.
Full textAbstract:
Public HealthPh.D.
Despite the decline in homicide rates over the last twenty years, youth violence remains a significant public health issue which disproportionately affects young people of color and is often found at higher rates in urban, disadvantaged neighborhoods. To advance prevention efforts it is important to consider factors beyond the individual such as neighborhood and societal factors that influence youth development. Furthermore, input on neighborhood level factors from members of communities that experience high rates of youth violence can provide unique insight into community life and culture as well as engage communities in prevention efforts. The purpose of this project was to demonstrate a measurement development process that includes community participation and through that process, establish a measure that captures neighborhood social processes that may influence youth behavior as a local urban, disadvantaged community has described them. Previous community based participatory research (CBPR) efforts have identified a concept "neighborhood youth support" as important to youth violence prevention. Guided by principles of CBPR, the current study employed a mixed methods design to develop a measure of this concept. Results of a comprehensive review of social support concepts were used to identify constructs, measures and quality of the measures for the purpose of operationalizing "neighborhood youth support". Next a draft instrument and instructions for the instrument were created. This instrument was then assessed for content validity using a participatory research approach that engaged a community expert panel to review, revise and approve the final instrument for testing in the community. The measure was piloted with a convenience sample of community residents (N=65) and subsequently analyzed for internal consistency reliability and construct validity. Eleven community members and three academic researchers participated on the panel. The final measure consisted of 25 questions in five sub-scales: leadership, respect, intervening in negative behavior, adult presence, and active engagement in positive behavior. Results showed the individual scales to be internally consistent (alpha .626-.783). Principal axis factoring concluded that three of the five scales were measuring one domain while two others were not as clear. Spearman correlations showed moderate to strong positive correlations between these scales and already established scales thought to work similarly as the new scales. Results showed that the measure had good internal consistency and behaved as predicted in comparison to previously validated measures. Moreover, it was established that partnering with community members in measurement development is feasible. This study will help to inform future participatory projects by providing community and academic partnerships with a process for including community voice in measurement development. Finally, the results of this study could help future prevention efforts by providing academic and community researchers with a more nuanced measurement tool and a better understanding of community social processes.
Temple University--Theses
30
Mason, Robin Adrian. "Total responsibility and absolutely no control, a case study of participatory research as a health promotion strategy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ28012.pdf.
Full text
31
Jama, Mahmud Amina. "Designing ICT-Supported Health Promoting Communication in Primary Health Care." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00571.
Full textAbstract:
Increasing lifestyle-related ill health, escalating health care costs, expanding health inequalities within and between nations, and an aging population are challenges facing governments globally. Governments, especially in industrialized countries like Sweden, are investing in health promotion and health communication, especially in ICT-supported health communication as a way to increase health literacy and empowerment at individual and population levels. Studies show that many eHealth communication efforts are narrow in scope, medical oriented and therefore not enough to address the complexity of lifestyle-related ill health and equity issues. This thesis proposes integrating health promotion values and principles in the design process of eHealth systems for health promotion in order to develop usable, sustainable, engaging, eHealth resources that are adaptable to their context of use and user’s skills. The overall aim of this thesis was study the participatory development process of an interactive ICT-supported health communication channel for health promotion and enhancing health literacy in PHC context. Participatory Action Research (PAR) with a multi-phase and multi-method approach was used in this thesis. A model entitled Spiral Technology Action Research’ (STAR) was used to guide the development of the health channel. This design process was framed in three developmental and evaluation phases corresponding to formative, process and outcome evaluation. A total of 146 participants consisting of professionals from primary health care services, information technology and academia, and local citizens participated in the project’s different phases. A triangulation of methods was used to collect the data; survey, document analysis, participatory observations with field notes, individual interviews, focus groups, think aloud protocols and log statistics. Qualitative and quantitative content analyses were used to analyse data. The results revealed that integrating health promotion values and principles in the design process proved to be valuable not only to the content of the channel, but also in PHC practice. The different design phases yielded valuable results that built into each other and contributed to an eHealth channel that was perceived as relevant to the local people’s need for health communication; accessible and user friendly. The results also indicated that an Internet based interactive health channel, could be a valuable resource for enhancing health literacy if users are involved in the design.
32
Read, Clancy. "Applying a participatory action research model to assess and address community health concerns among tribal communities in Gujarat, Western India : the potential and challenges of participatory approaches." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/717.
Full textAbstract:
Scheduled Tribes are a highly marginalised minority population in India as a result of discrimination and oppression of the historic caste system that still exists post-independence. Poverty is endemic amongst the tribal population along with poor health indicators disparate to those of the broader population. It is within this challenging environment of layered disparity (geographical, socio-cultural, gendered and socio-economical) in addition to tribalism, casteism and conflict with government and corporate structures, that this international collaborative research study was undertaken. Using a multi-stage approach, the objective of this study was to explore community perceptions of health issues in five rural, tribal villages in Gujarat, Western India and transform community knowledge into action. A modified framework of the widely used applied research methodology, participatory action research (PAR) was used for this study.Stage 1 generated knowledge of community health problems by applying rapid participatory appraisal (RPA). Based on the knowledge and perceptions of the local community, and using the RPA information pyramid as a framework, data was collected from each village in 2009, using a combination of semi structured interviews with community key informants, direct observation through community visits, focus group interviews and review of existing records. In total, 82 people were interviewed throughout the RPA process. Later returning to communities, a process of confirming and prioritising the health concerns was undertaken in preparation for Stage 2.Community based participatory research (CBPR), an action focused approach, was applied in Stage 2 to design action-interventions to address community prioritised health issues. In the early stages of Stage 2, the practicality of developing and implementing action-interventions was impeded by multiple contextual, social and cultural factors and the research was discontinued before completing a full cycle of PAR. To further understand the complexities of working with communities for change, insider perspectives and experiences of working with local communities towards empowerment and social change were sought from eight key informants, contributing to further understanding of the study.The results of this study reveal the priority health issues identified by the communities, uncover challenges inherent in participatory research, and present key informants’ perspectives of their work with marginalised communities. The RPA results provided a documentation of community-identified and prioritised health problems in each of the five selected study villages. Alcohol abuse was endemic in all study villages. Sanitation issues were also significant with 50% of homes in some villages having no access to toilets. Further issues of concern were environmental pollution, access to and quality of health care, road traffic safety, and underlying poverty. The employed participatory methods produced new shared knowledge unique to this study setting. For the first time, perceptions and voices of marginalised communities in these villages have been recorded, study findings compiled and distributed among the community.The transparent audit trail of activity in Stage 2 of the research combined with the documented perspectives of local social activists informed the discussion on the challenges of participatory research approaches in complex environments. It also provided information to further modify the PAR framework for future application. The resultant modified framework presents a practical approach and proposes some new improvements to practice when working with communities for knowledge generation through needs assessments, to needs-based action-interventions. Its combination of theoretical and practical considerations makes it suitable for non-government organisations (NGO), field practitioners and academics.The researcher argues that tested methodologies, approaches and methods alone cannot ensure a successful outcome to the knowledge to action transition and subsequently, PAR approaches. External factors separate from methodological decisions impact on a study and combined with the complex nature of community problems can cause less than desired outcomes. A recommendation is made for further research into these factors, as resources may be better directed by assessing if community efforts are likely to evoke action, leading to beneficial change. Whilst participatory action research is inherently challenging when applied in disadvantaged communities in complex environments, there is hope that with continual improvements community led action can bring about change for the communities where the applied research is undertaken.
33
Dashora, Pushpanjali. "Empowering Homeless Youth: An Evaluation of a Participatory Action Research Based Program." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1267458035.
Full text
34
Petteway, Ryan J. "Towards a people's social epidemiology| An intergenerational study of place, embodiment, & health via participatory action research with residents of public housing." Thesis, University of California, Berkeley, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10086193.
Full textAbstract:
Social Epidemiology has made critical contributions to understanding health inequities. However, translation of social epidemiology science into meaningful and timely action remains a challenge. With so much focus within the field on issues like social position, discrimination, racism, power, and privilege, there has been surprisingly little deliberation about the extent and value of social inclusion and equity within the field itself, and how the challenge of translation might be more readily met through re-envisioning the role of the people in the research enterprise—reimagining what “social” could, or even should, mean for the future of the field. Place-health research represents a particularly promising subfield within which to emphasize these principles, especially within the context of public housing.
Thus, the overall aim for my dissertation work was to conduct research at the nexus of public health and public housing by integrating participatory research methods and information communication technologies (ICTs) to democratize the research process and facilitate local action. In this spirit, my work develops, introduces, and field-tests 3 interrelated and nested concepts that, in application, represent a model for inclusive and equitable social epidemiology: A People’s Social Epidemiology, the Placescape, and Geographies of Embodiment. (Abstract shortened by ProQuest.)
35
Stack, Erin Elizabeth. "Empowerment in Community-Based Participatory Research with Persons with Developmental Disabilities: Perspectives of Community Researchers." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/550.
Full textAbstract:
Community-based participatory research (CBPR) is a research approach that benefits from the expertise of community members being involved in the research along all stages of a project (Israel et al., 2003). CBPR is often utilized with marginalized populations in order to amplify a community's voice on important issues in their lives (Bastida, Tseng, McKeever, & Jack, 2010; Minkler & Wallerstein, 2008). In the past, persons with disability have been excluded from research in order to protect them from exploitation. This practice of exclusion undermines opportunities for persons with disabilities to be independent and make decisions that are important for themselves and their communities. Exclusion also limits the generation of new knowledge that can benefit them (McDonald & Keys, 2008). Through involvement on a CBPR project, persons with disabilities are given the opportunity to become empowered within the context of the project (Atkinson, 2004; Oden, Hernandez, & Hidalgo, 2010). This study examined empowerment definitions, evolution of empowerment definitions, and facilitators and barriers to community partners with and without disabilities becoming empowered through their work on a CBPR project. Overall, community partners' definitions of empowerment related to individual and setting-level characteristics. Individual-level empowerment was defined as self-efficacy, self-esteem, control over decision-making, and disability rights advocacy. Facilitators to empowerment within the CBPR process were promoting inclusion, promoting an accessible partnership, sharing of power within and between groups, and actively sharing and gaining knowledge within and between groups. Inaccessible communication, inaccessible language, and lack of project ownership were identified as possible barriers to empowerment. In most cases, empowerment definitions remained stable across one's work on this project, but there were instances of positive change in the lives of some community partners who expressed being empowered through the partnership. CBPR provides an opportunity for persons with developmental disabilities to be included in the research processes as well as possibly gain important qualities throughout, such as empowerment. This study situated the individual's empowerment beliefs and behaviors within the CBPR setting, identifying both facilitators and barriers, and provides support that a CBPR process can be empowering for community partners. Future research in collaboration with community partners should continue to focus on empowerment in all stages of the research project, local collaborations, and continued diversity of community engagement in research. Engaging in a formal reflection process and documenting the process for other researchers to learn from diverse barriers and facilitators to empowerment is encouraged.
36
Miller, James MS. "Community-based Participatory Research: HIV in African American Men Who Have Sex with Men." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804829/.
Full textAbstract:
To date, traditional behavioral interventions have done little to reduce the prevalence and transmission of HIV among African American men who have sex with men (AAMSM), a highly at risk group. Some researchers theorize that the lack of success may be because these interventions do not address contextual factors among AAMSM. Community-based participatory research (CBPR) is one approach to research with the potential to lead to effective interventions in the future. CBPR is a collaborative, mixed-methods and multidisciplinary, approach to scientific inquiry, which is conducted with, and within, the community. The current study follows the CBPR approach to engage and develop a relationship with the African American communities in the Dallas/Fort Worth Metroplex. Contextual issues were discussed in order to identify emerging themes regarding HIV health related issues among AAMSM to provide the groundwork for continued CBPR research and future interventions with AAMSM in the Dallas/Fort Worth Metroplex. To accomplish this goal, researchers began the CBPR process by conducting interviews and focus groups with a sample of approximately 62 (34 from key informant interviews, 28 from focus groups [gender balanced]) AIDS service organization leaders and workers, advocates, medical doctors and community members with first-hand knowledge of HIV health issues in the AAMSM community. Transcripts of these interviews and focus groups were analyzed to identify emerging themes at the societal (religious doctrine, African American Culture, age-related norms and stigma), community (education, religious views/policy and community norms) and individual (disclosure, personal identity, sexual behavior/risk, accessing care and communication) levels. This data was used to create a holistic narrative report that will be used to direct the community advisory board (CAB) and guide future research and interventions.
37
Tolhurst, Rachel Joy. "Involving district-level fieldworkers in participatory research : possibilities and constraints as an approach to gender mainstreaming in health." Thesis, University of Liverpool, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405062.
Full text
38
Stover, Caitlin M. "Exploring Healthcare Experiences of Lesbian, Gay, and Bisexual College Students Using Community-Based Participatory Research: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsn_diss/21.
Full textAbstract:
Little is known about the healthcare experiences of lesbian, gay, and bisexual (LGB) young adults (ages 18-24) and even less is known about LGB college students (ages 18-24). Helping LGB college students effectively access appropriate, sensitive healthcare has the potential to reduce negative long-term health consequences. Therefore, the purpose of this study was to describe the healthcare experiences of LGB college students (ages 18-24) in the local college community using community-based participatory research (CBPR). Three online synchronous focus groups and one online individual interview were conducted with 19 LGB college students between January and February 2011. The focus groups were segmented into lesbian (n= 7), gay (n= 7), and female bisexual (n = 4) groups. One male bisexual was interviewed individually. The mean age of the sample was 20.7 years (SD = 1.2, range = 19-24). The sample was predominately White non-Hispanic (85%).
Qualitative content analysis was used to describe the healthcare experiences of lesbian, gay, and bisexual college students in the local community. One overarching theme (not all the same), one main theme (comfort during the clinical encounter), three sub themes (personalizing the clinical encounter, deciding to disclose and social stigma, and seeking support of self-identified sexual orientation) and one preliminary sub theme (perceived confidentiality) emerged from the analysis. One major action emerged from the analysis and supported the development of the social network site (on Facebook) entitled: College Alliance Towards Community Health (CATCH). The mission of CATCH is to provide LGB college students in the local community with a comfortable forum to learn about various healthcare concerns of lesbian, gay, and bisexual college students. Additional implications for nursing practice and implications for further research in the LGB college community are addressed.
39
Bowyer, Sarah Elizabeth. "Participatory mapping as an approach for health services co-planning : finding the local voice in the rural context." Thesis, University of the Highlands and Islands, 2018. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=238533.
Full textAbstract:
A key factor to the Scottish Governments' public policy and public service reconfiguration is collaborative working between service providers and service users in a framework of co-production. A second key factor in this reform is a place-based approach. Despite this rhetoric of co-production of health services having been used for some time in health policy, and considering the numerous interpretations of the meaning of both co–production and 'place' in the academic and professional literature, how rural dwellers experience rurality in terms of places and space, and how this may in turn affect health and interactions with co-production, remains underrepresented in health policy planning. In light of changes in health service provision, rural health care poses itself as a potentially emotive and sometimes volatile topic. A co-productive approach may encourage understanding, acceptance and better usage of health services and neighbourhood resources, by the residents registered as patients with local medical practices. This doctoral research study considered the use of participatory mapping techniques to generate, gather and capture the local voice of residents from two rural Scottish communities, regarding the self-perception of their health in relation to the place they call home. Through a participatory action research approach, using iterative co-design, residents were asked how their environment impacted on their health, and in particular their cardiovascular health. Qualitative data were collected through participatory mapping techniques and co- analysed using a thematic analysis process. The application of the concept of therapeutic landscapes revealed the importance of the 'sense of place' and its impact on health, along with the physical, social and cultural environmental aspects traditionally considered in public health disciplines. Results were digitised using geographic information systems (GIS) to illustrate the interactions between place, people and health, through a relational lens. This research demonstrates a working example of how, drawing from the discipline of health geography, a place based approach can make an important contribution to rural health service co- planning within a co-production framework.
40
Chesnay, Catherine Thérèse. "Doing Health, Undoing Prison: A Study with Women who have Experienced Incarceration in a Provincial Prison." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34123.
Full textAbstract:
Studies on health and incarceration have extensively demonstrated that incarcerated women have poorer health statuses than non-incarcerated women and than incarcerated men, both as a result of confinement and of the intersection of abuse, poverty, homelessness and addiction that are simultaneously pathways to criminalisation and to poor health. Without denying the reality of disease, physical and mental suffering experienced by women in prison, this thesis conceptualizes the “problem of health in prison” by framing it as a vehicle of and effect of power relations. By studying neoliberal rationalities and technologies that constitute health, poststructuralist scholars have demonstrated how neoliberal subjects are enticed to continuously pursue health and to adhere to the imperative to be healthy. Demonstrating the intersection of neoliberal health governance and penal governance, criminologists have shown how prisons produce the subject of a healthy prisoner, who is a self-regulated woman, freely working towards her rehabilitation. Rather than studying programs, public policies and archives, this thesis innovates by examining the experiences and narratives of the subjects who are being governed and enticed to be “healthy.” Specifically, my research provides a contextualized analysis of how women negotiate and manage their health during incarceration and upon their release from prison.
The first article focuses on tensions between this work’s conceptual framework and its methodology, i.e. participatory action research. An emerging literature has been building bridges between poststructuralism and participatory action research, highlighting the latter’s potential for transformative action. Using examples from participatory action research projects with incarcerated or previously incarcerated women, the article discusses how “participation” and “action” can be redefined by using a poststructuralist definition of subjectivity. The second article tackles the issue of how women “do” health in prison. Using three issues—access to health care services, smoking, and the management of body weight—the article explores how participants adopted different embodied subjectivities, which conflicted or aligned with neoliberal governmentality. It describes how, through failure to conform to neoliberal ideals of “health,” mechanisms of self-surveillance and self-regulation are relayed by feelings of guilt, shame, and anxiety, even when incarcerated women attempt to conform to imperatives to be healthy. Finally, the last article focuses on how, upon prison release, participants attempted to “undo” the imprint of penal governance on their bodies and health. Through the exploration of corporal practices, such as taking care of one’s appearance, the use of psychoactive medications, and defecating, the article shows how women attempt to “undo” prison in order to pursue health. Though these two articles focus on different periods of participants’ lives and rely on different yet related concepts—embodied subjectivities and corporal practices—the common thread between the two is to show the attempts by participants to “undo” prison from their embodied selves, and to “do” health as incited by the ethical imperatives to be healthy. The thesis concludes with a discussion about the pursuit of health, and its effects on the populations deemed as “at risk” and “unhealthy.”
41
Rosales, Cecilia Ballesteros, Zapien Jill Eileen Guernsey de, Jean Chang, Maia Ingram, Maria L. Fernandez, Scott C. Carvajal, and Lisa K. Staten. "Perspectives on a US–Mexico Border Community’s Diabetes and “Health-Care” Access Mobilization Efforts and Comparative Analysis of Community Health Needs over 12 Years." FRONTIERS MEDIA SA, 2017. http://hdl.handle.net/10150/625714.
Full textAbstract:
This paper describes a community coalition-university partnership to address health needs in an underserved US-Mexico border, community. For approximately 15 years, this coalition engaged in community-based participatory research with community organizations, state/local health departments, and the state's only accredited college of public health. Notable efforts include the systematic collection of health-relevant data 12 years apart and data that spawned numerous health promotion activities. The latter includes specific evidence-based chronic disease-preventive interventions, including one that is now disseminated and replicated in Latino communities in the US and Mexico, and policy-level changes. Survey data to evaluate changes in a range of health problems and needs, with a specific focus on those related to diabetes and access to healthcare issues-identified early on in the coalition as critical health problems affecting the community-are presented. Next steps for this community and lessons learned that may be applicable to other communities are discussed.
42
Curran, Jeffrey. "BUILDING RESILIENCE AND COMMUNITY CAPACITY: THE SACHIGO LAKE WILDERNESS EMERGENCY RESPONSE EDUCATION INITIATIVE." Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2210.
Full textAbstract:
The Sachigo Lake Wilderness Emergency Response Education Initiative represented a
partnership between Sachigo Lake First Nation in northern Ontario Canada, and medical
professionals and university researchers from outside the community. This study was one
component of a larger community-based participatory research program to develop locally
relevant first response training to address the isolation from emergency healthcare in Sachigo
Lake. The aim of this qualitative study was to complete a formative evaluation to understand
how a five-day comprehensive training course implemented in May 2012: (a) met the local needs
of Sachigo Lake; and (b) fostered resilience and community capacity. The results of this study
describe the unique features of delivering first aid training in a remote context and illustrate the
intrapersonal and interpersonal impacts of the program. Health promotion through community based
first aid education is a model with potential to improve emergency care in the absence of
formal emergency medical services.
43
Lacerda, Eliana Mattos. "Water pollution and health : a case study of a participatory research journey with a 'Marisqueiras' community in northeast Brazil." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502461.
Full text
44
Kelly, Janet, and janet kelly@flinders edu au. "Moving Forward Together in Aboriginal Womens Health: A Participatory Action Research Exploring Knowledge Sharing, Working Together and Addressing Issues Collaboratively in Urban Primary Health Care Settings." Flinders University. School of Nursing & Midwifery, 2009. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20090324.084222.
Full textAbstract:
This collaborative qualitative research explored ways of improving Aboriginal womens health and well-being in an urban Adelaide primary health care setting. This involved respectful knowledge sharing, working effectively together and addressing issues related to colonisation, discrimination and exclusion. It was identified that while Aboriginal and non-Aboriginal professionals are committed to Closing the Gap in health disparities, many have questioned how best to do so within the current health system. Therefore, this research focused on filling gaps in knowledge about the spaces where Aboriginal community women, and Aboriginal and non Aboriginal health professionals can work collaboratively regardful and regardless of health system polices, programs and practices.
A strong commitment to local community preferences and national Aboriginal health research ethics enabled Aboriginal community women and Aboriginal and non-Aboriginal heath professional co-researchers to be actively and meaningfully involved with me in both the research processes and outcomes. A modified Participatory Action Research (PAR), with repeated cycles of Look and Listen, Think and Discuss and Take Action emerged as an effective model of collaborative practice, suitable for health care and research.
Four unique yet interconnected areas of collaboration developed, each highlighting particular aspects of culturally safe knowledge sharing and collaboration in health care. The first involved working with Aboriginal community women, acknowledging and addressing their most health and well-being priorities related to high levels of stress in their lives. Collaborative action involved creating a womens friendship group, seeking and accessing a range of services, and co-presenting our findings at conferences
The second Collaboration Area offers insights into the practicalities and difficulties experienced by staff as they tried to provide health services for Aboriginal women in a newly developing Aboriginal health organisation. The third Collaboration Area focused on the challenges and benefits of collaboration between sectors, in particular a local high school and the Aboriginal health service. We explored effective ways to work across sectors and engage young Aboriginal women in health programs. The ongoing impact of discrimination, exclusion and colonisation for this next generation of Aboriginal women was highlighted. The fourth Collaboration Area involved wider collaboration and road testing our collaborative methodology in a broader environment. A diverse group of co-researchers came together to plan, implement and evaluate a de-colonising national action research action learning conference embedded in Aboriginal preferred ways of knowing and doing.
Findings are discussed under the three central themes of knowledge sharing, working together and addressing health care access and colonisation and key recommendations for the future are proposed. This research has reinforced the need identified in Aboriginal health documents for policy, program and practice commitment to holistic and collaborative approaches such as comprehensive primary health care and participatory action research. While the National Apology and Close the Gap campaign have provided opportunities for change, these need to be followed by tangible action at all levels of health care.
45
Alexander, Ramine Carrice. "Using a Community-Based Participatory Research Approach to Improve Health Disparities among Youth and Adults in the Dan River Region." Diss., Virginia Tech, 2016. http://hdl.handle.net/10919/70913.
Full textAbstract:
As defined by the US Department of Health and Human Services, health disparities are "a particular type of health differences that are closely linked with social or economic disadvantages." These disadvantages include, but are not limited to, unequal access to quality health care and health information. Health disparities adversely affect groups of people based on racial or ethnic group, religion, socioeconomic status, gender, age, mental health, cognitive, sensory, or physical disability, sexual orientation, geographic location, or other characteristics historically linked to discrimination or exclusion. To address the root cause of health disparities there has been a call for more comprehensive frameworks for detecting, understanding, and designing interventions that will reduce or eliminate health disparities. One such framework is a Community-Based Participatory Research (CBPR) approach. CBPR is an orientation to research that focuses on relationships between academic and community partners, with principles of co-learning, mutual benefits, and long term commitment. CBPR also focuses on aspects of importance to the community with the aim of combining knowledge and action for social change to improve community health and eliminate health disparities.
The overall goal of this dissertation is to build capacity and address health disparities among youth and adults in the Dan River Region. This region is federally designated as a medically under-served area/population and is located in the health disparate region of south central Virginia and north central North Carolina. This research draws on two CBPR projects, including an 8-week community garden program lead by the Dan River Partnership for a Healthy Community (DRPHC) and a 3-month childhood obesity treatment program, iChoose, led by the Partnering for Obesity Planning and Sustainability (POPS) Community Advisory Board (CAB).
Since one of the primary aims for CBPR is to increase community capacity, this approach is the ideal process for engaging communities that suffer from health disparities. Thus, engaging community members as collaborators, our studies reported on the relevance and application of CBPR while simultaneously addressing health and capacity outcomes in the health disparate Dan River Region.Ph. D.
46
Rossouw, Ricardo Julian. "Exploring the mental health care challenges of older transgender people in the cape metropole: a participatory photo voice research project." University of the Western Cape, 2019. http://hdl.handle.net/11394/7618.
Full textAbstract:
Magister Artium - MAThis project was born after the researcher, a practicing social worker at a psychiatric facility, observed the presence of high rates of anxiety and depressive disorders among transgender patients. These patients were often also abandoned by their family or primary caregivers. This research was part of a larger National Research Foundation (NRF) project in the Western Cape and Gauteng, which explored LGBT older persons’ care needs. It differed from the main project in that it focused on the mental health care challenges experienced by older transgender people. The project was funded by the NRF and the researcher was allocated funding from that project to explore LGBT aging and care in the marginalised areas. LGBT discrimination has been indicated as a key factor in the onset of mental health issues later in adulthood. Older adults are generally at a higher risk of developing mental disorders. The older transgender community with mental health care needs thus often suffers multiple forms of oppression within a heteronormative society. The aim of the research was to determine the mental health care challenges experienced by older transgender people in the Cape Metropole, Western Cape. Objectives to reach this aim included exploring and describing the unique challenges faced by older transgender people, their experiences when accessing mental health care, and describing strategies of addressing their mental health care needs. The research methodology entailed a qualitative approach. Snowball sampling was applied for selecting five older transgender participants and five key informants. Photo voice, a Participatory Action Research (PAR) design, was used. Data collection consisted of in-depth interviewing, focus groups, and photo journaling. Themes were developed from the data utilising Thematic Analysis, aided by Atlas.ti software. Ethics and trustworthiness were certified through guidance by the research supervisor. This research was classified as high risk, since it involved marginalised individuals from the aged LGBT community. Anxiety in the group was anticipated and dealt with by providing further counselling where needed. The findings indicate that older transgender people experience minority stress across all racial and age cohorts. They suffer heightened anxiety when accessing healthcare services, as they anticipate transphobia and oppression. In addition, the intersectional socio-economic status of age and gender identity seems to contribute to building resilience within the participants. Lastly, substance use and social and professional support were identified as coping strategies in the face of on-going discrimination.
47
Lyon, Neyer Sara. "Community Partnerships: Amplifying Participant Voice in Research." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1613749987603731.
Full text
48
Fox, Joanna Ruth. "The relevance of recovery to carers of people who have schizophrenia." Thesis, Anglia Ruskin University, 2013. http://arro.anglia.ac.uk/312143/.
Full textAbstract:
Recovery is a new concept positing that people with schizophrenia can lead fulfilling, satisfying, and productive lives. Family carers often play a helpful but largely unacknowledged role in the support of service users with schizophrenia, and the nature of their contribution to and their role in recovery has hitherto not been investigated. This original PhD explores whether learning about the recovery approach through participation in a training intervention changes the way carers view recovery, whether they find the concept helpful, whether it modifies their behaviour, and their evaluation of the intervention. A participatory action research methodology was applied in this study, actively supported by a steering group consisting of different stakeholders. Training on the recovery approach was delivered to a group of eleven carers to explore their response to the recovery concept. The training programme was delivered by me and a carer, utilising my personal experience as a service user with the diagnosis of schizophrenia. Focus groups and individual, semi-structured follow-up interviews were applied to assess self-reported changes in attitudes and behaviours. Mainly qualitative data were collected with supplementary socio-demographic data. The analysis of the qualitative data suggests that being more ‘recovery-aware’ gives carers increased hope and optimism for their own and the service user’s future. Greater awareness of the impact of caring upon the service user’s life helps them to begin to care in such a way as to promote recovery in the service user, and gain more confidence in their own expertise-by-caring. Professionals have a key role to play in recovery, a three-cornered partnership between the carer, professionals and the service user is desirable. The carers evaluated the training programme as helpful, and particularly valued its authenticity as it was led by a service user and carer trainers. Conclusions suggest that recovery is a helpful concept for carers. It shows that learning about recovery helps them to care more effectively for the service user and for themselves. It suggests the usefulness of developing a recovery concept for carers based on reconciliation of their caring identity, their caring role and their relationships with the service user and professionals. Recovery for the service user and for the carer requires support from professionals, based on a partnership service model, a contribution to the development of recovery practice. The training programme is a useful way of conveying the hope in recovery and is strengthened by the service user perspective of recovery.
49
Rossouw, Ricardo. "Exploring the mental health care challenges of older transgender people in the Cape Metropole: A participatory photo voice research project." University of the Western Cape, 2020. http://hdl.handle.net/11394/7566.
Full textAbstract:
Magister Artium (Social Work) - MA(SW)This project was born after the researcher, a practicing social worker at a psychiatric facility, observed the presence of high rates of anxiety and depressive disorders among transgender patients. These patients were often also abandoned by their family or primary caregivers. This research was part of a larger National Research Foundation (NRF) project in the Western Cape and Gauteng, which explored LGBT older persons’ care needs. It differed from the main project in that it focused on the mental health care challenges experienced by older transgender people. The project was funded by the NRF and the researcher was allocated funding from that project to explore LGBT aging and care in the marginalised areas. LGBT discrimination has been indicated as a key factor in the onset of mental health issues later in adulthood. Older adults are generally at a higher risk of developing mental disorders. The older transgender community with mental health care needs thus often suffers multiple forms of oppression within a heteronormative society. The aim of the research was to determine the mental health care challenges experienced by older transgender people in the Cape Metropole, Western Cape. Objectives to reach this aim included exploring and describing the unique challenges faced by older transgender people, their experiences when accessing mental health care, and describing strategies of addressing their mental health care needs. The research methodology entailed a qualitative approach. Snowball sampling was applied for selecting five older transgender participants and five key informants. Photo voice, a Participatory Action Research (PAR) design, was used. Data collection consisted of in-depth interviewing, focus groups, and photo journaling. Themes were developed from the data utilising Thematic Analysis, aided by Atlas.ti software. Ethics and trustworthiness were certified through guidance by the research supervisor. This research was classified as high risk, since it involved marginalised individuals from the aged LGBT community. Anxiety in the group was anticipated and dealt with by providing further counselling where needed. The findings indicate that older transgender people experience minority stress across all racial and age cohorts. They suffer heightened anxiety when accessing healthcare services, as they anticipate transphobia and oppression. In addition, the intersectional socio-economic status of age and gender identity seems to contribute to building resilience within the participants. Lastly, substance use and social and professional support were identified as coping strategies in the face of on-going discrimination.
50
Behnam, Asl Sana. "Designing for Breast Cancer Survivors’ Empowerment:Integration of Technology for Self-management Promotion through Participatory Design." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1594226396063131.
Full text