scholarly journals A Qualitative Exploration of Fijian Perceptions of Diabetes: Identifying Opportunities for Prevention and Management

2019 ◽  
Vol 16 (7) ◽  
pp. 1100 ◽  
Author(s):  
Catherine Dearie ◽  
Shamieka Dubois ◽  
David Simmons ◽  
Freya MacMillan ◽  
Kate A. McBride
Keyword(s):  
Community Support ◽  
Lifestyle Behaviors ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based ◽  
Family Networks ◽  
Health Action ◽  
High Risk Populations ◽  
Intervention Content ◽  
Qualitative Exploration

Rates of diabetes are high in many communities of Pacific Island peoples, including people from Fiji. This qualitative study explores knowledge and attitudes towards diabetes among i-Taukei Fijians to facilitate the cultural tailoring of diabetes prevention and management programs for this community. Fijians aged 26 to 71 years (n = 15), residing in Australia, participated in semi-structured interviews; 53% (n = 8) were male. Interviews were audio-recorded, transcribed verbatim, then thematically analyzed. Diabetes is recognized as an important and increasing health problem requiring action in the i-Taukei Fijian community. Widespread support for culturally appropriate lifestyle interventions utilizing existing societal structures, like family networks and church groups, was apparent. These structures were also seen as a crucial motivator for health action. Intervention content suggestions included diabetes risk awareness and education, as well as skills development to improve lifestyle behaviors. Leveraging existing social structures and both faith and family experiences of diabetes within the Fijian community may help convert increased awareness and understanding into lifestyle change. Ongoing in-community support to prevent and manage diabetes was also regarded as important. We recommend building upon experience from prior community-based interventions in other high-risk populations, alongside our findings, to assist in developing tailored diabetes programs for Fijians.

scholarly journals Homeless on Main Street: Using Photovoice to Highlight Older Adults Among the Hidden Homeless

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 728-728
Author(s):  
H Shellae Versey
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Meaning Making ◽  
Small Towns ◽  
Photo Elicitation ◽  
Service Agency ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based ◽  
Formerly Homeless

Abstract Homelessness is a reality for a growing number of Americans living in small towns and rural areas. However, unlike in cities, housing instability may be less visible. Using a photo-elicitation method (i.e., Photovoice), this study explores the meaning of place and obscured visibility to currently and formerly homeless older adults living in a small town in central Connecticut. Participants (N = 27) were recruited from a local service agency, given cameras and asked to photograph areas around town that were meaningful to them. Photographs were developed and followed by in-person, semi-structured interviews with participants in which photos and experiences during the project were discussed. Primary themes included belonging, generativity, social isolation, and place-making as meaning-making. The study culminated in a community photography exhibition in which photographs from the project were displayed in public spaces around town. Implications for community-based interventions to reach homeless groups in rural areas are discussed. Part of a symposium sponsored by the Qualitative Research Interest Group.

scholarly journals Promoting Social Change: The Experience of Health Action Zones in England

2005 ◽  
Vol 34 (3) ◽  
pp. 427-445 ◽  
Author(s):  
LINDA BAULD ◽  
KEN JUDGE ◽  
MARIAN BARNES ◽  
MICHAELA BENZEVAL ◽  
MHAIRI MACKENZIE ◽  
...  
Keyword(s):  
Social Programs ◽  
Organisational Structure ◽  
Community Based Interventions ◽  
Community Based ◽  
Great Expectations ◽  
Policy Makers ◽  
Limited Impact ◽  
Health Action ◽  
The Uk

When New Labour came to power in the UK in 1997 it brought with it a strong commitment to reducing inequality and social exclusion. One strand of its strategy involved a focus on area-based initiatives to reduce the effects of persistent disadvantage. Health Action Zones (HAZs) were the first example of this type of intervention, and their focus on community-based initiatives to tackle the wider social determinants of health inequalities excited great interest both nationally and internationally. This article draws on findings from the national evaluation of the initiative. It provides an overview of the HAZ experience, and explores why many of the great expectations associated with HAZs at their launch failed to materialise. It suggests that, despite their relatively limited impact, it is best to consider that they made a good start in difficult circumstances rather than that they failed. As a result there are some important lessons to be learned about the role of complex community-based interventions in tackling seemingly intractable social problems for policy-makers, practitioners and evaluators. Social programs are complex undertakings. They are an amalgam of dreams and personalities, rooms and theories, paper clips and organisational structure, clients and activities, budgets and photocopies, and great intentions. (Weiss, 1998: 48)

scholarly journals Barriers and Facilitators for the Implementation and Evaluation of Community-Based Interventions to Promote Physical Activity and Healthy Diet: A Mixed Methods Study in Argentina

2019 ◽  
Vol 16 (2) ◽  
pp. 213 ◽  
Author(s):  
Maria Belizan ◽  
R. Chaparro ◽  
Marilina Santero ◽  
Natalia Elorriaga ◽  
Nadja Kartschmit ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Local Community ◽  
Project Evaluation ◽  
Political Support ◽  
Healthy Diet ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based

Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.

scholarly journals Halfway to Sustainability: management lessons from community-based, marine no-take zones in the Mexican Caribbean

2018 ◽  
Author(s):  
Austin Ayer ◽  
Stuart Fulton ◽  
Jacobo Alejandro Caamal-Madrigal ◽  
Alejandro Espinoza-Tenorio
Keyword(s):  
Marine Protected Areas ◽  
Key Management ◽  
Management Strategy ◽  
Community Support ◽  
Structured Interviews ◽  
Community Based ◽  
Management Framework ◽  
Management Regime ◽  
Mexican Caribbean ◽  
Successes And Challenges

Spatial closure regimes such as marine protected areas (MPAs) have emerged as a prominent tool in the effort to balance ecosystem health and fishery productivity. As MPAs have proliferated, the conservation community has begun to supplement traditional biological metrics with social and community considerations in the way it seeks to manage and evaluate such tools. To assess management outcomes and opportunities for a network of community-based, marine no-take zones (NTZs) in the Mexican Caribbean, semi-structured interviews were carried out with fishers and key management stakeholders. Findings indicate that the community-based management strategy has inherent tradeoffs between community engagement and conservation potential. Managers have succeeded in fostering high levels of community support for the initiative, but significant challenges remain, most notably the high presence of illegal fishing within NTZs. Successes and challenges of the community-based management strategy are documented and evaluated within a fisheries resource management framework. As the NTZ network undergoes legal renovation following the completion of its initial five-year term, this work serves as an important resource for both reflection on, and adaptation of, the community-based NTZ management regime.

scholarly journals A qualitative study: Barriers and support for participation for children with disabilities

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Anne Marie Witchger Hansen ◽  
Musonde Siame ◽  
Judith Van der Veen
Keyword(s):  
Social Participation ◽  
Children With Disabilities ◽  
Community Support ◽  
Structured Interviews ◽  
Community Based ◽  
Policy Makers ◽  
Barriers To Participation ◽  
Community Based Rehabilitation ◽  
Advocacy Strategies ◽  
Financial Burdens

Background: This qualitative–exploratory study examined the barriers to participation amongst children with disabilities in Lusaka, Zambia, from the mothers’ perspective.Objectives: The objectives of this study were to understand how mothers of children with physical and cognitive disabilities who engaged their children in community-based rehabilitation (CBR) services in Lusaka, Zambia, perceived and described (1) the level of support they received and the barriers they encountered in terms of their child’s meaningful social participation; (2) the use and awareness of these barriers to identify and pursue advocacy strategies; and (3) hopes for their child’s future.Methods: Data were collected through semi-structured interviews with each mother in her home.Results: Findings revealed both support and barriers to the child’s social participation in relationship to their family, friends and community. Support also came from the CBR programme and mothers’ personal resourcefulness. Mothers identified their child’s school,their immediate environment and financial burdens as barriers to participation as well as their own personal insecurities and fears. Strategies to overcome barriers included internal and external actions. The mothers involved in the study hope their child’s abilities will improve with continued CBR services. Some mothers described a bleak future for their child due to alack of acceptance and access to education.Conclusion: The findings of this study suggest the significant role the mother of a child with a disability plays in her child’s social participation. Recommendations include enhancing CBR programming for families, especially for mothers, and advocating on behalf of children with disabilities and their families to attract the attention of policy makers.

scholarly journals 436 - Scaling up a community-based intervention for people affected by dementia: what is the value?

2021 ◽  
Vol 33 (S1) ◽  
pp. 53-54
Author(s):  
Nathan Stephens
Keyword(s):  
Scale Up ◽  
Community Support ◽  
County Council ◽  
Community Based Interventions ◽  
Community Based ◽  
Developmental Approach ◽  
Support Programme ◽  
Practical Support ◽  
Health And Social Care ◽  
The Uk

The Meeting Centres Support Programme [MCSP] provides community-based social, emotional and practical support for people affected by dementia to adjust to the changes dementia brings. Since development in the Netherlands the MCSP has been successfully adapted and implemented in the UK led by the Association for Dementia Studies, University of Worcester. In January (2020), Worcestershire County Council announced £540,000 to scale up the provision of MCSPs across the county: Worcestershire Meeting Centres Community Support Programme [WMCCSP].The novel county-wide approach will build real capacity, increasing the amount of people accessing post-diagnostic support, integrating services, reducing inequalities, and improving health and wellbeing; fundamental to the COVD-19 recovery plan (Department of Health and Social Care, 2020). This raises questions about the type of ‘value’ interventions such as the WCCMCSP should seek to achieve, including how it is captured and measured (Redding, 2016). This becomes more relevant when recognising only a portion of outcomes will be related to health, but much of it is likely to support individual and community wellbeing and development. In this context, understanding and measuring the ‘value’ is timely.A Concept Analysis (Rogers, 2000) of value in the context of community-based interventions for people affected by dementia informed a robust and systematic definition to assess the value created and/or destroyed by the WMCCSP. The research will develop definitions of value in this area from the perspective of key stakeholders including people affected by dementia.Social Return on Investment principles will be employed to understand outcomes created and/or destroyed by the WMCCSP for stakeholders and measure them within an endogenous framework that encapsulates what is, per say, valuable. Progress on the process, challenges, and breakthroughs of this innovative and developmental approach will be presented at the conference.

scholarly journals Qigong Mind-Body Program for Caregivers of Cancer Patients: Design of a Pilot Three-Arm Randomized Clinical Trial

2020 ◽  
Author(s):  
Pinky Budhrani-Shani ◽  
Kristin Raeesi ◽  
Eli Walter ◽  
Kai Lewis ◽  
Wanyi Wang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Large Scale ◽  
Controlled Trial ◽  
Control Group ◽  
Community Based Interventions ◽  
Community Based ◽  
Online Delivery ◽  
Psychosocial Wellbeing ◽  
Intervention Content ◽  
Cancer Caregivers

Abstract Background: Informal caregivers, often family and friends, experience significant psychological and physical distress leading to reductions in health and quality of life (QOL). Mind-body interventions focused on caregivers are often limited and do not address multiple barriers, including caregivers’ economic, geographic, and time constraints. Translation of in-person, community-based interventions to internet-based delivery may offer greater accessibility for caregivers, leading to increased adherence.Methods: Caring for Caregivers with Mind-Body Exercise implements a three-arm, pilot, randomized controlled trial to evaluate the feasibility of delivering a Qigong intervention (Eight Brocades) to cancer caregivers. A total of 54 cancer caregivers will be randomized into one of three 12-week programs: (1) community-based Qigong; (2) internet-based Qigong; or (3) a self-care control group. Study specific aims include 1) Modify intervention content for online delivery; 2) Evaluate the feasibility of recruiting and retaining cancer caregivers into a 12-week clinical trial; and 3) Evaluate the feasibility of collecting and managing data, and the suitability of questionnaires for this population. Several outcomes will be assessed, including caregiver QOL, caregiver burden, caregiver distress, perceived social support, physical function, and cognitive function. A 6-month follow-up will also assess longer-term changes in QOL and psychosocial wellbeing.Discussion: Findings will be used to inform the design and conduct of a large-scale comparative effectiveness trial evaluating caregivers who received Qigong training delivered through community-based vs internet-based programs. A finding that either or both programs are effective would inform care and options for caregivers.Trial registration: NCT04019301; registered on July 15, 2019; clinicaltrials.gov.

scholarly journals Beyond weight loss: A qualitative exploration of participant expectations and strategies for measuring progress during a weight management program

2018 ◽  
Vol 6 ◽  
pp. 205031211880761 ◽  
Author(s):  
John Spencer Ingels ◽  
Adam Hansell ◽  
Sam Zizzi
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Structured Interviews ◽  
Community Based ◽  
Expected Benefits ◽  
Additional Support ◽  
Qualitative Exploration ◽  
Overweight Or Obesity

Objectives: Previous research with participants in weight management has primarily focused on participant weight-loss expectations. The purpose of this study was to explore participant expectations and strategies for measuring progress during a community-based weight management program. Methods: Semi-structured interviews were completed with 22 participants with overweight or obesity, who were currently enrolled in a 2-year weight management program in order to understand their expectations and strategies for measuring their progress. Results: Aside from weight loss, participants’ expectations included improved health, fitness, and mood, gaining support, and developing new habits. Participants discussed measuring their success by focusing on weight loss and changes to their body, improved health, mood, and fitness, creation of new habits, and gaining additional support. Conclusion: The results of this study suggest that participant’s in a weight management program expected benefits beyond just weight loss.

scholarly journals Qigong mind-body program for caregivers of cancer patients: Design of a pilot three-arm randomized clinical trial

2020 ◽  
Author(s):  
Pinky Shani ◽  
Kristin Raeesi ◽  
Eli Walter ◽  
Kai Lewis ◽  
Wanyi Wang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Large Scale ◽  
Controlled Trial ◽  
Control Group ◽  
Community Based Interventions ◽  
Community Based ◽  
Online Delivery ◽  
Psychosocial Wellbeing ◽  
Intervention Content ◽  
Cancer Caregivers

Abstract Background: Informal caregivers, often family and friends, experience significant psychological and physical distress leading to reductions in health and quality of life (QOL). Mind-body interventions focused on caregivers are often limited and do not address multiple barriers, including caregivers’ economic, geographic, and time constraints. Translation of in-person, community-based interventions to internet-based delivery may offer greater accessibility for caregivers, leading to increased adherence. Methods: Caring for Caregivers with Mind-Body Exercise implements a three-arm, pilot, randomized controlled trial to evaluate the feasibility of delivering a Qigong intervention (Eight Brocades) to cancer caregivers. A total of 54 cancer caregivers will be randomized into one of three 12-week programs: (1) community-based Qigong; (2) internet-based Qigong; or (3) a self-care control group. Study specific aims include 1) Modify intervention content for online delivery; 2) Evaluate the feasibility of recruiting and retaining cancer caregivers into a 12-week clinical trial; and 3) Evaluate the feasibility of collecting and managing data, and the suitability of questionnaires for this population. Several outcomes will be assessed, including caregiver QOL, caregiver burden, caregiver distress, perceived social support, physical function, and cognitive function. A 6-month follow-up will also assess longer-term changes in QOL and psychosocial wellbeing.Discussion: Findings will be used to inform the design and conduct of a large-scale comparative effectiveness trial evaluating caregivers who received Qigong training delivered through community-based vs internet-based programs. A finding that either or both programs are effective would inform care and options for caregivers.Trial registration: NCT04019301; registered on July 15, 2019; clinicaltrials.gov.

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