11,151 results on '"*COMMUNITY-based programs"'
Search Results
2. Review of Aboriginal-led community-based programs addressing family violence in the Northern Territory
- Author
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Vukovic, Jovana
- Published
- 2023
3. The implementation of community-based programs in Vietnam is promising in promoting health
- Author
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Zinzi E. Pardoel, Sijmen A. Reijneveld, Robert Lensink, Maarten Postma, Tran B. Thuy, Nga C. Viet, Lien N. T. Phuong, Jaap A. R. Koot, and Jeanet J. A. Landsman
- Subjects
community-based programs ,community-based health promotion ,ageing ,health promoting activities ,positive health ,older people associations ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundLow-and middle-income countries mostly have ageing populations with many unmet economic, social, or health-related needs, Vietnam being an example. Community-based support in Vietnam, organized as Intergenerational Self-Help Clubs (ISHCs) based on the Older People Associations (OPA) model, can help to meet these needs by the provision of services for various aspects of life. This study aims to assess the implementation of the ISHCs and whether successful implementation is associated with more member-reported positive health.MethodsWe used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the implementation using multiple data sources: ISHC board surveys (n = 97), ISHC member surveys (n = 5,080 in 2019 and n = 5,555 in 2020), focus group discussions (6; n = 44), and interviews with members and board leaders (n = 4).ResultsReach ranged between 46 and 83% of ISHCs reaching target groups, with a majority of women and older people participating. Regarding Effectiveness, members indicated high satisfaction with the ISHCs. Adoption scores were high, with 74%–99% for healthcare and community support activities, and in 2019, higher adoption scores were associated with more members reporting good positive health. In 2020, reported positive health slightly decreased, probably due to the influence of the COVID-19 pandemic. A total of 61 ISHCs had consistent or improving Implementation from 2019 to 2020, and confidence in Maintenance was high.ConclusionThe implementation of the OPA model in Vietnam is promising regarding its promotion of health and may help to tackle the needs of an ageing population. This study further shows that the RE-AIM framework helps to assess community health promotion approaches.
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- 2023
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- View/download PDF
4. Community-based programs for youth with mental health conditions: a scoping review and practical implications
- Author
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Hila Tuaf and Hod Orkibi
- Subjects
adolescents ,youth ,mental health ,recovery ,community ,leisure activities ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundApproximately 14% of all adolescents globally cope with mental health conditions. However, community-based psychosocial services for adolescents with mental health conditions are scarce and under-researched. Scant scholarly attention has been paid to leisure and/or social activities in community-based rehabilitation services for adolescents with mental health conditions.ObjectivesTo begin to fill this gap, we chose a bottom-up framework to probe the following questions: Which community-based programs for adolescents with mental health conditions exist worldwide? What common characteristics do they present? What is their range of services?MethodWe systematically searched three leading academic databases, reference lists, and worldwide websites in English.Eligibility criteriaPrograms with information in English that provide services in a community setting, service content that includes leisure and/or social activities, cater to users aged 10–18, and content explicitly targets adolescents with mental health conditions.ResultsTwenty-seven psychosocial programs that provide leisure and/or social activities and encourage the promotion of adolescent mental health in the community were identified. We mapped and categorized the programs into three groups: integrated recovery, leisure recovery, and advocacy recovery.ConclusionPractical implications for implementation are suggested based on the findings. Specifically, service providers should attend to the psychological needs of adolescents by prioritizing peer interaction and offering suitable social and leisure activities. These activities can also boost adolescent participation in community-based rehabilitation programs and address the treatment gap. Comprehensive studies and uniform terminology in the field are needed.
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- 2023
- Full Text
- View/download PDF
5. Implementation of back to living well, a community-based program for the tertiary prevention of low back pain: a study protocol.
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Macedo, Luciana, Di Pelino, Stephanie, Santos, Veronica Souza, Richardson, Julie, MacDermid, Joy, Hancock, Mark, Battie, Michele C., Saragiotto, Bruno T., Hayden, Jill A., Rushton, Alison, Packham, Tara, Freman, Matt, Bray, Steven, Griffin, Meridith, Hladysh, Genevieve, Miller, Pat, and Attwell, Suzan
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LUMBAR pain , *COMMUNITY-based programs , *INSTITUTIONAL review boards , *RESEARCH protocols , *PATIENT preferences , *PAIN - Abstract
Background: The current literature supports the effectiveness of exercise, education, and self-management interventions for the long-term management of persistent low back pain. However, there is significant uncertainty about the implementation of interventions related to barriers, facilitators, and patient's preferences. This study will evaluate the Back to Living Well program implementation from a participant and organizational perspective. More specifically we address the following objectives: 1) identify program barriers and facilitators from participants' perspectives, 2) identify factors related to program, personal and contextual factors that contribute to negative and positive outcomes, and outcome trajectories, 3) identify factors influencing participants' selection of an in-person or e-health program, and 4) evaluate program specific barriers and facilitators from the organization and care delivery perspectives. Methods: This study will utilize a mixed-method convergent design including a longitudinal cohort strand and a longitudinal qualitative interview strand. The RE-AIM framework will be used to assess program implementation. Participants (n = 90, 1:1: in person or virtual) who choose to register in the program as well as staff (n = 10 to 15) involved in the delivery of the program will be invited to participate. Participants will participate in a 12-week physical activity, education, and self-management program. Implementation outcomes will be measured at 3-, 6-, 12-months, and six months after the end of the follow-ups. Interview scripts and directed content analysis will be constructed based on the Theoretical Domains Framework and the Neuromatrix Model of Pain, Theoretical Domains Framework. Staff interviews will be constructed and analyzed using the Consolidated Framework for Implementation Research. Participants will also complete pain, disability, quality of life and psychological questionnaires, wear an activity tracker at all time points, and complete weekly pain and activity limitation questions using a mobile application. Discussion: The study results will provide evidence to inform potential future implementation of the program. An effective, appropriately targeted, and well implemented exercise program for the long-term management (i.e., tertiary prevention) of LBP could minimize the burden of the condition on patients, the health care system and society. Trial registration: ClinicalTrials.gov NCT05929846. This (Registration Date: July 3 2023) study has been approved by the Hamilton Integrated Research Ethics Board Project ID#15,354. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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6. Lessons Learned from Engaging Latino Families in Community-Based Programs.
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PERALTA, ALEJANDRO REYES, CHOQUE, GHAFFAR ALI HURTADO, REICKS, MARLA, DE DAVILA, SILVIA ALVAREZ, and SOLTANI, DARYA
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HISPANIC American youth ,COMMUNITY-based programs ,FATHERS ,HISPANIC Americans ,FAMILIES ,TEACHING methods - Abstract
A family-skills program for Latino fathers and youth was implemented to prevent youth obesity. Lessons learned focused on practices to address barriers to engagement and retention among fathers and youth within the Latino community. Program development issues included selection of organizations, facilitators, language, and delivery methods. Implementation issues included timing and location. Cultural issues regarding learner needs, and teaching and implementation methods need to be considered. Using the lessons learned, Extension professionals can create impactful programs that engage and retain Latino fathers and youth. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Exercise Made Accessible: the Merits of Community-Based Programs for Persons with Parkinson's Disease.
- Abstract
Contains fulltext : 299973.pdf (Publisher’s version ) (Open Access), PURPOSE OF REVIEW: Many studies have identified positive effects of physiotherapy and exercise for persons with Parkinson's disease (PD). Most work has thus far focused on the therapeutic modality of exercise as used within physiotherapy programs. Stimulated by these positive findings, there is now a strong move to take exercise out of the clinical setting and to deliver the interventions in the community. Although the goals and effects of many such community-based exercise programs overlap with those of physiotherapy, it has also become more clear that both exercise modalities also differ in various ways. Here, we aim to comprehensively review the evidence for community-based exercise in PD. RECENT FINDINGS: Many different types of community-based exercise for people with PD are emerging and they are increasingly being studied. There is a great heterogeneity considering the types of exercise, study designs, and outcome measures used in research on this subject. While this review is positive regarding the feasibility and potential effects of community-based exercise, it is also evident that the general quality of these studies needs improvement. By focusing on community-based exercise, we hope to generate more knowledge on the effects of a wide range of different exercise modalities that can be beneficial for people with PD. This knowledge may help people with PD to select the type and setting of exercise activity that matches best with their personal abilities and preferences. As such, these insights will contribute to an improved self-management of PD., 01 november 2023
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- 2023
8. Engagement with life and psychological well-being in late adulthood: Findings from community-based programs in Portugal.
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Bastos, Alice, Monteiro, Joana, Barbosa, Raquel, Pimentel, Helena, Silva, Sofia, and Faria, Carla
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OLDER people , *PSYCHOLOGICAL well-being , *COMMUNITY-based programs , *INCOME , *SOCIAL networks , *FRAIL elderly , *COMMUNITIES - Abstract
Objectives: Human aging is a multidirectional, multidimensional, and multicausal process that reflects biological, psychological, and sociocultural influences, which act in distinct combinations throughout the life-span. Proactivity towards avoiding the usual aging process is needed. This study analyses the long-term effects of participation in Community-Based Programs on psychological well-being. Method: A sample of 150 community-dwelling participants enrolled in Community-Based Programs, aged 55 to 84 years and living in three Portuguese localities were matched by age (55–64, 65–74, 75–84 years), gender, and locality with a comparison group of non-participants. We administered a multidimensional gerontological protocol which included socio-demographic information, measures of health/disease, functional ability, social network, cognitive performance and psychological well-being. Hierarchical regression models were used to test the effects of Community-Based Programs on psychological well-being adjusting for remaining variables. Results: Overall, psychological well-being is positively associated with household income and satisfaction with health. Nevertheless, in participants, psychological well-being builds predominantly upon social network and is not associated with a moderate inability or cognitive deficits, contrasting with psychological well-being in non-participants. After adjusting for background variables, psychological well-being was positively associated with health satisfaction and social network and negatively related to moderate inability. Further, a significant interaction of participation in Community-Based Programs with age, points out higher levels of psychological well-being in participants contrasting with a downward trend in non-participants. After stratification by age, psychological well-being increases with time attending Community-Based Programs in the oldest (75–84 years) contrasting with the remainder. Conclusions: Participation in Community-Based Programs may improve the negative effects of the aging process on psychological well-being. This positive effect as age increases may be linked to a reinforcement of social network, valued more by participants in Community-Based Programs. Furthermore, the programs may act as a healing/maintenance strategy in persons with moderate inability and/or cognitive deficits. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
9. Utilizing a patient advocacy-led clinical network to engage diverse, community-based sites in implementation-effectiveness research.
- Author
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Ciupek, Andrew, Chichester, Lou-Anne, Acharya, Rashmi, Schofield, Elizabeth, Criswell, Angela, Shelley, Donna, King, Jennifer C., and Ostroff, Jamie S.
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PATIENT advocacy , *COMMUNITY-based programs , *EARLY detection of cancer , *SMOKING cessation , *MEDICAL screening - Abstract
Background: Increased engagement with community-based practices is a promising strategy for increasing clinical trials access of diverse patient populations. In this study we assessed the ability to utilize a patient-advocacy organization led clinical network to engage diverse practices as field sites for clinical research. Methods: GO2 for Lung Cancer led recruitment efforts of 17 field sites from their Centers of Excellence in Lung Cancer Screening Network for participation in an implementation-effectiveness trial focused on smoking cessation integration into screening programs for lung cancer. Sites were engaged by one of three methods: 1) Pre-Grant submission of letters of support, 2) a non-targeted study information dissemination campaign to network members, and 3) proactive, targeted outreach to specific centers informed by previously submitted network member data. Detailed self-reported information on barriers to participation was collected from centers that declined to join the study. Results: Of 17 total field sites, 16 were recruited via the targeted outreach campaign and 1 via pre-grant letter of support submission. The sites covered 13 states and 4 United States geographic regions, were varied in annual screening volumes and years of screening program experience and were predominantly community-based practices (10 of 17 sites). The most reported reason (by 33% of sites) for declining to participate as a field site was inadequate staffing bandwidth for trial activities. This was especially true in community-based programs among which it was reported by 45% as a reason for declining. Conclusions: Our results suggest that this model of field site recruitment leveraging an existing partnership between an academic research team and an informal clinical network maintained by a disease-specific patient advocacy organization can result in engagement of diverse, community-based field sites. Additionally, reported barriers to participation by sites indicate that solutions centered around providing additional resources to enable greater capacity for site staff may increase community-practice participation in research. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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10. Engagement with life and psychological well-being in late adulthood: Findings from community-based programs in Portugal.
- Author
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Alice Bastos, Joana Monteiro, Raquel Barbosa, Helena Pimentel, Sofia Silva, and Carla Faria
- Subjects
Medicine ,Science - Abstract
ObjectivesHuman aging is a multidirectional, multidimensional, and multicausal process that reflects biological, psychological, and sociocultural influences, which act in distinct combinations throughout the life-span. Proactivity towards avoiding the usual aging process is needed. This study analyses the long-term effects of participation in Community-Based Programs on psychological well-being.MethodA sample of 150 community-dwelling participants enrolled in Community-Based Programs, aged 55 to 84 years and living in three Portuguese localities were matched by age (55-64, 65-74, 75-84 years), gender, and locality with a comparison group of non-participants. We administered a multidimensional gerontological protocol which included socio-demographic information, measures of health/disease, functional ability, social network, cognitive performance and psychological well-being. Hierarchical regression models were used to test the effects of Community-Based Programs on psychological well-being adjusting for remaining variables.ResultsOverall, psychological well-being is positively associated with household income and satisfaction with health. Nevertheless, in participants, psychological well-being builds predominantly upon social network and is not associated with a moderate inability or cognitive deficits, contrasting with psychological well-being in non-participants. After adjusting for background variables, psychological well-being was positively associated with health satisfaction and social network and negatively related to moderate inability. Further, a significant interaction of participation in Community-Based Programs with age, points out higher levels of psychological well-being in participants contrasting with a downward trend in non-participants. After stratification by age, psychological well-being increases with time attending Community-Based Programs in the oldest (75-84 years) contrasting with the remainder.ConclusionsParticipation in Community-Based Programs may improve the negative effects of the aging process on psychological well-being. This positive effect as age increases may be linked to a reinforcement of social network, valued more by participants in Community-Based Programs. Furthermore, the programs may act as a healing/maintenance strategy in persons with moderate inability and/or cognitive deficits.
- Published
- 2023
- Full Text
- View/download PDF
11. Adequate funding of comprehensive community‐based programs for key populations needed now more than ever to reach and sustain HIV targets.
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DiCarlo, Meghan C., Dallabetta, Gina A., Akolo, Chris, Bautista‐Arredondo, Sergio, Digolo, H. Victor, Fonner, Virginia A., Kumwenda, Grace Jill, Mbulaje, Patrick, Mwangi, Peninah W., Persuad, Navindra E., Sikwese, Simon, Wheeler, Tisha A., Wolf, R. Cameron, and Mahler, Hally R.
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COMMUNITY-based programs , *HIV , *NEEDLE exchange programs , *HIV infections , *PRE-exposure prophylaxis , *MEN who have sex with men - Abstract
Introduction: Globally, over half of the estimated new HIV infections now occur among key populations, including men who have sex with men, sex workers, people who inject drugs, transgender individuals, and people in prisons and other closed settings, and their sexual partners. Reaching epidemic control will, for many countries, increasingly require intensified programming and targeted resource allocation to meet the needs of key populations and their sexual partners. However, insufficient funding, both in terms of overall amounts and the way the funding is spent, contributes to the systematic marginalization of key populations from needed HIV services. Discussion: The Joint United Nations Programme on HIV/AIDS (UNAIDS) has recently highlighted the urgent need to take action to end inequalities, including those faced by key populations, which have only been exacerbated by the COVID‐19 pandemic. To address these inequalities and improve health outcomes, key population programs must expand the use of a trusted access platform, scale up differentiated service delivery models tailored to the needs of key populations, rollout structural interventions and ensure service integration. These critical program elements are often considered "extras," not necessities, and consequently costing studies of key population programs systematically underestimate the total and unitary costs of services for key populations. Findings from a recent costing study from the LINKAGES project suggest that adequate funding for these four program elements can yield benefits in program performance. Despite this and other evidence, the lack of data on the true costs of these elements and the costs of failing to provide them prevents sufficient investment in these critical elements. Conclusions: As nations strive to reach the 2030 UNAIDS goals, donors, governments and implementers should reconsider the true, but often hidden costs in future healthcare dollars and in lives if they fail to invest in the community‐based and community‐driven key population programs that address structural inequities. Supporting these efforts contributes to closing the remaining gaps in the 95‐95‐95 goals. The financial and opportunity cost of perpetuating inequities and missing those who must be reached in the last mile of HIV epidemic control must be considered. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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12. Sustaining Community-Based Programs for Families: Conceptualization and Measurement
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Mancini, Jay A. and Marek, Lydia I.
- Published
- 2004
13. EMBEDDING EVIDENCE-BASED CAREGIVER SUPPORT IN COMMUNITY-BASED PROGRAMS: THE ADS PLUS PROGRAM
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Gitlin, Laura, primary, Gaugler, Joseph, additional, and Hepburn, Kenneth, additional
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- 2023
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14. LEARNING FROM THE IMPLEMENTATION OF INTEGRATED COMMUNITY-BASED PROGRAMS FOR OLDER ADULTS WITH HIGHER NEEDS
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Symes, Bobbi, primary and Lalji, Kahir, additional
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- 2023
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15. Using Network Analysis to Understand Community-Based Programs: A Case Study from Highland Madagascar
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Stoebenau, Kirsten and Valente, Thomas W.
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- 2003
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16. Community-based programs for youth with mental health conditions: a scoping review and practical implications.
- Author
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Tuaf H and Orkibi H
- Subjects
- Humans, Adolescent, Peer Group, Adolescent Health, Social Behavior, Mental Health, Mental Disorders therapy
- Abstract
Background: Approximately 14% of all adolescents globally cope with mental health conditions. However, community-based psychosocial services for adolescents with mental health conditions are scarce and under-researched. Scant scholarly attention has been paid to leisure and/or social activities in community-based rehabilitation services for adolescents with mental health conditions., Objectives: To begin to fill this gap, we chose a bottom-up framework to probe the following questions: Which community-based programs for adolescents with mental health conditions exist worldwide? What common characteristics do they present? What is their range of services?, Method: We systematically searched three leading academic databases, reference lists, and worldwide websites in English., Eligibility Criteria: Programs with information in English that provide services in a community setting, service content that includes leisure and/or social activities, cater to users aged 10-18, and content explicitly targets adolescents with mental health conditions., Results: Twenty-seven psychosocial programs that provide leisure and/or social activities and encourage the promotion of adolescent mental health in the community were identified. We mapped and categorized the programs into three groups: integrated recovery, leisure recovery, and advocacy recovery., Conclusion: Practical implications for implementation are suggested based on the findings. Specifically, service providers should attend to the psychological needs of adolescents by prioritizing peer interaction and offering suitable social and leisure activities. These activities can also boost adolescent participation in community-based rehabilitation programs and address the treatment gap. Comprehensive studies and uniform terminology in the field are needed., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Tuaf and Orkibi.)
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- 2023
- Full Text
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17. Factors associated with ART interruption during the COVID-19 crisis in Burundi (the EPIC community-based research program).
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Niyongabo, Annabelle, Villes, Virginie, Diagne, Rokhaya, Castro Avila, Juliana, Mutima, Jean-Michel, Gakima, Dévote, Nimbona, Pélagie, Niyoncuti, Evangéline, Rwamuco, Elvis, Manirakiza, Martin, Riegel, Lucas, Lorente, Nicolas, Delabre, Rosemary M., and Rojas Castro, Daniela
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- *
COVID-19 pandemic , *COMMUNITY-based programs , *COMMUNITY-based participatory research , *MEDICAL disclosure , *COVID-19 - Abstract
With a national prevalence of 0.9%, Burundi is close to achieving UNAIDS' 2025 targets. Despite this, different types of crises periodically disrupt its HIV health services. The community-based program EPIC measured the impact of the COVID-19 health crisis on people living with HIV (PLHIV) in Burundi in 2021. Specifically, it assessed ART interruption and associated factors since the beginning of the pandemic. The study questionnaire was administered to PLHIV in three cities between October and November 2021. Participants were recruited using convenience sampling. Logistic regression models helped identify factors associated with ART interruption. Of the 317 respondents, 37 (11.7%) reported interruption. The majority (79.2%) self-identified as belonging to key populations. Interruption was significantly associated with: fewer HIV medical follow-up visits (adjusted Odds Ratio, aOR = 7.80, p = 0.001) and forced HIV status disclosure (aOR = 4.10, p = 0.004). It was inversely associated with multi-month ART dispensing (aOR = 0.36, p = 0.017) since the beginning of the pandemic and the perception of not having been sufficiently informed by the HIV medical team about the risk of COVID-19 infection (aOR = 0.11, p < 0.001). Our results highlight the importance of multi-month ART dispensing, enhanced communication, and voluntary disclosure of one's HIV status in preventing ART interruption in times of crises in Burundi. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
18. Food programs in Indigenous communities within northern Canada: A scoping review.
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Ramirez Prieto, Maria, Sallans, Alissa, Ostertag, Sonja, Wesche, Sonia, Kenny, Tiff‐Annie, and Skinner, Kelly
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COMMUNITY-based programs , *FOOD sovereignty , *GOVERNMENT policy , *GREY literature , *GEOGRAPHIC boundaries , *FOOD deserts - Abstract
Recognizing that limited literature exists regarding food programs in northern Indigenous communities within Canada, this study draws on a range of sources to map and characterize existing food programs in these contexts. A secondary aim assessed the extent to which traditional food was offered through the identified programs, which has implications for cultural appropriateness and, in turn, food sovereignty. Peer‐reviewed articles and grey literature published between 2000 and 2022 were examined. Frameworks to guide methodologies include PRISMA‐ScR, Arksey and O'Malley, Levac et al., and Godin et al.'s grey literature search strategy. Inclusion criteria were food programs located north of the Northern Boundary Line, programs providing food access, and programs serving Indigenous communities. Data were synthesized based on program type, target population, and whether the program offered or incorporated traditional food. The review yielded 30 records wherein 46 unique food programs were identified and characterized into eight distinct program types. Program success of the identified programs depended on funding availability and continuity, staff/volunteer availability and retention (including program champions), and types of policies that impact traditional food provision. Findings are valuable to organizations and communities interested in using food programs to support Indigenous food security and sovereignty efforts. Key messages: The results identified eight distinct types of food programs: 1) community‐wide; 2) gardens/greenhouses; 3) school‐based; 4) harvesting/sharing; 5) community freezers; 6) daycare‐based; 7) maternal/family nutrition; and 8) hospital.The ability of programs that serve diverse populations across large regions to respond to community and Indigenous‐specific needs is questionable; therefore, community‐based programming should be prioritized.Current challenges that limit the ability of food programs to meet community needs include tedious grant applications, limited resources, and navigating multi‐level government policies for serving traditional food. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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19. Self-reported factors associated with community ambulation after stroke: The Canadian Longitudinal Study on Aging.
- Author
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Barclay, Ruth, Webber, Sandra C., Ripat, Jacquie, Nowicki, Scott, and Tate, Robert
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COMMUNITY-based programs , *LONGITUDINAL method , *CANADIANS , *MALE models , *LOGISTIC regression analysis , *RETIREMENT communities - Abstract
Community ambulation is frequently limited for people with stroke. It is, however, considered important to people with stroke. The objectives were to identify factors associated with self-reported community ambulation in Canadians aged 45+ with stroke and to identify factors associated with community ambulation specific to Canadian males and to Canadian females with stroke. Data were utilized from the Canadian Longitudinal Study on Aging Tracking Cohort. Multivariate logistic regression models were developed for community ambulation. Mean age was 68 (SE 0.5) years (45% female). In the final community ambulation model (n = 855), factors associated with being less likely to 'walk outdoors sometimes or often' included difficulty or being unable to walk 2–3 blocks (decreased endurance) vs. no difficulty. Being more likely to walk outdoors was associated with 'better weather' months and being 55–64 years of age vs 75–85. Differences were noted between the models of only males and only females. Decreased walking endurance is associated with a decreased likelihood of walking in the community—a factor that can be addressed by rehabilitation professionals and in community based programs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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20. The implementation of community-based programs in Vietnam is promising in promoting health.
- Author
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Pardoel ZE, Reijneveld SA, Lensink R, Postma M, Thuy TB, Viet NC, Phuong LNT, Koot JAR, and Landsman JJA
- Subjects
- Humans, Female, Aged, Vietnam, Health Behavior, Surveys and Questionnaires, Pandemics, COVID-19
- Abstract
Background: Low-and middle-income countries mostly have ageing populations with many unmet economic, social, or health-related needs, Vietnam being an example. Community-based support in Vietnam, organized as Intergenerational Self-Help Clubs (ISHCs) based on the Older People Associations (OPA) model, can help to meet these needs by the provision of services for various aspects of life. This study aims to assess the implementation of the ISHCs and whether successful implementation is associated with more member-reported positive health., Methods: We used the RE-AIM ( Reach, Effectiveness, Adoption, Implementation, and Maintenance ) framework to evaluate the implementation using multiple data sources: ISHC board surveys ( n = 97), ISHC member surveys ( n = 5,080 in 2019 and n = 5,555 in 2020), focus group discussions (6; n = 44), and interviews with members and board leaders ( n = 4)., Results: Reach ranged between 46 and 83% of ISHCs reaching target groups, with a majority of women and older people participating. Regarding Effectiveness , members indicated high satisfaction with the ISHCs. Adoption scores were high, with 74%-99% for healthcare and community support activities, and in 2019, higher adoption scores were associated with more members reporting good positive health. In 2020, reported positive health slightly decreased, probably due to the influence of the COVID-19 pandemic. A total of 61 ISHCs had consistent or improving Implementation from 2019 to 2020, and confidence in Maintenance was high., Conclusion: The implementation of the OPA model in Vietnam is promising regarding its promotion of health and may help to tackle the needs of an ageing population. This study further shows that the RE-AIM framework helps to assess community health promotion approaches., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Pardoel, Reijneveld, Lensink, Postma, Thuy, Viet, Phuong, Koot and Landsman.)
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- 2023
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21. Engaging Latino Youth in Community-Based Programs: Findings from the First Ten Years of the Oregon 4-H Latino Outreach Project
- Author
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Oregon State Univ., Corvallis. Extension Service., Hobbs, Beverly B., and Sawer, Barbara
- Abstract
Community-based educational programs play a significant role in the education and positive development of youth. Over the last decade, the Oregon 4-H Youth Development program has made special efforts to reach and engage Latino youth and families in non-formal educational programs. Latino families most often do not access community-based educational programs because they don't know about them and/or they do not feel welcomed. This report was prepared to help educators better understand the nuances of Latino culture that impact the participation of youth and to learn how to design and implement culturally responsive programming that will attract Latino youth. The report provides a synthesis of the knowledge gained over ten years of experience through the Oregon 4-H Latino Outreach Project. Topics addressed include ways to build relationships and establish trust with Latino communities, issues involved in the selection of outreach staff, critical elements of culturally responsive programming, evaluating outreach programs, and recruiting and supporting Latino adult volunteers. While the information reported here was gained in non-formal educational setting, much of what was learned is applicable to formal educational settings as well. (Contains an appendix showing examples of project programs and activities listed by content or delivery method.)
- Published
- 2009
22. Fostering group counseling and social justice competence through community-based programs.
- Author
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Harlow, Alicia J., Psarropoulou, Aikaterini, and Bowman, Sharon L.
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SOCIAL groups ,GROUP counseling ,COMMUNITY-based programs ,SOCIAL skills ,SOCIAL justice - Abstract
This qualitative study explored the reactions of 12 counselor trainees to community-based group counseling work. The impact of community outreach on counselor conceptualizations of client problems, and the development of social justice competence were of particular interest. Analysis of results using Consensual Qualitative Research (CQR) methodology revealed an emphasis on the following domain areas: Increased awareness of client and self, a shift in social justice attitudes and interest, and an increased awareness of systemic problems and injustices. Core ideas associated with each of these domains, as well as suggestions for future research, are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2019
23. Impact of Community-Based Programs on Incarceration Outcomes Among Gay and Bisexual Stimulant-Using Homeless Adults
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Nyamathi, Adeline M, Reback, Cathy J, Shoptaw, Steven, Salem, Benissa E, Zhang, Sheldon, Farabee, David, and Khalilifard, Farinaz
- Subjects
Clinical and Health Psychology ,Social and Personality Psychology ,Public Health ,Health Sciences ,Psychology ,Emerging Infectious Diseases ,Mental Health ,Digestive Diseases ,Homelessness ,Clinical Trials and Supportive Activities ,Hepatitis ,HIV/AIDS ,Behavioral and Social Science ,Liver Disease ,Clinical Research ,Infectious Diseases ,Prevention ,Good Health and Well Being ,Adolescent ,Adult ,Central Nervous System Stimulants ,Female ,Ill-Housed Persons ,Humans ,Logistic Models ,Male ,Middle Aged ,Prisoners ,Randomized Controlled Trials as Topic ,Risk-Taking ,Sexual and Gender Minorities ,Surveys and Questionnaires ,Young Adult ,Self-reported incarceration ,Gay ,Bisexual ,Homeless adults ,Nurse case management ,Contingency management ,Standard education ,Homeless Persons ,Clinical Sciences ,Psychiatry ,Public health ,Clinical and health psychology ,Social and personality psychology - Abstract
This study was part of a randomized controlled trial designed to improve hepatitis knowledge and health promoting behaviors and subsequently decrease stimulant use and incarceration with 422 (G/B) homeless men between 18 and 46 years of age. Findings revealed that no significant program differences on incarceration in the 4 months following the intervention. However, younger participants (p = .010), and those with prior incarceration (p = .001) were at greater risk for incarceration at 4 months. An additional factor associated with incarceration at 4 months included living on the street for at least 1 week (p = .049).
- Published
- 2016
24. National Evaluation of Learn and Serve America School and Community-Based Programs. Final Report.
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Abt Associates, Inc., Cambridge, MA., Brandeis Univ., Waltham, MA. Center for Human Resources., and Melchior, Alan
- Abstract
This document reports on the conduct and findings of a 3-year evaluation of the 1995-96 school year of the Learn and Serve America School and Community-Based Programs, which were initiated to support school and community-based efforts to involve school-aged youth in community service. Well-designed, school-based service-learning programs have a positive impact on young peoples' civic and educational attitudes and school performance while also meeting important community needs. While the impacts on participants tend to fade in the year after initial participation, students who continue their involvement in organized service do continue to show positive effects over the longer-term. When these programs are well-designed and full-implemented, they are more likely to produce impacts on participating youth, demonstrating the importance of continuing the emphasis on improving the quality of these programs to meet the goals of the national community service legislation. Thirty-seven tables and figures are included. The appendixes contain: site selection sampling strategy; impact estimation methods; definitions of scales and other outcome measures; 54 tables detailing postprogram participant impacts, postprogram subgroup impacts, follow-up participant and subgroup effects, and follow-up effects for repeaters and nonrepeaters; and 4 survey instruments.) (MN)
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- 1998
25. Outcomes of a universal germline screening program in a community urology practice.
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Mendhiratta, Neil, Hauver, Herman, Hatton, Whitley, Ostrusky, Andrew, Sathe, Devika S., Gurram, Sandeep, Rice, Patricia, and Chalfin, Heather
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- *
GENETIC testing , *COMMUNITY-based programs , *RNA analysis , *ELECTRONIC health records , *MEDICAL screening - Abstract
The role of germline genetic testing in urologic oncology has expanded in recent years. However, implementation of genetic testing in community practices remains a challenge, often due to limited access to qualified genetics trained providers. In this study, we report outcomes of a universal germline screening program in a community urology practice. Between November 2021 and September 2022, all patients referred for urology clinic visits at Frederick Health (Frederick, MD, USA) were provided an online genetics screening questionnaire prior to the visit. Responses were compared against National Comprehensive Cancer Network (NCCN) criteria for germline testing. Those who met criteria were provided educational materials at the end of the questionnaire, and then counseled by a trained urologic oncologist (HC) in the clinic or referred to a genetic counselor prior to testing. Testing was performed with a 36‐gene pan‐cancer panel (CancerNext) or a 14‐gene targeted prostate cancer panel (ProstateNext), with or without additional RNA analysis (RNAinsight) (Ambry Genetics, CA, USA). Demographic and clinical parameters, as well as genetic testing results, were retrospectively collected under IRB approval. In the study period, 765 patients were seen over 1370 clinic visits. Of these, 505 patients (66.0%) completed the screening questionnaire. The majority were completed via email (54.5%) with the remainder (45.5%) via text message. Of the patients who completed screening, 125/505 (24.7%) met NCCN criteria for germline testing. 58/125 patients (46.4%) who met criteria underwent germline testing, of whom 5/58 (8.6%) had distinct pathogenic mutations identified. These included actionable mutations in BRCA1, BRCA2, and CHEK2, as well as an additional pathogenic mutation in NBN. Variants of unknown significance were identified in 8/58 patients (13.8%) in 11 total genes. Challenges to implementation of this program included meeting institutional requirements for genetic testing consent, facilitating specimen collection in clinic, and integration of results into the electronic health record. Genetic risk assessment for high‐risk individuals is feasible as part of a universal screening program in a community urology practice. Approximately 8% of tested patients were found to have pathogenic germline mutations, which is consistent with contemporary tertiary referral cohorts. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Providing Public Education Services to Young Children with Disabilities in Community-Based Programs: Who's Responsible for What? Policy and Practice in Early Childhood Special Education Series.
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Research Inst. on Preschool Mainstreaming, Pittsburgh, PA., Saint Peter's Child Development Centers, Inc., Pittsburgh, PA., Rose, Deborah F., and Smith, Barbara J.
- Abstract
As public school personnel struggle to provide preschool-age children with disabilities with high quality, normalized or inclusive preschool experiences, there is an increased need for collaboration with community-based early childhood providers. This paper addresses the federal legal requirements for public school, Head Start, and community-based early childhood personnel, as well as the rights of parents related particularly to public education services to young children (ages 3-5) with disabilities in community-based programs. Three federal laws are reviewed: the Individuals with Disabilities Education Act, the Head Start Act, and the Americans with Disabilities Act. The legal responsibilities of public school personnel, child care providers, Head Start grantees, and parents are specifically discussed for the following areas: (1) individualized educational placements, (2) eligibility, (3) supervision of service delivery, and (4) financial responsibility. The paper concludes that effective inclusive programs are the result of collaborative partnerships. An appendix lists seven organizational resources for information on early childhood policies and programs. (DB)
- Published
- 1994
27. An Evaluation of State Perinatal Community-Based Programs in Alabama: Overview
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- 2003
28. Bumble Bee Watch community science program increases scientific understanding of an important pollinator group across Canada and the USA.
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MacPhail, Victoria J., Hatfield, Richard, and Colla, Sheila R.
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BUMBLEBEES , *COMMUNITY-based programs , *POLLINATORS , *APIDAE , *SCIENTIFIC method , *IDENTIFICATION - Abstract
In a time of increasing threats to bumble bees (Hymenoptera: Apidae: Bombus), it is important to understand their ecology and distribution. As experts are limited in resources to conduct field surveys, there is potential for community scientists to help. The Bumble Bee Watch (BBW) community science program involves volunteers taking photos of bumble bees in Canada and the USA and submitting them, along with geographic and optional plant information, to a website or through an app. Taxon experts then verify the bee species identification. The Bumble Bees of North America database (BBNA) stores data (no photographs) collected and identified by more traditional scientific methods over the same range. Here we compared BBW data to BBNA data over all years and just 2010–2020 to understand the scientific contribution of community scientists to the state of the knowledge about native bumble bees. We found that BBW had similar geographic and species coverage as BBNA. It had records from all 63 provinces, states, and territories where bumble bees occur (including four more than BBNA in 2010–2020), and represented 41 of the 48 species in BBNA (with ten more species than BBNA in 2010–2020). While BBW contributed only 8.50% of records overall, it contributed 25.06% of all records over 2010–2020. BBW confirmed the persistence of species and identified new locations of species, both inside and outside of the previously known extent of occurrences. BBW also contributed a wealth of ecological information, such as unique plant genera and species data for almost all the bee species. Thus, while BBW had fewer bee records than the BBNA database overall, it helped to fill in data gaps and provided novel information, complementing the traditional methods. This community science program is valuable in helping to inform conservation management for bumble bee species. [ABSTRACT FROM AUTHOR]
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- 2024
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- View/download PDF
29. A qualitative exploration of professionals' perspectives on the implementation of reablement intervention programs in community care.
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Mouchaers, Ines, Buma, Lise E., Verbeek, Hilde, Zwakhalen, Sandra, van Haastregt, Jolanda C. M., Vlaeyen, Ellen, Goderis, Geert, and Metzelthin, Silke F.
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COMMUNITY-based programs , *SOCIAL workers , *OLDER people , *PROFESSIONAL employees , *VALUE-based healthcare , *FOSTER children - Abstract
Reablement is considered a complex intervention due to its multicomponent, person-centered, holistic approach promoting older adults' active participation in daily activities. It is important to consider the unique context in which complex interventions are implemented, as contextual factors may interact and influence implementation outcomes. As part of the European TRANS-SENIOR project, this qualitative study aimed to gain insight into professionals' experiences with reablement implementation in Dutch community care. Using the Consolidated Framework for Implementation Research, four focus groups were conducted comprising 32 professionals. Two groups were formed: one at operational level, including therapists, nursing staff, social workers, and domestic support; and one at organizational/strategic level, including project leaders, managers, directors, municipality representatives and health insurers. Participating care organizations had at least 6 months of experience with deploying and implementing reablement. Findings reflected three themes: (1) strength of interdisciplinary collaboration; highlighting significance of sharing goals and beliefs, (2) integrating the reablement philosophy into the organization; underscoring managements role in fostering support across all organizational layers, and (3) achieving a culture change in the healthcare system; emphasizing current funding models impeding value-based care tailored to the individual's goals and needs. The results offer valuable insights for implementation of complex interventions, like reablement. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Supplementing Best Care with Specialized Rehabilitation Treatment in Parkinson's Disease: A Retrospective Study by Different Expert Centers.
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Ghilardi, Maria Felice, Quartarone, Angelo, Di Rocco, Alessandro, Calabrò, Rocco Salvatore, Luo, Sheng, Liu, Hongliang, Norcini, Monica, Canesi, Margherita, Cian, Veronica, Zarucchi, Marianna, Ortelli, Paola, Volpe, Daniele, Bakdounes, Leila, Castelli, Davide, Di Fonzo, Alessio, Franco, Giulia, Frattini, Emanuele, Avanzino, Laura, Pelosin, Elisa, and Ogliastro, Carla
- Subjects
- *
PARKINSON'S disease , *COMMUNITY-based programs , *REHABILITATION , *MOVEMENT disorders , *CAREGIVERS , *MEDICAL rehabilitation , *NEUROLOGISTS - Abstract
Background: This is a retrospective longitudinal study comparing 374 patients with Parkinson's disease (PD) who were treated in centers offering a specialized program of enhanced rehabilitation therapy in addition to expert outpatient care to 387 patients with PD, who only received expert outpatient care at movement disorders centers in Italy. Methods: The data are from subjects recruited in the Parkinson's Outcome Project (POP) at six Italian centers that are part of a multicenter collaboration for care quality improvement (the Fresco Network). The effects were measured with a baseline and a follow-up clinical evaluation of the Timed-Up-and-Go test (TUG), Parkinson's Disease Questionnaire (PDQ-39), and Multidimensional Caregiver Strain Index (MCSI), the number of falls and hospitalizations for any cause. We used a generalized linear mixed model with the dependent variables being the response variable, which included the covariates demographics, evaluation, and treatment variables. Results: We found that the subjects who underwent specialized enhanced rehabilitation had a better motor outcome over time than those who were managed by expert neurologists but had participated in community programs for exercise and other allied health interventions. The greatest effects were seen in patients in the early stages of the disease with a high amount of vigorous exercise per week in the last six months. Similar effects were seen for PDQ39, MCSI, the number of falls, and hospitalization. Conclusions: Long-term benefits to motor function and the quality of life in patients with PD and burden reduction in their caregivers can be achieved through a systematic program of specialized enhanced rehabilitation interventions. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Differences in knowledge, attitude, and practice regarding hypertension by access to a community-based screening program (POSBINDU): A cross-sectional study from four districts in Indonesia.
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Mashuri, Yusuf Ari, Widyaningsih, Vitri, Premanawasti, Alimah, Koot, Jaap, Pardoel, Zinzi, Landsman-Dijkstra, Jeanet, Postma, Maarten, and Probandari, Ari
- Subjects
- *
COMMUNITY-based programs , *HYPERTENSION , *CROSS-sectional method , *ATTITUDE (Psychology) , *MIDDLE-income countries - Abstract
Background: A high prevalence of hypertension is found in Low- and Middle-income Countries (LMICs) including in Indonesia. However, hypertension awareness, treatment, and control are relativity poor. A community-based program to screen and educate people on non-communicable disease prevention (POSBINDU) was launched by the Indonesian government. However, the association between participation in the POSBINDU program with increasing knowledge, attitude, and practice of hypertension has not been widely assessed. In this study, we compared the knowledge, attitudes, and practices among people who accessed the POSBINDU and those who did not access the POSBINDU program. Subsequently, factors associated with the knowledge, attitudes, and practices among people who accessed the POSBINDU and those who did not access the POSBINDU were explored. Methods: This was an observational study with a cross-sectional design measuring the knowledge, attitudes, and practices for hypertension control in four districts in Indonesia from October 2019 to January 2020. A total of 1,988 respondents were included in this study. A questionnaire was used to assess the knowledge, attitudes, and practices of hypertension. Simple logistic regression was used to investigate the correlation between the characteristics of respondents and knowledge, attitudes, and practice status. Multiple logistic regression tests were conducted to investigate factors associated with knowledge, attitudes, and practice status. Results: We found that people who accessed POSBINDU had higher odds of having better knowledge (aOR:1.4; 95%CI:1.2–1.8), however, accessed to POSBINDU was associated with lower attitudes (aOR:0.6; 85%CI: 0.5–0.7) and had no association with hypertension-related practice. Conclusion: People who accessed POSBINDU have an association with good knowledge, but the association with good attitude and practice was less clear. Therefore, an improvement in the POSBINDU program is needed to increase the attitudes and practices of hypertension. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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32. A qualitative study on the adaptation of community programmes for the promotion of early detection and health-seeking of perinatal depression in Nepal.
- Author
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Subba, Prasansa, Petersen Williams, Petal, Luitel, Nagendra Prasad, Jordans, Mark J. D., and Breuer, Erica
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- *
MENTAL health promotion , *COMMUNITY-based programs , *MENTAL illness , *COMMUNITY health workers , *CONSCIOUSNESS raising , *MENTAL depression - Abstract
Background: Despite the high burden of perinatal depression in Nepal, the detection rate is low. Community-based strategies such as sensitization programmes and the Community Informant Detection Tool (CIDT) have been found to be effective in raising awareness and thus promoting the identification of mental health problems. This study aims to adapt these community strategies for perinatal depression in the Nepalese context. Methods: We followed a four-step process to adapt the existing community sensitization program manual and CIDT. Step 1 included in-depth interviews with women identified with perinatal depression (n=36), and focus group discussions were conducted with health workers trained in community mental health (n=13), female community health volunteers (FCHVs), cadre of Nepal government for the prevention and promotion of community maternal and child health (n=16), and psychosocial counsellors (n=5). We explored idioms and understanding of depression, perceived causes, and possible intervention. Step 2 included draft preparation based on the qualitative study. Step 3 included a one-day workshop with the psychosocial counsellors (n=2) and health workers (n=12) to assess the understandability and comprehensiveness of the draft and to refine the content. A review of the CIDT and community sensitization program manual by a psychiatrist was performed in Step 4. Results: The first step led to the content development for the CIDT and community sensitization manual. Multiple stakeholders and experts reviewed and refined the content from the second to fourth steps. Idioms of depression and commonly cited risk factors were incorporated in the CIDT. Additionally, myths of perinatal depression and the importance of the role of family were added to the community sensitization manual. Conclusion: Both the CIDT and community sensitization manual are grounded in the local context and are simple, clear, and easy to understand. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
33. Autism spectrum disorder: evaluation of community-based screening program.
- Author
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SEZEROL, Mehmet Akif and DAVUN, Selin
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AUTISM spectrum disorders , *COMMUNITY-based programs , *CONSCIOUSNESS raising , *MEDICAL screening , *EYE contact - Abstract
Background/aim: This study was conducted to evaluate the results of autism spectrum disorder (ASD) screenings conducted in a region of İstanbul between 2018 and 2023. Materials and methods: This descriptive study was conducted between April 2018 and February 2023 among 25,839 children aged between 18–36 months who had been screened for autism spectrum disorder in Sultanbeyli, İstanbul. Children between 18–36 months are examined and a form consisting of 5 questions and typical symptoms of ASD is filled. Each question is answered as yes or no. Answering yes to at least one of the questions is sufficient to direct them to child psychiatry. Results: Between 2018 and 2023, a total of 25,839 children were screened for autism spectrum disorders, 1449 children were found to be at risk, and 88 were diagnosed with autism spectrum disorder. According to the sex distribution of the children, the male:female ratio is 3.6:1. The 5-year prevalence was found to be 0.9%. With the effect of the pandemic between 2020 and 2021, screening rates have decreased and the number of diagnoses has decreased. The most common symptom among those diagnosed is delay in speaking, and the second is inability to make eye contact. Conclusion: Autism spectrum disorder is a developmental disorder whose prevalence is increasing globally and for which early diagnosis is important. To recognize this disease, it is necessary to increase screening and raise awareness among families. This study will also shed light on future studies on this subject. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
34. Individual and community empowerment improve resource users' perceptions of community-based conservation effectiveness in Kenya and Tanzania.
- Author
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Fidler, Robert Y., Mahajan, Shauna L., Ojwang, Lenice, Obiene, Samson, Nicolas, Tanguy, Ahmadia, Gabby N., Slade, Lorna, Obura, David O., Beatty, Hope, Mohamed, Juma, Kawaka, Joan, and Harborne, Alastair R.
- Subjects
- *
WOMEN'S empowerment , *COMMUNITY-based programs , *SELF-efficacy , *MARINE resources conservation , *MACHINE learning , *RURAL women , *SUSTAINABILITY , *LARVAL dispersal - Abstract
Community-based conservation has been increasingly recognized as critical to achieve both conservation and socio-economic development goals worldwide. However, the long-term sustainability of community-based conservation programs is dependent on a broadly shared perception among community members that management actions are achieving their stated goals. Thus, understanding the underlying factors driving differences in perceptions of management effectiveness can help managers prioritize the processes and outcomes most valued by resource users and thereby promote sustained support for conservation efforts. Here, we utilize large-scale interview survey data and machine learning to identify the factors most strongly associated with differences in perceived management effectiveness between resource users engaged in marine community-based conservation programs in Kenya and Tanzania. Perceptions of management effectiveness were generally favorable in both countries, and the most important predictors of positive perceptions were associated with community and individual empowerment in resource management and use, but within disparate focal domains. Improved perceptions of management effectiveness in Kenya were closely related to increases in women's empowerment in community-based conservation programs, while inclusionary and transparent governance structures were the most important factors driving improved perceptions in Tanzania. Additionally, the strongest predictors of differences between individuals in both countries often interacted synergistically to produce even higher rates of perceived effectiveness. These findings can help future initiatives in the region tailor management to match community-level priorities and emphasize the need for community-based conservation programs to understand local context to ensure that metrics of "success" are aligned with the needs and desires of local resource users. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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35. Policía de proximidad y confianza ciudadana. Los casos de Nezahualcóyotl y Ciudad de México.
- Author
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Padilla Oñate, Sergio
- Subjects
- *
COMMUNITY-based programs , *COMMUNITY policing , *TRUST , *LOGISTIC regression analysis , *REGRESSION analysis - Abstract
This article analyses the capacity of the proximity or community policing programs to foster trust in the police in two localities: the Nezahualcóyotl municipality in the state of Mexico and the historic center of Mexico City. For this purpose, the results of a survey applied to the habitants of both localities are analyzed using a binomial logistic regression model. The results show that in both cases, these proximity strategies have achieved a positive impact on the trust of the habitants further than other individual and context factors. Nevertheless, the effectiveness of the police in preventing crimes is shown as the main determinant of trust in both cases. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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36. Mobilizing community-driven health promotion through community granting programs: a rapid systematic review.
- Author
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Clark, Emily C., Baidoobonso, Shamara, Phillips, Karen A. M., Noonan, Laura Lee, Bakker, Jiselle, Burnett, Trish, Stoby, Karlene, and Dobbins, Maureen
- Subjects
- *
COMMUNITY-based programs , *GOVERNMENT aid , *HEALTH promotion , *SCIENCE databases , *POLITICAL science - Abstract
Background: Effective health promotion responds to the unique needs of communities. Community granting programs that fund community-driven health promotion initiatives are a potential mechanism to meet those unique needs. While numerous community health-focused programs are available, the various strategies used by granting programs to foster engagement, administer grants and support awardees have not been systematically evaluated. This rapid systematic review explores the administration of community granting programs and how various program components impact process and population health outcomes. Methods: A systematic search was conducted across three databases: Medline, SocINDEX, and Political Science Database. Single reviewers completed screening, consistent with a rapid review protocol. Studies describing or evaluating community granting programs for health or public health initiatives were included. Data regarding program characteristics were extracted and studies were evaluated for quality. A convergent integrated approach was used to analyze quantitative and qualitative findings. Results: Thirty-five community granting programs, described in 36 studies, were included. Most were descriptive reports or qualitative studies conducted in the USA. Program support for grant awardees included technical assistance, workshops and training, program websites, and networking facilitation. While most programs reported on process outcomes, few reported on community or health outcomes; such outcomes were positive when reported. Programs reported that many funded projects were likely sustainable beyond program funding, due to the development of awardee skills, new partnerships, and securing additional funding. From the perspectives of program staff and awardees, facilitators included the technical assistance and workshops provided by the programs, networking amongst awardees, and the involvement of community members. Barriers included short timelines to develop proposals and allocate funds. Conclusions: This review provides a comprehensive overview of health-related community granting programs. Grant awardees benefit from technical assistance, workshops, and networking with other awardees. Project sustainability is enhanced by the development of new community partnerships and grant-writing training for awardees. Community granting programs can be a valuable strategy to drive community health, with several key elements that enhance community mobilization. Registration: PROSPERO #CRD42023399364. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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37. Required elements for an educational programme for lay exercise instructors in charge of community-based exercise targeting young adults with schizophrenia spectrum disorders – A stakeholder focus group study.
- Author
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Andersen, Martin Færch, Roed, Kickan, Sørensen, Victor, Riis, Allan, Rafn, Bolette Skjødt, Ebdrup, Bjørn Hylsebeck, and Midtgaard, Julie
- Subjects
- *
COMMUNITY-based programs , *SCHIZOPHRENIA , *YOUNG adults , *MENTAL health services , *PEOPLE with schizophrenia , *FOCUS groups , *COMMUNITY mental health personnel , *PHYSICAL therapists - Abstract
Background: Exercise plays a crucial role in addressing the increased cardiometabolic morbidity and premature mortality in people with schizophrenia spectrum disorders. When delivered in community-based settings, exercise may also reduce loneliness, while promoting overall physical activity behaviours. Skilled instructors are essential to deliver effective community-based exercise; however, knowledge about their roles and required training is lacking. We aim to explore various stakeholders' perspectives regarding lay exercise instructors' roles, and the required elements in an educational programme supporting the delivery of community-based exercise for young adults with SSD. Methods: We used semi-structured homogeneous focus groups with representatives from different stakeholder groups (i.e., including representatives of clinical staff within mental health, physiotherapists, exercise instructors, young adults with schizophrenia spectrum disorders, and relatives of individuals with schizophrenia spectrum disorders) targeted or affected by a community-based exercise intervention. Data were analysed using qualitative content analysis. Results: We conducted six focus groups comprising a total of 30 individuals representing five different stakeholder groups The analysis identified three categories: (i) awareness and understanding of mental illness, i.e., providing basic knowledge to dispel common myths and stigma regarding mental illness (ii) protecting youth identity, i.e., supporting the feeling of being more than just a patient, and (iii) promoting exercise as a shared activity, i.e., a communal pursuit, fostering personal growth among participants, their peers and the instructors. Conclusions: An educational programme for lay exercise instructors delivering community-based exercise targeting young adults with SSD should empower the instructors to assume the role of guardians of an inclusive exercise culture. Educational elements identified were adapted and integrated into an educational programme implemented and evaluated as a part of the Vega trial. Our results may be transferable to the education of lay workers in mental health care where the aim is to facilitate sustainable, recreational, community-based activities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
38. The immediate and lasting balance outcomes of clinical falls-prevention programs: A non-randomised study.
- Author
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Oberholster, Candice K., Taylor, Carolyn J., Huynh, Minh, and Gordon, Brett A.
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COMMUNITY-based programs , *WALKING speed , *AGE differences , *OLDER people , *ACCIDENTAL fall prevention - Abstract
Purpose: Exercise-based falls-prevention programs are cost-effective population-based approaches to reduce the risk of falling for older adults. The aim was to evaluate the short-term and long-term efficacy of three existing falls-prevention programs. Methods: A non-randomized study design was used to compare the immediate-post and long-term physical outcome measures for three falls prevention programs; one high-level land-based program, one low-level land-based program and a water-based Ai Chi program. Timed-up-and-go (TUG), five-times sit-to-stand (5xSTS), six-minute walk test (6MWT) and six-meter walk test were assessed at baseline, post-program, and at six-months follow-up. Linear mixed models were used to analyze between- and within- group differences, with the high-level land-based program used as the comparator. Results: Thirty-two participants completed post-program assessment and 26 returned for follow-up. There was a difference in the age (years) of participants between programs (p = 0.049). The intercept for TUG and six-meter walk test time was 47.70% (23.37, 76.83) and 32.31s (10.52, 58.41), slower for the low-level group and 40.49% (17.35, 69.89) and 36.34s (12.75, 64.87), slower for the Ai Chi group (p < 0.01), compared with the high-level group. Mean time taken to complete the TUG was less both immediately post-program and at 6-month follow-up (p = 0.05). Walking speed for the six-meter walk test was only faster at six-months (p < 0.05). The 5xSTS duration was significantly reduced only at post-intervention (p < 0.05). Conclusion: These results indicate land-based and water-based falls-prevention programs improve physical outcome measures associated with falls-risk and many improvements are maintained for six months after the completion of the program. (Retrospective trial registration: ACTRN1262300119069) [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
39. Community based programs to improve the oral health of Australian Indigenous adolescents: a systematic review and recommendations to guide future strategies
- Author
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Josephine Gwynn, John Skinner, Yvonne Dimitropoulos, Angela Masoe, Boe Rambaldini, Vita Christie, Woosung Sohn, and Kylie Gwynne
- Subjects
Indigenous ,Adolescents ,Community ,Oral health ,Oral health promotion ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact. Methods Data sources were MEDLINE, EMBASE, CINAHL, SCOPUS, the COCHRANE library and the Australian Indigenous HealthInfoNet. Articles were included where they: were published in English from 1990 onwards; described oral health outcomes for Indigenous adolescents aged 10 to 19 years; implemented a community based oral health intervention. The Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project was applied. Results Nine studies met inclusion criteria; two rated strong in quality; only one study was conducted with an urban community; five reported moderate community engagement. Five intervention strategies were identified, and schools were the most common setting reported. Statistically significant improvements were described in eight studies with the most frequently reported outcome being change in decayed missing or filled teeth. Conclusions Few good quality peer reviewed international studies of community-based oral health interventions which address the needs of Indigenous adolescents exist. Studies must include strong Indigenous community leadership and governance at all stages of the research, adopt participatory action-based research approaches, and are required in urban communities.
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- 2020
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40. Mapping implementation strategies to reach community-dwelling older adults in Northwest Switzerland.
- Author
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Mendieta, Maria Jose, Goderis, Geert, Zeller, Andreas, Yip, Olivia, Siqeca, Flaka, Zúñiga, Franziska, Zullig, Leah L., De Geest, Sabina M., Deschodt, Mieke, Flamaing, Johan, Dhaini, Suzanne, Urfer, Pia, Briel, Matthias, Schwenkglenks, Matthias, Vounatsou, Penelope, Quinto, Carlos, Blozik, Eva, and Obas, Katrina
- Subjects
OLDER people ,CAREGIVERS ,COMMUNITY-based programs ,NURSING care facilities ,GERIATRIC nursing ,INFORMATION services - Abstract
Background: In Northwestern Switzerland, recent legislation tackles the needs of community-dwelling older adults by creating Information and Advice Centers (IACs). IACs are a new service in the community that aims to assess the needs and provide information on age-related issues to community-dwelling older adults and their families. Previous studies reported difficulties in reaching community-dwelling older adults for community-based programs. We aimed to: 1) systematically identify implementation strategies to promote the IAC among community care providers, older adults and informal caregivers; 2) monitor the delivery of these strategies by the IAC management; and 3) describe the impact of those strategies on reach of community-dwelling older adults. This study was conducted as part of the TRANS-SENIOR project. Methods: As part of the INSPIRE feasibility assessment, we conducted a pre-test post-test study between March and September 2022. The sample included 8,840 older adults aged 65 + visiting/calling or being referred to the IAC for the first time. Implementation strategies were selected using implementation mapping and organized in bundles for each group of community care providers and older adults/caregivers. Our evaluation included: estimation of fidelity to the delivery of implementation strategies and bundles by the IAC management and their coverage; referral source of older adults to the IAC; and impact of the strategies on reach of the IAC on the 65 + population living in the care region. Adaptations to the strategies were documented using the FRAME-IS. Descriptive statistics were calculated and reported. Results: Seven implementation strategies were selected and organized in bundles for each community care provider and older adults and their caregivers. The lowest fidelity score was found in implementation strategies selected for nursing homes whereas the highest score corresponded to strategies targeting older adults and caregivers. "Informational visits" was the strategy with the lowest coverage (2.5% for nursing homes and 10.5% for hospitals and specialized clinics). The main referral sources were self-referrals and referrals by caregivers, followed by nursing homes. The IAC reach among the 65 + population was 5.4%. Conclusion: We demonstrated the use of implementation mapping to select implementation strategies to reach community-dwelling older adults. The reach was low suggesting that higher fidelity to the delivery of the strategies, and reflection on the causal pathway of the implementation strategies might be needed. [ABSTRACT FROM AUTHOR]
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- 2024
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41. The effect of community-based programs on diabetes prevention in low- and middle-income countries: a systematic review and meta-analysis
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Maryam Shirinzadeh, Babak Afshin-Pour, Ricardo Angeles, Jessica Gaber, and Gina Agarwal
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Diabetes ,Community-based program ,Incidence rate ,HbA1C ,Systematic review ,Meta-analysis ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The increasing prevalence of type 2 diabetes mellitus (T2DM) can have a substantial impact in low- and middle-income countries (LMICs). Community-based programs addressing diet, physical activity, and health behaviors have shown significant benefits on the prevention and management of T2DM, mainly in high-income countries. However, their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated. Methods The Cochrane Library (CENTRAL), MEDLINE, EMBASE and two clinical trial registries were searched to identify eligible studies. We applied a 10 years limit (from 01 Jan 2008 to 06 Mar 2018) on English language literature. We included randomized controlled trials (RCTs) with programs focused on lifestyle changes such as weight loss and/or physical activity increase, without pharmacological treatments, which aimed to alter incidence of diabetes or one of the T2DM risk factors, of at least 6 months duration based on follow-up, conducted in LMICs. Results Six RCTs randomizing 2574 people were included. The risk of developing diabetes in the intervention groups reduced more than 40%, RR (0.57 [0.30, 1.06]), for 1921 participants (moderate quality evidence), though it was not statistically significant. Significant differences were observed in weight, body mass index, and waist circumference change in favor of community-based programs from baseline, (MD [95% CI]; − 2.30 [− 3.40, − 1.19], p
- Published
- 2019
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42. Development of a Leader's Guide to Community-Based Programs in Health Education and Promotion for Older Adults.
- Author
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McIntyre, Rosemarie E. and Yee, Darlene
- Abstract
This research sought to provide a protocol to the community program leader in health education for the older adult which could assist identifying specific needs and potential approaches. A protocol was developed for a community program leader's guide in health education and promotion through a series of questionnaires with a group of experts. Utilizing the Delphi method of research, opinions from a panel of experts were elicited and combined to reach a consensus. The panel received a preliminary survey, with five distinct content domains including physical activity, nutrition, health concerns, and safety and stress management. The group was asked to make suggestions on the survey form. The panel reviewed the modified survey and rated each item for its usefulness. The results indicated: (1) the program outline should contain an introduction, program objectives, educational objectives, needs assessment, and learning activities and methods; (2) appropriate content domains and content information for such a guide should include physical activity, nutrition, health concerns, safety, and stress management; (3) all components of the guide are not required; (4) the majority of learning activities and methods were rated as essential; and (5) the proposed protocol should be a practical and usable tool for the community program leader. (ABL)
- Published
- 1991
43. The Case for Community Based Programs that Inform and Motivate Black Male Youth.
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Urban Inst., Washington, DC. and Ferguson, Ronald F.
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A case is made for establishing more community-based socialization programs for 10- to 15-year-old black males from disadvantaged families in poor neighborhoods. It is argued that effectively run neighborhood-based programs can accomplish the following: (1) establish caring and nurturing relationships that earn youths' attention and trust; (2) convey information about the options, strategies, skills, and behavior available and necessary for their happiness and success in society; (3) develop apparent changes in the preferences and values of youths; and (4) lead young people to freely choose socially acceptable, non-destructive, and social-mobility-enhancing activities and roles in their families and neighborhoods. Evidence for these arguments was derived from the experiences of 24 existing programs in six cities. Interviews were conducted with about one-third of these program administrators, and written questionnaires were answered by four programs. Advice is offered for policymakers and private sector funders who may be interested in supporting such programs. The following materials are appended: (1) a list of 26 references; (2) a model funding proposal; (3) a discussion of program outcomes; and (4) a list of programs. (SLD)
- Published
- 1990
44. Technical Assistance Bulletin: Tips for Collaborating to Provide Special Education Services in Childcare and Community-Based Programs Across Varied Service Delivery Models
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Technical assistance bulletin from Maryland State Department of Education Division of Early Intervention and Special Education Services.
- Published
- 2021
45. Community based programs to improve the oral health of Australian Indigenous adolescents: a systematic review and recommendations to guide future strategies
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Gwynn, Josephine, Skinner, John, Dimitropoulos, Yvonne, Masoe, Angela, Rambaldini, Boe, Christie, Vita, Sohn, Woosung, and Gwynne, Kylie
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- 2020
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46. Exploring barriers and facilitators of implementing an at-home SARS-CoV-2 antigen self-testing intervention: The Rapid Acceleration of Diagnostics—Underserved Populations (RADx-UP) initiatives.
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Cross, Lisa Maria, DeFosset, Amelia, Yusuf, Bola, Conserve, Donaldson, Anderson, Rakiah, Carilli, Christina, Kibbe, Warren, Cohen-Wolkowiez, Michael, Richmond, Alan, Corbie, Giselle, and Dave, Gaurav
- Subjects
- *
RAPID diagnostic tests , *COMMUNITY-based programs , *SARS-CoV-2 , *EMERGENCY management , *TRUST , *SUSTAINABILITY - Abstract
Background: Evaluating community-based programs provides value to researchers, funding entities, and community stakeholders involved in program implementation, and can increase program impact and sustainability. To understand factors related to program implementation, we aimed to capture the perspective of community partners engaged in organizing and executing community-engaged programs to distribute COVID-19 at-home tests in underserved communities. Methods: We conducted semi-structured interviews and focus groups with community-based stakeholders informed by the Outcomes for Implementation Research framework. Results: Findings describe how community-engaged communication and dissemination strategies drove program adoption among grassroots stakeholders. Establishing and sustaining trusted relationships was vital to engaging partners with aligned values and capacity. Respondents characterized the programs as generally feasible and appropriate, and community partners felt capable of delivering the program successfully. However, they also described an increased burden on their workforce and desired more significant support. Respondents recognized the programs' community engagement practices as a critical facilitator of acceptability and impact. Discussion: Implementation evaluation aims to inform current and future community outreach and engagement efforts with best practices. As we continue to inform and advance community-engaged disaster response practice, a parallel reimagining of public health funding mechanisms and timelines could provide a foundation for trust, collaboration, and community resiliency that endures beyond a given crisis. [ABSTRACT FROM AUTHOR]
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- 2023
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47. The Effectiveness of Community-Based Programs on Older Adult\'s Subjective Well-Being
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Malihe Shiani and Hannan Zare
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Older adults ,Community-based programs ,Subjective well-being ,Geriatrics ,RC952-954.6 ,Public aspects of medicine ,RA1-1270 - Abstract
Objectives: Intensified increasingly in older adult population bring about to focus on these people problems in many developed countries. Among methods, community-based programs are the new way to counter older adult's problems. Although performance of these programs being in the earliest stage of development, this study has examined the effectiveness of community-based programs on older adults’ subjective well-being in Kahrizak. Methods & Materials: 100 elders above 60 years in Kahrizak were selected completely random sample. 50 elders had participated in the program (experimental group), 50 elders hadn’t participated (sub group).the method was interference. The data was gathered by questionnaire technique and interview and was analyzed by spss. Results: The average of experimental group subjective well-being was 2.55 and the sub group was -1.34. Elder members of Kahrizak who have used services in community-based programs and have given significant services have had more subjective well-being measure than sub group. Conclusion: Although this program isn’t performance for a long time, they have significant effects on older adults’ subjective well-being responsive to the models and theories. Elders who have participated in the programs remained more independently in the community. Happiness, quality of life, life satisfaction, and domain satisfaction have been increased by using the community-based programs.
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- 2013
48. Discerning Success of Indigenous Health Students in Community-based Programs
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Marti Harder, Barbara Astle, Sonya Grypma, and Evelyn Voyageur
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indigenous students ,aboriginal students ,post-secondary education ,success ,community-based programs ,community-based healthcare ,Nursing ,RT1-120 - Published
- 2016
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49. Community-based active-case finding for tuberculosis: navigating a complex minefield.
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MacPherson, Peter, Shanaube, Kwame, Phiri, Mphatso D., Rickman, Hannah M., Horton, Katherine C., Feasey, Helena R. A., Corbett, Elizabeth L., Burke, Rachael M., and Rangaka, Molebogeng X.
- Subjects
- *
TUBERCULOSIS diagnosis , *COMMUNITY-based programs , *COVID-19 pandemic , *DISEASE prevalence - Abstract
Community-based active case finding (ACF) for tuberculosis (TB) involves an offer of screening to populations at risk of TB, oftentimes with additional health promotion, community engagement and health service strengthening. Recently updated World Health Organization TB screening guidelines conditionally recommend expanded offer of ACF for communities where the prevalence of undiagnosed pulmonary TB is greater than 0.5% among adults, or with other structural risk factors for TB. Subclinical TB is thought to be a major contributor to TB transmission, and ACF, particularly with chest X-ray screening, could lead to earlier diagnosis. However, the evidence base for the population-level impact of ACF is mixed, with effectiveness likely highly dependent on the screening approach used, the intensity with which ACF is delivered, and the success of community- and health-system participation. With recent changes in TB epidemiology due to the effective scale-up of treatment for HIV in Africa, the impacts of the COVID-19 pandemic, and the importance of subclinical TB, researchers and public health practitioners planning to implement ACF programmes must carefully and repeatedly consider the potential population and individual benefits and harms from these programmes. Here we synthesise evidence and experience from implementing ACF programmes to provide practical guidance, focusing on the selection of populations, screening algorithms, selecting outcomes, and monitoring and evaluation. With careful planning and substantial investment, community-based ACF for TB can be an impactful approach to accelerating progress towards elimination of TB in high-burden countries. However, ACF cannot and should not be a substitute for equitable access to responsive, affordable, accessible primary care services for all. [ABSTRACT FROM AUTHOR]
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- 2024
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50. Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of implementation.
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Scruton, Sarah, Warner, Grace, Kendell, Cynthia, Pfaff, Kathryn, Stajduhar, Kelli, Patrick, Linda, Dujela, Carren, Fauteux, Faith, and Urquhart, Robin
- Subjects
- *
COMMUNITY-based programs , *COMMUNITY organization , *CANADIANS , *MEDICAL personnel , *NAVIGATION - Abstract
Background: As the Canadian population ages and the prevalence of chronic illnesses increases, delivering high-quality care to individuals with advanced life limiting illnesses becomes more challenging. Community-based navigation programs are a promising approach to address these challenges, but little is known about how these programs are successfully implemented to meet the needs of this population. This study sought to identify the key determinants that contribute to the successful implementation of these programs within Canada. Methods: A qualitative study was undertaken to understand the implementation of eleven innovative, community-based navigation programs that aim to address the needs of individuals with life-limiting illnesses as they approach the end of life. The Consolidated Framework for Implementation Research (CFIR) guided the study design. Key informants (n = 23) within these programs took part in semi-structured interviews where they were asked to discuss how these programs are implemented. Data were analyzed using techniques employed in qualitative description. Results: We identified key determinants of successful implementation within each CFIR domain. In the outer setting domain, participants emphasized the importance of filling gaps in care to meet client needs, developing strong relationships with clients and community-based organizations, and navigating relationships with healthcare providers. At the inner setting level, leadership support, staff compatibility, and available resources were identified as important factors. In terms of intervention characteristics, the ability to adapt was cited as a facilitator, whereas costs were identified as a barrier. For the characteristics of individuals, participants described the importance of having staff whose values align with the program, and who have the experience and skills necessary to work with complex clients. Finally, having strong champions and evaluation processes were highlighted as important process-oriented determinants of successful implementation. Conclusion: This study provides valuable insights into the determinants of successful implementation of community-based navigation programs in Canada. Understanding these determinants can guide the future development and integration of navigation programs to successfully meet the needs of those with life-limiting illnesses. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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