Spelling suggestions: "subject:"communitybased anintervention"" "subject:"communitybased intervervention""
1 |
Att förebygga osteoporos i en svensk kommun : En beskrivning av ett tioårigt befolkningsinriktat interventionsarbete ”Vadstena en benhård kommun / Towards long-term prevention of osteoporosis, fractures and fall in a local community : Structural and process experiences from the first ten years of an intervention programBlomberg, Carina January 2008 (has links)
Benskörhet (osteoporos) och frakturer orsakade av osteoporos är ett stort globalt problem. Syftet med det tioåriga projektet ”Vadstena en benhård kommun” var att utvärdera om man med en befolkningsinriktad interventionsstrategi kunde minska osteoporos och osteoporosrelaterade frakturer i en kommun. Ett representativt urval av befolkningen i åldern 20-79 år, 15% av en population på 7800 personer, blev tillfrågade om att delta vid fyra undersökningstillfällen som innebar att fylla i en enkät och att bentäthetsmätas. Vid första tillfället deltog 70%, första uppföljningen 69%, andra uppföljningen 79% och vid den tredje uppföljningen 65%.Syftet med denna MPH-uppsats är att beskriva det praktiska interventionsarbetet utifrån dagboksanteckningar och att presentera befolkningens upplevelser av interventionsarbetet.Vi nådde uppskattningsvis 5000 personer (65%) av befolkningen med direkt information.De personer som fick individuella riskprofiler baserade på angivna svar i frågeformulär och bentäthetsvärden var de som gav mest positiv respons och kan tillskrivas en lyckad individuell intervention.Den grupp som varit med en eller flera gånger tidigare (interventionsgruppen) var de som vid sista undersökningen 1999, hade fått ökad kunskap om osteoporos (P<0,001). Den gruppen kände även bäst till projektet (P<0, 001), men även den nya gruppen (befolkningsgruppen) kände i hög grad till projektet (75 %). På frågan om deltagarna ville förändra sina vanor var båda grupperna lika villiga (65 % respektive 64 %), vilken kan tillskrivas en lyckad generell intervention.Sjukdomen osteoporos och dess följder tar lång tid att utveckla. Det tar därför även lång tid att mäta effekt av att projekt som detta, som dessutom innefattar en hel befolkning. Nu, 18 år efter projektets start görs en uppföljning av projektet där delar av de mål som sattes upp i början av projektet mäts, bland annat frakturincidens och kunskap om osteoporos hos befolkningen.Nyckelord / Osteoporosis and fractures due to osteoporosis are an increasing global health problem. The aim ofthe ten-years Vadstena Osteoporosis Prevention Project (VOPP) was to evaluate if it was possible toreduce osteoporosis and osteoporotic-related fractures with a community-based prevention programA representative sample aged 20-79 years (Vadstena population of 7800) was invited to participatein the study comprising four measurements including questionnaire and bone mineral densitymeasurement. At baseline 70% participated, at first follow-up 69%, second follow-up 70% and at thethird follow-up 65 %.The aim with this MPH- essay is to describe the intervention from a diary and to present thepopulations experience of the VOPP.We met approximately 5000 persons (65%) of the citizens directly with our intervention. Theparticipators who received individual feedback letters on their answers in the questionnaire and theresults from the bone measurement gave us the best response.The group that participated once or more had the best knowledge about osteoporosis (p< 0.001)and were to an high extent familiar with the project (p<0.001). Even the single participating grouphad god knowledge about the project (75 %). Both groups stated that they wanted to change lifestyle(65 % vs. 64 %) showing a successful general intervention.Osteoporosis is a disease that is present for a long period without signs, before resulting in theclinical sign, fractures. Therefore results of a preventive program towards a whole population isexpected to be found not until after several years. Now eighteen years later a follow up is planned inorder to measure the incidence of osteoporotic fractures and the knowledge about osteoporosis in thepopulation. / <p>ISBN 978-91-85721-45-0</p>
|
2 |
Analyse de l'implantation d'une innovation en prévention du VIH: le dépistage rapide en milieu communautaire gaiVeillette-Bourbeau, Ludivine 02 1900 (has links)
Une équipe multidisciplinaire et intersectorielle a implanté en 2009 une recherche-intervention novatrice : Spot, un service de dépistage rapide du VIH en milieu communautaire offert aux hommes ayant des relations sexuelles avec d’autres hommes de Montréal. Une étude de cas a été menée afin de décrire le processus d’implantation de Spot et les facteurs contextuels qui l’ont affecté. L’analyse par théorisation ancrée des entrevues, l’observation participante et l’analyse documentaire ont permis d’identifier un processus d’implantation dynamique en plusieurs phases. Elles sont modulées par des facteurs liés aux motivations des acteurs à s’engager dans le projet, à la complexité des dynamiques partenariales et aux défis de la coordination en contexte d’équipe multidisciplinaire et intersectorielle et à d’autres facteurs ayant affecté l’organisation de l’équipe terrain et leurs pratiques au quotidien. Des motivations telles l’occasion unique de contribuer à la mise en place d’un projet de prévention novateur et pertinent, ont eu une influence favorable constante, ralliant les acteurs autour du projet et maintenant leur implication malgré les difficultés rencontrées. Sur le plan des dynamiques partenariales, une définition floue des rôles et tâches a ralenti l’implantation du projet, alors qu’une fois clarifiée, chacun a pu se sentir légitime et participer activement à la réussite de l’implantation. Des difficultés à la coordination du projet, entre autres concernant la gestion des fonds interinstitutionnels, sont un facteur ayant ralenti le processus d’implantation. Cette étude a permis de tirer des leçons sur l’implantation et la pérennisation d’un service de dépistage rapide du VIH en milieu communautaire gai. / In 2009, a multidisciplinary and intersectoral team implemented an innovative research-intervention project: Spot, a community-based rapid HIV testing service for men who have sex with men in Montreal. A case study was undertaken to describe the implementation process of Spot and the contextual factors that affected it. Grounded theory analysis of interviews, participant-observer, and a document analysis allowed the identification of a multistage dynamic implementation process. These stages were influenced by stakeholders’ motivations, the complexity of partnership dynamics, the challenges surrounding coordination and organization of staff members, as well as factors influencing staff members’ daily practices. Motivations like the unique opportunity to contribute to the implementation of an innovative and relevant prevention project, had a constant and positive influence, which united stakeholders in the project and maintained their involvement despite the difficulties. In terms of partnership dynamics, vague definitions of roles and tasks delayed the implementation of the project, although once clarified, everyone felt legitimate and actively participated in the success of the implantation. The management of interinstitutional funds was mentioned as one of the difficulties of coordinating the project and a factor that caused delays in the implementation process. This study allowed learning about the implementation and sustainability of a gay community-based rapid HIV testing service.
|
3 |
Analyse de l'implantation d'une innovation en prévention du VIH: le dépistage rapide en milieu communautaire gaiVeillette-Bourbeau, Ludivine 02 1900 (has links)
Une équipe multidisciplinaire et intersectorielle a implanté en 2009 une recherche-intervention novatrice : Spot, un service de dépistage rapide du VIH en milieu communautaire offert aux hommes ayant des relations sexuelles avec d’autres hommes de Montréal. Une étude de cas a été menée afin de décrire le processus d’implantation de Spot et les facteurs contextuels qui l’ont affecté. L’analyse par théorisation ancrée des entrevues, l’observation participante et l’analyse documentaire ont permis d’identifier un processus d’implantation dynamique en plusieurs phases. Elles sont modulées par des facteurs liés aux motivations des acteurs à s’engager dans le projet, à la complexité des dynamiques partenariales et aux défis de la coordination en contexte d’équipe multidisciplinaire et intersectorielle et à d’autres facteurs ayant affecté l’organisation de l’équipe terrain et leurs pratiques au quotidien. Des motivations telles l’occasion unique de contribuer à la mise en place d’un projet de prévention novateur et pertinent, ont eu une influence favorable constante, ralliant les acteurs autour du projet et maintenant leur implication malgré les difficultés rencontrées. Sur le plan des dynamiques partenariales, une définition floue des rôles et tâches a ralenti l’implantation du projet, alors qu’une fois clarifiée, chacun a pu se sentir légitime et participer activement à la réussite de l’implantation. Des difficultés à la coordination du projet, entre autres concernant la gestion des fonds interinstitutionnels, sont un facteur ayant ralenti le processus d’implantation. Cette étude a permis de tirer des leçons sur l’implantation et la pérennisation d’un service de dépistage rapide du VIH en milieu communautaire gai. / In 2009, a multidisciplinary and intersectoral team implemented an innovative research-intervention project: Spot, a community-based rapid HIV testing service for men who have sex with men in Montreal. A case study was undertaken to describe the implementation process of Spot and the contextual factors that affected it. Grounded theory analysis of interviews, participant-observer, and a document analysis allowed the identification of a multistage dynamic implementation process. These stages were influenced by stakeholders’ motivations, the complexity of partnership dynamics, the challenges surrounding coordination and organization of staff members, as well as factors influencing staff members’ daily practices. Motivations like the unique opportunity to contribute to the implementation of an innovative and relevant prevention project, had a constant and positive influence, which united stakeholders in the project and maintained their involvement despite the difficulties. In terms of partnership dynamics, vague definitions of roles and tasks delayed the implementation of the project, although once clarified, everyone felt legitimate and actively participated in the success of the implantation. The management of interinstitutional funds was mentioned as one of the difficulties of coordinating the project and a factor that caused delays in the implementation process. This study allowed learning about the implementation and sustainability of a gay community-based rapid HIV testing service.
|
4 |
A Qualitative Investigation of the Collaborative Lifestyle Intervention Program for Knee Osteoarthritis Patients (CLIP-OA) Virtual Intervention Delivery during the COVID-19 PandemicHohn, Stephanie R. January 2021 (has links)
No description available.
|
5 |
Applying the Care Group Model in relief contexts : case studies in South Sudan and SomaliaDamaris, Peter 11 1900 (has links)
Text in English / This study analyses the application of a community based intervention, the Care Group (CG) model, in relief work in Somalia and South Sudan. On the basis of expert interviews and a variety of documents it was researched whether the CG model is applicable to the context mentioned or if adaptations would be necessary.
An increase in prolonged crises challenges humanitarian action to adapt relief work to longer-term interventions. The concept of combining the strengths of development cooperation and humanitarian action - Linking Relief, Rehabilitation and Development - is looked at in this study. Furthermore, for example, the asset-based community development approach, humanitarian work and characteristics of a protracted crisis were explored as the theoretical back-ground.
The findings and the conclusion of this research may provide inputs for other humanitarian NGOs that are working in chronic conflict situations and being confronted with the need to introduce a long-term method for Behaviour Change Communication. / Development Studies / M.A. (Development Studies)
|
Page generated in 0.1198 seconds