Orientador: Rosana Teresa Onocko Campos / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-27T16:43:54Z (GMT). No. of bitstreams: 1 Rodrigues_MariaAuxiliadoraCampos_M.pdf: 996107 bytes, checksum: cf367593481b2ccf35203bef486482bf (MD5) Previous issue date: 2014 / Resumo: O estudo tem como objetivo reconhecer quais são os avanços e as limitações experimentados por profissionais que atuam em um CAPS AD, no município de Campinas/SP, no processo de pesquisar a utilização de medicamentos em seu próprio espaço de trabalho por meio do Apoio Matricial. A questão do apoio surge de uma demanda dos próprios profissionais, quando iniciam na própria instituição que trabalham um estudo a respeito da utilização de medicamentos em 2011. Nesse contexto, a autora desse trabalho partir da posição de pesquisadora-apoiadora. Essa é uma pesquisa qualitativa participativa, com o olhar da Análise Institucional e da Abordagem Hermenêucias para análise do material. A pesquisa dos profissionais-pesquisadores revelou-se como a exploração da estratégia participativa contribui como potencial formador dos profissionais no processo de pesquisar sua prática. O estudo também contribuiu com a construção coletiva do conceito de Apoio Matricial em Pesquisa Científica. Metodologia que fomentou a formação profissional e o "empoderamento" dos profissionais-pesquisadores dentro da pesquisa intervenção / Abstract: The study aims to recognize what are the advances and limitations experienced by professionals working in a CAPSad, in Campinas/SP, in the research process of medications use in its own workspace through the Matrix Support. The support issue arises from the own professionals demand, when they started, at the same institution they work in, a study on the use of medications in 2011. In this context, the author of this work initiates from the researcher-supportive position. This is a participatory qualitative research, with the look of the Institutional Analysis and the Hermeneutics Approach to analyze the material. The professionals-researchers survey turned out to be as the participatory strategy exploration of contribution to professionals forming potential in the process of researching its practice. The study also contributed to the collective construction of the Matrix Support concept in Scientific Research. Methodology which promoted the professional formation and the "empowerment" of professionals- researchers within the intervention research / Mestrado / Política, Planejamento e Gestão em Saúde / Mestra em Saúde Coletiva

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Research suggests that stakeholder investment is maximized when partnerships understand the assumptions held by partners of the benefits to be derived and contributions to be made to the partnership. In 2011, representatives from seven rural county high schools and five university departments participated in a planning workshop designed to identify elements of an effective community-academic partnership to address adolescent obesity disparity in Southern Appalachia. The purpose of this investigation was to examine key elements of partnership building by way of the Give-Get Grid partnership tool. Content analysis was conducted to identify emerging themes. University representatives consistently identified more proposed program contributions as well as benefits than their high school partners. University personnel responses generally pertained to their level of participation and investment in the partnership, whereas high school personnel tended to identify contributions fundamental to both partnership and program success. Additionally, content analysis uncovered programmatic facilitators and potential barriers that can be instrumental in program planning and forming program messages. Findings suggest that although partners often share common goals, perceptions of the value of investment and benefits may vary. The Give-Get Grid can be used during the program-planning phase to help identify these differences. Implications for practice are discussed.

Research suggests that stakeholder investment is maximized when partnerships understand the assumptions held by partners of the benefits to be derived and contributions to be made to the partnership. In 2011, representatives from seven rural county high schools and five university departments participated in a planning workshop designed to identify elements of an effective community-academic partnership to address adolescent obesity disparity in Southern Appalachia. The purpose of this investigation was to examine key elements of partnership building by way of the Give-Get Grid partnership tool. Content analysis was conducted to identify emerging themes. University representatives consistently identified more proposed program contributions as well as benefits than their high school partners. University personnel responses generally pertained to their level of participation and investment in the partnership, whereas high school personnel tended to identify contributions fundamental to both partnership and program success. Additionally, content analysis uncovered programmatic facilitators and potential barriers that can be instrumental in program planning and forming program messages. Findings suggest that although partners often share common goals, perceptions of the value of investment and benefits may vary. The Give-Get Grid can be used during the program-planning phase to help identify these differences. Implications for practice are discussed.

Using a community-based participatory research (CBPR) approach, community members, community stakeholders, and academic researchers from Virginia Tech formed a community-academic partnership in 2009. In the formative months, the coalition decided to focus on reducing obesity in the region. The coalition adopted the name of The Dan River Partnership for a Healthy Community (DRPHC) with a mission to "foster community partnerships to combat obesity in the Dan River Region through healthy lifestyle initiative". During a planning workshop, the DRPHC created six causal models for the root causes of obesity in the region. Two causal models that focused on geographic and environmental influences for obesity are the foundation for this series of research. The focus of this dissertation is at the intersection of the food and physical activity environments and their characteristics that contribute to meeting fruit and vegetable intake and minutes of physical activity recommendations. The food environment is one aspect of built environment research that examines food locations for procurement and the variety, availability, and quality of different food options. To date, the vast majority of research on the food environment is based in urban, suburban, and metropolitan areas with high residential densities and populations. Rural areas are often understudied because of their dispersed and hard-to-reach populations; yet these individuals experience some of the worst health outcomes in the nation. This is due, in part, to the large overlaps of rural regions and food deserts, resulting in poor food choices and poor diets. The overall objective of this dissertation is to examine the associations of the food and physical activity environments with individual healthy behaviors. Three studies were conducted within the broader research plan to meet the overall objective. The first study systematically examined the food environment using the Nutrition Environment Measures Survey (NEMS) for all food outlets in Danville, VA, a small regional city within the health disparate region, to compare differences in healthy available food options by block group race and income. The second study expanded NEMS methodology to encompass all food outlets in the three-county Dan River region to examine if food environment and availability of healthy options was predictive of meeting fruit and vegetable intake recommendations. The last study examined the objective and perceived distance individuals must travel to reach a physical activity outlet and whether or not distance was a predictive factor of individual weekly minutes of moderate to vigorous physical activity and meeting physical activity recommendations. / Ph. D.

Background: Community engagement—the collaborative process of addressing issues that impact the well-being of a community—is a strategic effort to address community issues. The Gulf States Health Policy Center (GS-HPC) formed the Hattiesburg Area Health Coalition (HAHC) in November 2014 for the purpose of addressing policies impacting the health of Forrest and Lamar counties in Mississippi. Objectives: To chronicle the community-based participatory research (CBPR) process used by HAHC’s identification of infant and maternal health as a policy area, domestic violence in pregnancy as a priority area within infant and maternal health, and a community action plan (CAP) regarding this priority area. Methods: HAHC reviewed data and identified infant and maternal health as a priority area. They then conducted a policy scan of local prenatal health care to determine the policy area of domestic violence in pregnancy. Results: HAHC developed a CAP identifying three goals with regard to domestic violence and pregnancy that together informed policy. Changes included the development of materials specific to resources available in the area. The materials and recommended changes will first be implemented by Southeast Mississippi Rural Health Initiative (SeMRHI) through a screening question for all pregnant patients, and the adoption of policies for providing information and referrals. Conclusions: The lack of community-level data was a challenge to HAHC in identifying focus and priority areas, but this was overcome by shared leadership and community engagement. After completion of the CAP, 100% of expecting mothers receiving prenatal care in the area will be screened for domestic violence.

While partnerships for health delivery and improvement are frequently described by their structure, goals, and plans, less attention is paid to the interactive relationships among partners or for larger stakeholder groups’ coalition memberships. The Give-Get Grid group process tool can be used to assess each stakeholders’ expected benefits (“gets”) and contributions (“gives”) needed to establish and maintain long-term, mutually advantageous community–academic partnerships. This article describes three case study experiences using the Give-Get Grid in real-world context to understand and generate ideas to address contemporary health promotion opportunities among a variety of stakeholders. The case studies address three distinct community health promotion opportunities: prevention of school-based adolescent obesity disparities, higher education health professions training programs in rural community-based settings, and methods for engaging community coalitions in state Comprehensive Cancer Control Programs. The case studies demonstrate the Give-Get Grid’s utility in both planning and evaluating partnerships and documenting key elements for progress in health promotion initiatives built on long-term community–academic relationships. Steps are explained with practical lessons learned in using the Grid.

The purpose of this descriptive phenomenological study was to give voice to an underserved and vulnerable population in Uganda, Africa to advocate for health priorities. Nineteen members of the village of Namagera, identified as a leper colony, were selected by community members and volunteered to participate in every element of this study. Descriptive phenomenology was the guiding philosophy and community-based participatory research methods and photovoice provided the lens for social action. Leininger’s theory of culture care diversity and universality (Leininger & McFarland, 2006) anchored the study in cultural caring and the community nursing practice model (Parker et al., 2020) kept the researcher grounded in the purpose of advancing the science of caring in community nursing. The research team included the researcher, the 19 participants, and six research assistants, who also served as language facilitators. Using photovoice methods, participants identified strengths and needs and used digital cameras to capture health concerns in the community. Eighty photos were analyzed by the participants and priorities were determined. The selected photos were placed on a photo board and shared with the whole community for input. Community members selected the health priorities and ranked them in importance: access to clean water, sanitation, disease, challenges for the elderly and disabled, lack of medical treatment, transportation, unemployment, and protection of the environment. The participants categorized the health priorities into three clusters of themes: basic needs, safety, and social/environmental. The themes were further incorporated into action plans identifying impeding factors for which the community would require outside assistance and promoting factors for which the community could solve themselves. Findings of this study illuminate the emergence of community empowerment: Community members found their voices, identified health priorities, and advocated for solutions. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2020. / FAU Electronic Theses and Dissertations Collection

Thesis advisor: Samantha Teixeira / Residents and activists in neighborhoods undergoing gentrification have been raising alarm bells about its impact for decades. The promises that state and private funders and developers make about the benefits of neighborhood redevelopment are often overemphasized and/or unmet according to many in the communities who have experienced this change. The literature on the effects of capital reinvestment and urban renewal programs has shown mixed results, suggesting that poverty and crime rates tend to decrease as higher-income and educated residents move into these neighborhoods. However, evidence suggests that this may be the result of displacement of original residents and an influx of middle- and higher-income residents. Much of the existing research into the effects of gentrification follows from a political economy perspective, which often leaves out the personal and communal effect on residents’ psychological well-being. Though some recent work incorporates resident perspectives of the gentrification process, the field of social work has only recently begun engaging in understanding the impacts of gentrification This dissertation aims to address this key gap in the literature by exploring gentrification and associated neighborhood processes in partnership with residents from a Boston community undergoing gentrification. This dissertation is a predominantly qualitative study with an embedded quantitative analysis using ethnographic methods to understand how residents of the East Boston neighborhood of Boston, Massachusetts perceive their neighborhood. Specifically, the dissertation explored 1) the perception of individual and individual impacts of gentrification-related impact amongst long-time residents, 2) how residents make meaning of social control in the neighborhood as it relates to gentrification, and 3) the neighborhood-level spatial indicators of gentrification that contextualized residents’ perceptions. This overarching approach relied on community-level input and participation through four methods: 1) an ethnography, 2) walking interviews, 3) photovoice, and 4) geospatial analysis of gentrification-related indicators using administrative data in order to use a rich array of data to better understand how community members communicate their experiences in their neighborhood as it gentrifies. / Thesis (PhD) — Boston College, 2023. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

Global surgery describes the systematic way to reduce health disparities and realize accessibility and sustainability in surgical care. Nearly five billion individuals lack access to adequate and necessary surgical and peri-surgical care. The contemporary model of global surgery is that of short-term surgical trips, which have origins in European and North American colonialism. The current state of global surgery in the surgical subspecialty of otolaryngology and head & neck surgery (OHNS) care fails to meet an adequate ethical threshold based on traditional bioethical principles. In order to improve the system of global OHNS care to promote sustainability and long-term impact, global OHNS care needs to shift away from providing direct clinical care. This work presents an ethical framework composed of four primary domains—(1) preparation and understanding the local context, (2) education, (3) partnership and exchange, (4) research and evaluation. This model can be used to shephard a future with stronger ethical global OHNS care. / Urban Bioethics