cd approaches to health research
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CD approaches to health research. Dr. Alison Gilchrist. Key terms and concepts. Community Health and well-being Research Participation and empowerment Equality and diversity Collective efficacy Social capital/networks. CD – bottom up approach to social justice and well-being. - PowerPoint PPT PresentationTRANSCRIPT
Dr. Alison Gilchrist
Key terms and conceptsCommunityHealth and well-beingResearchParticipation and empowermentEquality and diversityCollective efficacy Social capital/networks
CD – bottom up approach to social justice and well-beingCommunities:Identify their own needs and
aspirationsTake action to exert
influence on the decisions which affect their lives
Improve the quality of their lives, the communities in which they live, and societies of which they are a part
Practitioners:Mobilise local knowledge
and expertiseRespect community views
and prioritiesQuestion status quo
assumptionsChallenge power
differentials and inequalitiesTackle barriers to
participation
CD principles and characteristicsEqualityEmpowermentParticipationCollective workingLong-term and holisticDialogueReflective, experiential and peer learning
Adopting a CD approachResearch design and
implementation will be community-ledShared problem or
aspirationCollective approachParticipative decision-
makingPartnershipCo-production of
evidence
ImplicationsTraining and supportTimeRoles – clarity Inclusion
IssuesConfidentialityAccountabilityOwnership Differences
analysis, priorities, expectations, etc.
Health related outcomesCollectiveEmpowermentConnectednessUnderstandingCapacityEvidence base
Better services
IndividualSense of belongingSkillsKnowledgeInsightsUseful links
Better treatment
Your research so farHow did you decide on your aims?How were the research questions agreed?How did you use your own and others’ experiences?What roles did you adopt? Did this change?What were the main processes and principles you used?What issues did you encounter?
Key messages from New Horizons report• Use a life course approach : people develop and share skills to
continue learning and have positive social relationships throughout life.
• Build strength, safety and resilience: address inequalities and ensure safety and security at all levels
• Develop sustainable, connected communities: create socially inclusive communities that promote social networks and environmental engagement.
• Integrate physical and mental health: develop a holistic view of well-being ...reduce health-risk behaviour and promote physical activity.
• Promote purpose and participation : enhance positive well-being: through variety of activities,, relaxation
• Generate a positive outlook: through creativity and purposeful community activity.
Foresight report on (mental capital and well being)
5 recommendations, includingConnect… With the people around you. With family,
friends, colleagues and neighbours...Building these connections will support and enrich you every day.
Give … Do something nice for a friend, or a stranger...Volunteer your time. Join a community group...Seeing yourself as linked to the wider community...creates connections with the people around you.
What next?What does your evidence suggests?What does this mean in practice?What action planning are you intending? What resources are needed?Who will be involved?How will you encourage inclusive participation and
decision-making?What changes are likely and how will you measure
impact? (outputs, outcomes, attitudes, etc.)
Current contextRecession – rise in unemployment and povertyPublic spending cutsRe-structuring and diversification of health servicesThe Big Society – small state model
Community empowerment: services, planning and campaigns through voluntary associations and community organising
Active citizens: philanthropy, volunteering, self-help, social action and civic engagement
Localism: devolution to local authorities and neighbourhood groups
Social capital and collective responsibility
Dilemmas and debatesLeadership issues and stylesDealing with dissent and diversityWorking with volunteersSustaining involvement and momentumAccountability and transparencyInequalities
Power blocs, vested interestsDiscriminationHealth effects over the long term
Conclusions and next stepsWhat have you learnt from research?
Does this reflect community experiences?
What will happen as a result?Is this what community members want?Will they be involved in decision-making?
What next?
Suggested readingWilkinson and Pickett (2010) Spirit Level;Gilchrist and Taylor (2011) A Short guide to community
development Craig et al (2011) The community development readerGoodson and Phillimore (forthcoming) Community
Research: From Theory to MethodOrme et al (2007) Public health for the 21st century