期刊
HEALTH PROMOTION INTERNATIONAL
卷 36, 期 -, 页码 40-52出版社
OXFORD UNIV PRESS
DOI: 10.1093/heapro/daab161
关键词
cooperative planning; men; physical activity; community; readiness for change
资金
- Research Network Capital4Health [01EL1421A]
- University of Bayreuth [01EL1421D]
- University of Regensburg [01EL1421H]
- German Federal Ministry for Education and Research (BMBF)
The lack of communities' readiness for change is a major barrier to implementing health interventions effectively. This study used an alternative readiness assessment approach to evaluate a selected community's readiness for change regarding physical activity interventions for men over 50. Multiple key informant perspectives provided in-depth insights and identified starting points for tailored interventions. The study suggests that a qualitative multi-perspective community readiness assessment adds value to existing research practices.
A lack of communities' readiness for change is reported as a major barrier toward an effective implementation of health promoting interventions in community settings. Adding an alternative readiness assessment approach to existing research practice, this study aimed to investigate how a selected community could be evaluated in-depth regarding its readiness for change based on multiple key informant perspectives, with the intention of using this knowledge for the preparation of improved local physical activity (PA) interventions for men above 50 years of age. We conducted semi-structured face-to-face key informant interviews with stakeholders and relevant persons from a local German community (N = 15). The interview guide was based on a comprehensive summary of community readiness dimensions. After verbatim transcription, we conducted thematic analysis to synthesize the complex results regarding community readiness related to PA. The data supported that the community disposed of a variety of resources regarding PA and showed signs of readiness for change. However, a certain degree of saturation regarding PA programs existed. The need for health enhancing PA interventions for men was only partly recognized. The local authority considered PA to be particularly important in the context of mobility and traffic safety. Including multiple stakeholders contributed to a balanced and in-depth assessment of community readiness and was helpful for determining starting points for tailored PA interventions due to the detection of complex relationships and structures. The study delivers preliminary evidence that a qualitative multi-perspective community readiness assessment adds value to quantified single-perspective readiness assessment research practice.
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