The “Healthy Akame!” community –government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

Marinda, Asiah Nuril Haya

doi:10.1186/s12913-020-05916-w

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The “Healthy Akame!” community –government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

http://hdl.handle.net/10076/00019690

名前 / ファイル	ライセンス	アクション
2020DM0330 (898.0 kB)

Item type

学位論文 / Thesis or Dissertation(1)

公開日

2021-06-29

タイトル

The “Healthy Akame!” community –government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

言語

eng

キーワード

言語

主題Scheme

Other

主題

Health promotion

キーワード

言語

主題Scheme

Other

主題

Community-based participatory research

キーワード

言語

主題Scheme

Other

主題

Health needs assessment

キーワード

言語

主題Scheme

Other

主題

Program development

キーワード

言語

主題Scheme

Other

主題

Mixed-method

キーワード

言語

主題Scheme

Other

主題

Rural health

資源タイプ

資源タイプ識別子

http://purl.org/coar/resource_type/c_db06

資源タイプ

doctoral thesis

アクセス権

open access

アクセス権URI

http://purl.org/coar/access_right/c_abf2

著者

Marinda, Asiah Nuril Haya

著者（ヨミ）

姓名

マリンダ, アシアヌリルハヤ

言語

抄録

内容記述タイプ

Abstract

内容記述

Background: Although Japan has a decentralized public health system, local governments have considered expert opinions over those of the community in decisions about public health programs. Differences in communities’ interests may create gaps between health program objectives and implementation. We hypothesized that community-based participatory research (CBPR), which involves the community at every step, promotes effective program implementation and community empowerment. This study addressed the first step of CBPR, assessing community needs and developing tailored health program for a rural community in Japan.
Methods: In this sequential exploratory mixed-method study (qualitative followed by quantitative), we first formed a community advisory board (CAB) representing community organizations, city officials, and university researchers. The CAB conducted group discussions with community residents to identify the community’s health issues andstrengths. These group discussions were analyzed using thematic analysis, and the results were used to develop a questionnaire, which was subsequently sent to all households in the community to obtain priority scores for health issues and proposed action and to assess willingness to participate in community health program. The CAB then designed a program using the overall study results.
Results: Ten group discussions with 68 participants identified the following health issues: 1) diseases; 2) unhealthy behaviors; and 3) unsupportive environment. Nature, vacant lots, and local farms were considered local strengths. Of a total of 1470 households in the community, questionnaires were collected from 773 households. Cancer, lifestyle-related diseases, and cerebrovascular diseases were ranked as the most important health problems. Improving services and access to medical checkups, use of public space for exercise, local farming, and collaboration with the community health office were considered necessary to address these health problems. Considering feasibility and the availability of resources in the community, the CAB decided to focus on lifestylerelated diseases and designed activities centered on health awareness, nutrition, and exercise. These activities drew on community’s strengths and were adapted to Japanese culture.
Conclusions: The community’s priority health problem was closely related to the epidemiology of diseases. The CBPR approach was useful for identifying community’s needs and for designing a unique community health program that made use of local strengths.

言語

内容記述

内容記述タイプ

Other

内容記述

本文/Department of Family Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu city, Mie prefecture, Japan

内容記述

内容記述タイプ

Other

内容記述

16p

書誌情報

発行日 2021-03-25

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DOI

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Ver.1

2023-06-19 14:43:31.816014

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The “Healthy Akame!” community –government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

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