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KMID : 0858820090260050015
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Journal of Korean Society for Health Education and Promotion
2009 Volume.26 No. 5 p.15 ~ p.26
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Operation of Community Resident Groups in a Community-Based Participatory Health Promotion Program for Low-income Older Adults
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Yoo Seung-Hyun
James Butler
Thistle I. Elias
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Abstract
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Objectives: This paper is intended to illustrate and to discuss the organization and functioning of community resident groups (CRGs) in a community-based participatory health promotion program for healthy aging.
Methods: CRGs were convened in 12 government-subsidized apartment communities for low-income seniors in Pennsylvania, U.S.A., to promote healthy aging. Researchers facilitated CRG meetings following a 6-step process of community empowerment and utilizing a social ecological model for assessment and planning. Almost 200 project-related documents were qualitatively analyzed using matrix analysis principles such as cross-classification of multiple dimensions to identify patterns in the data and matrix building for displaying such patterns.
Results: CRGs were venues at which apartment building residents could interact, discuss health priorities, and become change agents in their building. CRG members" community health priorities were about their daily living, including building conditions, poor access to fresh food, and unhealthy resident relations. Specific patterns arose in analysis indicating that leadership withing the CRGs, consistency of meetings and participants" attendance, and ability to link health concerns to daily experience impacted the CRGs" capability to identify and accomplish their goals.
Conclusion: Community health issues and solutions to those issues identified by CRGs were unique to community contexts and interests. Consistent participation by community members, a consistent pattern of group activities such as monthly meetings, and having established leadership to manage CRG activities were prominent characteristics of community group functioning.
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KEYWORD
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Community-Based participatory research, Community groups, Community health, Health promotion, Older adults, Healthy aging
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