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CD approaches to health research

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.

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CD approaches to health research

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  1. CD approaches to health research Dr. Alison Gilchrist

  2. Key terms and concepts • Community • Health and well-being • Research • Participation and empowerment • Equality and diversity • Collective efficacy • Social capital/networks

  3. CD – bottom up approach to social justice and well-being Communities: • Identify their own needs and aspirations • Take 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 expertise • Respect community views and priorities • Question status quo assumptions • Challenge power differentials and inequalities • Tackle barriers to participation

  4. CD principles and characteristics • Equality • Empowerment • Participation • Collective working • Long-term and holistic • Dialogue • Reflective, experiential and peer learning

  5. Adopting a CD approach • Research design and implementation will be community-led • Shared problem or aspiration • Collective approach • Participative decision-making • Partnership • Co-production of evidence • Implications • Training and support • Time • Roles – clarity • Inclusion • Issues • Confidentiality • Accountability • Ownership • Differences • analysis, priorities, expectations, etc.

  6. Health related outcomes Collective • Empowerment • Connectedness • Understanding • Capacity • Evidence base • Better services Individual • Sense of belonging • Skills • Knowledge • Insights • Useful links • Better treatment

  7. Your research so far • How 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?

  8. 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.

  9. Foresight report on (mental capital and well being) • 5 recommendations, including • Connect…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.

  10. 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.)

  11. Current context • Recession – rise in unemployment and poverty • Public spending cuts • Re-structuring and diversification of health services • The 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

  12. Dilemmas and debates • Leadership issues and styles • Dealing with dissent and diversity • Working with volunteers • Sustaining involvement and momentum • Accountability and transparency • Inequalities • Power blocs, vested interests • Discrimination • Health effects over the long term

  13. Conclusions and next steps • What 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?

  14. Suggested reading • Wilkinson and Pickett (2010) Spirit Level; • Gilchrist and Taylor (2011) A Short guide to community development • Craig et al (2011) The community development reader • Goodson and Phillimore (forthcoming) Community Research: From Theory to Method • Orme et al (2007) Public health for the 21st century

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