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Title [sv]
Hälsofrämjande Innovation i samverkan
Title [en]
Health promotion in Collaboration
Abstract [sv]

Hälso- och sjukvård, tandvård, Malmö stad, akademins professionsutbildningar samt olika folkhälsoaktörer har tillsammans med privata näringslivsaktörer, idéburen sektor och medborgare skapat förutsättningar och ett program I UDI1 för en jämlikare hälsa i socialt utsatta områden

Syftet med projektet i steg 2 är att vidareutveckla ett hälsofrämjande arbete. Genom en innovationsplattform i socialt utsatta områden som tar utgångspunkt i medborgarna behov i samverkan med näringslivet, offentlig/idéburen sektor och akademins professionsutbildningar skapas förutsättningar att minska den ojämlika hälsan i befolkningen. Innovationsplattformen består av tre UDI - lab som relateras till tandhälsa, egenvård, träning (idrott), fysisk aktivitet och hälsoinfo/kommunikation i grupper av barn, ungdomar, kvinnor/ män i socialt utsatta stadsområden.

Labbens målsättning är samproduktion av innovativa produkter/tjänster för hälsa utifrån användarnas egna behov som sedan lägger grunden för interventioner. Innovationsplattformen skall följas upp och utvärderas enligt en internationell modell CBPR (community based participatory research) som även utvärderar partnerskap, mäter social impact och  hälsa. Behövliga systemförändringar identifieras genom samverkans aktiviteter såväl som i idéer till nya produkter/tjänster samtidigt som individer genom sociala processer integreras i samhället och till utbildning och arbete.

Medverkande organisationer: TePe Munhygien, Apotek hjärtat, Semcon, Radix, Trianon, Needsdrive AB, Malmö stad, Region Skåne, Samordningsförbundet FINSAM, Länsstyrelsen Skåne, Röda Korset, Rädda Barnen, Skånes idrottsförbund.

Abstract [en]

A societal challenge is to reduce the inequalities in health in the population. A health-promoting innovation platform in collaboration between the users, business community, public/non-governmental sector and the academy's education system takes this challenge.

People from socially disadvantaged areas become co-producers of health promotion activities in co-labs for open innovation, an approach that, in itself, creates both innovations for society/industry and improved health of the participating individuals. In this processes, self - reported health and system changes are identified through the partnership activities, as well as by ideas for new products/services.

The innovation platform consists of three UDI lab related to dental health, self care, exercise and health literacy in groups of children, youth, women/men in disadvantaged urban areas. The goal of the health promotion labs is innovative products/services for health based on the users' needs and for future interventions. The innovation platform will be followed up and evaluated according to a contemporary CBPR model (community based participatory) that evaluates partnerships and by measuring Health.

Publications (1 of 1) Show all publications
Ramji, R. (2022). Health promotional interventions informed by community-based participatory research in a socially disadvantaged neighbourhood: development, exploration and evaluation. (Doctoral dissertation). Malmö universitet
Open this publication in new window or tab >>Health promotional interventions informed by community-based participatory research in a socially disadvantaged neighbourhood: development, exploration and evaluation
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to understand the impact of community-based participatory research-informed health promotional initiatives on the health of communities living in socially disadvantaged neighbourhoods in Southern Sweden. The thesis was part of a larger program, Health promotion, Innovation in Collaboration which was a community-based participatory research program aiming to create novel ways to improve health through participatory and collaborative strategies. The thesis embraces one mixed-method study, a quantitative study, a qualitative study and finally a participatory action research study with a qualitative approach. A total of 49 citizens and 10 families with children aged 7-14 years from a disadvantaged neighbourhood in Southern Sweden participated in the different studies. The mixed-method study (Study I) described the development of initial evaluation of a Community-based participatory research(CBPR) informed physical activity intervention, which showed the need for the intervention to be offered cost-free and exclusively for women. In line with the results of the first study, the CBPR physical activity intervention was offered to 35 women in the neighbourhood and the effect of the intervention was assessed over time both quantitatively (Study II) and qualitatively (Study III), including a perspective on the pandemic. The last study (Study IV) focused on diet and oral health among families, particularly mothers and children. In this study, the children were initially engaged in a photovoice interview which was followed by a focus group with parents. The pre-study revealed that children disliked school lunch and did not eat breakfast regularly owing to time constraints and family situations. Furthermore, children also consumed a high amount of sugar. To this, the parents expressed that they were not able to guide their children appropriately and needed help with aspects such as diet focusing on breakfast, lunch and dinner, as well as knowledge on oral hygiene habits. The quantitative part of Study I and Study II were repeated measures data at different time points before and after the intervention. The qualitative data in studies I and III were collected in form of focus group interviews in parallel to the quantitative data. The mode of data collection in Study IV was Multi-staged focus groups where the same families met at different time points and engaged in dialogue and reflection on different topics at each meeting. The results of the first three studies show that a CBPR informed physical activity intervention when offered in groups improved health-related quality of life, physical health, induced behavioural change and potentially builds resilience to withstand the psychosocial and physical effects of the pandemic. The last study shows that a CBPR informed oral health promotion through reflection and dialogue among families together with other stakeholders, influences behavioural change and perceived changes in health among parents and children living in a disadvantaged neighbourhood. In conclusion, this thesis highlights that social support is key to improved perceived health, empowerment, and sustainable behavioural change among citizens in the neighbourhood. Although women are most in need of support, they are also gateways to the families and thereby their communities. And finally, health promoters have had a vital role in engaging communities in health promotional efforts and bringing them closer to other societal actors, strengthening their social bonds and helping build community resilience in the face of adversity.

Place, publisher, year, edition, pages
Malmö universitet, 2022. p. 153
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 2022:2
Keywords
Participatory Action Research, Quality of Life, Physical Activity, Oral Health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Care science
Identifiers
urn:nbn:se:mau:diva-50234 (URN)10.24834/isbn.9789178772438 (DOI)978-91-7877-242-1 (ISBN)978-91-7877-243-8 (ISBN)
Public defence
2022-02-25, AULA, Jan Waldenströms gata 25, Malmo, 14:00 (English)
Opponent
Supervisors
Available from: 2022-02-15 Created: 2022-02-15 Last updated: 2022-08-16Bibliographically approved
Project OfficerRämgård, Margareta
Co-InvestigatorTham, Kerstin
Co-InvestigatorKottorp, Anders
Co-InvestigatorSalonen, Tapio
Co-InvestigatorKlingberg, Gunilla
Co-InvestigatorKlinge, Björn
Coordinating organisation
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV)
Funder
Period
2017-08-15 - 2019-08-30
Keywords [sv]
tandhälsa, egenvård, träning, idrott, fysisk aktivitet, Hälso- och sjukvård, tandvård, jämlik hälsa,
Keywords [en]
health promotion, innovation, dental health, self care, exercise
National Category
Health Sciences
Identifiers
DiVA, id: project:2362

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