Health Promotion in CommHealth Promotion in Communityunity

報告日期： 101/11/08指導教授：毛慧芬老師報告學生：溫孟璇

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OutlineOutlineHealth Promotion (WHO)

◦The Ottawa Charter◦The Bangkok Charter

Relative articles

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Health PromotionHealth Promotion (WHO)(WHO)The Ottawa Charter

◦ The first International Conference on Health Promotion in Ottawa

◦ 1986/11/21

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The Ottawa CharterThe Ottawa Charterenabling people to increase

control over, and to improve health.

to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment.

health promotion: healthy life-styles

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The Bangkok Charter The Bangkok Charter 6th Global Conference on Health

Promotion2005/7/11policies and partnerships to

empower communities, and to improve health and health equality, should be at the centre of global and national development.

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The Bangkok CharterThe Bangkok CharterAddressing the determinants of health◦Changing context◦Critical factors◦Further challenges◦New opportunities◦Policy coherence◦Progress made

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The Bangkok CharterThe Bangkok CharterThe four key commitments are to make

the promotion of health:◦ central to the global development

agenda◦ a core responsibility for all of

government◦ a key focus of communities and civil

society◦ a requirement for good corporate

practice

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Article sharingArticle sharingCommunity engagement for

health promotion: Reducing injuries among Chinese people in New Zealand

◦Samson Tse, Glenn Laverack, Shoba Nayar and Shirin Foroughian

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Objectives and Objectives and Settings Settings

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MethodsMethods

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ResultsResults && ConclusionConclusion

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Appropriate approach for Appropriate approach for community engagementcommunity engagement

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Article sharingArticle sharingA decolonizing approach to

health promotion in Canada: the case of the Urban Aboriginal Community Kitchen Garden Project

◦ERIKA MUNDEL and GWEN E. CHAPMAN

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Objectives and Objectives and Settings Settings

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MethodMethod

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MethodMethod

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MethodMethod

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ResultsResults && ConclusionConclusion

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Appropriate approach for Appropriate approach for community engagementcommunity engagement

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Article sharingArticle sharingA pilot study of how information

and communication technology may contribute to health promotion among elderly spousal carers in Norway

◦Steffen Torp, Elizabeth Hanson, Solveig Hauge, Ingun Ulstein, and Lennart Magnusson

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Objectives and Objectives and Settings Settings use of information and

communication technology (ICT) by informal carers of frail elderly people living at home

enable them to gain more knowledge about chronic illness, caring and coping, establish an informal support network and reduce stress and related mental health problems.

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MethodMethodCriteria:→ 20 couples

◦close relatives of an elderly person with a diagnosis of a chronic illness dwelling in the same household

◦continue caring for their relative at home

◦60 years of age or older◦caring for less than 2 years◦a computer novice◦Norwegian as their first language

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MethodMethodaccess to informationonline discussiondirect verbal and visual contact

by use of a videophoneA call centre (an assistant nurse

and a district nurse)monthly group meetingsinformal social gatherings

2x/year23

Outcomes measureOutcomes measureCarers’ social contacts burden of care knowledge about chronic disease and

caring, stress and mental healthuse of ICT

Quantitative data: Before and at 12mQualitative data: focus group at 7m

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Measurement at follow-upMeasurement at follow-upAt follow-up

◦not any reduction in carer stress or mental health problems

◦Extensive use of the ICT service◦More social contacts and increased

support◦less need for information about

chronic illness and caring

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ConclusionConclusionContact with and support from

other carers with similar experiences was particularly valued by participants.

The intervention also enhanced contacts with family and friends outside the carer network.

ICT has the potential to contribute to health promotion among elderly spousal carers.

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Appropriate approach for Appropriate approach for community engagementcommunity engagement

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文章分享文章分享 (( 台灣經驗台灣經驗 ))屏東縣社區居民健康促進之研究

◦以飲食及運動處方介入

◦黃國儀、張家銘

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介紹介紹目的：本研究主要目的是針對屏東縣

健康營造中心的社區居民實施健康促進介入（包含飲食和運動處方），以達到參與社區居民健康體適能促進目標。

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研究方法研究方法方法：本研究設計採類實驗法。以屏東縣社區健康營造中心共 68 名

成員設為「實驗組」；同地區 60 名居民設為「對照組」。

透過前、後測之血液生化檢驗、健康行為評估表和運動行為改變階段量表及體適能檢測等方式收集資料。

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介入策略介入策略認知介入運動介入

◦二十四週（約六個月），每週 2 次，每次上有氧運動 1 小時

健康飲食班介入

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結果與結論結果與結論結果：發現長期性的飲食和運動處方

介入對肌耐力、柔軟度、 BMI 、血壓、血脂等健康狀況及健康行為、運動行為改變階段等評量有顯著的改善。

結論：屏東縣社區健康營造中心居民經六個月的飲食和運動處方介入，大部分參與的社區居民達到健康體適能促進目標，此結果可提供未來參考。

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Thanks for your Thanks for your attention !attention !

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