NYU Socioecological Framework Discussion

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Research and practice in health promotion have increasingly employed community engagement, which is defined as “the process of working collaboratively with and through groups of people affiliated by geographic proximity, special interest, or similar situations to address issues affecting the well-being of those people” (Centers for Disease Control and Prevention CDC 2011). In light of these developments, members of the disease prevention and health promotion communities have expanded their efforts to create positive environments and strong community action, and to use public policy in new ways that support community collaboration. This thinking about public health, stresses the importance of engaging the community in health decision-making and improving community participation in health promotion, health protection, and disease prevention efforts (CDC 2011).

The rationale for community-engaged health promotion, policy making, and research is largely rooted in the recognition that lifestyles, behaviors, and the incidence of illness are all shaped by social and physical environments (Institute of Medicine). This ecological view is consistent with the idea that health inequalities have their roots in larger socioeconomic conditions (Glirk eta l, 2016). If health is socially determined, then health issues are best addressed by engaging community partners who can bring their own perspectives and understandings of community life and health issues to a project, and if health inequalities are rooted in larger socioeconomic perspective, then approaches to health improvement must take into account the concerns of communities and be able to benefit diverse populations.

The community organization and related concepts offer a path to engagement through a “process by which community groups are helped to identify common problems or goals, mobilize resources, and in other ways develop and implement strategies for reaching goals they have set’ (Ayres, Stevens and Regan de Bere 2016). Organizing activities are a way of activating the community to encourage or support social and behavioral change. Community organizing can be an empowering process for individuals, organizations, and communities. At the individual level, community organizing activities provide individuals with the chance to feel an increased sense of control and self-confidence and to improve their coping capacities (Ayres, Stevens and Regan de Bere 2016). These have been shown to have physical health benefits. Organizing activities also strengthen the capacity of communities to respond effectively to collective problems. Individuals, organizations, and communities can be empowered by having information about problems and an open process of accumulating and evaluating evidence and information.

The relationship-based social change community building is where those who use the power-based approach believe that, in order to affect change, citizens must form organizations that aim to transform and redistribute power, the relationship-based approach works for change by building strong, caring and respectful relationships among all members of a community.

There has been studies of academic and community partnerships where employing principles of community-engagement to address cardiovascular disease in health disparities communities around the country has made a difference to behavior change. The researcher acknowledges and recognize that neither cardiovascular health problems nor efforts to prevent them are new public health concerns. However, when emphasizes started to be placed on the contribution and potential of efforts that engage community members in meaningful roles to guide, empowering, accessible, culturally appropriate and effective programs made a positive impact on the behaviour change process.

Another model that can make this behavior change effective is the Social Ecological Model, just as the community engagement the SEM also emphasize engaging the individual community organization and the society as a whole. culture and love ones and the society influence play major role in who we are (Glirk et al 2016). This paper aims to show the importance of involving community members in the planning and implementation activities as essential to project success. This study exemplifies that community-engagement is a dynamic process that requires careful and culturally appropriate recognition of the unique needs, strengths and limitations within each setting. While there are commonly encountered challenges to community engagement, there is great potential for rewards, especially when community members are involved in the development of context-specific strategies and solutions (Glirk et al 2016

                                                                        Reference:

Ayres, R. Sevens, S and Regan de Bere (2016), Getting real in the community: Evaluating the “making a difference” interdisciplinary social engagement project retrieved from: https://doaj.org/article/af23298ef3664df79286c7521e411314?.

Centers for Disease Control. Principles of community engagement. Atlanta (GA): Agency for Toxic Substances and Diseases Registry; 2011.

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). San Francisco, CA: Jossey-Bass.

Glirk et al (2015) Community-Engagement to Support Cardiovascular Disease Prevention in Disparities Populations: Three Case Studies. Journal of Health Disparities Research and Practice Volume 9, Issue 1, Spring 2016, pp.92 – 108 retrieved from: https://eds-b-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=c45adc51-75a5-41f9-a752-91ae008e2e2e%40pdc-v-sessmgr03

Respond to the BOLD paragraph ABOVE by using one of the option below… in APA format with At least two references and a minimum of 200 words….. .(The List of References should not be older than 2016 and should not be included in the word count.) 

  • Ask a probing question.
  • Share an insight from having read your colleague’s posting.
  • Offer and support an opinion.
  • Validate an idea with your own experience.
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