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Evaluation of Changes in Individual Community-Related Empowerment in Community Health Promotion Interventions in Estonia

机译:爱沙尼亚社区健康促进干预中与社区相关的个人授权变化的评估

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This study assessed changes in community members’ ratings of the dimensions of individual community related empowerment (ICRE) before and two years after the implementation of an empowerment expansion framework in three community health promotion initiatives within the Estonian context. We employed a self-administered questionnaire, the adapted mobilisation scale–individual. As the first step, we investigated the multidimensional nature of the ICRE construct and explored the validity and reliability (internal consistency) of the ICRE scale. Two datasets were used. The first dataset comprised a cross-sectional random sample of 1,000 inhabitants of Rapla County selected in 2003 from the National Population Register, which was used to confirm the composition of the dimensions of the scale and to examine the reliability of the dimensions. The second dataset comprised two waves of data: 120 participants from three health promotion programs in 2003 (pre-test) and 115 participants in 2005 (post-test), and the dataset was used to compare participants’ pre-test and post-test ratings of their levels of empowerment. The content validity ratio, determined using Lawshe’s formula, was high (0.98). Five dimensions of ICRE, self-efficacy, intention, participation, motivation and critical awareness, emerged from the factor analysis. The internal consistency (α) of the total empowerment scale was 0.86 (subscales self-efficacy α = 0.88, intention α = 0.83, participation α = 0.81 and motivation α = 0.69; critical awareness comprised only one item). The levels of ICRE dimensions measured after the application of the empowerment expansion framework were significantly more favourable for the dimensions self-efficacy, participation, intention and motivation to participate. We conclude that for Rapla community workgroups and networks, their ICRE was rendered more favourable after the implementation of the empowerment expansion framework.
机译:这项研究评估了爱沙尼亚范围内的三个社区健康促进计划中实施授权扩展框架之前和之后,社区成员对各个社区相关授权(ICRE)维度的评级变化。我们采用了自我管理的问卷,即适应性强的个人动员量表。第一步,我们研究了ICRE量表的多维性质,并探讨了ICRE量表的有效性和可靠性(内部一致性)。使用了两个数据集。第一个数据集包括2003年从国家人口登记表中选择的1000名拉普拉县居民的横断面随机样本,该样本用于确认量表维度的组成并检查维度的可靠性。第二个数据集包含两波数据:2003年(测试前)的三个健康促进计划的120名参与者(2005年)和2005年(测试后)的115名参与者,该数据集用于比较参与者的测试前和测试后他们的能力水平等级。使用Lawshe公式确定的内容有效率很高(0.98)。从因素分析中得出了ICRE的五个维度,即自我效能感,意图,参与,动机和批判意识。总赋权量表的内部一致性(α)为0.86(子量表的自我效能感α= 0.88,意图α= 0.83,参与度α= 0.81,动机α= 0.69;批判意识仅包含一项)。在应用赋权扩展框架之后,ICRE维度的水平显着更有利于维度自我效能,参与,意图和参与动机。我们得出结论,对于Rapla社区工作组和网络,在实施授权扩展框架后,其ICRE变得更加有利。

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