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Abstract：
Introduction: Community-based participatory research (CBPR) is considered to be of high potential for health promotion among socially disadvantaged groups. However, the long-term implementation and transfer of these approaches remain challenging, and the public health impact they achieve is difficult to study. This also pertains to the potential health effects and cost-effectiveness of CBPR. This study protocol describes the follow-up case study (NU-BIG) after 15 years of the BIG project (\"movement as investment in health\"), a project to promote physical activity among socially disadvantaged women. Through a participatory approach, BIG empowers the addressed women to plan and implement low-threshold physical activity offers. Since the project started in 2005, it was transferred to 17 communities in Germany. Materials and Analysis: NU-BIG intends to examine the long-term effects, including economic aspects, of the BIG project on individual and structural levels at all project sites, as well as its long-term implementation and transfer. NU-BIG is a cross-sectional and longitudinal study using a mixed method approach. For the longitudinal section, we re-analyze existing data from former BIG evaluations. For cross-sectional data collection, we use questionnaires and conduct qualitative interviews and focus groups. Women who take part in BIG program offers are part of the research team and will use the photo-voice approach to report on the effects of BIG. The study population consists of about 800 women who participate in BIG project offers and 50 persons involved in the implementation of the BIG project at local sites. Discussion: The expected results from NU-BIG are highly relevant for studying the long-term public health impact of CBPR. In particular, this project intends to answer questions on how the transfer of such projects can succeed and which factors determine if a CBPR project can be sustained at the community level. Eventually, these results can contribute to the further development of participatory approaches to provide effective health promotion among socially disadvantaged groups. Conclusion: Although CBPR is seen of having the potential to reduce health disparities, there is still a lack of research on its long-term effects and public health impact. NU-BIG aims at generating knowledge about the economic effects, reach, efficacy, adoption, implementation, and maintenance of a CBPR project. The expected results could be of high interest for BIG and other CBPR-projects.
摘要：
简介：基于社区的参与式研究（CBPR）被认为在社会弱势群体中具有很高的健康促进潜力。然而,这些方法的长期实施和转让仍然具有挑战性，和他们实现的公共卫生影响是很难研究。这也涉及CBPR的潜在健康影响和成本效益。本研究方案描述了BIG项目15年后的后续案例研究（NU-BIG）（“作为健康投资的运动”），促进社会弱势妇女体育锻炼的项目。通过参与式方法，BIG授权上述妇女计划和实施低门槛的体育活动。该项目自2005年启动以来，已转移到德国的17个社区。材料与分析：NU-BIG打算检查长期影响，包括经济方面，所有项目地点的个人和结构层面的BIG项目，以及其长期实施和转让。NU-BIG是使用混合方法方法的横截面和纵向研究。对于纵断面,我们重新分析以前BIG评估的现有数据。对于横截面数据收集，我们使用问卷调查，进行定性访谈和焦点小组。参加BIG计划的女性是研究团队的一部分，将使用照片语音方法来报告BIG的影响。研究人群包括约800名参与BIG项目提议的妇女和50名参与在当地地点实施BIG项目的人。讨论：NU-BIG的预期结果与研究CBPR的长期公共卫生影响高度相关。特别是,该项目旨在回答有关此类项目的转让如何成功以及哪些因素决定了CBPR项目是否可以在社区一级持续的问题。最终,这些结果有助于进一步发展参与性方法，为社会弱势群体提供有效的健康促进。结论：尽管CBPR被认为具有减少健康差异的潜力，关于其长期影响和公共卫生影响的研究仍然缺乏。NU-BIG旨在产生有关经济影响的知识，reach,功效,收养,实施，以及CBPR项目的维护。预期结果可能对BIG和其他CBPR项目产生高度兴趣。
