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summer fouda

on 27 April 2013

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Transcript of CBPR

CBPR: Definition of CBPR : Faculty of engineering, Zagazig University Methodology This work is aiming to promote health of the students and improve their living conditions in university through the following: Community based participatory research(CBPR) is a partnership or collaborative approach that equitably involves community members, organizational representatives and researchers in all aspects of the research process . Community based participatory research (CBPR) is an empowerment based strategy given communities to a. Give them the right to participate in planning, implementation and evaluation of their solutions to their problems. b. Participate in decision making . c. Increase chance and access to health services . d. Decrease the exposure to harmful agents . Community based participatory research (CBPR) is used to face health disparities. Steps : 1. Forming partnership. 2. Identifying community strengths and dynamics. 3. Identifying priority of health. 4. Planning for intervention. 5. Pilot test for intervention. 6. Implementation of intervention. 7. Documenting and evaluation of partnership effectiveness action. WHY WE USE OR NEED CBPR ? Due to the defectiveness of public health interventions as it:
1- don't focus on special concern and culture of all participants.
2-don't include participants of all aspects of planning, implement &evaluation of intervention.
3- focus on individual behavior only and neglect other determinants of health. So the most important problems we concluded in our research are: Smoking Lack of physical
activity Unawareness of ergonomics Which is a very horrible problem facing the humanity, especially youth .
Smoking is precancerous, causing immune suppression problems and multisystem affection due to its dependence.
A recent study refers that smoking rate in Egypt increases annually by 7% between youth and Egyptian people. They consume around 40 billions cigarettes every year .

The most common causes of smoking between university students in Egypt are :
1- Their desire to prove themselves as adults .
2- Bad socio-economic status .
3- Bad friends . is any activity that helps to improve physical fitness as well as health in general.
Daily activities"walking,, climbing stairs"
Muscle strengthening activities
Aerobic activities : are any activity that makes your heart and lungs work harder

Health benefits of physical activity:
Decrease risk of any coronary heart disease.
Decrease risk for cerebral stroke .
Decrease risk of developing cancer.
Decrease blood pressure in hypertensive people.
Improve mental health "sense of well-being&self esteem"
Also Exercise with diet control is the best method to decrease weight.
In smokers it helps to decrease desire to smoke&help with withdrawal symptoms. Aim of the work objectives: 1- Forming partnership with the faculty staff .
2- Finding the most common health problems among students
3- Prioritize these health problems
4- find their causes and how to solve it.
5- Empower them to face the problems
6- health education about these problem.
7- Evaluate the partnership, the health education and the whole CBPR process. 1ry source of data collection .
used to collect qualitative Data ( Socio demographic Data ).
field investigations to find the frequency of specific disease in certain population .
Provide more detailed information
Also evaluate the data collection methods .
It contains closed ended questions about ( health problems , health service utilization ) . 1ry sources of data collection.
used to collect qualitative Data .
It's away in which a group of community we concerned about it , don't
Exceed 8 persons asked by 3 members .
- Modulator : Person which is responsible for asking questions .
- Assistant : Person which observe dialogue .
- Writer : Person which write what happened during dialogue .
2 focus groups are held male group and female group. 1ry sources of Data collection .
used to collect qualitative data .
It's away in which one member of team work make an interview with one of responsibles of the community we concerned about it . to detect the points of strength & weakness in this community & the most serious problems of it . Listing & Prioritization
we could enlist the major health problems During our 1st visit there including :
1 - Smoking .
2 - low physical activity .
3 – Drugs addiction .
After grading by usual scoring system , we reached that the major problem there was smoking by 27 degrees followed by the problem of low physical activity by 23 degrees & the other problems obtain 21 degrees. so , 2 problems will be included in our research . Plan of action Recommendations : 1- There must be more regulation and more facilities
2- There must be more help from medical staff to improve CBPR .
3- Increase cooperation between staff and students.
4- Increase number of visits to the community to make more communications .
5- Motivation of community members .
6- There must be good health education program for empowering the community .
7- Improving relationship between community members and researchers. Constrains : Ergonomics: what is Ergonomics?
• The word "Ergonomics" comes from two Greek words "ergon," meaning work, and "nomos" meaning "laws."
• Today, however, the word is used to describe the science of "designing the job to fit the worker, not forcing the worker to fit the job." • Ergonomics covers all aspects of a job, from the physical stresses it places on joints, muscles, nerves, tendons, bones and the like, to environmental factors which can effect hearing, vision, and general comfort and health.
SUCH AS: computer ergonomics-Car ergonomics-tips for improving posture Study sitting Study design Study duration Subject Faculty of engineering
Zagazig university Intervention study Students of faculty of engineering 6 months from November 2012 to April 2013 TOOLS Survey Focus Groups In Depth Interviews Statement of the problems
Lack of physical activity between students
Increase cigarette smoking. Rational for selection
It takes high priority .
Takes high percentage in focus & survey .
According to partner opinion .
It's a serious problem .
Have great impact on community . Expected outcome
Increase awareness about importance of physical activity between students .
Increase awareness about harmful effects of smoking.
Decrease the problems impact on the community . Goal
Enhance the health status of the students through physical activity & Decrease smoking. Objective

Improving the awareness of students & increase knowledge about physical activity & Harmful effects of smoking by 80% within 3hrs ( time of field ) . Methods
Subjects : 40 medical student of B4 , 1 student from faculty of engineering & 1 lecturer from faculty of engineering .
Study design : Intervention study .
Sample : Non-probability sample
Intervention description : by health education through ( messages , posters , pre& post tests) Data management & Analysis : by SPSS program . Implementation Plan :
8 groups "5 for physical activity& 3 for smoking" :
each group consists of 3 students for pre & post test within 90 mins.
1 student for poster within 30 mins .
1 student for message within 1 hr . Structure , process & outcome measures :
data collection from : individuals , health authority .
Analysis of the collected data : by spss analysis . Evaluation of out come measures : Thank you ! :) video 1st visit Plan: 1-Formation of a sustainable partnership with faculty of engineering staff. 2-preparation of survey/questionnaire. 3-Co-ordination with group B4 to understand how to perform the survey. Implementation: 1- Forming the partnership with one of the staff & the student union.
2-Got the consent from the faculty dean.
3-Performed the survey. Results: 2nd visit 3rd visit
Any questions ?
1 -Time of visits isn't suitable for community members
2 -Number of visits weren't enough .
3 -Medical students need more experience & skills for dealing &Communication with the community.
4-Lack of cooperation from the community members .
5-Difficulties in planning for visits and finding community members . 1) Empowerment of the study community. By providing them with an illustrated tables and handouts about smoking and physical activity & ergonomics.
2) group discussion with them about importance of making changes by themselves.
3)Assessment of community satisfaction about CBPR using a constructed questionnaire
The subject age ranges between 19 to 24 and this is consider the normal range.
All of them are single of them still have no plans regarding marriag.
Among the subjects 73% are females and the remaining 27% are males. Community satisfaction questionnaire: Notices: Physical activity Pre and post of attitude Pre and post of Knowledge Smoking Physical activity
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