It is important to know if a community intervention programme actually exists. The level of programme development depends on the extent of participation. The community participation can not be assessed by only using quantitative methods, there is also a need even for qualitative evaluation in order to identity details about the participation process. The purpose of this paper is to describe analysis using data coming from interviews and diaries, demonstrating both how people participate in a community intervention programme aimed at preventing accidents and why. What is the significance of the leadership in maintaining a programme in the long run? The findings show that the leader or leaders are the most important factors in maintaining a community intervention programme. The study demonstrates the necessity of a leader supporting and stimulating participation. There are also some personal reasons why people participate. The involvement is very much correlated with the personality of the programme adopters. As long as an individual can perceive personal gains from participating in the programme, it is of interest to her/him.
Injuries due to accidents are a serious public health problem in Sweden as in the rest of the world. In Sweden injuries are the most frequent cause of death among people under the age of 50. More than 75% of all injuries occur in the home or surrounding area. Most accidents strike children, teenagers, and the elderly. Many accidents can be avoided. Prevention is therefore important. A community intervention programme for the prevention of accidents has been developed in the municipality of Sollentuna in Stockholm County. During the planning phase, a basic analysis of the local community was found to be useful, i.e. a Community Diagnosis, which includes three stages: description, analysis, and a health action programme. This report concentrates on the first two stages. To make a community diagnosis, some basic data are needed. In this report the relevance of the existing registers to the Community Diagnosis model is discussed. It is also shown how the Community Diagnosis model helped in the planning phase: the community profile demonstrated whom the prevention should be aimed at, the health profile emphasized the importance of accident prevention, the health risk profile showed where to change the environment, and last, the organizational profile elucidated how preventive work should be organized.
The Stockholm Diabetes Prevention Program (SDPP) is implementing a model for community-based intervention of type 2 diabetes in three municipalities, of which one has focused on increasing physical activity among the inhabitants. The purpose was to emphasize the integration of walking into daily routines. The campaign was promoted throughout residential areas, organizations and local media. Leaders for organized walking were recruited as volunteers by advertising in local media. After a short education in leadership, practice, and first aid, the 27 volunteers ran organized walking groups in several residential areas. During three of seven walking campaigns the participants were followed and evaluated. The study showed that those individuals who participated one to three times a week were predominantly married women with a good health and regular physical activity. Nevertheless, more important was that one third of the participants had never been exercising regularly before. Most remarkable was to find the voluntary leaders so easily recruited and their great interest to remain as leaders for walking tours.