Building a foundation for an implementation strategy for fostering and collaborating with community organizations, taking into account the local context

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K11258
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: The University of Nagano (2022-2023); Toho University (2019-2021)
• Principal Investigator: IMAMURA HARUHIKO 長野県立大学, 健康栄養科学研究科, 准教授 (40567393)
• Co-Investigator(Kenkyū-buntansha): 西脇 祐司 東邦大学, 医学部, 教授 (40237764)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 健康まちづくり / 実装戦略 / ソーシャル・キャピタル / 住民組織

Outline of Final Research Achievements

This study aimed to build a foundation for implementation strategies for fostering and collaborating with community organizations related to health promotion by the local government, in terms of what kind of methods can be used, based on the local context. The following points were suggested by the analysis of administrative data, interviews and questionnaire surveys with community organizations member and local government officials (e.g. public health nurses) on the "Healthy Community Development " project in City A, Japan: (1) Overall, there was improvement in seven indicators, such as the average number of dental caries among children，(2) The school districts where the public health nurses worked more frequently implemented activities that were in line with the specific health issues of the community，(3) While community organizations member place a high priority on healthy community development, there were issues regarding the promotion structure.

Free Research Field

公衆衛生学、実装科学、社会疫学

Academic Significance and Societal Importance of the Research Achievements

本研究は、海外で注目されている「普及と実装科学」（治療や公衆衛生のエビデンスを、現場実践にいかに効率的・効果的に実装・普及させるかを科学的に検証する学問領域）を、地域の健康まちづくり活動に適用した国内初の試みである。普及と実装科学の枠組みを用いることによって、「地域のキーパーソンを広く関与させる」「利用可能な資源を広く活用する」など、地域の活動を促進する要因を体系的に整理することが可能となった。