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The promotion of health through planned sociopolitical change: Challenges for research and policy

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  • McKinlay, John B.

Abstract

The focus of health promotion is moving from the level of individuals to organizations, communities and broader social policy. Traditional quantitative methods (e.g. social surverys and experimental designs) which are variously appropriate at the level of individual behavior change require adaptation and refinement when sociopolitical change becomes the mechanism for health promotion. Because of their training and experience health services researchers and health educators (especially psychologists) are understandably resistant to necessary methodologic changes. Well designed and carefully conducted qualitative studies (e.g. ethnographic interviewing, participant observation, case studies and focus group activities) are required to complement quantitative approaches, and can fill gaps where quantitative techniques are suboptimal or even inappropriate: hard qualitative techniques can support soft quantitative methods. Their utility in process evaluation is now beyond dispute. Recent work at the New England Research Institute (NERI) is used to illustrate the role of qualitative research in the evaluation of health promotion through planned sociopolitical change.

Suggested Citation

  • McKinlay, John B., 1993. "The promotion of health through planned sociopolitical change: Challenges for research and policy," Social Science & Medicine, Elsevier, vol. 36(2), pages 109-117, January.
    • Handle: RePEc:eee:socmed:v:36:y:1993:i:2:p:109-117
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    Cited by:

    1. Camara, N'Famory & Xu, Deyi & Binyet, Emmanuel, 2017. "Understanding household energy use, decision making and behaviour in Guinea-Conakry by applying behavioural economics," Renewable and Sustainable Energy Reviews, Elsevier, vol. 79(C), pages 1380-1391.
    2. Richard, Lucie & Lehoux, Pascale & Breton, Eric & Denis, Jean-Louis & Labrie, Louise & Leonard, Claudine, 2004. "Implementing the ecological approach in tobacco control programs: results of a case study," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 409-421, November.
    3. Jonathan Dubinsky & Elizabeth Baker-Jennings & Tamara Chernomordik & Deborah S. Main & Arunprakash T. Karunanithi, 2019. "Engaging a rural agricultural community in sustainability indicators and future scenario identification: case of San Luis Valley," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 21(1), pages 79-93, February.
    4. Borgonovi, Francesca, 2010. "A life-cycle approach to the analysis of the relationship between social capital and health in Britain," Social Science & Medicine, Elsevier, vol. 71(11), pages 1927-1934, December.
    5. A. Shiell & P. Hawe, 1996. "Health promotion community development and the tyranny of individualism," Health Economics, John Wiley & Sons, Ltd., vol. 5(3), pages 241-247, May.
    6. Bonell, Christopher & Hargreaves, James & Strange, Vicki & Pronyk, Paul & Porter, John, 2006. "Should structural interventions be evaluated using RCTs? The case of HIV prevention," Social Science & Medicine, Elsevier, vol. 63(5), pages 1135-1142, September.
    7. Francesca Borgonovi & Artur Pokropek, 2016. "Education and Self-Reported Health: Evidence from 23 Countries on the Role of Years of Schooling, Cognitive Skills and Social Capital," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-16, February.
    8. Sabbah, Wael & Tsakos, Georgios & Sheiham, Aubrey & Watt, Richard G., 2009. "The role of health-related behaviors in the socioeconomic disparities in oral health," Social Science & Medicine, Elsevier, vol. 68(2), pages 298-303, January.
    9. Frances Stillman & Anne Hartman & Barry Graubard & Elizabeth Gilpin & David Chavis & John Garcia & Lap-Ming Wun & William Lynn & Marc Manley, 1999. "The American Stop Smoking Intervention Study," Evaluation Review, , vol. 23(3), pages 259-280, June.
    10. Sogoric, Selma & Middleton, John & Lang, Slobodan & Ivankovic, Davor & Kern, Josipa, 2005. "A naturalistic inquiry on the impact of interventions aiming to improve health and the quality of life in the community," Social Science & Medicine, Elsevier, vol. 60(1), pages 153-164, January.

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