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Our Healthy Community Conceptual Framework and Intervention Model for Health Promotion and Disease Prevention in Municipalities

Author

Listed:
  • Mette Aadahl

    (Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark
    Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 N Copenhagen, Denmark)

  • Henrik Vardinghus-Nielsen

    (Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Niels Jernes Vej 14, 9220 Aalborg Ø, Denmark)

  • Paul Bloch

    (Steno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730 Herlev, Denmark)

  • Thea Suldrup Jørgensen

    (Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark)

  • Charlotta Pisinger

    (Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark
    Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 N Copenhagen, Denmark)

  • Mette Kirstine Tørslev

    (Steno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730 Herlev, Denmark)

  • Charlotte Demant Klinker

    (Steno Diabetes Center Copenhagen, Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730 Herlev, Denmark)

  • Signe Damsbo Birch

    (Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark)

  • Henrik Bøggild

    (Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Niels Jernes Vej 14, 9220 Aalborg Ø, Denmark)

  • Ulla Toft

    (Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark
    Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 N Copenhagen, Denmark)

Abstract

This paper introduces the conceptual framework and intervention model of Our Healthy Community (OHC), a new, coordinated, and integrated approach towards health promotion and disease prevention in municipalities. The model is inspired by systems-based approaches and employs a supersetting approach for engaging stakeholders across sectors in the development and implementation of interventions to increase health and well-being among citizens. The conceptual model includes a combination of a bottom-up approach emphasizing involvement of citizens and other community-based stakeholders combined with a top-down approach emphasizing political, legal, administrative, and technical support from a variety of councils and departments in local municipality government. The model operates bidirectionally: (1) by pushing political and administrative processes to promote the establishment of conducive structural environments for making healthy choices, and (2) by involving citizens and professional stakeholders at all levels in co-creating processes of shaping their own community and municipality. An operational intervention model was further developed by the OHC project while working with the OHC in two Danish municipalities. The operational intervention model of OHC comprises three main phases and key actions to be implemented at the levels of local government and community: (1) Local government: Situational analysis, dialogue, and political priorities; (2) Community: Thematic co-creation among professional stakeholders; and (3) Target area: Intervention development and implementation. The OHC model will provide municipalities with new tools to improve the citizens’ health and well-being with available resources. Health promotion and disease prevention interventions are developed, implemented, and anchored in the local community by citizens and local stakeholders at municipal and local community levels using collaboration and partnerships as leverage points.

Suggested Citation

  • Mette Aadahl & Henrik Vardinghus-Nielsen & Paul Bloch & Thea Suldrup Jørgensen & Charlotta Pisinger & Mette Kirstine Tørslev & Charlotte Demant Klinker & Signe Damsbo Birch & Henrik Bøggild & Ulla Tof, 2023. "Our Healthy Community Conceptual Framework and Intervention Model for Health Promotion and Disease Prevention in Municipalities," IJERPH, MDPI, vol. 20(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3901-:d:1076710
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    References listed on IDEAS

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    1. Ulla Toft & Paul Bloch & Helene C. Reinbach & Lise L. Winkler & Tine Buch-Andersen & Jens Aagaard-Hansen & Bent Egberg Mikkelsen & Bjarne Bruun Jensen & Charlotte Glümer, 2018. "Project SoL—A Community-Based, Multi-Component Health Promotion Intervention to Improve Eating Habits and Physical Activity among Danish Families with Young Children. Part 1: Intervention Development ," IJERPH, MDPI, vol. 15(6), pages 1-21, May.
    2. Bent Egberg Mikkelsen & Paul Bloch & Helene Christine Reinbach & Tine Buch-Andersen & Lise Lawaetz Winkler & Ulla Toft & Charlotte Glümer & Bjarne Bruun Jensen & Jens Aagaard-Hansen, 2018. "Project SoL—A Community-Based, Multi-Component Health Promotion Intervention to Improve Healthy Eating and Physical Activity Practices among Danish Families with Young Children Part 2: Evaluation," IJERPH, MDPI, vol. 15(7), pages 1-15, July.
    3. Emre Cinar & Paul Trott & Christopher Simms, 2019. "A systematic review of barriers to public sector innovation process," Public Management Review, Taylor & Francis Journals, vol. 21(2), pages 264-290, February.
    4. Wilma E. Waterlander & Angie Luna Pinzon & Arnoud Verhoeff & Karen den Hertog & Teatske Altenburg & Coosje Dijkstra & Jutka Halberstadt & Roel Hermans & Carry Renders & Jacob Seidell & Amika Singh & M, 2020. "A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme," IJERPH, MDPI, vol. 17(14), pages 1-18, July.
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    Cited by:

    1. Gonçalo Santinha & Alexandre Fernandes & Rafaela Oliveira & Nelson Pacheco Rocha, 2023. "Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments," IJERPH, MDPI, vol. 20(13), pages 1-22, June.

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