運用“核心組織充能” 於社區糖尿病防治介入研究－以台北都會某小型社區為例

Objectives: This study aimed to explore the manipulation of effective community intervention strategies for action-taking ability of community members in diabetes prevention . This is a two-year study. The results of the first year study have been published. In the second year, the study focuses on developing and implementing the community diabetes prevention program. This article presents the process and achievements of the second year of the study. Methods: For the development of a diabetes prevention program, the researcher selected a core community organization as the intervention point of a partnership, and then collectively developed a diabetes prevention program that met the needs of the community members. Results: l. For the intervention results of empowerment of the core community organization, it was that it was difficult to host a comprehensive community activity. This indicates that volunteers have a better sense of belonging towards the basic unit of city administration than that of the community health building center. 2. In the evaluation of other community members, nearly 85% of the interviewed community members indicated that they have never heard of the community health building center, for the half of the community members who had heard about the center, they indicated that they didn't know the location or anything about the services of the community health building center . This result indicates that there is still great room for the community health building center to progress in promoting total community diabetes prevention tasks. Conclusions: In regard to further promoting the diabetes prevention intervention in the community, emphasis should be placed on strengthening the community organization alliances using the community empowerment principle. When the core community organization has developed the adequate competence, it will then be the right time to promote a comprehensive intervention in the community. Also, when the community organizations are not ready for demonstrating effective mechanisms of leadership, communication, organizational climate, and member participation, it is more efficient and effective to choose a school settings as the intervention point of building a partnership.