[Empowerment by capacity building in urban quarters--first results and assessment of a new standardised instrument].
OBJECTIVE
Capacity building is regarded as an intermediate outcome and success parameter for community health promotion and empowerment. The first aim of the study was the development and examination of a tool to measure capacity building in the context of a programme of health promotion for children and parents in a socially disadvantaged quarter in Hamburg (about 3000 residents, 60% with migration background). The second aim was to measure capacity building within a period of five years.


METHODS
A survey was carried out with 27 professionals from the health and social field. Dimensions of the instrument were: citizen participation, local leadership, available resources, networking and co-operation, support of residents. At the same time, we tested to what extent the instrument is suitable for resident surveys. Furthermore, pretest instrument and results were discussed with our advisory board regarding potential improvements.


RESULTS
The result of the project, in addition to its practical use in the quarter, consists of the generation of a psychometrically tested instrument to measure capacity building. Furthermore, the experience contributed to the expertise on how such a study can be conducted. A comparison of the situation in 2006 with the situation in 2001 showed considerable improvements in all dimensions of capacity building in the quarter.


CONCLUSIONS
Establishing the instrument on a long-term basis calls for more intensive examination not only of the chances, but also the limitations of the tool. We mainly attribute the overall positive picture that was gained within a period of five years to the generally supportive climate of development in the quarter as well as to the strong and continuous commitment of individual persons involved.
Trojan
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A
Universitätsklinikum Hamburg-Eppendorf, Zentrum für Psychosoziale Medizin, Institut für Medizin-Soziologie, Hamburg.
Nickel
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S
D001294:Attitude to Health; D003142:Communication; D019058:Community Networks; D005858:Germany; D015438:Health Behavior; D006293:Health Promotion / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011209:Power, Psychological; D015397:Program Evaluation / Q000379:methods*; D011795:Surveys and Questionnaires; D014504:Urban Health