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A Conceptual Model of Community Capacity Development for Health Promotion in the Alberta Heart Health Project

Rocklin Physical Therapy in Rocklin, California

Kim Raine, PhD, RD

Centre for Health Promotion Studies at the University of Alberta in Edmonton, Canada

Ronald J. Dyck, PhD

Alberta Innovation and Science; Department of Psychiatry at the University of Alberta in Edmonton, Canada

Ronald C. Plotnikoff, PhD

Centre for Health Promotion Studies; Physical Education at the University of Alberta, in Edmonton, Canada

Ruth L. Collins-Nakai, MD, MBA, FRCPC, FACC

University of Alberta in Edmonton, Canada

W. Keith McLaughlin, MLS, MEd

Population Health Strategies Alberta Health and Wellness in Edmonton, Canada

Kathleen Ness, RD, MPH

Information and Research Unit at Capital Health in Edmonton, Alberta; Department of Public Health Science, University of Alberta

Purpose. The objective of this study was to derive a conceptual model of community capacity development for health promotion based on the 5-year demonstration phase of the Alberta Heart Health Project. Method. Community actions associated with successful implementation and uptake of initiatives in four diverse target sites were identified by case study evaluation. Results. Thirteen common elements of capacity development were found across the projects and categorized to define three primary dimensions of the process: (a) leadership that provided a driving force for implementation, (b) policy making that ensured diffusion and sustainability, and (c) use of local community resources and infrastructure. A conceptual model was constructed using these 3 dimensions and their interactions. Conclusion. Effective implementation of community health initiatives to promote heart health can be conceptualized as the involvement of local leadership, policy advocacy, and enhancement of existing infrastructure. The model highlights building these dimensions of community capacity development for health promotion.

Key Words: community capacity • community development • health promotion • policy advocacy • social environmental intervention

Health Promotion Practice, Vol. 6, No. 1, 31-36 (2005)
DOI: 10.1177/1524839903259302


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