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.
Alberta Health. (1998). Evaluation report. Edmonton, Canada: Alberta Heart Health Project.
2.
Alberta Health. (1999a). Activity zone—Exercise your options. Edmonton, Canada: Alberta Heart Health Project.
3.
Alberta Health. (1999b). Comprehensive School Health Project. Edmonton, Canada: Alberta Heart Health Project.
4.
Alberta Health. (1999c). Handbook for heart health strategies in rural communities. Edmonton, Canada: Alberta Heart Health Project.
5.
Alberta Health. (1999d). Heart health in the workplace: Program development guide. Edmonton, Canada: Alberta Heart Health Project.
6.
Alberta Heart Health Project. (2000). Creating healthy school communities. Through comprehensive school health. An implementation guide for education/health systems and school communities. Edmonton, Canada: Author.
7.
Goodman, R. M., Speers, M. A., McLeroy, K., Fawcett, S., Kegler, M., Parker, E., et al. (1998). Identifying and defining the dimensions of community capacity to provide a basis for measurement. Health Education and Behavior, 25, 258-278.
8.
Green, L. W., Richard, L., & Potvin, L. (1996). Ecological foundations of health promotion. American Journal of Health Promotion, 10(4), 270-281.
9.
Hawe, P., Noort, M., King, L., & Jordens, C. (1997). Multiplying health gains: The critical role of capacity building within health promotion programs. Health Policy, 39, 29-42.
10.
Health and Welfare Canada. (1992a). The Canadian heart health initiative. Health Promotion, 30(4)(Suppl), S1-S20.
11.
Health and Welfare Canada. (1992b). Heart health equality: Mobilizing communities for action. Ottawa, Canada: Health and Welfare Canada, Health Promotion Directorate.
12.
Israel, B. A., Schultz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173-202.
13.
Jackson, C., Fortmann, S., Flora, J., Melton, R. J., Snider, J. P., & Littlefield, D. (1994). The capacity-building approach to intervention maintenance implemented by the Stanford Five-City Project. Health Education Research, 9(3), 385-396.
14.
Joffres, M., Titanich, K., & Hessel, P. (1993). The Alberta heart health survey: Methods and results. Canadian Journal of Cardiology, 9(4), 330-308.
15.
McLeroy, K., Bibeau, K., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15, 351-377.
16.
Meyer, J., Pope, C., & Mays, N. (2000). Using qualitative methods in health-related action research: Part III. British Medical Journal, 7228, 178-183.
17.
Pearson, T. A., Shankle Bales, V., Blair, L., Emmanuel, S. C., Farquhar, J. W., Ping Low, L., et al. (1998). The Singapore Declaration: Forging the will for heart health in the next millennium. CVD Prevention, 1(3), 182-199.
18.
Poland, B. D. (1992). Learning to “walk our talk”: The implications of sociological theory for research methodologies in health promotion. Canadian Journal of Public Health, 83(Suppl 1), S31-S46.
19.
Poole, D. L. (1997). Building community capacity to promote social and public health: Challenges for universities. Health and Social Work, 22, 163-170.
20.
Richard, L., Potvin, L., Kishchuk, N., Prlic, H., & Green, L. W. (1996). Assessment of the integration of the ecological approach in health promotion programs. American Journal of Health Promotion, 10, 318-328.
21.
Rogers, E. M. (1995). Diffusion of innovations (4th ed). New York: Free Press.
22.
Schultz, A. J., Israel, B. A., Zimmerman, M. A., & Checkoway, B. N. (1995). Empowerment as a multi-level construct: perceived control at the individual, organizational and community levels. Health Education Research, 10, 309-327.
23.
Smith, C., Raine, K., Anderson, D., Dyck, R., Plotnikoff, R., Ness, K., et al. (2001). A preliminary examination of organizational capacity for heart health promotion in Alberta’s regional health authorities. International Journal of Health Promotion and Education, 8(Suppl 1), 40-43.
24.
Stachenko, S. (1996). The Canadian heart health initiative: A countrywide CVD prevention strategy. Journal of Human Hypertension, 10(Suppl 1), S5-S8.
25.
Thompson, D. (1998). Final report of Heart of the Land: An Alberta Heart Health Project. Red Deer, Canada: David Thompson Health Region.
26.
Travers, K. D. (1997). Nutrition education for social change: Critical perspective. Journal of Nutrition Education, 29, 57-62.
27.
Yin, R. K. (1989). Case study research: Design and methods (rev. ed.). Beverly Hills, CA: Sage.
