A critical discussion of the Community Readiness Model using a case study of childhood obesity prevention in England

Recent reforms to the public health system in England aim to generate co-ordinated action between local authorities, healthcare systems and communities to target local health priorities. To support this effort, researchers must contribute and evaluate appropriate strategies for designing interventions tailored to community-specific needs. One strategy is to apply the Community Readiness Model (CRM), which uses key informant interviews to assess a community's readiness to address local issues. This article presents a critical discussion of the CRM developed from a case study of obesity prevention in pre-adolescent girls within a community in the United Kingdom. Data were collected between February and November 2011. We offer lessons learnt and recommendations relating to (i) modifications to the interview guide; (ii) key informant identification; (iii) conducting interviews to theoretical saturation; (iv) using key informants to define their community; (v) key informant's ability to respond on behalf of the community; (vi) using a qualitative model with a quantitative scoring system; and (vii) the optimum application of transcript scoring. In conclusion, the CRM can help researchers, health professionals and local authorities identify the priorities of a community. It is recommended that users of the model be careful to identify and recruit suitable key informants with the help of the community under study, select an appropriate 'community' and utilise the qualitative findings to strengthen the interpretation of the readiness score

Community health · Community organization · Local community · Medical education · Political science · Psychological intervention · Public health · Public relations · Qualitative property · Qualitative research · Sociology · Community Health and Development · Computer Science · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Nursing · Psychology

• Improving community readiness for change through coalition capacity building

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• Assessing readiness for childhood obesity prevention in German municipalities

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• Assessing community readiness for early intervention programmes to promote social and emotional health in children

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• Addressing obesity in Roma communities

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  Incluir item

• How ready are communities to implement actions to improve diets of adolescent girls and women in urban Ghana

  Open Access•Rebecca Pradeilles, Colette Marr et al.•BMC Public Health•2019

  Incluir item

• Community readiness for adolescents’ overweight and obesity prevention is low in urban South Africa

  Open Access•Rebecca Pradeilles, Emily K Rousham et al.•BMC Public Health•2016

  Incluir item

• Developing strategies to improve the community readiness level to prevent drug abuse in adolescents

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  Incluir item

• Community Readiness Model for Prevention Planning

  Open Access•Kari Jo Harris, Blakely Brown et al.•Journal of Racial and Ethnic…•2019

  Incluir item

• The Transtheoretical Model of Health Behavior Change

  Open Access•James O Prochaska, Wayne F Velicer•American Journal of Health…•1997

  Incluir item

• An Ecological Perspective on Health Promotion Programs

  Open Access•Kenneth R McLeroy, Daniel L Bibeau et al.•Health Education Quarterly•1988

  Incluir item

• The Discovery of Grounded Theory

  Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

  Incluir item

• Assessing community readiness for overweight and obesity prevention in pre-adolescent girls

  Open Access•Joanna M Kesten, Noël Cameron et al.•BMC Public Health•2013

  Incluir item

• Community Readiness

  Pamela Jumper Thurman, Barbara Plested et al.•Journal of Psychoactive Drugs•2003

  Incluir item

• Community readiness to promote Latinas’ participation in breast cancer prevention clinical trials

  Open Access•Catalina Lawsin, Catalina R Lawsin et al.•Health & Social Care in the…•2007

  Incluir item

• Using thematic analysis in psychology

  Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  Incluir item