Journal of Community Health

, Volume 16, Issue 6, pp 299–314

Obstacles to and future goals of ten comprehensive community health promotion projects

  • David G. Altman
  • Jerry Endres
  • Juliette Linzer
  • Kate Lorig
  • Beth Howard-Pitney
  • Todd Rogers


Over 100 project staff, community coalition members, and other representatives from 10 comprehensive community health promotion projects in the western United States were surveyed two years into a three year funding cycle about: (1) the problems or obstacles they judged as preventing successful completion of their current goals and objectives, and (2) future goals and objectives they envisioned for their projects. The key issues confronting respondents were diverse, although issues around the process of implementing community health promotion programs were cited more frequently than issues related to the content of health promotion. When respondents were asked to prioritize Future Goals in the second survey, consensus across communities was obtained despite broad differences in the type of community surveyed and the health problem targeted. This study identifies the common organizational and community development problems faced by newly emerging community health promotion programs and has implications for other communities involved in designing, implementing, and evaluating community-wide health promotion programs.


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  1. 1.
    Roberts H:Community development: Learning and action. University of Toronto Press, Toronto, 1979.Google Scholar
  2. 2.
    Steckler A & Goodman RM: How to institutionalize health promotion programs.Am J Health Promotion 3:34–44, 1989.Google Scholar
  3. 3.
    Goodman RM & Steckler A: The life and death of a health promotion program: An institutionalization case study.Int Quart Community Health Educ 8:5–21, 1987–88.Google Scholar
  4. 4.
    Goodman RM & Steckler A: A model for the institutionalization of health promotion programs.Family Community Health, 11:63–78, 1989.Google Scholar
  5. 5.
    Cary LJ:Community development as a process. University of Missouri Press, Columbia, 1970.Google Scholar
  6. 6.
    Florin P, Chavis D, Wandersman A, & Rich R: A systems approach to understanding and enhancing grassroots organizations: The Block Booster Project. In R. Levine and H. Fitzgerald (Eds.).Analysis of dynamic psychological systems. New York: Plenum, in press.Google Scholar
  7. 7.
    Tarlov AR, Kehrer BH, Hall DP et al.: Foundation work: The health promotion program of the Henry J. Kaiser Family Foundation.Am J Health Promotion 2:74–80, 1987.Google Scholar
  8. 8.
    Henry J. Kaiser Family Foundation. The community health promotion grant program: A new community-based grant program to encourage the adoption of healthy lifestyles. Request for Proposal, Henry J. Kaiser Family Foundation, 1987.Google Scholar
  9. 9.
    Rogers T, Altman DG, Howard-Pitney B, et al.: Disseminating health promotion technology: Linkage between university and community. Unpublished manuscript.Google Scholar
  10. 10.
    McKillip, J:Need Analysis: Tools for the Human Services and Education. Sage Publications, Newbury Park, 1987.Google Scholar
  11. 11.
    Peters M & Robinson V: The origins and status of action research.J Applied Behavioral Sci 20:113–124, 1984.Google Scholar
  12. 12.
    Susman GI & Evered RD: An assessment of the scientific merits of action research.Admin Sci Quart 23:582–603, 1978.Google Scholar
  13. 13.
    Kinne J, Thompson B, Chrisman NJ & Hanley JR: Community organization to enhance delivery of preventive health services.Amer J Prev Med 5:225–229, 1989.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1991

Authors and Affiliations

  • David G. Altman
    • 1
  • Jerry Endres
  • Juliette Linzer
  • Kate Lorig
  • Beth Howard-Pitney
  • Todd Rogers
  1. 1.Stanford Center for Research in Disease PreventionStanford University School of MedicinePalo Alto

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