Skip to main content

Advertisement

Log in

Differences in individual empowerment outcomes of socially disadvantaged women: effects of mode of participation and structural changes in a physical activity promotion program

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

This study explored the differences in individual empowerment outcomes of a group of socially disadvantaged women participating in physical activity promotion. The outcomes observed were assessed in the context of the women’s mode of participation and the structural organizational and community level changes, which took place during the implementation of the program.

Methods

Fifteen semi-structured qualitative interviews were conducted and analyzed using qualitative content analysis. Two groups of women participated in the interviews—those involved in the whole process of planning, implementation and evaluation of the program and those who took part in the program activities.

Results

Individual empowerment outcomes were achieved for all those interviewed, although those participating in the planning, implementation and evaluation of the program achieved the greatest. A number of organizational and community level processes were also identified that supported the individual empowerment of those taking part.

Conclusions

This study supports the use of multilevel empowerment approaches to health as they help to identify the ideal characteristics that organizations and communities should possess and the potential structural changes required to support individual empowerment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Heart Association (2007) Physical activity and public health: updated recommendations for adults from the American College of Sports Medicine and the American Heart Association. Circulation 116:1081–1095

    Article  Google Scholar 

  • Becker AB, Israel BA, Schulz AJ et al (2002) Predictors of perceived control among African American women in detroit: exploring empowerment as a multilevel construct. Health Educ Behav 29:699–715

    Article  PubMed  Google Scholar 

  • Berelson B (1995) Content analysis in communication research. Free Press, Glencoe

    Google Scholar 

  • Butterfoss FD (2006) Process evaluation for community participation. Annu Rev Public Health 27:323–340

    Article  PubMed  Google Scholar 

  • Butterfoss FD, Goodman RM, Wandersman A (1993) Community coalitions for prevention and health promotion. Health Educ Res 8:315–330

    Article  PubMed  CAS  Google Scholar 

  • Eng E, Parker E, Harlan C (1997) Lay health advisor intervention strategies: a continuum from natural helping to paraprofessional helping. Health Educ Behav 24:413–417

    Article  PubMed  CAS  Google Scholar 

  • Freudenberg N, Eng E, Flay B, Parcel G, Rogers T, Wallerstein N (1995) Strengthening individual and community capacity to prevent disease and promote health: in search of relevant theories and principles. Health Educ Q 22:290–306

    Article  PubMed  CAS  Google Scholar 

  • Gerbner G, Holsti OR, Krippendorff K et al (1969) The analysis of communication content. Wiley, New York

    Google Scholar 

  • Holden DJ, Crankshaw E, Nimsch C et al (2004) Quantifying the impact of participation in local tobacco control groups on the psychological empowerment of involved youth. Health Educ Behav 31:615–628

    Article  PubMed  Google Scholar 

  • Hughey J, Peterson NA, Lowe JB et al (2008) Empowerment and sense of community: clarifying their relationship in community organizations. Health Educ Behav 35:651–663

    Article  PubMed  Google Scholar 

  • Israel BA, Checkoway B, Schulz A et al (1994) Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q 21:149–170

    Article  PubMed  CAS  Google Scholar 

  • Kieffer CH (1984) Citizen empowerment: a developmental perspective. Prev Human Serv 3:9–36

    Article  CAS  Google Scholar 

  • Kilian R, Lindenbach I, Löbig U et al (2003) Indicators of empowerment and disempowerment in the subjective evaluation of the psychiatric treatment process by persons with severe and persistent mental illness: a qualitative and quantitative analysis. Soc Sci Med 57:1127–1142

    Article  PubMed  Google Scholar 

  • Labonte R (1994) Health promotion and empowerment: reflections on professional practice. Health Educ Q 21:253–268

    Article  PubMed  CAS  Google Scholar 

  • LeRoy L, Benet DJ, Mason T et al (2004) Empowering organizations: approaches to tobacco control through youth empowerment programs. Health Educ Behav 31:577–596

    Article  PubMed  Google Scholar 

  • Maton KI, Salem D (1995) Organizational characteristics of empowering community settings: a multiple case study approach. Am J Commun Psychol 23:631–656

    Article  CAS  Google Scholar 

  • Matthews RA, Diaz WM, Cole SG (2002) The organizational empowerment scale. Pers Rev 32:297–318

    Article  Google Scholar 

  • Mayring P (2002) Qualitative content analysis—research instrument or mode of interpretation? In: Kiegelmann M (ed) The role of the researcher in qualitative psychology. Huber, Tuebingen, pp 139–148

    Google Scholar 

  • Mead GH (1968) Geist, Identität und Gesellschaft [mind, identity and society]. Suhrkamp, Frankfurt

    Google Scholar 

  • Minkler M, Wallerstein N (2003) Community based participatory research for health. Jossey-Bass, San Francisco

    Google Scholar 

  • Moane G (2003) Bridging the personal and the political: practices for a liberation psychology. Am J Commun Psychol 31:91–101

    Article  Google Scholar 

  • Morrow S, Hawxhurst DM (1998) Feminist therapy: integrating political analysis in counseling and psychotherapy. Women Ther 21:37–50

    Article  Google Scholar 

  • Prestby JE, Wandersman A, Florin P et al (1988) Benefits, costs, incentive management and participation in voluntary organizations: a means to understanding and promoting empowerment. Am J Commun Psychol 18:117–149

    Article  Google Scholar 

  • Rappaport J (1984) Studies in empowerment: introduction to the issue. Prev Human Serv 3:1–7

    Article  Google Scholar 

  • Rütten A, Abu-Omar K, Levin L et al (2008) Research note: social catalysts in health promotion implementation. J Epidemiol Commun Health 62:560–565

    Article  Google Scholar 

  • Rütten A, Röger U, Abu-Omar K et al (2009) Assessment of organizational readiness for health promotion policy implementation: test of a theoretical model. Health Promot Int 24:243–251

    Article  PubMed  Google Scholar 

  • Schulz AJ, Israel BA, Zimmerman MA et al (1995) Empowerment as a mulit-level construct: perceived control at the individual, organizational and community levels. Health Educ Res 10:309–327

    Google Scholar 

  • Schulz AJ, Israel BA, Becker AB et al (1997) It‘s a 24-hour thing. a living-for-each-other concept: identity, networks and community in an urban village health worker project. Health Educ Behav 24:465–480

    Article  PubMed  CAS  Google Scholar 

  • Wallerstein N (1992) Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot 6:197–205

    Article  PubMed  CAS  Google Scholar 

  • Wallerstein N (2006) What is the evidence of effectiveness of empowerment to improve health? Copenhagen: WHO Regional Office for Europe (Health Evidence Network report). http://www.euro.who.int/Document/E88086.pdf. Accessed 28 February 08

  • Whitehead M (2007) A typology of actions to tackle social inequalities in health. J Epidemiol Commun Health 61:473–478

    Article  Google Scholar 

  • Wright MT, Roche B, von Unger H et al (2010) A call for an international collaboration on participatory research for health. Health Promot Int 25:115–122

    Article  PubMed  Google Scholar 

  • WHO (1997) The jakarta declaration on leading health promotion into the 21st century. Health Promot Int 12:261–264

  • Zakus JD, Lysack CL (1998) Revisiting community participation. Health Policy Plan 13:1–12

    Article  PubMed  CAS  Google Scholar 

  • Zimmerman MA (1995) Psychological empowerment: issues and illustrations. Am J Commun Psychol 23:581–599

    Article  CAS  Google Scholar 

  • Zimmerman MA (2000) Empowerment theory. psychological, organizational and community levels of analysis. In: Rappaport J, Seidman E (eds) Handbook of community psychology. Kluwer Academic, New York

    Google Scholar 

  • Zimmerman MA, Rappaport J (1988) Citizen participation, perceived control, and psychological empowerment. Am J Commun Psychol 16:725–750

    Article  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ulrike Röger.

Additional information

This paper belongs to the special issue “Migrants and ethnic minorities in Europe: new challenges for public health research and practice”.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Röger, U., Rütten, A., Frahsa, A. et al. Differences in individual empowerment outcomes of socially disadvantaged women: effects of mode of participation and structural changes in a physical activity promotion program. Int J Public Health 56, 465–473 (2011). https://doi.org/10.1007/s00038-010-0214-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-010-0214-8

Keywords

Navigation