Mary Tedesco-Schneck
Script Concordance and the Think-Aloud Approach Through the Lens of Cognitive Apprenticeship Theory
Nurse educator
initiatives promote health reduce inequalities placebased communities increasingly adopted assetbased approaches abas however processes initiatives might reduce inequalities well understood evidence impact health still limited study aimed understand abas impact practices relationships redistribution resources reduce health inequalities less advantaged neighbourhoods qualitative research conducted two settings england spain similar assetbased initiatives aimed training community members become health promoters implemented data collected using theory change workshops 120 hours observations semistructured interviews 44 stakeholders trained community members voluntary community sector organizations workers health professionals thematic analysis informed systems thinking carried three main processes change identified first enabling assetbased thinking defined supporting people adopt view values resources peoples skills expertise second developing assetbased capacities described developing personal skills knowledge selfconfidence relationships underpinned assetbased thinking finally changing decisionmaking wider health determinants abas referred achieving changes neighbourhoods mobilizing assetbased capacities developed processes associated changes individual level potential contribute reducing inequalities supporting individual empowerment social capital however contextual factors found key enable hinder changes neighbourhoods acted barriers processes collective empowerment thus limiting abas impact health inequalities