Objective

To develop a community-informed definition of child and youth thriving and identify community priorities for child/youth thriving.

Methods

Through concept mapping, a mixed-methods community-based participatory research method, this study examined community and health professionals' conceptualizations of child and youth thriving. We conducted brainstorming, sorting and rating, and interpretation sessions in 3 geographically distinct neighborhoods with concentrated disadvantage; simultaneously, researchers and health professionals participated in online sessions.

Results

Participants included 91 community members, health care and social service professionals, and researchers who identified 104 items related to child and youth thriving and grouped these items into 7 distinct clusters. Two clusters focused on child-level factors (Strong Minds and Bodies; Positive Identity and Self-Worth), 2 focused on place-based factors (Healthy Environments; Vibrant Communities), and 3 focused on relationships and interactions between children and their environments (Caring Families and Relationships; Safety; and Fun and Happiness). The community-informed conceptualization of child thriving builds on previous models, adding dimensions of physical health and safety. Participants ranked having “someone to talk to,” being “comfortable in their own skin,” having “pride in themselves,” and having a “strong sense of self and self-worth” as most important to child and youth thriving.

Conclusions

By integrating perspectives of community members from diverse neighborhoods with those of researchers and health professionals, this study captures novel domains to inform a conceptual model of thriving that focuses on stakeholder priorities. Findings will guide development, implementation, and evaluation of community-based interventions and their impact on child and adolescent health and thriving.

中文翻译：

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定义儿童和青年蓬勃发展的社区合作方法。

目的

为社区和青少年蓬勃发展制定明智的定义，并确定社区对儿童/青年蓬勃发展的优先考虑。

方法

通过概念映射，一种基于混合方法的基于社区的参与式研究方法，本研究研究了社区和卫生专业人员对儿童和青年蓬勃发展的概念。我们在3个地理上各不相同，处境不利的社区进行了集思广益，排序，定级和解释会议；同时，研究人员和卫生专业人员参加了在线会议。

结果

参与者包括91位社区成员，卫生保健和社会服务专业人员以及研究人员，他们确定了与儿童和青少年繁荣相关的104个项目，并将这些项目分为7个不同的类别。两个类别关注儿童水平的因素（坚强的身心）;积极身分和自我价值）;两个类别关注基于地点的因素（健康的环境;充满活力的社区）;第三类关注儿童与环境之间的关系和互动（关爱家庭和人际关系；安全；娱乐和幸福）。社区了解的儿童蓬勃发展的概念化建立在以前的模型的基础上，增加了身体健康和安全性的维度。参加者的排名为“可以与某人交谈”，“对自己的皮肤舒适”，“对自己感到骄傲，

结论

通过将来自不同社区的社区成员的观点与研究人员和卫生专业人员的观点相结合，本研究抓住了新颖的领域，为关注利益相关者优先事项的蓬勃发展的概念模型提供了信息。研究结果将指导基于社区的干预措施及其对儿童，青少年健康和繁荣的影响的开发，实施和评估。