Detroit's East Side Village Health Worker Partnership: Community-Based Lay Health Advisor Intervention in an Urban Area

In recent years, there have been few reports in the literature of interventions using a lay health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community health worker model, which has been used extensively in rural areas, may differ in an urban area. This article describes the implementation of the East Side Village Health Worker Partnership, a lay health advisor intervention, in Detroit, Michigan, and notes how participatory action research methods and principles for community-based partnership research are being used to guide the intervention. Findings are presented on how the urban context is affecting the design and implementation of this intervention. Implications of the findings for health educators are also presented and include the utility of a participatory action research approach, the importance of considering the context and history of a community in designing a health education intervention, and the importance of recognizing and considering the differences between rural and urban settings when designing a health education intervention.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67390/2/10.1177_109019819802500104.pd

A realist perspective of entrepreneurship: opportunities as propensities

The idea that entrepreneurial opportunities exist "out there" is increasingly under attack by scholars who argue that opportunities do not pre-exist objectively but are actively created through subjective processes of social construction. In this article, we concede many of the criticisms pioneered by the creation approach but resist abandoning the pre-existing reality of opportunities. Instead, we use realist philosophy of science to ontologically rehabilitate the objectivity of entrepreneurial opportunities by elucidating their propensity mode of existence. Our realist perspective offers an intuitive and paradox-free understanding of what it means for opportunities to exist objectively. This renewed understanding enables us to (1) explain that the subjectivities of the process of opportunity actualization do not contradict the objective existence of opportunities; (2) develop the notion of "non-opportunity;" and (3) clarify the ways through which individuals might make cognitive contact with opportunities prior to their actualization. Our actualization approach serves as a refined meta-theory for guiding future entrepreneurship research, and facilitates the revisiting of subtle conceptual issues at the core of entrepreneurial theory, such as the nature of uncertainty and "non-entrepreneurs," as well as the role played by prediction in a scientific study of entrepreneurship