Progress in Community Health Partnerships-Research Education and Action最新文献

South Carolina ranks 10th in the nation for firearm death rates. The homicide rate increased by 22.1% in 2020, the highest rate since 1993, identifying an urgent need for intervention. The Medical University of South Carolina Community Engaged Scholars Program provides community-based participatory research training and seed funding for projects to improve health in South Carolina. This article describes a collaboration between a grass-roots community organization and academic partner. The Tri-County Gun Violence Coordinating Council (GVCC) was created to address gun violence in Charleston, Berkeley, and Dorchester counties by facilitating coordination among stakeholders and developing a comprehensive gun violence reduction strategy. We explore perspectives of both the community and academic partner on collaborating toward a reduction in community gun violence.

Background: In Euro-Western forms of research, Indigenous Knowledges (IK) and Knowledge systems have been misused, devalued, and stolen. Elders and Knowledge Guardians have expressed the need for IK to be protected for future generations and be included in research in a good way.

Objectives: We aim to disrupt the ongoing dominance of Eurocentric research methodologies focused on Indigenous Peoples by promoting and nurturing rights-based and distinctions-based approaches that center Indigenous ways of knowing, being and doing within the entirety of this research project.

Methods: This protocol paper describes how we developed an Indigenous-informed realist review process and what the process entails. When conducting our realist review, we will examine papers indicating that IK were centered in research. Our iterative process is shaped and guided by IK within our team. To be included in the analysis, papers must (1) identify how Indigenous Peoples were leading, guiding, and/or governing the research; (2) describe how IK were a critical component of research; and (3) report on how the research benefitted Indigenous Peoples. All papers that meet our inclusion criteria will be scored using a relevance assessment tool we developed to assess how much information was provided on the local context for the Indigenous research, the outcomes from the IK in research, and the processes that facilitated the research outcomes.

Conclusions: Our intention is to synthesize and amplify how IK have been centered in research, across multiple disciplines and geographies, to benefit Indigenous Peoples. We focus on nurturing and fostering ways of doing Indigenous research and including IK in a way that supports the well-being of Indigenous Peoples.

Background: Black birthing people are three to four times more likely to die from pregnancy-related causes than White birthing people.

Objective: We aimed to better understand the pregnancy and postpartum experiences with health care, support, and maternal morbidity and mortality (MMM) of Black pregnant and parenting people living in neighborhoods with increased rates of MMM in Chicago, Illinois.

Methods: This was a rapid qualitative analysis in Chicago, Illinois based on principles of community-based participa-tory research. Community partners recruited Black pregnant and parenting individuals living in neighborhoods with higher rates of MMM. Four focus groups from February 2021 to October 2021 were led by community health workers and covered pregnancy and postpartum experiences. Transcripts were deductively and inductively coded by paired-analyst teams and thematically analyzed.

Results: This study included 31 participants from eight neighborhoods. Key themes related to pregnancy and the postpartum period included the: (1) a need for social and mental health support during and after pregnancy, (2) a preference for multiple sources of health information, (3) a need for strengthened connection with medical providers and health care systems, (4) a lack of clarity regarding MMM and the postpartum period, and (5) a difference in language between patients and health care providers.

Conclusions: Further research and interventions are needed to evaluate how to best support pregnant and postpartum people, to implement patient-centered language when communicating about pregnancy and postpartum complications, and to demonstrate investment by health care workers in Black birthing people. Crucial to further research and interventions is communication with and input from communities most affected by MMM.

Background: Despite their high risks for Alzheimer's disease, older Black men are minimally represented in Alzheimer's research and clinical trials. The absence of older Black men in Alzheimer's research limits our ability to characterize the changes associated with cognitive impairments in older Black men-a key health disparity concern.

Methods: Drawing on lessons we learned from years of community-based participatory research in Newark, NJ, we highlight recruitment strategies developed alongside community partners to guide our enrollment and retention efforts for Black men.

Results: We identified seven recruitment strategies: provide indirect health education through social programming, target older men through the younger men in their lives, go beyond Black churches, use older Black men as trained community ambassadors, enlist the women in Black men's lives, frame research participation as a legacy to leave their sons, and use past and current Black men participants as role models.

Conclusions: These recruitment strategies help us address many barriers to recruiting older Black men. They can be easily implemented by researchers conducting aging and brain health research or interested in working with older Black men and under-represented populations.

Objective: We sought to examine the experiences of community partners in a community-academic partnership to promote COVID-19 testing in two majority Latino communities.

Methods: We conducted semistructured, in-depth interviews in English and Spanish with community-based organization leaders and community health workers/promotoras (n = 10) from June to July 2021. Interviews focused on identifying partner roles in planning and testing implementation and evaluating communication among partners. Interviews were transcribed and analyzed in ATLAS.ti version 8.4.5. Analyses involved deductive and inductive approaches to identify key themes.

Results: Participants described both strengths and challenges to the collaborative approach within each of three core themes: building relationships in the time of COVID-19; uplifting existing community leadership; and commitment of the academic partners and community-based organizations to conduct partnership activities in Spanish.

Conclusion: Community-academic partnerships that invest in strong relationships, community leadership, and a commitment to the community's preferred language offer a promising approach to addressing COVID-19 testing barriers. Findings provide direction for future research on how community members and academic partners can come together to inform strategies to continue addressing the COVID-19 pandemic.

Background: Essential to the global elimination of viral hepatitis are insights and guidelines on how to coordinate and sustain community health efforts during times of public health crises. A community-based participatory research-driven academic-community-government (ACG) partnership was formed to improve the hepatitis B virus (HBV) screening and vaccination infrastructure for at-risk communities in the Washington-Baltimore metropolitan region.

Objectives: We describe the challenges and innovative adjustments made by the partnership to provide continued prevention modalities to reduce HBV during the earlier phases of the COVID-19 pandemic.

Methods: Key informant interviews were conducted to assess program implementation facilitators and barriers.

Results: Three thematic categories about the pandemic's impact on the ACG partnership emerged: innovations in hepatitis screening, access and linkage to care, and collaborative leadership. Lessons learned included the need to identify gaps in care, foster a safe environment for patients and staff, and provide technical assistance to enhance health information technology and systems infrastructure.

Conclusions: Despite COVID-19, partnership members remained agile and responsive to community needs. Sustaining an effective ACG partnership requires regular and transparent communication, as well as shared and equal decision-making opportunities.

In recognition of the importance of evaluation for funding, research, and quality improvement, a longstanding Community Advisory Board in Flint Michigan embarked on a process to evaluate their impact. The Community-Based Organization Partners (CBOP)-Community Ethics Review Board (CERB) engaged a research team composed of an academic researcher (Solomon Cargill) and a community partner (Spencer) to obtain funding, design and implement an evaluation of the CBOP-CERB. This evaluation study yielded two evaluations of the CBOP-CERB, one with researchers who had engaged with the CBOP-CERB and the other with Flint area community residents. The results of these two evaluations can serve to show other Community Advisory Boards how to establish and expand their impact, establish their worth for future funding, and how to articulate, evaluate, and achieve their goals.

Background: Youth experiencing homelessness (YEH) face a wide range of complex barriers to COVID-19 vaccine confidence and access.

Objectives: Describe our process for engaging a cross-sector team centering equity and youth voice; outline our intervention strategies to enhance COVID-19 vaccine confidence and access among YEH; and discuss lessons learned through this community-engaged process.

Methods: We engaged partners from across sectors, including youth-serving agencies, healthcare organizations, public health organizations, and YEH. We used focus groups, key informant interviews, and other community engagement strategies to develop and implement a series of interventions aimed to increase COVID-19 vaccine confidence and access among YEH.

Results: We identified youths' key concerns about vaccine confidence and access. To address these concerns, we implemented four community-driven interventions: youth-friendly messaging, health events, vaccine aftercare kits, and staff training.

Conclusions: This community-engaged project highlighted the value of cross-sector partnership and consistent youth engagement in addressing vaccine confidence among YEH.