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

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: 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.

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.

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.

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.

Background: People experiencing homelessness are at increased risk of infectious disease transmission due to congregate living conditions, barriers to healthcare, and excess burden of underlying chronic disease.

Objectives: We are a multisectoral community-academic partnership working to address the intersecting crises of homelessness and health disparities in Tippecanoe County, Indiana. We offer key recommendations for infectious disease preparedness and risk mitigation for homeless populations based on our ongoing community-based participatory research and lessons learned through COVID-19 response and Monkeypox preparations.

Lessons learned: Infectious disease preparedness and response in homeless populations requires strong local partnerships; ongoing training and support for staff and volunteers of homeless shelters and service agencies; tailored outreach, education, and communication with people experiencing homelessness; and standardized processes for creating, disseminating, enforcing, and evaluating public health policies in homeless shelters. Consistency and open communication are key to a successful community-academic partnership.

Conclusions: Community-academic partnerships are critical to effective infectious disease preparedness in homeless populations. The lessons learned from community-based participatory research with homeless communities and multisectoral partners on the frontline can improve future outbreak and pandemic response for people experiencing homelessness and other vulnerable communities in the United States.

Background: In areas of new-immigrant population growth, medical and social infrastructure may be lagging behind the needs of those who do not identify with the majority culture or language. Subsequently, information regarding this population's health status and access to care is limited. Montana's Hispanic population is one such group. Despite its low total population, the state has experienced unprecedented growth in the number of Spanish-speaking individuals and families over the last decade.

Objectives: We utilized a community based participatory research framework to emphasize equal partnership between lay community members and researchers to ensure adherence to community priorities and strengthen trust between the two parties allowing for future collaboration. Based on community request, we designed four health screening events to provide needed health prevention services to the Hispanic community.

Methods: Through collaboration with a Community Advisory Board, we created four health screening events to provide basic primary care services, including height and weight, blood pressure, diabetes, and mental health screenings. We partnered with a team of dental hygienists to provide oral preventive health. We conducted a cost-effectiveness analysis, comparing our approach to traditional health services. Study variables were analyzed using analysis of variance to examine differences in health outcomes between health screening events.

Results: We screened 140 persons and found that 85.7% lacked health insurance and 80.7% lacked a usual source of care. We also found overweight and obesity in 47.1% and 27.1%, respectively, and hypertension in 63.6%. Services provided by the health screening events were up to $239 less expensive than comparable services provided at local health centers.

Conclusions: Working directly with the community, we designed and implemented health prevention events which served to meet a growing need and to identify and address health concerns among the Hispanic immigrant community.

Background: While correctional systems often function separately from academic and community-based organizations, there is opportunity for mutually beneficial collaborative partnerships to strengthen services and relationships. Community-academic partnerships (CAPs) are a well-established model in implementation science and in scientific literature. Applying best practices for CAPs to a partnership that includes community, academic, and correctional partners could contribute to a stronger partnership with more capacity to improve population health of people who experience incarceration.

Objectives: To describe our work to identify CAP best practices, and to discuss considerations and approaches for applying these best practices in an emerging community- academic-corrections partnership.

Methods: From the scientific literature, we identified best practices for CAPs across nine domains: bringing the community into the project; building new relationships while addressing the past; establishing mutually beneficial vision, goals, and purpose; roles and expectations of partners; communication; administration; leadership; project implementation and evaluation; and building community capacity and awareness. In this paper we describe considerations from the perspective of the academic partner regarding these nine best practice domains in the development of a community-academic-corrections partnership.

Conclusions: While established CAP best practices have relevance, there are specific considerations for partnerships with correctional authorities that require attention. Informed by best practices, planning and preparation for partnership can help mitigate challenges, support effectiveness, and strengthen relationships.