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

Background: Discontinuity between health care delivery systems and community-based organizations is a significant barrier to improving population health.

Objective: To describe the facilitators and barriers experienced by a health system-community partnership 15 months after implementation.

Methods: Coalition members who led committees within the coalition or had active, sustained participation in coalition activities were invited to participate. Qualitative interviews used a semi-structured interview guide that elicited information on coalition functioning. A content analysis used inductive and deductive codes which were reviewed using a consensus process. Final themes centered on factors that facilitated or impeded the coalition's success in supporting community needs during the COVID-19 pandemic.

Lessons learned: Coalition stakeholder perspectives identified several critical factors: defined governance, a culture of trust that accelerates learning, reliable resources, and a health-care anchor organization committed to shared investment.

Conclusions: Lessons from this endeavor contribute to a deeper understanding of successful practices for health system-community partnerships.

Background: Childhood obesity is linked to a higher risk of other chronic diseases. Cultural preferences for soul food dishes may contribute to obesity in African American children and families.

Objective: To discuss lessons learned from the development and implementation of NEW Soul for Families, a plant-based nutrition program for African American children.

Methods: A partnership with the Boys & Girls Clubs, EdVenture Children's Museum, and the Food Academy was formed. Children (n = 15) participated in the program across two cohorts. Each cohort lasted three weeks with three classes per week. Parents of enrolled children were invited to attend one class per week. Children learned nutrition topics and engaged in hands-on cooking.

Lessons learned: Community partners shared power to successfully implement the program; surveying parents increased their attendance from the first cohort to the second cohort; children rated the program positively.

Conclusions: NEW Soul for Families was well received by community partners and participants. More studies are needed to determine effectiveness.

Background: Physical activity and cardiorespiratory fitness (CRF) research often overrepresents White, affluent groups. Of additional concern, standard CRF testing can be inaccessible given the specialized equipment and heightened participant burden required for maximal effort fitness assessments. To address these barriers, we partnered with community-based fitness professionals and conducted field-based, submaximal effort CRF assessments among a sample of young adults enrolled in the Project EAT (Eating and Activity over Time) study. Participants were diverse in ethnicity, race, socioeconomic status, and weight; these groups are underrepresented in physical activity research.

Objectives: (1) Describe the community-informed study procedures our cross-sector team used, and (2) identify community translation lessons learned from conducting accessible CRF assessments among a sample of underrepresented young adults.

Methods: Using a train-the-trainer model, community-based fitness professionals taught university-based research staff how to conduct inclusive CRF assessments. Data collection, including low-burden field tests of CRF, occurred at recreational facilities in participants' neighborhoods. Post-data collection, community-university partners co-created study takeaways that fitness entities and researchers can use to inform future community-centered projects. Our team adapted the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) to present five lessons learned from this project.

Lessons learned: Train-the-trainer models and accessible, community-informed practices prepare research staff to evaluate CRF among participants from diverse backgrounds in a respectful, inclusive manner. Moreover, our adapted RE-AIM framework can inform future community-centered CRF assessment research.

Conclusions: The expertise of community can honor professionals' expertise and leverage community assets to support feasible fitness assessments for underrepresented community members.

Background: Due to the COVID-19 pandemic, health professional training programs made substantial changes to shift previously in-person student training opportunities to remote settings.

Objectives: We present lessons learned from changes made to one community-engaged internship program, Bridging the Gaps (BTG)-Pittsburgh, that should prove helpful in future times of crisis.

Methods: BTG-Pittsburgh places inter-disciplinary graduate pairs of students in community-based organizations that serve marginalized populations, to work directly with program participants and develop tangible products aimed to build organizational capacity. Students get additional training on poverty awareness, health literacy, community violence, food justice, trauma-informed self-care, cultural and academic humility, oral health and advocacy. Upon pandemic onset, given increased community need and community partner feedback, BTG-Pittsburgh pivoted quickly, shifting to remote engagement and making critical adjustments to ensure responsiveness to student and community partner needs. Adjustments included: 1) adopting a trauma-informed approach, 2) developing remote mentoring guidance, and 3) doubling site visits to ensure that students and site mentors felt sufficiently supported.

Conclusions: Several program and partnership attributes contributed to our overall program success, including a model of reciprocal benefits, providing supports, flexibility, and long-standing relationships. The university's quick adoption of remote technology and each participating school's commitment to supporting the program model, further enabled effective student-organization-program collaboration. These lessons can inform community-partnered experiential learning programs that may need to incorporate remote components moving forward.

Background: Efforts to promote COVID-19 vaccination uncovered the effects of longstanding structural racism and perpetuated the erosion of community trust in science and public health institutions. Rebuilding trust is a priority to overcome barriers to vaccine uptake. Bridging Research, Accurate Information and Dialogue (BRAID) is a model that combines several evidence-based approaches to nurture trusting relationships with community experts, leading to the dissemination of accurate, timely, and acceptable COVID-19 vaccine messages.

Objective: To describe an innovative community-engaged participatory research model with the potential to build trust and spread accurate health information through social networks.

Methods: BRAID provided safe spaces for a series of facilitated conversation circles involving trusted community experts and invited clinicians and scientists. Community experts were encouraged to share their experiences, raise concerns, and ask pandemic-related questions in an informal setting. Community experts were empowered to codesign and coproduce accurate health messages acceptable to their communities. To gain insight into the process of building trust, dialogues involving 22 community experts were transcribed and coded, and post survey data from 21 participants were analyzed.

Conclusions: BRAID is a manualized community engagement model that aims to build the trust needed to improve COVID-19 vaccine uptake in historically marginalized communities. Through BRAID, participants developed increased trust in health systems and research. By empowering community experts to share information through their established social networks, BRAID has the potential to amplify the reach and impact of communications regarding health topics that are controversial and divisive, such as COVID-19 vaccination.

Background: African Americans are disproportionately affected by cardiovascular disease and hypertension. To address this, we partnered with local church leaders in developing a virtual reality (VR) hypertension reduction program.

Objectives: A community-based participatory research approach was adopted to develop a hypertension education program using VR, incorporating feedback from the African American church congregation members.

Methods: Using a qualitative approach, a modified Delphi exercise, and member checking, the research team collaborated with congregation members who provided feedback and assisted in the development of the intervention.

Lessons learned: Incorporating feedback from church members significantly impacted the educational platform. Encouraged by the reverend, church members were engaged and participated in the 12-week program designed to reduce blood pressure. Novel approaches like VR may need more time to pilot to achieve desired results, particularly with vulnerable populations.

Conclusions: This participatory research platform highlights the importance of incorporating external stakeholders throughout the research process in order to develop a meaningful health intervention using new technology that is tailored to the church members.

Background: Behavioral models play a key role in identifying pathways to better health and provide a foundation for health promotion interventions. However, behavioral models based in epidemiological research may be limited in relevance and utility in practice.

Objectives: We describe a participatory approach within a community-based participatory research partnership for integrating epidemiological and community perspectives into the application of the sociocultural resilience model (SRM). The SRM posits that cultural processes have a symbiotic relationship with health-promoting social processes, which contribute to the health advantages among Mexicanorigin and other Latinx populations.

Methods: Community action board members engaged with academic partners to interpret and apply the SRM to a community-clinical linkages intervention implemented in the context of three U.S.-Mexico border communities. In a two-day workshop, partners engaged in a series of iterative discussions to reach common definitions and measures for SRM constructs.

Results: Partners described daily cultural processes as the food they eat, how they communicate, and a collectivist approach to getting things done. For intervention activities, the partners opted for intergenerational storytelling, sharing of food, and artistic forms of expression. Partners included measures of cultural nuances such as border identity and the complexities that often arise from navigating bicultural norms.

Conclusions: Collaborative approaches within community-based participatory research partnerships can facilitate the adaptation and measurement of conceptual health behavior models in community practice.

Technology-mediated interactions between the public, health care agencies, and researchers can facilitate community health partnerships. The use of such novel technologies can lead to innovations in public health research to address disparities and access issues. This article presents the web-based, real-time needle collection tool ReportNeedles.ca and describes its use in an ongoing community health partnership to deploy and evaluate pop-up interventions for blood-borne infection prevention and substance use harm reduction. Since April 2021, 34,350 needles have been collected from 466 public reports on the ReportNeedles.ca app in the city of Regina, Saskatchewan (population: approximately 215,000). This non-walkable city with pronounced needle prevalence may be representative of medium-sized cities in Canada, the United States, and elsewhere, where brick-and-mortar health care is predominantly accessible only to people of relative stability. This article discusses the tool's development, implementation, and evaluation plan alongside its potential for blood-borne infection prevention, harm reduction, and community-based participatory research.

Background: Characterizing principles of co-learning and stakeholder engagement for community-engaged research is becoming increasingly important. As low-income communities, Indigenous communities, and communities of color all over the world disproportionately feel the social, health, and economic impacts of environmental hazards, especially climate change, it is imperative to co-learn with these communities, so their lived experience and knowledge guide the building and sharing of a knowledge base and the development of equitable solutions.

Objectives: This paper presents recent theoretical and practical support for the development of co-learning principles to guide climate adaptation and health equity innovations. We describe this development process, which included both a literature review and stakeholder engagement. The process and the resultant set of principles are relevant to community health partnerships. Adopting principles to guide design, development, and implementation prior to commencement of community health projects will help to ensure they are nonextractive and achieve maximum benefits for beneficiaries.

Methods: A multiuniversity research team adopted this approach at the outset of a research endeavor in 2022. The team is currently conducting principle-based field research in non-U.S. locations where climate hazards and structural inequities have created health disparities.

Conclusions: The team's advisory board and its funder expressed enthusiasm about the development of these principles and about the prospect of Western researchers conducting a project in a way that values Indigenous and traditional communities as partners and knowledge-holders and has the potential to bring benefits to the communities involved, including increased capacity for activities promoting health, equity, and well-being.