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

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Improving the Lives of People with Sickle Cell Disease: Community Organizations and Epidemiologists Working Together. 改善镰状细胞病患者的生活:社区组织与流行病学家携手合作。
IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-01
Amanda J Young, Amanda Maresh, Shammara Pope, Rae Blaylark, Sangeetha Lakshmanan, L'Oreal Stephens, Rebecca Aderojou, Emily Meier, Gary Gibson, Amanda Okolo, Shamaree Cromartie, Niani Coker, Susan Paulukonis, Jennifer Fields, Mandip Kaur, Jay Desai

Background: The Centers for Disease Control and Prevention's Sickle Cell Data Collection (SCDC) program comprises multidisciplinary teams, which include community-based organizations. Partnering with community-based organizations (CBOs) is a novel approach to ensure that SCDC data are actionable.

Objective: To better understand areas for mutual capacity building, we explored the relationships and dynamics between CBO and data teams within the SCDC program in 10 states.

Methods: We conducted semi-structured interviews with CBO (n = 13) and SCDC (n = 10) participants and then categorized and compared text from each interview and across states. Six themes emerged.

Lessons learned: Transparency and trust are essential. Early CBO engagement and leadership are needed for trust and agreed upon priorities.

Conclusions: Participants contextualized trust, the most prominent theme, within discussions of racism and health inequities. Relationships between the CBO and data teams bring hard data and human experience together for advocacy, education, improved care, and a platform for the SCD voice.

背景:美国疾病控制与预防中心的镰状细胞数据收集(SCDC)项目由多学科团队组成,其中包括社区组织。与社区组织(CBO)合作是确保 SCDC 数据具有可操作性的一种新方法:为了更好地了解双方能力建设的领域,我们探讨了 10 个州的 SCDC 项目中 CBO 与数据团队之间的关系和动态:我们对 CBO(n = 13)和 SCDC(n = 10)的参与者进行了半结构化访谈,然后对每次访谈和各州的访谈内容进行了分类和比较。得出了六个主题:透明度和信任至关重要。需要社区组织的早期参与和领导,以建立信任并就优先事项达成一致:参与者在讨论种族主义和健康不平等问题时,将信任这一最突出的主题与背景联系起来。社区组织和数据团队之间的关系将硬数据和人类经验结合在一起,以促进宣传、教育、改善护理,并为 SCD 提供发言平台。
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引用次数: 0
The Community is the Cure: How African American Washington, DC Residents Informed Opioid Treatment Engagement. 社区就是治疗:华盛顿特区非裔美国居民如何参与阿片类药物治疗。
IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-01
Morgan M Medlock, Richard Schottenfeld, Mustafa Abdul-Salaam, Charles Bay, Imani Brown, Gloria Thombs-Cain, Kevin Charles, Ernest Clover, Kendrick E Curry, Lazetta Nelson, Jasmine Thompson, Denise Scott, Imani Walker, Carla Williams

Background: Recent data indicate rising opioid overdose deaths among African American residents of Washington, DC.

Objectives: We highlight a community-informed approach to assessing attitudes toward opioid use disorder treatment among DC residents (February 2019 to March 2020).

Methods: A listening tour with trusted community leaders led to the formation of a Community Advisory Board (CAB). When the COVID-19 pandemic commenced in March 2020, community dialogues became exclusively virtual. The CAB partnered with academic leaders to co-create project mission and values and center the community's concerns related to opioid use and its causes, treatment structure, and facilitators of effective engagement.

Results: Interview guides were created for the engagement of community members, using values highlighted by the CAB. The CAB underscored that in addition to opioid problems, effective engagement must address community experience, collective strengths/resilience, and the role of indigenous leadership.

Conclusions: Engaging community prior to project implementation and maintaining alignment with community values facilitated opioid use disorder assessments. Community-informed assessments may be critical to building community trust.

背景:最近的数据显示,华盛顿特区非洲裔美国居民中阿片类药物过量死亡人数不断上升:最近的数据显示,华盛顿特区非裔美国居民死于阿片类药物过量的人数不断上升:我们强调采用社区知情的方法来评估华盛顿特区居民对阿片类药物使用障碍治疗的态度(2019 年 2 月至 2020 年 3 月):通过与可信赖的社区领袖开展倾听之旅,成立了社区咨询委员会(CAB)。2020 年 3 月 COVID-19 大流行开始后,社区对话完全变成了虚拟对话。社区咨询委员会与学术领袖合作,共同制定了项目使命和价值观,并将社区关注的阿片类药物使用及其原因、治疗结构和有效参与的促进因素作为中心议题:结果:利用社区咨询委员会强调的价值观,为社区成员的参与创建了访谈指南。社区咨询委员会强调,除阿片类药物问题外,有效的参与还必须涉及社区经验、集体力量/复原力以及土著领导的作用:结论:在项目实施前让社区参与进来,并与社区价值观保持一致,有助于阿片类药物使用障碍评估。社区知情评估可能是建立社区信任的关键。
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引用次数: 0
Training Dental Teams to Address Community Health: Necessary Partnerships and Evaluation of an Evidence-Based Curriculum. 培训牙科团队以解决社区健康问题:必要的合作伙伴关系和以证据为基础的课程评估。
IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-01
Shawnda Schroeder, Julie Reiten

Background: Annually, 27 million Americans visit a dental professional but not a physician. Dental professionals must recognize that they are members of their patients' primary care teams. Continuing education must then prepare them to appropriately serve their specific communities.

Objectives: The objective of this paper was to describe the implementation of an evidence-based model to train dental professionals on how to respond to community-level health needs. The paper details crucial partnerships and provides evidence and key considerations for replicating the curriculum to improve population health.

Methods: The Extension for Community Healthcare Outcomes (ECHO) model was used in one state where dental health care use is challenging for persons living rural, eligible for Medicaid, aging, and those who are American Indian. This formative evaluation knowledge assessments, data on participants' changes in clinical care practice, web analytics, and artifact review to assess effective implementation strategies and necessary community partnerships.

Conclusions: Successful implementation of the curriculum required active participation and partnership with state provider associations, the office of Medicaid, the state Board of Dental Licensure, and others. Without engaged partners, the curriculum would not have been community relevant, nor would it have had case presentation from local providers. In a state with only 427 practicing dentists, live attendance ranged between 9 and 22 dental team members, with between 11 and 91 views of the recorded sessions. Using the evidence-based ECHO model, which requires community health partnerships, is a cost-effective, and accessible, method to offering community specific education for dental providers across a large geographic region.

背景:每年有 2700 万美国人去看牙科专家而不是医生。牙科专业人员必须认识到,他们是患者初级保健团队的成员。因此,继续教育必须让他们做好准备,为其特定社区提供适当的服务:本文旨在介绍一种循证模式的实施情况,以培训牙科专业人员如何应对社区层面的健康需求。本文详细介绍了关键的合作关系,并提供了复制该课程以改善人口健康的证据和主要考虑因素:方法:在一个州使用了社区医疗保健成果推广(ECHO)模式,该州的农村居民、符合医疗补助资格者、老年人和美国印第安人在牙科医疗保健使用方面面临挑战。该形成性评价通过知识评估、参与者在临床护理实践中的变化数据、网络分析和人工制品审查来评估有效的实施策略和必要的社区合作关系:课程的成功实施需要州提供者协会、医疗补助办公室、州牙医执照委员会等的积极参与和合作。如果没有合作伙伴的参与,课程就不会与社区相关,也不会有当地提供者的案例介绍。在一个仅有 427 名执业牙医的州,现场出席会议的牙医团队成员有 9 至 22 人,观看录制课程的人数有 11 至 91 人。使用以证据为基础的 ECHO 模式(需要社区卫生合作伙伴关系)是一种成本效益高且容易获得的方法,可在一个大的地理区域内为牙科医生提供针对社区的教育。
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引用次数: 0
"I Am Now Five Steps Ahead": How Co-design Platforms Sustain Kenyan Community Health Volunteer Engagement “我现在领先五步”:协同设计平台如何维持肯尼亚社区卫生志愿者的参与
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907965
Hanna-Joy Renner, Naomi W. Makobu, Simon Mbugua, Wilson Karuri Kamiru, Dorothy Oluoch, Angela Donelson, Mary B. Adam
"I Am Now Five Steps Ahead":How Co-design Platforms Sustain Kenyan Community Health Volunteer Engagement Hanna-Joy Renner, BA, MSc, Naomi W. Makobu, BS, Simon Mbugua, BA, Wilson Karuri Kamiru, HND, Dorothy Oluoch, BA, MSc, DPhil, Angela Donelson, PhD, and Mary B. Adam, MD, MA, PhD What Is the Purpose of this Study/Review? • Community health work matters. Decisions made at the household level are critical to helping people and communities achieve better health outcomes. Human-centered design (HCD) is a way of putting community health volunteers (CHVs) in the driver seat to plan and prioritize their work. Because it uses teamwork it is a way to build trust among the partners. • The purpose of this study is to see how involvement in the planning and priority setting of their work might help sustain the engagement of CHVs. It also looks at a way to track the way trust building that might function to explain CHV motivation in self-directed and self-funded community health activities. What Is the Problem? • CHVs in Kenya work at the household level. They are not paid because the government health systems in low- and middle-income countries struggle financially. They are not re-imbursed for expenses and are rarely given opportunity to give their own voice to local health priorities. This makes sustaining their engagement in community health work difficult. What Are the Findings? • This study identifies HCD (a co-production framework) as a valuable and underutilized mechanism for motivating sustained engagement. • It builds the evidence base for measurement of self-interest, common goal, gratitude/indebtedness as ways to measure theoretical constructs for trust building. Who Should Care Most? • Both local communities who want better health for their citizens and health policy leaders should care because effective ways of getting health promotion to the household level is essential for better health outcomes. Recommendations for Action • Try more participatory approaches like HCD in more settings to see if it consistently gets positive results and if there is longer term impact. • Look at how trust building-as evidenced by tracking of self-interest, common goal, and gratitude and indebtedness may be an important aspect of what is making things work. [End Page e9] Hanna-Joy Renner Freiburg, Germany Naomi W. Makobu Freiburg, Germany Simon Mbugua Kijabe Maternal Newborn Community Health (KMNCH), AIC Kijabe Hospital Wilson Karuri Kamiru Kijabe Maternal Newborn Community Health (KMNCH), AIC Kijabe Hospital Dorothy Oluoch Kenya Medical Research Institute) Angela Donelson Donelson Consulting Mary B. Adam Kijabe Maternal Newborn Community Health (KMNCH), AIC Kijabe Hospital The Africa Consortium for Quality Improvement Research in Frontline Healthcare (ACQUIRE) Copyright © 2023 Johns Hopkins University Press
“我现在领先五步”:共同设计平台如何维持肯尼亚社区卫生志愿者的参与Hanna-Joy Renner, BA, MSc, Naomi W. Makobu, BS, Simon Mbugua, BA, Wilson Karuri Kamiru, HND, Dorothy Oluoch, BA, MSc, PhD, Angela Donelson, PhD和Mary B. Adam, MD, MA, PhD•社区卫生工作很重要。在家庭一级作出的决定对于帮助人民和社区取得更好的健康成果至关重要。以人为本的设计(HCD)是一种让社区卫生志愿者(chv)主导规划和优先安排工作的方法。因为它需要团队合作,这是在合作伙伴之间建立信任的一种方式。•本研究的目的是了解参与其工作的规划和优先事项设置如何有助于维持chv的参与。它还研究了一种追踪信任建立方式的方法,这种方法可能有助于解释自我指导和自筹资金的社区卫生活动中CHV的动机。问题是什么?•肯尼亚的chv在家庭层面开展工作。他们得不到报酬是因为中低收入国家的政府卫生系统财政困难。她们的费用得不到补偿,很少有机会对地方卫生优先事项发表自己的意见。这使得她们难以继续参与社区卫生工作。调查结果是什么?•本研究确定HCD(合作制作框架)是一种有价值但未被充分利用的激励持续参与的机制。•构建了衡量自利、共同目标、感激/负债的证据基础,作为衡量信任建立理论结构的方法。谁应该最关心?•希望其公民获得更好健康的地方社区和卫生政策领导人都应该关心这一点,因为在家庭层面促进健康的有效方法对于取得更好的健康结果至关重要。•在更多的环境中尝试更多的参与性方法,如HCD,看看它是否始终获得积极的结果,是否有长期的影响。•看看信任是如何建立的——通过追踪自身利益、共同目标、感激和负债来证明,这可能是让事情运转起来的一个重要方面。[End Page e9]德国汉娜·乔伊·雷纳·弗莱堡,德国娜奥米·w·马科布·弗莱堡,德国西蒙·姆布瓜·基贾贝孕产妇新生儿社区保健(KMNCH), AIC基贾贝医院威尔逊·卡鲁里·卡米鲁·基贾贝孕产妇新生儿社区保健(KMNCH), AIC基贾贝医院多萝西·奥卢赫肯尼亚医学研究所安吉拉·多内尔森·多内尔森咨询玛丽·b·亚当·基贾贝孕产妇新生儿社区保健(KMNCH),非洲第一线医疗保健质量改进研究联盟版权©2023约翰霍普金斯大学出版社
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引用次数: 0
Co-design of a Community-based Rehabilitation Program to Decrease Musculoskeletal Disabilities in a Mayan-Yucateco Municipality 共同设计以社区为基础的康复计划,以减少玛雅-尤卡塔科市的肌肉骨骼残疾
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907971
Edgar Villarreal-Jimenez, Jose Antonio Lores-Peniche, Ingris Pelaez-Ballestas, Gabriela Cruz-Martín, Daniela Flores-Aguilar, Hazel García, Arturo Velazco Gutiérrez, Hugo Ayora-Manzano, Kenia López, Adalberto Loyola-Sanchez
Abstract: Background: Chronic musculoskeletal (MSK) diseases are an important cause of disability in the Mayan community of Chankom in Yucatán, Mexico. Objective: To understand a community-based participatory research (CBPR) strategy implemented in Chankom to design a community-based rehabilitation (CBR) program for people living with MSK diseases. Methods: Qualitative descriptive thematic analysis from an ethnographic work conducted in Chankom, during the implementation of a CBPR strategy from 2014 to 2017. Results: Four main themes describe the main processes that formed our CBPR strategy: 1) forming and maintaining an alliance between academic and community members, 2) prioritizing community needs, 3) integrating local and global knowledge and 4) shared-decision-making. This CBPR strategy allowed the design of a CBR program formed by six main interventions: 1) health services coordination, 2) personal support, 3) community venous blood sampling services, 4) community specialized services, 5) health promotion, and 6) health transportation services. Conclusions: Co-designing a CBR program for people living with chronic MSK diseases in Chankom was possible through an extensive community engagement work structured around four main processes, including the essential principles of CBPR. The designed CBR program includes culturally sensitive interventions aimed at improving the quality, availability, accessibility, and acceptability of health care services. Moreover, the program mainly addressed the "health" component of the World Health Organization–CBR matrix, suggesting a need for a new CBPR cycle after it is implemented and evaluated in the future.
摘要:背景:慢性肌肉骨骼(MSK)疾病是墨西哥Yucatán Chankom玛雅社区致残的重要原因。目的:了解在Chankom实施的社区参与式研究(CBPR)策略,为MSK患者设计社区康复(CBR)方案。方法:从2014年至2017年在Chankom实施CBPR战略期间进行的民族志工作中进行定性描述性专题分析。结果:四个主题描述了形成我们CBPR战略的主要过程:1)形成和维护学术界和社区成员之间的联盟;2)优先考虑社区需求;3)整合本地和全球知识;4)共同决策。该CBPR策略允许设计由六个主要干预措施组成的CBR计划:1)卫生服务协调,2)个人支持,3)社区静脉血采样服务,4)社区专业服务,5)健康促进和6)卫生运输服务。结论:通过围绕四个主要过程(包括CBPR的基本原则)开展广泛的社区参与工作,为Chankom的慢性MSK患者共同设计CBR计划是可能的。设计的社区康复方案包括对文化敏感的干预措施,旨在提高卫生保健服务的质量、可用性、可及性和可接受性。此外,该方案主要处理世界卫生组织- -基于生物多样性评估矩阵的"卫生"部分,表明在实施和未来评估之后需要一个新的基于生物多样性评估周期。
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引用次数: 0
Moving From Transactional to Relational: How Funders Can Work in Partnership With Black, Indigenous and People of Color Communities 从交易到关系:资助者如何与黑人、土著和有色人种社区合作
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907974
Donald Cameron, Hazel Cameron, Jackie An, Michael Byun, Junko Yamazaki, Dominique Davis, Naomi Tagaleo'oa, Liz Huizar, Estela Ortega, Denise Perez Lally, Yusuf Bashir, Abdulahi Osman, Cilia Jurdy, Jaimée Marsh, Emma Catague, Haya Munoza, Kendrick Glover, Ginger Kwan, Joy Sebe, Jennifer Stanton, Josefina Gonzalez, Virgina Herrera-Páramo, CHIMAERA B, Jordan Faralanb, Russell Brooks, Jennifer Castro, Ruel Olanday, Alice Park, Nancy Shore
Abstract: Background: The Racial Equity Coalition (REC) formed to address persistent educational disparities. The coalition was composed of 14 Black, Indigenous and People of Color (BIPOC) organizations that provide culturally integrative youth services. Objectives: REC, with support from United Way of King County, engaged in participatory research to identify commonalities and shared struggles to inform collective action. Participatory research aligns with REC's commitment to equitable participatory processes. This article focuses on REC's experiences with funders. The objective was to understand what creates positive and challenging experiences with funders, and to identify recommendations for funders to become more culturally responsive. Methods: A research committee was formed including representatives of nine REC organizations and United Way of King County staff. The committee conducted interviews with each of the 14 REC organizations and conducted thematic analysis of interview transcripts. Through participatory analysis, the committee drafted narratives that were further refined through a series of research retreats attended by all REC organizations. Results: Recommendations were to incentivize collaboration, listen to communities to create culturally responsive definitions of success and measurement strategies, arrive at mutually agreed upon approaches with organizations, honor the connections BIPOC organizations have with their communities, and provide unrestricted funding to allow BIPOC organizations greater agency. Conclusions: A major challenge for BIPOC organizations is navigating White dominant culture that too often shows up in funding requirements. Having to fit dominant culture standards stifles BIPOC organizations' abilities to meet community needs and the responsiveness of their approaches. REC identified recommendations for funders to be more culturally responsive and community centered.
摘要:背景:种族平等联盟(REC)的成立是为了解决持续存在的教育差异。该联盟由14个黑人、土著和有色人种(BIPOC)组织组成,提供文化融合的青年服务。目标:REC在金县联合劝募会的支持下,从事参与性研究,以确定共性和共同的斗争,为集体行动提供信息。参与性研究符合REC对公平参与性过程的承诺。本文主要介绍REC与资助者打交道的经验。其目的是了解是什么给资助者带来了积极和具有挑战性的体验,并为资助者提出建议,使其更能对文化做出反应。方法:由9个REC组织的代表和金县联合劝募会的工作人员组成一个研究委员会。委员会分别与14个区域中心机构进行了访谈,并对访谈记录进行了专题分析。通过参与式分析,委员会起草了叙述,并通过所有REC组织参加的一系列研究务静会进一步完善。结果:建议鼓励合作,听取社区的意见,以创建符合文化的成功定义和衡量策略,与组织达成共同同意的方法,尊重BIPOC组织与社区的联系,并提供无限制的资金,使BIPOC组织能够发挥更大的作用。结论:BIPOC组织面临的一个主要挑战是如何驾驭白人主导的文化,这种文化经常出现在资金需求中。必须适应主流文化标准扼杀了BIPOC组织满足社区需求和响应其方法的能力。REC为资助者提出了更多的文化响应和社区为中心的建议。
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引用次数: 0
A Community–Academic Partnership to Explore and Address Cancer Disparities in Southwest Chicago Arab Americans 探索和解决芝加哥西南部阿拉伯裔美国人癌症差异的社区-学术伙伴关系
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907968
Perla Chebli, Itedal Shalabi, Nareman Taha, Naoko Muramatsu, Karriem Watson, Marian Fitzgibbon, Yamilé Molina, Sarah Abboud
Abstract: Background: Despite the need to consider multiple sources of evidence to guide locally and culturally relevant interventions, few studies have documented the process by which evidence is integrated. Objectives: We leveraged a community–academic partnership to describe a participatory approach to integrating community and academic sources of evidence to inform cancer programming priorities in the Arab American (ArA) community in Southwest Chicago. Methods: Informed by Intervention Mapping, this study comprised three phases led by community and academic partners: 1) qualitative assessment of cancer-related priorities through eight focus groups with 48 ArA community members, 2) a focused literature review to identify models of cancer interventions implemented with ArAs, and 3) integration of focus group and literature review findings and development of a strategy for a community-based cancer program administered by the community partner. Results: Focus groups revealed attitudes and beliefs across the cancer control continuum. The literature review highlighted two cancer interventions utilizing education, community health workers, and patient navigation components. Through facilitated discussions with community partners, we integrated community and academic sources of evidence to develop a comprehensive cancer program plan that is informed by the data we generated as well as our community partners' preferences and organizational capacity. Conclusions: Our participatory approach for integrating community and academic sources of evidence generated a locally relevant strategy to address cancer burden in the ArA community in Chicago. We discuss the benefits and challenges of utilizing this approach in intervention development.
背景:尽管需要考虑多种证据来源来指导当地和文化相关的干预措施,但很少有研究记录了证据整合的过程。目的:我们利用社区-学术伙伴关系来描述一种参与式方法,以整合社区和学术证据来源,为芝加哥西南部阿拉伯裔美国人(ArA)社区的癌症规划优先事项提供信息。方法:本研究由社区和学术合作伙伴主导,分为三个阶段:1)通过8个焦点小组对48名ArA社区成员进行癌症相关优先事项的定性评估;2)重点文献综述,以确定ArA实施的癌症干预模式;3)整合焦点小组和文献综述的结果,并制定由社区合作伙伴管理的社区癌症项目战略。结果:焦点小组揭示了癌症控制连续体的态度和信念。文献综述强调了两种癌症干预措施,利用教育、社区卫生工作者和患者导航组件。通过与社区合作伙伴的讨论,我们整合了社区和学术证据来源,制定了一个综合的癌症项目计划,该计划由我们生成的数据以及社区合作伙伴的偏好和组织能力提供信息。结论:我们整合社区和学术证据来源的参与性方法产生了与当地相关的策略,以解决芝加哥ArA社区的癌症负担。我们讨论了在干预开发中使用这种方法的好处和挑战。
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引用次数: 0
Expansion of the Community Engagement Studio Method: Deepening Community Participation in Health Care Innovation 扩展社区参与工作室方法:深化社区参与卫生保健创新
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907981
Carmen R. Valdez, Ricardo Garay, Monique Vasquez, Eliel Oliveira, Vidya Lakshminaraya, Zainab Abdulateef, Monica Guzman, Anjum Khurshid
Abstract: Background: The Community Engagement Studio (CE Studio) method has emerged as a valuable model for community participation in health innovation research, and we advance the model by expanding the timing and number of CE Studio sessions, as well as facilitation. Objectives: The authors expanded the CE Studio method first to include five sessions corresponding to five phases of innovation: a) health experiences, b) community readiness, c) design features, d) adoption, and e) sustainability. Community experts were engaged throughout the duration of the research. Second, the authors positioned the CE Studio Team to be deeply embedded within the research team and the community of interest through community health workers. Methods: The expanded CE Studio method was incorporated into a federally funded research project focused on a health technology platform. The CE Studio Team held five sessions with each of four community expert panels (total of 20 sessions) based on race/ethnicity and language: African American, Asian American, English-speaking Latinx, and Spanishspeaking Latinx. Conclusions: CE Studio sessions revealed community experts' shared and unique evolving and deepening perspectives that show promise for expanding the model.
摘要:背景:社区参与工作室(Community Engagement Studio, CE Studio)方法已成为社区参与健康创新研究的一种有价值的模式,我们通过扩大CE工作室会议的时间和数量以及促进来推进该模式。目的:作者首先扩展了CE Studio方法,将五个阶段对应于创新的五个阶段:a)健康经验,b)社区准备,c)设计特征,d)采用和e)可持续性。在整个研究过程中都有社区专家参与。其次,作者将CE工作室团队定位为通过社区卫生工作者深入嵌入研究团队和感兴趣的社区。方法:将扩展的CE Studio方法纳入联邦资助的一项卫生技术平台研究项目。CE工作室团队根据种族/民族和语言(非裔美国人、亚裔美国人、说英语的拉丁裔和说西班牙语的拉丁裔),与四个社区专家小组各举行了五次会议(共20次会议)。结论:CE Studio会议揭示了社区专家分享的、独特的、不断发展和深化的观点,显示了扩展该模型的希望。
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引用次数: 0
Tobacco Use, Quitting, and Service Access for Northern California Arab Americans: A Participatory Study 北加州阿拉伯裔美国人的烟草使用、戒烟和服务获取:一项参与性研究
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907962
Juliet P. Lee, Lina Salam, Gamila Abdelhalim, Robert Lipton, Mark Myers, Sarah Alnahari, Walid Hamud-Ahmed
Tobacco Use, Quitting, and Service Access for Northern California Arab Americans:A Participatory Study Juliet P. Lee, PhD, Lina Salam, MS, Gamila Abdelhalim, LLM, Robert Lipton, PhD, Mark Myers, PhD, Sarah Alnahari, MsPH, and Walid Hamud-Ahmed, MD What Is the Purpose of this Study? • The study aimed to understand tobacco product use, readiness to quit, and access to treatment and prevention services for Arab Americans. What Is the Problem? • Due to numerous social, structural, and commercial determinants of health, Arab Americans are at risk for tobacco product use, particularly waterpipe tobacco smoke. Because population health in the United States is assessed using racial-ethnic groups which do not necessarily align with tobacco-related disparities, Arab Americans may be both understudied and underserved in tobacco research and practice. What Are the Findings? • Arab Americans, both men and women, used waterpipes for smoking tobacco, yet healthcare providers do not ask about this. People in the community preferred talking with their providers in Arabic, but very few had access to that service. Tobacco cessation services in Arabic were only available to people with private insurance, which was less than half the tobacco users in our study. Who Should Care Most? • Health care providers in areas with Arab American communities should care about this study. Recommendations for Action • Our study indicates a need for commercial tobacco treatment and prevention research and services that are culturally and linguistically appropriate for Arab Americans. [End Page e3] Juliet P. Lee Pacific Institute for Research and Evaluation-CA Lina Salam Pacific Institute for Research and Evaluation-CA Gamila Abdelhalim Communities Upwards Robert Lipton Pacific Institute for Research and Evaluation-CA Mark Myers VA San Diego Healthcare System UC San Diego Department of Psychiatry Sarah Alnahari UC Merced, School of Public Health Walid Hamud-Ahmed USCF Fresno, Emergency Medicine Copyright © 2023 Johns Hopkins University Press
Juliet P. Lee博士,Lina Salam, MS, Gamila Abdelhalim, LLM, Robert Lipton博士,Mark Myers博士,Sarah Alnahari, MsPH和Walid Hamud-Ahmed, MD。•该研究旨在了解阿拉伯裔美国人的烟草产品使用、戒烟意愿以及获得治疗和预防服务的机会。问题是什么?•由于健康的许多社会、结构和商业决定因素,阿拉伯裔美国人面临烟草产品使用的风险,特别是水烟。由于美国的人口健康是用种族-民族群体来评估的,而这些群体并不一定与烟草相关的差异相一致,因此在烟草研究和实践中,阿拉伯裔美国人可能既没有得到充分的研究,也没有得到充分的服务。调查结果是什么?•阿拉伯裔美国人,无论男女,都使用水烟管吸烟,但保健提供者却不问这一点。社区里的人们更喜欢用阿拉伯语与他们的服务提供者交谈,但很少有人能获得这种服务。阿拉伯语的戒烟服务只提供给有私人保险的人,在我们的研究中,这一比例不到烟草使用者的一半。谁应该最关心?•阿拉伯裔美国人社区地区的卫生保健提供者应该关注这项研究。•我们的研究表明,需要在文化和语言上适合阿拉伯裔美国人的商业烟草治疗和预防研究和服务。[End Page e3] Juliet P. Lee太平洋研究与评估研究所- ca Lina Salam太平洋研究与评估研究所- ca Gamila abdelhalm社区向上Robert Lipton太平洋研究与评估研究所- ca Mark Myers VA圣地亚哥医疗保健系统加州大学圣地亚哥精神病学部门Sarah Alnahari加州大学默塞德分校,公共卫生学院Walid Hamud-Ahmed USCF弗雷斯诺,急诊医学版权©2023约翰霍普金斯大学出版社
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引用次数: 0
Mental Well-being InSciEd Out: Health Partnerships with the Boys & Girls Clubs of Puerto Rico 心理健康:与男孩的健康伙伴关系波多黎各女孩俱乐部
4区 医学 Q2 Social Sciences Pub Date : 2023-09-01 DOI: 10.1353/cpr.2023.a907980
Joanna Yang Yowler, Ana Mia Corujo Ramirez, Marcos I Roche-Miranda, Jennifer Alvarado, Yazayra Aponte Sauri, Ricardo A. Calderon Lopez, Amanda A. Heeren, Mary Helen Mays, Dena Mundy, Widalys Ortiz, Karen Weavers, Naima Yusuf, Karen G. Martinez Gonzalez, Maribel Campos Rivera, Chris Pierret
Abstract: Background: Mental health care is a top clinical concern for modern Puerto Rico, especially given a dramatically changing economic landscape paired with recurrent natural disasters. Youth are particularly at-risk due to long-term impacts of toxic stress and adverse childhood experiences on health and development. Objectives: Here we present a novel clinician–community-educator–scientist partnership to address Puerto Rican youth mental well-being and wellness. We deployed pilot health workshops within the Boys & Girls Clubs of Puerto Rico to build youth mental health conceptual understanding and competencies in stress recognition and management. The work in progress herein evaluates acceptability and feasibility of our curricular model. Methods: Dialogue with community stakeholders guided curricular design of workshops for youth ages 6 to 13 and older. Prior to implementation, educators and volunteers attended a 1-day training on educational strategies. Workshop success was evaluated using qualitative approaches (i.e., narrative feedback, educator and volunteer reflections, youth Talking Drawings) to assess youth engagement, youth conceptual health understanding, and educator/volunteer impressions of feasibility and impact. Results: Initial findings indicate high acceptability and feasibility of our curricular model. Youth engagement and enthusiasm were noted in educator feedback and continue to be sustained post-workshop. Preliminary analysis shows accompanying increases in youth conceptual mental health understanding, particularly for 6- to 12-year-olds in recognition of stress and healthy coping mechanisms. Reciprocal gains were observed for volunteers. Conclusions: Activities have evolved into a formal partnership called Semilla , which features expanded analysis of mental well-being and wellness outcomes. Our collaborative model continues to engage Puerto Rican youth in the science of their well-being.
摘要:背景:精神卫生保健是现代波多黎各的首要临床问题,特别是考虑到急剧变化的经济格局和反复发生的自然灾害。由于有毒压力和不利的童年经历对健康和发展的长期影响,青年尤其处于危险之中。目的:在这里,我们提出了一个新的临床医生-社区教育者-科学家的伙伴关系,以解决波多黎各青年的心理健康和健康。我们在儿童福利院部署了试点保健讲习班;波多黎各女孩俱乐部建立青年心理健康概念理解和压力识别和管理能力。目前正在进行的工作是评估我们课程模式的可接受性和可行性。方法:与社区利益相关者对话,指导6至13岁及以上青少年工作坊的课程设计。在实施之前,教育工作者和志愿者参加了为期一天的教育策略培训。利用定性方法(即叙述性反馈、教育工作者和志愿者反思、青年谈话绘画)评估讲习班的成功,以评估青年的参与、青年对健康概念的理解以及教育工作者/志愿者对可行性和影响的印象。结果:初步调查结果显示,我们的课程模式具有较高的可接受性和可行性。在教育工作者的反馈中注意到青年的参与和热情,并在讲习班结束后继续保持下去。初步分析显示,青少年,特别是6至12岁的青少年,在认识到压力和健康的应对机制方面,对心理健康概念的理解也随之增加。在志愿者身上也观察到了相应的收益。结论:活动已经发展成为一种正式的合作伙伴关系,称为Semilla,其特点是扩大了对心理健康和健康结果的分析。我们的合作模式继续吸引波多黎各青年参与他们的福祉科学。
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引用次数: 0
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Progress in Community Health Partnerships-Research Education and Action
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