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A Community-Based Participatory Approach in Applying the Sociocultural Resilience Model in U.S–Mexico Border Communities 在美墨边境社区应用社会文化复原力模型的社区参与式方法
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922337
M. Ingram, Ada M. Wilkinson-Lee, Namoonga M. Mantina, M. Velasco, Gloria D Coronado, Mark Gallegos, S. Carvajal
Abstract: 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.
摘要:背景:行为模型在确定改善健康的途径方面发挥着关键作用,并为促进健康的干预措施奠定了基础。然而,基于流行病学研究的行为模型在实际应用中的相关性和实用性可能有限。目标:我们介绍了一种基于社区的参与式研究合作中的参与式方法,该方法将流行病学和社区视角整合到社会文化复原力模型(SRM)的应用中。社会文化复原力模型认为,文化过程与促进健康的社会过程之间存在共生关系,这有助于提高墨西哥裔和其他拉丁裔人口的健康水平。研究方法社区行动委员会成员与学术伙伴合作,在三个美国-墨西哥边境社区的背景下,对社区-临床联系干预措施进行解释和应用。在为期两天的研讨会上,合作伙伴进行了一系列反复讨论,以就 SRM 结构达成共同的定义和衡量标准。结果:合作伙伴将日常文化过程描述为他们吃的食物、他们的交流方式以及完成工作的集体主义方法。在干预活动方面,合作伙伴选择了代际讲故事、分享食物和艺术表现形式。合作伙伴还对文化的细微差别采取了措施,如边界身份和在双文化规范中航行时经常出现的复杂性。结论以社区为基础的参与式研究伙伴关系中的合作方法可以促进在社区实践中对概念性健康行为模型进行调整和测量。
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引用次数: 0
Evaluating the Impact and Effectiveness of Flint's Community Ethics Review Board (CBOP-CERB): A Pilot Study 评估弗林特社区伦理审查委员会(CBOP-CERB)的影响和有效性:试点研究
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922326
S. Cargill, Bryan Spencer, Briah Spencer
Abstract: 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.
摘要:密歇根州弗林特市的一个历史悠久的社区咨询委员会认识到评估对资金、研究和质量改进的重要性,因此开始对其影响进行评估。社区组织合作伙伴(CBOP)--社区伦理审查委员会(CERB)聘请了一个由学术研究人员(所罗门-卡吉尔)和社区合作伙伴(斯宾塞)组成的研究小组,以获得资金、设计和实施对 CBOP-CERB 的评估。这项评估研究对 CBOP-CERB 进行了两次评估,一次是由参与 CBOP-CERB 的研究人员进行的,另一次是由弗林特地区的社区居民进行的。这两项评估的结果可以向其他社区咨询委员会展示如何建立和扩大其影响,如何确立其未来的资助价值,以及如何阐明、评估和实现其目标。
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引用次数: 0
A Model of Community Health Worker Integration into Schools: Community-based Participatory Research in Action 社区卫生工作人员融入学校的模式:行动中的社区参与式研究
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922333
Sarah Vaughen, Monica Kowalczyk, T. DeClemente, S. Ignoffo, Kenneth Fox, Jeannine Cheatham, Anna Volerman
Abstract: Background: Schools are rich sites for collaborations between health and educational sectors. Objectives: To identify lessons learned from formation of a community–academic partnership and application of community-based participatory research (CBPR) to develop a model that integrates community health workers into schools. Methods: Individuals from an academic medical center, a large public school district, and a community-based research institute applied CBPR principles to reimagine schools as a place for improving the health of children. Lessons Learned: Three lessons emerged. Leveraging each team member's expertise centered the partnership on community strengths, co-learning, and stakeholder engagement. Adherence to CBPR's principles of power sharing and equity helped navigate the challenges of collaboration between large institutions. Early focus on sustainability helped address unexpected issues, build capacity, and boost advocacy. Conclusions: This partnership demonstrates how CBPR fosters conditions in which equitable partnerships between research institutions and public schools can thrive to promote childhood health.
摘要:背景:学校是卫生和教育部门开展合作的重要场所。目标: 从建立社区-学术伙伴关系和应用基于社区的参与式研究(CBPR)中汲取经验教训:总结从建立社区-学术合作伙伴关系和应用社区参与式研究(CBPR)中汲取的经验教训,以开发一种将社区卫生工作人员纳入学校的模式。方法:来自一个学术医学中心、一个大型公立学区和一个社区研究所的人员运用 CBPR 原则,重新构想学校作为改善儿童健康的场所。经验教训:总结出三条经验。利用每个团队成员的专长,将伙伴关系的中心放在社区优势、共同学习和利益相关者的参与上。坚持 CBPR 的权力共享和公平原则,有助于应对大型机构之间的合作挑战。及早关注可持续发展有助于解决突发问题、建设能力和加强宣传。结论:这种合作关系展示了 CBPR 如何创造条件,使研究机构与公立学校之间的公平合作关系能够蓬勃发展,从而促进儿童健康。
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引用次数: 0
Challenges and Lessons from Conducting a Community-Engaged Evaluation of a Community Advisory Board–A Case Study from Flint 对社区咨询委员会进行社区参与式评估的挑战和经验教训--弗林特案例研究
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922327
S. Cargill, Bryan Spencer, Briah Spencer
Abstract: Community-engaged research often poses challenges due to exactly those qualities that make it desirable: it provides a new model of research that differs in many ways from top-down, university-led, prospectively designed approaches. While many have discussed the challenges to conducting community-engaged research, few have provided precise and generalizable lessons for how to surmount these challenges. Here we discuss the challenges experienced in a project that was community-engaged at three levels: 1) a research team consisting of an academic and a community partner as well as a community and academic research assistant, 2) the research team engaged with a Community Advisory Board called the CBOP-CERB (Community Based Organization Partners-Community Ethics Research Board) throughout the project, and 3) the research involved recruiting community participants from an area with a historical distrust of researchers and research: Flint Michigan. We also discuss administrative challenges that this multilevel community-engagement posed. Most important, we provide practical lessons in order for future community-engaged research to avoid or mitigate many of these challenges.
摘要:社区参与式研究往往会带来一些挑战,而这些挑战恰恰是社区参与式研究的可取之处:它提供了一种新的研究模式,在很多方面都不同于自上而下、大学主导、前瞻性设计的研究方法。虽然很多人都讨论过开展社区参与式研究面临的挑战,但很少有人能为如何克服这些挑战提供准确、可推广的经验。在此,我们将从三个层面讨论一个社区参与项目所遇到的挑战:1)研究团队由一名学者和一名社区合作伙伴以及一名社区和学者研究助理组成;2)研究团队在整个项目过程中与一个名为 CBOP-CERB(社区组织合作伙伴-社区伦理研究委员会)的社区咨询委员会合作;3)研究涉及从一个历来不信任研究人员和研究的地区招募社区参与者:密歇根州弗林特市。我们还讨论了这种多层次社区参与所带来的管理挑战。最重要的是,我们为未来的社区参与研究提供了实用的经验,以避免或减轻其中的许多挑战。
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引用次数: 0
Developing the Feast for the Future Program through a Community Visioning Process 通过社区远景规划进程制定 "未来盛宴 "计划
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922336
Kristen Speakman, N. Neault, Ventura Lovato, Katie Cueva, Ivanka Szabo, Rebecca Wallis, J. Richards, Allison Barlow
Abstract: Background: Three tribal communities in the Southwestern United States have a long-standing partnership with the Johns Hopkins Center for Indigenous Health (JHCIH). Objectives: In response to community concerns about obesity, three tribal communities and Johns Hopkins Center for Indigenous Health partnered to develop culturally relevant plans for a new program. Methods: Using a "community visioning" process, a community advisory board (CAB) from each community identified opportunities, challenges, goals, and visions for their communities. The CABs consulted with experts in pediatrics, nutrition, food distribution, agricultural restoration, and community and school gardening. Results: The CABs developed seven components for Feast for the Future: 1) Edible School Gardens; 2) Traditional Food-ways Education Program; 3) Community Gardens, Orchards, and Greenhouses; 4) Farmers Markets; 5) Farmers Workshops; 6) Family Gardens; and 7) a Mobile Grocery Store. Conclusions: A community-based participatory action research (CBPAR) process was critical to developing a culturally appropriate program that built on community strengths.
摘要:背景:美国西南部的三个部落社区与约翰霍普金斯土著健康中心(JHCIH)建立了长期合作关系。目标:为回应社区对肥胖问题的关注,约翰霍普金斯土著人健康中心与美国西南部三个部落社区建立了长期合作关系:为了回应社区对肥胖问题的关注,三个部落社区和约翰霍普金斯土著健康中心合作制定了与文化相关的新计划。方法通过 "社区愿景 "流程,每个社区的社区咨询委员会(CAB)都确定了各自社区的机遇、挑战、目标和愿景。社区咨询委员会咨询了儿科、营养、食品分配、农业恢复以及社区和学校园艺方面的专家。结果:CAB 为 "未来盛宴 "制定了七个组成部分:1) 食用学校菜园;2) 传统食道教育计划;3) 社区菜园、果园和温室;4) 农贸市场;5) 农民讲习班;6) 家庭菜园;7) 移动杂货店。结论:以社区为基础的参与式行动研究(CBPAR)过程对于制定一项文化适宜的计划至关重要,该计划建立在社区优势的基础之上。
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引用次数: 0
Infectious Disease Preparedness for Homeless Populations: Recommendations from a Community–Academic Partnership 无家可归人群的传染病防备:社区与学术界合作提出的建议
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922335
Natalia M. Rodriguez, Rebecca Ziolkowski, Jodie Hicks, Michelle Dearing, Jennifer Layton, Amanda Balser, Grace Paton, Gregory Loomis
Abstract: 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.
摘要:背景:无家可归者由于居住环境拥挤、医疗保健障碍以及潜在慢性病负担过重等原因,传染病传播风险增加。我们的目标我们是一个多部门的社区-学术合作组织,致力于解决印第安纳州蒂佩卡诺县无家可归者和健康差异的交叉危机。根据我们正在进行的社区参与式研究以及从 COVID-19 应对措施和猴痘准备工作中吸取的经验教训,我们为无家可归人群的传染病防备和风险缓解工作提出了重要建议。经验教训:无家可归人群的传染病防备和应对工作需要强有力的地方合作;对无家可归者收容所和服务机构的工作人员和志愿者进行持续培训和支持;对无家可归者进行有针对性的宣传、教育和沟通;在无家可归者收容所制定、传播、执行和评估公共卫生政策的标准化流程。一致性和开放式交流是社区与学术界成功合作的关键。结论:社区与学术界的合作对于无家可归人群有效防范传染病至关重要。通过与无家可归者社区和多部门合作伙伴在第一线开展基于社区的参与式研究,我们可以从中吸取经验教训,从而改进未来针对无家可归者和美国其他弱势群体的疫情爆发和大流行应对措施。
{"title":"Infectious Disease Preparedness for Homeless Populations: Recommendations from a Community–Academic Partnership","authors":"Natalia M. Rodriguez, Rebecca Ziolkowski, Jodie Hicks, Michelle Dearing, Jennifer Layton, Amanda Balser, Grace Paton, Gregory Loomis","doi":"10.1353/cpr.2024.a922335","DOIUrl":"https://doi.org/10.1353/cpr.2024.a922335","url":null,"abstract":"Abstract: 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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"98 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lessons from Two Latino Communities Working with Academic Partners to Increase Access to COVID-19 Testing 两个拉丁裔社区与学术伙伴合作增加 COVID-19 检测机会的经验教训
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922324
Kesia K Garibay, Arturo Durazo, Tatiana Vizcaíno, Yolanda Oviedo, Kara Marson, Carina Arechiga, Patric Prado, Omar Carrera, Manuel J. Alvarado, Diane V. Havlir, Susana Rojas, G. Chamie, Carina Marquez, John A. Sauceda, Irene H. Yen, Maria-Elena De Trinidad Young
Abstract: 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.
摘要:目的:我们试图研究社区合作伙伴在社区-学术合作中的经验,以便在两个拉丁裔占多数的社区推广 COVID-19 检测。方法: 我们对社区合作伙伴进行了半结构化的深度访谈:2021 年 6 月至 7 月,我们用英语和西班牙语对社区组织领导者和社区卫生工作者/宣传员(n = 10)进行了半结构化深入访谈。访谈的重点是确定合作伙伴在规划和测试实施中的角色,以及评估合作伙伴之间的沟通情况。访谈内容在 ATLAS.ti 8.4.5 版本中进行了转录和分析。分析包括演绎法和归纳法,以确定关键主题。结果参与者在三个核心主题中分别描述了合作方法的优势和挑战:在 COVID-19 期间建立关系;提升现有的社区领导力;学术合作伙伴和社区组织承诺用西班牙语开展合作活动。结论:社区与学术界的合作关系,通过建立牢固的关系、提升社区领导力以及承诺使用社区首选语言,为解决 COVID-19 检测障碍提供了一种可行的方法。研究结果为未来的研究提供了方向,即社区成员和学术合作伙伴如何能够共同为继续应对 COVID-19 大流行的策略提供信息。
{"title":"Lessons from Two Latino Communities Working with Academic Partners to Increase Access to COVID-19 Testing","authors":"Kesia K Garibay, Arturo Durazo, Tatiana Vizcaíno, Yolanda Oviedo, Kara Marson, Carina Arechiga, Patric Prado, Omar Carrera, Manuel J. Alvarado, Diane V. Havlir, Susana Rojas, G. Chamie, Carina Marquez, John A. Sauceda, Irene H. Yen, Maria-Elena De Trinidad Young","doi":"10.1353/cpr.2024.a922324","DOIUrl":"https://doi.org/10.1353/cpr.2024.a922324","url":null,"abstract":"Abstract: 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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"163 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Health Workers Deliver Mental Health Intervention to Uninsured Latinx in Baltimore: Evaluation and Lessons Learned in a Pilot Program 社区保健工作者为巴尔的摩未参保的拉丁裔提供心理健康干预:试点项目的评估和经验教训
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922334
Monica Guerrero Vazquez, Jin hui Joo, Suzanne M. Dolwick Grieb, Marzena Maksym, Katherine Phillips, Rheanna Platt, Rohanit Singh, Cecilia Suarez, Veronica Torres, SangEun Yeom, Sarah Polk
Abstract: Background: Implementation of evidence-based interventions to reduce depression among uninsured Latinx patients who are at high risk of depression are rare. Objectives: Our goal was to evaluate Strong Minds, a language and culturally tailored, evidence-based intervention adapted from cognitive behavioral therapy (CBT) for mild-moderate depression and anxiety, delivered by community health workers (CHWs) in Spanish to uninsured Latinx immigrants. Methods: As part of the pilot, 35 participants, recruited from a free community primary care clinic, completed Strong Minds. Assessments and poststudy interviews were conducted. Paired t-tests were used to assess change of depressive symptoms at 3 and 6 months. Lessons Learned: CHW delivery of depression care to this population was feasible and among those who completed the program, preliminary evidence of depression outcomes suggests potential benefit. CHWs had specific training and support needs related to mental health care delivery. Conclusions: Further implementation studies of depression care interventions using CHWs for underserved Latinx is needed.
摘要:背景:以循证医学为基础的干预措施很少在无保险的拉美裔高危患者中实施,以减少抑郁症的发生。我们的目标是评估 Strong Minds:我们的目标是对 Strong Minds 进行评估,这是一种根据语言和文化定制的循证干预措施,改编自认知行为疗法 (CBT),用于治疗轻度-中度抑郁和焦虑,由社区保健工作者 (CHW) 用西班牙语向未参保的拉丁裔移民提供。方法:作为试点项目的一部分,从一家免费社区初级保健诊所招募的 35 名参与者完成了 "强心 "项目。进行了评估和研究后访谈。使用配对 t 检验来评估抑郁症状在 3 个月和 6 个月后的变化。经验教训:社区保健工作者为这一人群提供抑郁治疗是可行的,在完成计划的人群中,抑郁治疗效果的初步证据表明可能会带来益处。社区保健工作者在提供心理健康护理方面需要特殊的培训和支持。结论:需要进一步开展研究,利用社区保健工作者为服务不足的拉丁裔人群提供抑郁症护理干预。
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引用次数: 0
Strategies for Recruiting Older Black Men into Aging and Alzheimer's Research 招募老年黑人男性参与老龄化和阿尔茨海默氏症研究的策略
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922330
Darlingtina K Esiaka, Glenn B. Wilson, Mark A. Gluck
Abstract: 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.
摘要:背景:尽管黑人老年男性罹患阿尔茨海默病的风险很高,但他们在阿尔茨海默病研究和临床试验中的代表性却微乎其微。老年黑人男性在阿尔茨海默病研究中的缺席限制了我们描述老年黑人男性认知障碍相关变化的能力--这是健康差异的关键问题。研究方法:我们从新泽西州纽瓦克市多年的社区参与式研究中吸取经验教训,重点介绍了与社区合作伙伴共同制定的招募策略,以指导我们为黑人男性招募和留住他们所做的努力。结果:我们确定了七种招募策略:通过社会计划提供间接健康教育、通过生活中的年轻男性锁定老年男性、超越黑人教堂、利用老年黑人男性作为训练有素的社区大使、争取黑人男性生活中的女性、将参与研究作为留给儿子的遗产,以及利用过去和现在的黑人男性参与者作为榜样。结论这些招募策略帮助我们解决了招募老年黑人男性的许多障碍。进行老龄化和大脑健康研究的研究人员或有兴趣与老年黑人男性和代表性不足的人群合作的研究人员可以很容易地实施这些策略。
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引用次数: 0
Promoting COVID-19 Vaccine Confidence and Access among Youth Experiencing Homelessness: Community-Engaged Public Health Practice 促进无家可归青年对 COVID-19 疫苗的信心和接种:社区参与的公共卫生实践
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922332
Ingie Osman, Renee E. Sieving, Lauren Vasilakos, Katie Pierson, Asha Elgonda, Trenton Bartlett, Janna R. Gewirtz O'Brien
Abstract: 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.
摘要:背景:无家可归的青少年(YEH)在对 COVID-19 疫苗的信心和接种方面面临着各种复杂的障碍。目标: 描述我们与以公平为中心的跨部门团队合作的过程:描述我们吸引跨部门团队参与的过程,以公平和青年的声音为中心;概述我们的干预策略,以增强青年无家可归者对 COVID-19 疫苗的信心和接种机会;并讨论从这一社区参与过程中吸取的经验教训。方法:我们邀请了各部门的合作伙伴参与,包括青少年服务机构、医疗保健组织、公共卫生组织和青少年健康中心。我们利用焦点小组、关键信息提供者访谈和其他社区参与策略,制定并实施了一系列干预措施,旨在提高青年健康人群对 COVID-19 疫苗的信心和接种率。结果我们确定了青少年对疫苗信心和接种机会的主要担忧。为了解决这些问题,我们实施了四项由社区推动的干预措施:适合青少年的信息、健康活动、疫苗接种后护理包以及员工培训。结论:这个社区参与项目强调了跨部门合作和青少年持续参与在解决青少年对疫苗的信心问题方面的价值。
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引用次数: 0
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