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Implementing a Community Engagement Model to Develop a Community-Driven Oral Health Intervention 实施社区参与模式,制定社区驱动的口腔健康干预措施
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922331
Cynthia Chew, Daniel Rosen, Katherine I. Watson, Alene M. D'Alesio, Daren Ellerbee, Jerome Gloster, Shannah Tharp-Gilliam, Toni Beasley, J. M. Burgette
Abstract: Background: Using community-engaged research may result in interventions that reduce infant oral health disparities in underserved populations. Objective: Develop community partnerships to create a sustainable infant oral health program that meets specific community-identified needs and provides an interprofessional education experience. Methods: Partnering with the Homewood Community Engagement Center, researchers engaged and surveyed key community partners to assess the need for an infant oral health invention. Lessons Learned: Community-identified organizing principles and barriers became the framework for, "Healthy Teeth, Healthy Me," a community-driven infant oral health program. Barriers, like access to care, were addressed with community-specific solutions like agreements with local dental clinical for referrals. Conclusions: Community partnerships can be leveraged to develop oral health programs that fit specific community needs and provide resources to families at greatest risk for child dental caries. Community engagement can be used to modify the intervention to meet oral health needs of other vulnerable communities.
摘要:背景:利用社区参与式研究可采取干预措施,减少服务不足人群中的婴儿口腔健康差异。目标发展社区合作关系,创建一个可持续的婴儿口腔健康计划,满足社区确定的特定需求,并提供跨专业教育体验。方法:研究人员与 Homewood 社区参与中心合作,与主要社区合作伙伴进行接触并对其进行调查,以评估对婴儿口腔健康发明的需求。经验教训:社区确定的组织原则和障碍成为 "健康牙齿,健康我 "的框架,这是一项由社区推动的婴儿口腔健康计划。通过与当地牙科诊所签订转诊协议等针对社区的解决方案,解决了获得医疗服务等障碍。结论:可以利用社区伙伴关系来制定适合特定社区需求的口腔健康计划,并为儿童龋齿风险最大的家庭提供资源。社区参与可用于修改干预措施,以满足其他弱势社区的口腔健康需求。
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引用次数: 1
Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation 利用修改后的 "新兵训练营 "翻译,与农村社区合作开展大肠癌筛查推广活动
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922329
Jennifer K Coury, Gloria Coronado, Emily Myers, Mary Patzel, Jamie H Thompson, Courtney Whidden-Rivera, Melinda M. Davis
Abstract: Background: Colorectal cancer (CRC) incidence and mortality are disproportionately high among rural residents and Medicaid enrollees. Objectives: To address disparities, we used a modified community engagement approach, Boot Camp Translation (BCT). Research partners, an advisory board, and the rural community informed messaging about CRC outreach and a mailed fecal immunochemical test program. Methods: Eligible rural patients (English-speaking and ages 50–74) and clinic staff involved in patient outreach participated in a BCT conducted virtually over two months. We applied qualitative analysis to BCT transcripts and field notes. Results: Key themes included: the importance of directly communicating about the seriousness of cancer, leveraging close clinic-patient relationships, and communicating the test safety, ease, and low cost. Conclusions: Using a modified version of BCT delivered in a virtual format, we were able to successfully capture community input to adapt a CRC outreach program for use in rural settings. Program materials will be tested during a pragmatic trial to address rural CRC screening disparities.
摘要:背景:大肠癌 (CRC) 的发病率和死亡率在农村居民和医疗补助参保者中高得不成比例。研究目的:为解决差异问题,我们采用了经过改进的社区参与方法,即 "引导式参与":为了消除差异,我们采用了一种经过改进的社区参与方法--"训练营翻译"(BCT)。研究合作伙伴、咨询委员会和农村社区将有关 CRC 宣传和邮寄粪便免疫化学检验计划的信息告知我们。研究方法符合条件的农村患者(讲英语且年龄在 50-74 岁之间)和参与患者外展的诊所员工参加了为期两个月的 BCT 虚拟培训。我们对 BCT 记录和现场笔记进行了定性分析。结果:关键主题包括:直接宣传癌症严重性的重要性、利用诊所与患者之间的密切关系以及宣传测试的安全性、简便性和低成本。结论通过使用以虚拟形式提供的改进版 BCT,我们成功地收集到了社区的意见,并对 CRC 外展项目进行了调整,以便在农村地区使用。项目材料将在一项实用试验中进行测试,以解决农村地区 CRC 筛查不均衡的问题。
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引用次数: 0
Beyond the Manuscript: Challenges and Lessons Learned from a Community-Engaged Evaluation of a Community Advisory Board 超越手稿:从社区参与的社区咨询委员会评估中汲取的挑战和经验教训
Pub Date : 2024-03-01 DOI: 10.1353/cpr.2024.a922328
E. Tumilty, S. Cargill, Bryan Spencer
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引用次数: 0
Conducting Photovoice With Binational Cancer Survivors to Identify Health Behavior Change Intervention Preferences 对两国癌症幸存者进行摄影选择,以确定改变健康行为的干预偏好
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914109
Samantha J Werts, M. Lopez-Pentecost, Meghan B. Skiba, Rosi Vogel, Tatiana Enriquez, Lizzie Garcia, M. Ingram, Cynthia Thomson
Abstract: Background: Culturally adapted behavior interventions are needed to support lifestyle behavior change for survivors of cancer. Objectives: To identify programming preferences of Mexicanorigin female survivors of breast cancer living on the U.S./Mexico border. Methods: We conducted a nine-week photovoice project with survivors of breast cancer in Nogales, Sonora/Arizona exploring viewpoints on food and dietary habits, wellness activities, and preferences for healthy lifestyle intervention programming. Photovoice, a participatory qualitative research technique, provided participants with research skills to document and share their lived experience through photographs. Weekly sessions began with photograph presentations and concluded with group discussion of common themes. Data were analyzed following a thematic content analysis using session notes and written narratives compiled during discussion sessions. Results: Survivors ( n = 6) worked collaboratively with facilitators to identify themes related to diet and physical activity behavior. Connection between food and culture and the importance of enjoying meals with others was emphasized. Primary activity interests included leisure-time recreation that relieved anxiety related to their cancer diagnosis rather than regimented exercise routines. Participants noted the importance of giving and receiving social support and emphasized altruism to support positive mood and self-efficacy during survivorship. Networking and knowledge sharing were considered valuable. Conclusions: Our findings highlight the importance of collaborative research such as photovoice to gain insights for adaptation of evidence-based lifestyle interventions for Mexican-origin survivors of cancer. Key adaptation considerations include culturally relevant dietary preferences and patterns, physical activities with a strong mind-body component, and opportunities for social engagement and experience sharing.
摘要:背景:需要采取适应不同文化的行为干预措施,以支持癌症幸存者改变生活方式。目标: 确定生活在墨西哥边境的墨西哥裔乳腺癌女性幸存者对计划的偏好:确定居住在美国/墨西哥边境的墨西哥裔女性乳腺癌幸存者对课程设置的偏好。方法我们在索诺拉/亚利桑那州的诺加莱斯与乳腺癌幸存者开展了为期九周的摄影选择项目,探索她们对食物和饮食习惯、健康活动的看法以及对健康生活方式干预计划的偏好。摄影荐言是一种参与式定性研究技术,为参与者提供了通过照片记录和分享其生活经历的研究技能。每周的会议以照片展示开始,以小组讨论共同主题结束。在对数据进行主题内容分析时,使用了会议记录和讨论过程中汇编的书面叙述。结果:幸存者(n = 6)与主持人合作确定了与饮食和体育锻炼行为相关的主题。他们强调了饮食与文化之间的联系以及与他人共餐的重要性。主要的活动兴趣包括缓解与癌症诊断相关的焦虑的休闲娱乐,而不是常规的锻炼。参与者指出了给予和接受社会支持的重要性,并强调利他主义能够在幸存者期间支持积极的情绪和自我效能。他们认为建立联系和分享知识很有价值。结论:我们的研究结果凸显了合作研究的重要性,例如通过摄影选言来了解如何针对墨西哥裔癌症幸存者调整以证据为基础的生活方式干预措施。调整的主要考虑因素包括与文化相关的饮食偏好和模式、具有强烈身心元素的体育活动以及社会参与和经验分享的机会。
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引用次数: 0
Mi Gente, Nuestra Salud: Protocol for a People's Movement for Health Ownership Mi Gente, Nuestra Salud:争取健康所有权的人民运动议定书
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914127
Marilyn Tseng, M. Espinoza-Kulick, Karen Muñoz-Christian, Irebid Gilbert, Patty Herrera, Esperanza Salazar, Tejal Vinchhi, Antonio Ramirez, Bernarda Martinez, Gloria Soto, Cristina Macedo, Anita Kelleher, Irma Torres, Maritza Perez, Valeria Diego, Elisa Gonzalez, Suzanne Phelan
Abstract:Background: Community-based participatory research (CBPR) is an increasingly recognized approach to address health inequities. Although in CBPR all processes occur within the community context, its diagrammatic model places the intervention/research outside of the community rather than conceptualizing it as an event in a complex web of system components.Objectives: We sought to 1) introduce a systems-oriented community ownership conceptual framework that integrates a systems perspective with CBPR and 2) to describe an application of this framework in the form of the Mi Gente, Nuestra Salud initiative, a research-based, action-oriented collaboration between Cal Poly investigators and community partners in Santa Maria and Guadalupe, California.Methods: We conducted a stocktake of community assets and partnerships in Santa Maria and Guadalupe, among California's poorest and most medically underserved cities; created marketing materials; launched the initiative in December 2020; and collected survey and interview data on community health concerns. An advisory board guides direction of the work. Activities are intended to affect partnerships (who is involved in actions and decisions) and processes (what actions will be taken), as well as resources (e.g., building human and social capital by changing narratives of local, historically rooted power dynamics and offering peer learning opportunities on advocacy and health care interactions). Implementation challenges within this framework are also discussed.Conclusions: By de-centering specific interventions and conceptualizing them as single events in a complex web, our system-oriented community ownership model brings the focus back to the system itself, and to system-based processes and solutions, while still guided by CBPR principles.
摘要:背景:以社区为基础的参与式研究(CBPR)是一种日益得到认可的解决健康不平等问题的方法。尽管社区参与式研究的所有过程都发生在社区环境中,但其图解模式将干预/研究置于社区之外,而不是将其概念化为复杂的系统组成部分网络中的一个事件:我们试图:1)介绍一个以系统为导向的社区所有权概念框架,该框架将系统视角与社区公共政策研究相结合;2)介绍该框架在 "我的家人,我们的健康"(Mi Gente, Nuestra Salud)项目中的应用,该项目是加州圣玛丽亚和瓜达卢佩的加州理工大学调查人员与社区合作伙伴开展的一项以研究为基础、以行动为导向的合作项目:我们对圣玛丽亚和瓜达卢佩的社区资产和合作伙伴关系进行了评估,这两个城市是加利福尼亚州最贫穷、医疗服务最匮乏的城市;我们制作了营销材料;于 2020 年 12 月启动了该倡议;并收集了有关社区健康问题的调查和访谈数据。咨询委员会负责指导工作方向。各项活动旨在影响伙伴关系(谁参与行动和决策)和进程(将采取哪些行动)以及资源(例如,通过改变对当地历史上根深蒂固的权力动态的叙述,建立人力和社会资本,并提供关于宣传和医疗互动的同行学习机会)。此外,还讨论了在这一框架内实施所面临的挑战:我们以系统为导向的社区自主权模式通过去中心化具体的干预措施,并将其概念化为复杂网络中的单一事件,从而将焦点拉回到系统本身以及基于系统的流程和解决方案上,同时仍然遵循社区公共政策和政策审查原则。
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引用次数: 0
Beyond the Manuscript: Critical Reflections on This Historical Moment for Community-Engaged and Participatory Research 超越手稿:对社区参与式研究这一历史时刻的批判性思考
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914112
Ysabel Duron, Milton "Mickey" Eder, Leo S. Morales, Keith Norris, Linda Sprague Martinez
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引用次数: 0
Neighborhood Assessment of the Environment for Physical Activity: Engaging Adolescents Within an Under-resourced Community 体育活动环境的邻里评估:让青少年参与资源匮乏社区的活动
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914123
Melissa Bopp, Mallika Bose, Lucas D. Elliott, Natisha Washington, Paula Needer
Abstract:Background: Physical activity (PA) participation has many benefits; however, rates of participation remain low, particularly among underserved populations which may face low PA participation due to having poorer quality of built environment factors which is a known influence on activity levels.Objectives: To train adolescents to conduct environmental neighborhood assessments and neighborhood resident surveys of with the end goal of encouraging advocacy for neighborhood improvements.Methods: This mixed methods, prospective design study was focused in a low-income, under-resourced, predominately African American neighborhood in Pittsburgh. Adolescents (n = 14; 13–17 years) in a community partner's youth program were trained to conduct neighborhood environmental assessments and distributed neighborhood resident surveys. Results of these assessments were shared with community partners to create strategies for improvement. These adolescents participated in a focus group following the environmental assessments to reflect on their findings and the process. The neighborhood resident survey (n = 123) assessed demographics, perceptions of the neighborhood, PA participation and health outcomes.Results: Neighborhood assessments noted and resident surveys noted many barriers to activity (i.e., poor sidewalks, unsafe areas). Results were informative for our community partner to advocate for neighborhood improvements. Focus group results indicated that the adolescents understood how their neighborhood environment could influence PA and how the findings could be utilized to make improvements in their neighborhood.Conclusions: Adolescents can be successfully trained/educated to follow a research protocol for assessing the built environment for PA using a variety of measurement tools, while additionally gaining insight towards neighborhood environment advocacy.
摘要:背景:参与体育锻炼(PA)有很多好处;然而,参与率仍然很低,特别是在服务不足的人群中,他们可能由于建筑环境因素质量较差而面临体育锻炼参与率低的问题,而建筑环境因素对活动水平的影响是众所周知的:培训青少年进行社区环境评估和社区居民调查,最终目的是鼓励倡导改善社区环境:这项混合方法、前瞻性设计研究的重点是匹兹堡一个低收入、资源匮乏、以非洲裔美国人为主的社区。社区合作伙伴的青少年项目中的青少年(n = 14;13-17 岁)接受了进行社区环境评估和分发社区居民调查问卷的培训。评估结果与社区合作伙伴共享,以制定改善策略。这些青少年在环境评估后参加了一个焦点小组,对评估结果和评估过程进行反思。社区居民调查(n = 123)评估了人口统计学、对社区的看法、PA 参与情况和健康结果:结果:邻里评估和居民调查发现了许多活动障碍(如人行道不畅、不安全区域)。这些结果为我们的社区合作伙伴倡导改善邻里关系提供了信息。焦点小组的结果表明,青少年了解他们所在社区的环境如何影响 PA,以及如何利用调查结果来改善他们所在社区的环境:结论:可以成功地培训/教育青少年使用各种测量工具,按照研究规程评估建筑环境对运动量的影响,同时还能让他们深入了解邻里环境宣传。
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引用次数: 0
Being a Peer Community Health Worker: Restoring Ourselves and the Community 成为一名同伴社区保健工作者:恢复自我和社区
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914129
Johanna E. Elumn, Dionne Dempster, JoZ Powers, Monya Saunders, Karen A. Johnson, Timothy Hunt, Lisa B. Puglisi, Diane Morse
Abstract:Women on the Road to Health Transitions combines two evidence-based strategies, WORTH and Transitions Clinic Network into an intervention for women involved in the criminal legal system with substance use and HIV risks. Led by peer community health workers (CHWs), Women on the Road to Health Transitions also links participants to primary care. We describe the impact of the program from the perspective of the CHWs. As integral research team members, the CHWs learned to successfully recruit, retain, and empower participants, facilitate the intervention, administer surveys, and help them link with and navigate the healthcare system. Simultaneously, the CHWs developed professional skills and self-efficacy.
摘要:"妇女健康过渡之路 "将 "WORTH "和 "过渡诊所网络 "这两项循证策略结合起来,对涉及刑事法律系统、有药物使用和艾滋病毒风险的妇女进行干预。在同伴社区卫生工作者(CHWs)的带领下,"健康转型路上的女性 "还将参与者与初级保健联系起来。我们从社区保健员的角度来描述该计划的影响。作为研究团队不可或缺的成员,社区保健员学会了如何成功招募、留住参与者并增强其能力,如何促进干预措施的实施、管理调查问卷,以及如何帮助她们与医疗保健系统建立联系并为其导航。同时,社区保健员也发展了专业技能和自我效能感。
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引用次数: 0
Building Team-based Primary Care: Lessons From an Academic–Community Network Partnership 建立以团队为基础的初级保健:学术界与社区网络合作的经验教训
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914124
Katie Coleman, Claire Allen, Alexia Eslan, Carolyn Shepherd, Jessica Sanchez
Abstract:Background: Team-based care is fundamental to providing high-quality health care for patients. However, moving from a traditional, hierarchical way of providing care to team-based care is challenging and involves systematic and sustained process changes.Objectives: To describe the implementation and evaluation of a partnership between academics, clinic, and community to improve team-based care in primary care practices serving vulnerable populations utilizing a structured change package and implementation support.Methods: The partners 1) created a six-strategy structured change package, 2) designed implementation support, and 3) evaluated implementation using an assessment scale at baseline and every 6 months.Results: Practices improved in all care-team functions from May 2015 to August 2018, with the most improvement seen in population management, planned care and empanelment.Conclusions: Academic–community partnerships can use evidence-based practice supports to measurably improve team-based care in primary care practices serving vulnerable populations.
摘要:背景:团队医疗是为患者提供高质量医疗服务的基础。然而,从传统的、等级森严的医疗服务方式转变为团队医疗服务具有挑战性,涉及到系统性和持续性的流程变革:描述学术界、诊所和社区之间合作的实施和评估情况,该合作旨在利用结构化变革包和实施支持,改善为弱势人群服务的初级保健实践中的团队护理:合作方:1)制定六项策略的结构化改革方案;2)设计实施支持;3)在基线和每 6 个月使用评估量表对实施情况进行评估:结果:从 2015 年 5 月到 2018 年 8 月,医疗实践在所有护理团队功能方面都有所改善,其中人口管理、计划护理和授权方面的改善最大:学术与社区合作可以利用循证实践支持来显著改善为弱势群体服务的初级保健实践中的团队护理。
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引用次数: 0
Community-engaged Research Disruption: The Impact of the COVID-19 Pandemic on Research With Communities 社区参与的研究中断:COVID-19 大流行对社区研究的影响
Pub Date : 2023-12-01 DOI: 10.1353/cpr.2023.a914119
J. Kue, Anh Thu Thai, Judith Tate, Beverly Galliers, L. Szalacha, Paula Chanhmany, Usha Menon
Abstract:Background: The pandemic has had dire consequences on community-engaged research.Objectives: We describe research challenges imposed by the pandemic on our breast and cervical cancer intervention study with Southeast Asian immigrant women, and strategies used to maintain study continuity.Methods: The pandemic's impact on the research team, recruitment and retention of participants, study design, and strategies executed to these issues are described.Results: Strategies employed to address research challenges include implementing coronavirus disease 2019 protocols for conducting community research; recruiting participants online, outside of the planned community locations, and through social media; and enhancing the study design by using respondent-driven sampling. In addition to educating communities about early cancer detection, we also provided information and resources about coronavirus disease 2019, including transmission mitigation, testing, and vaccination.Conclusions: Continuing to engage the communities in our study is critical to our long-term goal of eliminating cancer screening disparities in Southeast Asian immigrant communities.
摘要:背景:大流行病给社区参与研究带来了严重后果:大流行病给社区参与研究带来了严重后果:我们描述了大流行给我们针对东南亚移民妇女的乳腺癌和宫颈癌干预研究带来的挑战,以及为保持研究连续性而采取的策略:方法:描述大流行病对研究团队、参与者招募和保留、研究设计的影响,以及应对这些问题的策略:结果:为应对研究挑战而采取的策略包括:实施 2019 年冠状病毒疾病协议以开展社区研究;在计划的社区地点之外通过社交媒体在线招募参与者;以及通过使用受访者驱动的抽样方法来改进研究设计。除了向社区宣传早期癌症检测知识,我们还提供了有关冠状病毒疾病 2019 的信息和资源,包括传播缓解、检测和疫苗接种:结论:继续让社区参与我们的研究对于实现消除东南亚移民社区癌症筛查差异的长期目标至关重要。
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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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