Pub Date : 2024-03-01DOI: 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.
{"title":"Implementing a Community Engagement Model to Develop a Community-Driven Oral Health Intervention","authors":"Cynthia Chew, Daniel Rosen, Katherine I. Watson, Alene M. D'Alesio, Daren Ellerbee, Jerome Gloster, Shannah Tharp-Gilliam, Toni Beasley, J. M. Burgette","doi":"10.1353/cpr.2024.a922331","DOIUrl":"https://doi.org/10.1353/cpr.2024.a922331","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"25 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277294","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}
Pub Date : 2024-03-01DOI: 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.
{"title":"Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation","authors":"Jennifer K Coury, Gloria Coronado, Emily Myers, Mary Patzel, Jamie H Thompson, Courtney Whidden-Rivera, Melinda M. Davis","doi":"10.1353/cpr.2024.a922329","DOIUrl":"https://doi.org/10.1353/cpr.2024.a922329","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"237 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278669","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}
Pub Date : 2024-03-01DOI: 10.1353/cpr.2024.a922328
E. Tumilty, S. Cargill, Bryan Spencer
{"title":"Beyond the Manuscript: Challenges and Lessons Learned from a Community-Engaged Evaluation of a Community Advisory Board","authors":"E. Tumilty, S. Cargill, Bryan Spencer","doi":"10.1353/cpr.2024.a922328","DOIUrl":"https://doi.org/10.1353/cpr.2024.a922328","url":null,"abstract":"","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"81 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280061","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}
Pub Date : 2023-12-01DOI: 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.
{"title":"Conducting Photovoice With Binational Cancer Survivors to Identify Health Behavior Change Intervention Preferences","authors":"Samantha J Werts, M. Lopez-Pentecost, Meghan B. Skiba, Rosi Vogel, Tatiana Enriquez, Lizzie Garcia, M. Ingram, Cynthia Thomson","doi":"10.1353/cpr.2023.a914109","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914109","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"195 2","pages":"e1 - e2"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188165","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}
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.
{"title":"Mi Gente, Nuestra Salud: Protocol for a People's Movement for Health Ownership","authors":"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","doi":"10.1353/cpr.2023.a914127","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914127","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"18 1","pages":"699 - 710"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189837","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}
Pub Date : 2023-12-01DOI: 10.1353/cpr.2023.a914112
Ysabel Duron, Milton "Mickey" Eder, Leo S. Morales, Keith Norris, Linda Sprague Martinez
{"title":"Beyond the Manuscript: Critical Reflections on This Historical Moment for Community-Engaged and Participatory Research","authors":"Ysabel Duron, Milton \"Mickey\" Eder, Leo S. Morales, Keith Norris, Linda Sprague Martinez","doi":"10.1353/cpr.2023.a914112","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914112","url":null,"abstract":"","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"34 2","pages":"563 - 570"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192471","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}
Pub Date : 2023-12-01DOI: 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.
{"title":"Neighborhood Assessment of the Environment for Physical Activity: Engaging Adolescents Within an Under-resourced Community","authors":"Melissa Bopp, Mallika Bose, Lucas D. Elliott, Natisha Washington, Paula Needer","doi":"10.1353/cpr.2023.a914123","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914123","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"393 2","pages":"665 - 677"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196284","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}
Pub Date : 2023-12-01DOI: 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.
{"title":"Being a Peer Community Health Worker: Restoring Ourselves and the Community","authors":"Johanna E. Elumn, Dionne Dempster, JoZ Powers, Monya Saunders, Karen A. Johnson, Timothy Hunt, Lisa B. Puglisi, Diane Morse","doi":"10.1353/cpr.2023.a914129","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914129","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"69 6","pages":"731 - 738"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139190894","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}
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.
{"title":"Building Team-based Primary Care: Lessons From an Academic–Community Network Partnership","authors":"Katie Coleman, Claire Allen, Alexia Eslan, Carolyn Shepherd, Jessica Sanchez","doi":"10.1353/cpr.2023.a914124","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914124","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"5 1","pages":"679 - 687"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192264","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}
Pub Date : 2023-12-01DOI: 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.
{"title":"Community-engaged Research Disruption: The Impact of the COVID-19 Pandemic on Research With Communities","authors":"J. Kue, Anh Thu Thai, Judith Tate, Beverly Galliers, L. Szalacha, Paula Chanhmany, Usha Menon","doi":"10.1353/cpr.2023.a914119","DOIUrl":"https://doi.org/10.1353/cpr.2023.a914119","url":null,"abstract":"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.","PeriodicalId":503736,"journal":{"name":"Progress in Community Health Partnerships: Research, Education, and Action","volume":"93 2","pages":"629 - 636"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193382","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}