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Olvera RG, Plagens C, Ellison S, Klingler K, Kuntz AK, Chase RP. Community-Engaged Data Science (CEDS): A Case Study of Working with Communities to Use Data to Inform Change. J Community Health 2024; 49:1062-1072. [PMID: 38958892 DOI: 10.1007/s10900-024-01377-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2024] [Indexed: 07/04/2024]
Abstract
Data-informed decision making is a critical goal for many community-based public health research initiatives. However, community partners often encounter challenges when interacting with data. The Community-Engaged Data Science (CEDS) model offers a goal-oriented, iterative guide for communities to collaborate with research data scientists through data ambassadors. This study presents a case study of CEDS applied to research on the opioid epidemic in 18 counties in Ohio as part of the HEALing Communities Study (HCS). Data ambassadors provided a pivotal role in empowering community coalitions to translate data into action using key steps of CEDS which included: data landscapes identifying available data in the community; data action plans from logic models based on community data needs and gaps of data; data collection/sharing agreements; and data systems including portals and dashboards. Throughout the CEDS process, data ambassadors emphasized sustainable data workflows, supporting continued data engagement beyond the HCS. The implementation of CEDS in Ohio underscored the importance of relationship building, timing of implementation, understanding communities' data preferences, and flexibility when working with communities. Researchers should consider implementing CEDS and integrating a data ambassador in community-based research to enhance community data engagement and drive data-informed interventions to improve public health outcomes.
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Affiliation(s)
- Ramona G Olvera
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, 700 Ackerman Road, Suite 4000, Columbus, OH, 43202, USA.
| | - Courtney Plagens
- College of Medicine, HEALing Communities Study, The Ohio State University, Columbus, OH, USA
| | - Sylvia Ellison
- College of Medicine, HEALing Communities Study, The Ohio State University, Columbus, OH, USA
| | - Kesla Klingler
- College of Medicine, HEALing Communities Study, The Ohio State University, Columbus, OH, USA
| | - Amy K Kuntz
- College of Medicine, HEALing Communities Study, The Ohio State University, Columbus, OH, USA
| | - Rachel P Chase
- Research Information Technology, College of Medicine, The Ohio State University, Columbus, OH, USA
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Urban JE, Moore JB, Marks ME, Holcomb TD, Patterson R, McCoy A, Miles CM, Stitzel JD, Foley KL. Protocol for COACH, an evidence-based intervention for improved head impact safety in youth American football developed using a community-engaged approach. Contemp Clin Trials Commun 2024; 42:101371. [PMID: 39351080 PMCID: PMC11440239 DOI: 10.1016/j.conctc.2024.101371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Revised: 09/06/2024] [Accepted: 09/15/2024] [Indexed: 10/04/2024] Open
Abstract
Subconcussive, repetitive head impacts sustained in collision sports may negatively affect brain health. American football practices are controlled environments amenable to intervention. Engaging community members is essential for successful development, implementation, and sustainability of viable interventions. The objective of this study is to develop and pilot test an evidence-based intervention to reduce head impact exposure in youth American football (i.e., football), using a community-engaged approach. This manuscript describes the co-design of the intervention and associated implementation plan and the study protocol for evaluating the effectiveness and feasibility of the intervention and implementation plan. In the first part of this study, focus groups with parents and coaches, and individual interviews with organizational leaders associated with two teams at the middle school level were conducted. An anonymous survey assessing beliefs and perceptions of non-concussive head impacts was given to parents, coaches, and organizational leaders within the local youth football league. Following the football season, qualitative and quantitative data describing determinants of head acceleration events in football were shared with 12 stakeholders of coaches, league and school administrators, parents, an athletic trainer, and local university player development director. Together, we co-designed COACH (COmmunities Aligned to reduce Concussion and Head impact exposure) and implementation plan using a strategic planning approach. The preliminary effectiveness and feasibility were assessed in the second part of this study. Youth football players participating on the teams in year 1 (control teams) were fitted with mouthpiece-based head kinematic sensors which measure head acceleration events (HAEs). HAEs were collected and quantified during team activities. Preliminary effectiveness of the intervention to reduce HAEs was measured among two new teams pilot testing COACH with mouthpiece-based sensors, while simultaneously monitoring implementation of the intervention. We report our study design and evaluation, and opportunities and challenges with our approach. The results will inform a future full-scale pragmatic trial to assess the implementation and effectiveness of the intervention program. NCT04908930.
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Affiliation(s)
- Jillian E Urban
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Biomedical Engineering, Wake University Forest School of Medicine, Winston Salem, NC, 27101, USA
- Virginia-Tech, Wake Forest University School of Biomedical Engineering and Sciences, Winston Salem, NC, 27101, USA
| | - Justin B Moore
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA
- Department of Epidemiology & Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, USA
- Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - Madison E Marks
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Biomedical Engineering, Wake University Forest School of Medicine, Winston Salem, NC, 27101, USA
- Virginia-Tech, Wake Forest University School of Biomedical Engineering and Sciences, Winston Salem, NC, 27101, USA
| | - Ty D Holcomb
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Biomedical Engineering, Wake University Forest School of Medicine, Winston Salem, NC, 27101, USA
- Virginia-Tech, Wake Forest University School of Biomedical Engineering and Sciences, Winston Salem, NC, 27101, USA
| | - Robert Patterson
- Forsyth County Broncos, Piedmont Youth Football and Cheer League, Clemmons, NC, USA
| | - Alexis McCoy
- Department of Athletics, Winston-Salem/Forsyth County Schools, Winston-Salem, USA
| | - Christopher M Miles
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - Joel D Stitzel
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Biomedical Engineering, Wake University Forest School of Medicine, Winston Salem, NC, 27101, USA
- Virginia-Tech, Wake Forest University School of Biomedical Engineering and Sciences, Winston Salem, NC, 27101, USA
| | - Kristie L Foley
- Wake Forest University School of Medicine, Winston Salem, NC, 27101, USA
- Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA
- Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA
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Chow EHY, Tiwari A. Perceptions of abused Chinese women on community-based participatory approach programme in addressing their needs. Int J Qual Stud Health Well-being 2024; 19:2331107. [PMID: 38564773 PMCID: PMC10989199 DOI: 10.1080/17482631.2024.2331107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 03/12/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND The community-based participatory approach (CBPA) has gained increasing recognition worldwide for enhancing the effectiveness of intervention. It is relatively new in Chinese societies and participants' perceptions are underexplored. This study aims to explore abused Chinese women's perceptions on the CBPA programme in addressing their needs. METHODS A total of 11 abused Chinese women were recruited for a focus group and individual interviews. A semi-structured interview guide was used. All interviews were audio-recorded and data were transcribed verbatim. Conventional content analysis was used for analysis. RESULTS Four themes were identified regarding the women's perceptions and experiences of the community-based participatory approach programme: (1) Women's perceived acceptability of the CBPA programme; (2) Women's perceived usefulness of the CBPA programme; (3) Women's perceived feasibility of the CBPA programme; and (4) Empowering the women through participating in CBPA. CONCLUSIONS Abused Chinese women had high perceived acceptance and positive experiences towards the community-based participatory approach. Women benefited from their robust participation throughout the process. The findings confirm the potential of using the community-based participatory approach in designing interventions for future programme planning and intervention to address the needs of abused Chinese women.
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Affiliation(s)
| | - Agnes Tiwari
- School of Nursing, Hong Kong Sanatorium & Hospital Limited, Hong Kong, China
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Wilson DK, Sweeney AM, Wippold GM, Garcia KA, White T, Wong D, Fuller A, Kitzman H. The Use of Social Marketing in Community-Wide Physical Activity Programs: A Scoping Review. Ann Behav Med 2024; 58:717-728. [PMID: 39213334 DOI: 10.1093/abm/kaae050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND Previous community-wide physical activity trials have been criticized for methodological limitations, lack of population-level changes, and insufficient reach among underserved communities. Social marketing is an effective technique for community-wide behavior change and can coincide with principles of community-based participatory research (CBPR). PURPOSE A systematic scoping review of community-wide interventions (system-level) targeting physical activity and/or weight loss was conducted to (i) describe and critically discuss how social marketing strategies are implemented; (ii) identify which populations have been targeted, including underserved communities; (iii) evaluate the use of CBPR frameworks; (iv) assess retention rates; and (v) identify gaps in the literature and formulate future recommendations. METHODS Eligible studies included those that: aimed to improve physical activity and/or weight loss on a community-wide level, used social marketing strategies, and were published between 2007 and 2022. RESULTS Approximately 56% of the studies reported a positive impact on physical activity. All studies described social marketing details in alignment with the five principles of social marketing (product, promotion, place, price, and people). Only two studies explicitly identified CBPR as a guiding framework, but most studies used one (k = 8, 32%) or two (k = 12, 48%) community engagement strategies. Few studies included at least 50% representation of African American (k = 2) or Hispanic (k = 3) participants. CONCLUSIONS This review highlights key gaps in the literature (e.g., lack of fully-developed CBPR frameworks, reach among underserved communities, randomized designs, use of theory), highlights examples of successful interventions, and opportunities for refining community-wide interventions using social marketing strategies.
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Affiliation(s)
- Dawn K Wilson
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Allison M Sweeney
- Department of Biobehavioral Health and Nursing Science, College of Nursing, University of South Carolina, Columbia, SC, USA
| | - Guillermo M Wippold
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Kaylyn A Garcia
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Taylor White
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Dylan Wong
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Arianna Fuller
- Department of Psychology, University of South Carolina, Columbia, SC 29201, USA
| | - Heather Kitzman
- Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA
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Perez LG, Cardenas C, Blagg T, Wong EC. Partnerships Between Faith Communities and the Mental Health Sector: A Scoping Review. Psychiatr Serv 2024:appips20240077. [PMID: 39354812 DOI: 10.1176/appi.ps.20240077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/03/2024]
Abstract
OBJECTIVE Faith communities are increasingly providing services to address the mental health needs of their congregations and communities. However, many feel limited in their capacity to address serious illness and experience challenges to collaborating with the mental health sector. To inform the development of faith community-mental health sector partnerships, the authors conducted a scoping review to assess the characteristics and evidence base of partnership approaches to addressing mental health needs. METHODS A search of four databases identified peer-reviewed articles published between 2010 and 2023 on faith community-mental health sector partnerships in the United States. RESULTS In total, 37 articles representing 32 unique partnerships were reviewed. Most partnerships (N=19) used multicomponent approaches, particularly involving training the faith community (N=18), mental health education for the broader community (N=14), and direct counseling (N=11). Many partnerships (N=14) focused on African American communities. Partnerships that included an evaluation component (N=20) showed promising findings for improving mental health symptoms, mental health literacy, stigma, and referrals, among other outcomes. Several articles reported facilitators (e.g., support from faith leaders and reciprocal relationships and equal power) and barriers (e.g., limited time and funding and differing interests and attitudes) to developing partnerships. CONCLUSIONS The findings highlight how faith communities can be a critical partner in providing services across the continuum of mental health care and reveal the need for more rigorous evaluations of the effectiveness, feasibility, and sustainability of these partnerships. The results also identify strategies that may facilitate the development and strengthening of future faith community-mental health partnerships.
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Affiliation(s)
- Lilian G Perez
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Cristian Cardenas
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Tara Blagg
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
| | - Eunice C Wong
- RAND, Santa Monica, California (Perez, Wong); Pardee RAND Graduate School, Santa Monica, California (Cardenas, Blagg)
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Sanders AA, Roberts JD, McDowell MC, Muller A. The Consequences of Misdiagnosing Race-Based Trauma Response in Black Men: A Critical Examination. SOCIAL WORK IN PUBLIC HEALTH 2024; 39:721-733. [PMID: 39033343 DOI: 10.1080/19371918.2024.2380821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/23/2024]
Abstract
Mental illness is a significant public health concern prevalent in America. Over one in five U.S. adults are affected, yet less than half receive treatment. Among African Americans, only one in three seek treatment with statically lower rates among Black males. Therefore, an accurate diagnosis is crucial for appropriate treatment, while misdiagnosis leads to stigma, discrimination, and untreated illness. This paper examines the implications of misdiagnosing trauma responses in Black men, highlighting systemic biases that impede suitable care and perpetuate negative narratives. The authors propose a conceptual framework incorporating historical trauma, discrimination, and traumatic stress reactions, emphasizing the need for cultural competence and humility. This framework involves public narratives that influence perceptions and judgments, reviewing research evidence, advocating for competent trauma assessments, community empowerment, and future research directions. This paper underscores the importance of understanding and addressing the unique challenges Black men face in mental health diagnosis and treatment.
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Affiliation(s)
- Ashley A Sanders
- College of Health and Human Services, Saginaw Valley State University, University Center, Michigan, USA
| | - J Dontaè Roberts
- School of Health Sciences, Winston Salem State University, Winston-Salem, North Carolina, USA
| | - Melvin C McDowell
- College of Health and Human Services, Saginaw Valley State University, University Center, Michigan, USA
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Singh H, Fakembe SP, Brown RK, Cameron JI, Nelson MLA, Kokorelias KM, Nekolaichuk E, Salbach NM, Munce S, Tang T, Gray CS, Haghayegh AT, Colquhoun H. Stroke Experiences and Unmet Needs of Individuals of African Descent Living in High-Income Economy Countries: a Qualitative Meta-Synthesis. J Racial Ethn Health Disparities 2024; 11:2608-2626. [PMID: 37523144 PMCID: PMC11481687 DOI: 10.1007/s40615-023-01725-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 07/07/2023] [Accepted: 07/14/2023] [Indexed: 08/01/2023]
Abstract
BACKGROUND Stroke service disparities experienced by individuals of African descent highlight the need to optimize services. While qualitative studies have explored participants' unique experiences and service needs, a comprehensive synthesis is lacking. To address current knowledge gaps, this review aimed to synthesize existing literature on the experiences of individuals of African descent impacted by a stroke living in high-income economy countries in terms of stroke prevention, management, and care. METHODS A qualitative meta-synthesis incorporating a meta-study approach was conducted to obtain comprehensive and interpretive insights on the study topic. Four databases were searched to identify qualitative English-language studies published in the year 2022 or earlier on the experiences of adults of African descent who were at risk or impacted by a stroke and living in high-income economy countries. Study methods, theory, and data were analyzed using descriptive and interpretive analyses. RESULTS Thirty-seven studies met our inclusion criteria, including 29 journal articles and 8 dissertations. Multiple authors reported recruitment as a key challenge in study conduct. Multiple existing theories and frameworks of health behaviours, beliefs, self-efficacy, race, and family structure informed research positionality, questions, and analysis across studies. Participant experiences were categorized as (1) engagement in stroke prevention activities and responses to stroke symptoms, (2) self-management and self-identity after stroke, and (3) stroke care experiences. CONCLUSIONS This study synthesizes the experiences and needs of individuals of African descent impacted by stroke. Findings can help tailor stroke interventions across the stroke care continuum, as they suggest the need for intersectional and culturally humble care approaches.
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Affiliation(s)
- Hardeep Singh
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
- The KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
| | - Semtetam Patience Fakembe
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
| | - Racquel K Brown
- The KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Jill I Cameron
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
- The KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Michelle L A Nelson
- Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Kristina M Kokorelias
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Department of Medicine, Geriatrics Division, Sinai Health System, University Health Network, Toronto, ON, Canada
| | - Erica Nekolaichuk
- Gerstein Science Information Centre, University of Toronto Libraries, University of Toronto, Toronto, ON, Canada
| | - Nancy M Salbach
- The KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Sarah Munce
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
- The KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Terence Tang
- Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada
| | - Carolyn Steele Gray
- Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Arta Taghavi Haghayegh
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
| | - Heather Colquhoun
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Finocchario-Kessler S, Pacheco C, Morrow E, Bridges K, Ablah E, Collie-Akers V, Greiner KA, Knapp K, Honn A, Love J, Long N, Carrillo C, Darby T, Neira AM, Scott A, Ramírez M, Chen Y, Parente DJ, LeMaster JW, Corriveau E, Woodward J, Fitzgerald Wolff S, Ricketts M, Ellerbeck EF. Local Health Equity Action Teams (LHEATS) as a Novel and Emerging Practice of the Communities Organizing to Promote Equity (COPE) Project in Kansas. Am J Public Health 2024; 114:S570-S574. [PMID: 39197138 PMCID: PMC11425012 DOI: 10.2105/ajph.2024.307802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2024] [Indexed: 08/30/2024]
Abstract
The Communities Organizing to Promote Equity (COPE) Project was implemented in 20 counties across Kansas to build capacity to address health equity by forming local health equity action teams (LHEATS), hiring and training community health workers, facilitating state-wide learning collaboratives, and tailoring communication strategies. We conducted interviews and focus groups with project stakeholders who identified pragmatic recommendations related to LHEAT formation and leadership, establishing trust, nurturing autonomy, and optimizing impact. Insights can improve future community-based health equity efforts. (Am J Public Health. 2024;114(S7):S570-S574. https://doi.org/10.2105/AJPH.2024.307802).
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Affiliation(s)
- Sarah Finocchario-Kessler
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Christina Pacheco
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Emily Morrow
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Kristina Bridges
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Elizabeth Ablah
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Vicki Collie-Akers
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - K Allen Greiner
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Kara Knapp
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Allison Honn
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Jody Love
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Nadine Long
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Clarissa Carrillo
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Tatiana Darby
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Antonio Miras Neira
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Angela Scott
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Mariana Ramírez
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Yvonnes Chen
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Daniel J Parente
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Joseph W LeMaster
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Erin Corriveau
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Jennifer Woodward
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Sharon Fitzgerald Wolff
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Mary Ricketts
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
| | - Edward F Ellerbeck
- Sarah Finocchario-Kessler, Christina Pacheco, Kristina Bridges, K. Allen Greiner, Kara Knapp, Nadine Long, Antonio Míras Neira, Angela Scott, Daniel J. Parente, Joseph W. LeMaster, Erin Corriveau, and Jennifer Woodward are with the Department of Family Medicine & Community Health at the University of Kansas Medical Center, Kansas City. Emily Morrow, Vicki Collie-Akers, Clarissa Carrillo, Tatiana Darby, Mariana Ramírez, Sharon Fitzgerald Wolff, and Edward F. Ellerbeck are with the Department of Population Health at the University of Kansas Medical Center, Kansas City. Elizabeth Ablah and Allison Honn are with the Department of Population Health at the University of Kansas Medical Center, Wichita. Jody Love is at Healthy Bourbon County Action Team, Fort Scott, KS. Yvonnes Chen is at the Department of Journalism and Mass Communications at the University of Kansas, Lawrence. Mary Ricketts is at Turning Point Training and Development LLC, Kansas City, KS. The COPE Team includes staff and partners from more than 20 counties across Kansas
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Henrikson R, Bishop D. Conducting a Community-Level Needs Assessment Through Dynamic Engagement With Stakeholders. EVALUATION REVIEW 2024; 48:848-864. [PMID: 37907249 DOI: 10.1177/0193841x231211637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Abstract
This paper presents the process of conducting a community-wide needs assessment that initially focused on soliciting information about childcare needs of families with school-aged children. The researchers were interested in understanding whether the method designed to conduct the needs assessment helped to foster collaboration, trust, and increased participation amongst multiple levels of stakeholders and subcommunities. Utilizing community-based participatory research principles, the authors will present a 3-phase approach to gaining community support through multiple levels of stakeholder engagement. While initially the needs assessment was focused on childcare, the scope broadened to learning about other needs that families with school-aged children faced. The strategic use of Survey Ambassadors throughout the community who could access families that were typically underrepresented and could provide feedback to the researchers in real time regarding modifications to the process was vital. Lessons learned included the need for further investigation into strategic methods for gaining family voices in underrepresented populations.
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Affiliation(s)
- Robin Henrikson
- School of Education, Seattle Pacific University, Seattle, WA, USA
| | - Daniel Bishop
- School of Education, Seattle Pacific University, Seattle, WA, USA
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Ortenzi KM, Flowers VL, Pamak C, Saunders M, Schmidt JO, Bailey M. Good data relations key to Indigenous research sovereignty: A case study from Nunatsiavut. AMBIO 2024:10.1007/s13280-024-02077-6. [PMID: 39343788 DOI: 10.1007/s13280-024-02077-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 09/03/2024] [Accepted: 09/09/2024] [Indexed: 10/01/2024]
Abstract
Although researchers are committed to Indigenous data sovereignty in principle, they fall short in returning data and results to communities in which or with whom they conduct their research. This results in a misalignment in benefits of research toward researchers and settler institutions and away from Indigenous communities. To explore this, we conducted a case study analyzing the rate researchers returned data to Nunatsiavut, an autonomous area claimed by Inuit of Labrador, Canada. We assessed the data return rate for all research approved by the Nunatsiavut Government Research Advisory Committee between 2011 and 2021. In two-thirds of projects, researchers did not return the data they had collected. Based on our results and their contextualization with researchers and Nunatsiavut Research Centre staff members, we compiled recommendations for researchers, academia, government bodies, funding bodies, and Indigenous research governance boards. These recommendations aim to facilitate data return, thus putting data sovereignty into practice.
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Affiliation(s)
- Kate M Ortenzi
- Mi'kma'ki, the unceded and unsurrendered territory of the Mi'kmaq People, Department of Biology, Dalhousie University, 1355 Oxford Street, PO Box 150000, Halifax, NS, B3H 4R2, Canada.
| | - Veronica L Flowers
- The Unceded and Unsurrendered Territory of the Algonquin Anishnaabeg People, 817-315 Holmwood Avenue, Ottawa, ON, K1S 2R2, Canada
| | - Carla Pamak
- Nunatsiavut Research Centre, 12 Sandbanks Road, Nain, Nunatsiavut, NL, A0P 1L0, Canada
| | - Michelle Saunders
- Nunatsiavut Research Centre, 12 Sandbanks Road, Nain, Nunatsiavut, NL, A0P 1L0, Canada
| | - Jörn O Schmidt
- WorldFish, Jalan Batu Maung, Batu Maung, 11900, Bayan Lepas, Penang, Malaysia
| | - Megan Bailey
- Mikma'ki, the unceeded and unsurrendered territory of the Mi'kmaq People, Marine Affairs Program, Dalhousie University, 1355 Oxford Street, PO Box 150000, Halifax, NS, B3H 4R2, Canada
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11
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Sun B, Thao T, Culhane-Pera K, Yang E, Thor MY, Yang P, Xiong M, Vang Z, Straka RJ. Advancing pharmacogenomic research in US Hmong populations: prevalence of key single nucleotide variations in California Hmong. Front Pharmacol 2024; 15:1432906. [PMID: 39386031 PMCID: PMC11462547 DOI: 10.3389/fphar.2024.1432906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Accepted: 09/04/2024] [Indexed: 10/12/2024] Open
Abstract
Introduction In collaboration with the Minnesota Hmong community, we have previously discovered significant differences in allele frequencies for key Single Nucleotide Variations (SNVs) within Very Important Pharmacogenes (VIPs) between Hmong and East Asians. Recognizing the potential clinical implications of these observed differences, we sought to validate these observations in a Hmong cohort residing in California, the state with the largest Hmong population in the US. Robust validation of these differences would affect motivation for clinicians treating individuals who identify as Hmong to consider pharmacogenomic (PGx) testing as a means to improve clinical decision making when using therapeutic agents in this unique population. Method Guided by California Hmong community leaders and utilizing the basic approach of community-based participatory research, demographic, clinical information and a buccal swab was obtained from Hmong adults residing in California. A commercial PGx testing panel was performed on these samples and specific allele frequencies of interest were compared between California and Minnesota Hmong. Allele frequency differences between California Hmong, East Asians and Europeans, were also compared. Return-of-PGx-results and presentations of group data were made to members of the Hmong along with PGx educational sessions to help interpret the observations. Results In 118 California Hmong who completed the study, the allele frequencies for SNV's were similar to previous Minnesota Hmong results. Furthermore, out of the 18 SNVs that were not previously reported in Hmong, allele frequencies were statistically different in 38% (7/18) of SNVs comparing California Hmong to East Asians, and in 77.8% (14/18) SNVs comparing California Hmong to Europeans. Conclusion These results validate the original study's findings that Hmong people living in different US locations have similar allele frequencies for key PGx genes. Further, for many of these PGx genes, their allele frequencies are significantly different compared to either East Asians or Europeans. Clinicians should consider these important differences when prescribing medications for people who identify as Hmong.
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Affiliation(s)
- Boguang Sun
- Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States
| | - Tou Thao
- Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States
| | - Kathleen Culhane-Pera
- SoLaHmo Partnership for Health and Wellness, Community-University Healthcare Center, Minneapolis, MN, United States
| | - Eric Yang
- Hmong Youth and Parents United, Sacramento, CA, United States
| | - Mai Yang Thor
- Hmong Youth and Parents United, Sacramento, CA, United States
| | - Pao Yang
- The Fresno Center, Fresno, CA, United States
| | - Metta Xiong
- Hmong Youth and Parents United, Sacramento, CA, United States
| | - Zoua Vang
- Hmong Youth and Parents United, Sacramento, CA, United States
| | - Robert J. Straka
- Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States
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McGowan LJ, Davies A, French DP, Devereux-Fitzgerald A, Boulton E, Todd C, Phillipson C, Powell R. Understanding the experiences of older adult participants and individuals involved in the delivery of a physical activity programme based on participatory approaches: A qualitative analysis. Br J Health Psychol 2024. [PMID: 39313443 DOI: 10.1111/bjhp.12747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 08/06/2024] [Indexed: 09/25/2024]
Abstract
BACKGROUND The present study aimed to understand the experiences of older adult participants and service deliverers involved in a UK-based physical activity programme, developed using participatory approaches. METHODS Focus groups and one-to-one interviews were conducted with 34 older adults (aged 55+ years) and 13 service providers. Inductive thematic analysis was conducted, structured using the framework approach. FINDINGS Four themes were identified: (1) Co-designed activities met needs and encouraged attendance; (2) engagement and access of programme activities; (3) enjoyment and perceived benefits of sessions; and (4) support needs of individuals delivering activities. Co-designed activities appeared to meet participant needs and instil a sense of ownership of the programme. Feeling able to relate to other participants seemed important and of potential relevance to attracting older adults to the programme. Peer support may help to increase confidence in attending sessions; place-based approaches (using resources in local communities) and a flexible approach to involvement also seemed to facilitate engagement. Enjoyment of the programme appeared to be enhanced through activity variety and opportunity for socializing, with a sense of community being created through the support and encouragement of fellow participants. It was considered important that volunteers had appropriate recognition and ongoing support. CONCLUSIONS These findings suggest that using participatory approaches may facilitate enjoyment and sustained engagement of older adults. Provision based on local community assets may contribute to sustainability of services. However, providing ongoing support is imperative, requiring further costs and resources over the longer-term.
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Affiliation(s)
- Laura J McGowan
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
| | - Amy Davies
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, Manchester, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK
| | - David P French
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, Manchester, UK
| | - Angela Devereux-Fitzgerald
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK
| | | | - Chris Todd
- Manchester Academic Health Science Centre, Manchester, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK
- Applied Research Collaboration-Greater Manchester, National Institute for Health and Care Research, Manchester, UK
- Manchester Institute for Collaborative Research on Ageing, Manchester, UK
- Manchester University NHS Foundation Trust, Manchester, UK
| | | | - Rachael Powell
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, Manchester, UK
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Elder BC, Soldatić K, Schwartz MA, Barney J, Howard D, McGee P. Barriers Experienced by First Nations Deaf People in the Justice System. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2024; 29:541-554. [PMID: 38826120 DOI: 10.1093/jdsade/enae021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 04/27/2024] [Accepted: 05/09/2024] [Indexed: 06/04/2024]
Abstract
Anecdotal evidence strongly suggests that members of the First Nations Deaf community experience more barriers when engaging with the criminal justice system than those who are not deaf. Therefore, our purpose for writing this article is to highlight legal and policy issues related to First Nations Deaf people, including perspectives of professionals working with these communities, living in Australia who have difficulty in accessing supports within the criminal justice system. In this article, we present data from semi-structured qualitative interviews focused on four key themes: (a) indefinite detention and unfit to plead, (b) a need for an intersectional approach to justice, (c) applying the maximum extent of the law while minimizing social services-related resources, and (d) the need for language access and qualified sign language interpreters. Through this article and the related larger sustaining project, we seek to center the experiences and needs of First Nations Deaf communities to render supports for fair, just, and equitable access in the Australian criminal justice system to this historically marginalized group.
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Affiliation(s)
- Brent C Elder
- Department of Wellness and Inclusive Services in Education, Rowan University, 201 Mullica Hill Dr., Glassboro, New Jersey 08028, United States
| | - Karen Soldatić
- Canada Excellence Research Chair in Health Equity and Community Wellbeing (CERC), Toronto Metropolitan University, Institute of Culture and Society, Western Sydney University (Institute Fellow), 288 Church Street Toronto ON Canada M5B 1M5, Australia
| | - Michael A Schwartz
- College of Law, Syracuse University, 950 Irving Ave, Syracuse, New York 13244, United States
| | - Jody Barney
- The Winston Churchill Memorial Trust, GPO Box 1536, Canberra ACT 2601, Australia
| | - Damien Howard
- Phoenix Consulting, PO Box 793 Nightcliff 0814, Australia
| | - Patrick McGee
- The Winston Churchill Memorial Trust, GPO Box 1536, Canberra ACT 2601, Australia
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Nnaji C, Anyango L, Bova C, Kiggundu F, Mbao M, Oloyede D, Omotola A. The Tulumbe! Partnership: a case study in developing a community-led research agenda to address HIV among African immigrants in the United States. Front Public Health 2024; 12:1406397. [PMID: 39371207 PMCID: PMC11451046 DOI: 10.3389/fpubh.2024.1406397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2024] [Accepted: 08/26/2024] [Indexed: 10/08/2024] Open
Abstract
Grassroots, community organizations are trusted resources within communities, which puts them in an ideal position to effectively engage individuals impacted by health inequities in defining meaningful research priorities. A community-centered approach to HIV research is critical for African immigrants living in the United States, who experience stigma and other socio-structural barriers to HIV prevention, care, and research engagement. Supporting community organizations with financial resources and capacity building activities to lead the development of research agendas ensures better alignment with community interests and fosters sustainability. We developed a community-initiated and -led research engagement project-Tulumbe!, which prioritized community leadership in all project activities. Community forums, health care provider and community questionnaires, interviews, and report-back sessions were held to examine the research interests and health concerns voiced by African immigrants. The iterative, community-led engagement process of more than 200 African immigrants, health providers, and researchers resulted in a community-defined research agenda with six areas of focus: family communication; self-efficacy for African immigrant women; deconstructing masculinity for African immigrant men; sexual health education for African immigrant youth; HIV stigma; and health literacy. Time, resources, and flexibility are needed to develop a viable community-led research partnership. Investing in community leadership not only produced a patient-centered research agenda but also led to community ownership of the process and results; thus, all partners were committed to sustaining the work.
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Affiliation(s)
- Chioma Nnaji
- Africans For Improved Access Program, Multicultural AIDS Coalition, Boston, MA, United States
| | - Lorraine Anyango
- Africans For Improved Access Program, Multicultural AIDS Coalition, Boston, MA, United States
| | - Carol Bova
- UMass Chan Medical School, Tan Chingfen Graduate School of Nursing, Worcester, MA, United States
| | - Frederick Kiggundu
- Africans For Improved Access Program, Multicultural AIDS Coalition, Boston, MA, United States
| | - Mbita Mbao
- Tulumbe! Project, Multicultural AIDS Coalition, Boston, MA, United States
| | - Dara Oloyede
- Tulumbe! Project, Multicultural AIDS Coalition, Boston, MA, United States
| | - Ayomide Omotola
- Tulumbe! Project, Multicultural AIDS Coalition, Boston, MA, United States
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Jimeno-Maroto I, Galindo MS, Miller JB, Lambert Y, Carboni C, Bardon T, Plessis L, Vreden S, Suarez-Mutis M, Douine M, Sanna A. Community engagement in mobile and hard-to-reach populations: a community-based intervention for malaria elimination in a tri-national region of the Guiana Shield. Front Public Health 2024; 12:1377966. [PMID: 39319292 PMCID: PMC11420009 DOI: 10.3389/fpubh.2024.1377966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 08/20/2024] [Indexed: 09/26/2024] Open
Abstract
Several countries of the Guiana Shield are aiming at the control and elimination of malaria in areas where Artisanal and Small-scale Gold Mining (ASGM) activities predominate, raising questions about how to strengthen community engagement to improve the effectiveness of health programs. The Curema project focuses its intervention on the mobile and hard-to-reach ASGM population, complementing the efforts of national programs in the Guiana Shield. The Curema intervention combines targeted drug administration for suspected Plasmodium vivax asymptomatic carriers, the Malakit distribution, and health education activities. The primary goals of this manuscript are to outline a pathway to foster community participation in the Curema project aimed at eliminating malaria. Thus, it presents a vision of the challenges that the AGSM community poses in terms of community participation for an asymptomatic problem; and highlights the community-based model and the Information, Education and Communication (IEC) components as foundations for participation. In addition, it also presents culturally sensitive IEC strategies designed through iterative and collaborative consultative processes and other bottom-up outreach activities. The community engagement approach facilitates adaptability and responsiveness in a complex, evolving context increasing the effectiveness of interventions.
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Affiliation(s)
| | | | - Jane Bordalo Miller
- Development, Prevention, Monitoring and Border Cooperation (DPAC-Fronteira), Oiapoque, Brazil
| | - Yann Lambert
- CIC INSERM 1424, Cayenne Hospital, Cayenne, French Guiana
| | | | - Teddy Bardon
- CIC INSERM 1424, Cayenne Hospital, Cayenne, French Guiana
| | | | - Stephen Vreden
- Foundation for the Advancement of Scientific Research in Suriname (SWOS), Paramaribo, Suriname
| | - Martha Suarez-Mutis
- Oswaldo Cruz Institute, Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, Brazil
| | - Maylis Douine
- CIC INSERM 1424, Cayenne Hospital, Cayenne, French Guiana
| | - Alice Sanna
- CIC INSERM 1424, Cayenne Hospital, Cayenne, French Guiana
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Brubacher LJ, Lau LL, Bustos M, Kelly Mijares M, Lim Mar K, Dodd W. Exploring the Use of Multiple Participatory Tools to Engage Community Health Workers in Program Evaluation and Implementation: A Case Study From the Philippines. COMMUNITY HEALTH EQUITY RESEARCH & POLICY 2024:2752535X241280353. [PMID: 39241210 DOI: 10.1177/2752535x241280353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/08/2024]
Abstract
This study explored the use of three participatory tools within a Philippines-based case study with community health workers (CHWs) by comparing and contrasting the process and data generated across the tools, and critically reflecting on adaptations and facilitation considerations that affected the tools' use. Facilitator notes and audio-recordings of discussions were integrated and analyzed thematically. Tools differed by the type of data generated: program-specific data related to CHWs' roles and responsibilities or data on broader structural factors. A stepwise approach within each tool facilitated focused, in-depth sharing, as did initial paired discussions that allowed exchange of knowledge and experiences among CHWs. Facilitators required topic- and context-specific knowledge to guide discussion effectively. CHWs discussed challenges and successes in their roles; program recommendations; and broader challenges related to healthcare delivery in their communities. This study contributes critical insights on the use of participatory tools to promote the inclusion of implementer perspectives in health program co-design, implementation, and evaluation.
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Affiliation(s)
- Laura J Brubacher
- School of Public Health Sciences, University of Waterloo, Ontario, Canada
| | - Lincoln L Lau
- School of Public Health Sciences, University of Waterloo, Ontario, Canada
- International Care Ministries, Metro Manila, Philippines
- Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
| | - Monica Bustos
- School of Public Health Sciences, University of Waterloo, Ontario, Canada
| | | | - Krisha Lim Mar
- International Care Ministries, Metro Manila, Philippines
| | - Warren Dodd
- School of Public Health Sciences, University of Waterloo, Ontario, Canada
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Chang F, Wang G, Gu Z. Navigating Challenges and Opportunities in Community-Based Interventions for Promoting Active Aging: A Systematic Review of the Roles of Technology. Innov Aging 2024; 8:igae077. [PMID: 39391810 PMCID: PMC11464989 DOI: 10.1093/geroni/igae077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Indexed: 10/12/2024] Open
Abstract
Background and Objectives Researchers from different fields are increasingly interested in incorporating technology into community-based interventions that promote active aging. Yet, there lacks a comprehensive understanding of technology roles, posing challenges for designers seeking to maximize the intended impacts of such interventions. This systematic review aims to fill the gap by examining existing community-based interventions that integrate digital technologies to promote active aging. Research Design and Methods Thirteen studies were screened, with a total of 14 interventions examined, following the PRISMA Guideline. Results The challenges in designing and operating community-based interventions, the roles of technology in the interventions, and the caveats of utilizing technology during the process were identified. The review emphasizes the importance of overcoming challenges in community-based interventions and leveraging technology to enhance the intended impacts. Discussion and Implications The findings underscore the need to understand technology's nuanced roles in community-based interventions for active aging. The article provides a starting point for accumulating knowledge and practice in utilizing technology to navigate the challenges and opportunities encountered in such interventions. It also sheds light on a notable gap: the lack of innovative and strategic approaches that harness digital interventions appropriately in community-based interventions. This emphasizes a crucial requirement for guidelines to assist designers, policymakers, and community staff in integrating technology appropriately into community-based interventions or implementing interventions that incorporate digital technologies at the community level.
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Affiliation(s)
- Fangyuan Chang
- Department of Design, School of Design, Shanghai Jiao Tong University, Shanghai, China
| | - Gubing Wang
- Department of Social and Behavioral Sciences, School of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
| | - Zhenyu Gu
- Department of Design, School of Design, Shanghai Jiao Tong University, Shanghai, China
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Thichumpa W, Wiratsudakul A, Suwanpakdee S, Sararat C, Modchang C, Pan-Ngum S, Prompoon N, Sagarasaeranee O, Premashthira S, Thanapongtharm W, Chumkaeo A, Pan-Ngum W. Study of dog population dynamics and rabies awareness in Thailand using a school-based participatory research approach. Sci Rep 2024; 14:20477. [PMID: 39227680 PMCID: PMC11372070 DOI: 10.1038/s41598-024-71207-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 08/26/2024] [Indexed: 09/05/2024] Open
Abstract
Rabies is a neglected disease primarily related to dog-mediated transmission to humans. Accurate dog demographic and dynamic data are essential for effectively planning and evaluating population management strategies when designing interventions to prevent rabies. However, in Thailand, longitudinal survey data regarding dog population size are scarce. A school-based participatory research (SBPR) approach was conducted to survey owned dogs for one year in four high-risk provinces (Chiang Rai, Surin, Chonburi, and Songkhla) of Thailand, aiming to understand dog population dynamics and raise awareness about rabies. 'Pupify' mobile application was developed to collect data on dog population and observe the long-term population dynamics in this study. At the end of the data collection period, telephone interviews were conducted to gain insight into contextual perceptions and awareness regarding both animal and human rabies, as well as the social responsibility of dog owners in disease prevention and control. Among 303 high school students who registered in our study, 218 students reported at least one update of their dog information throughout the one-year period. Of 322 owned dogs from our survey, the updates of dog status over one year showed approximately 7.5 newborns per 100-dog-year, while deaths and missing dogs were 6.2 and 2.7 per 100-dog-year, respectively. The male to female ratio was approximately 1.8:1. Twenty-three students (10%) voluntarily participated and were interviewed in the qualitative study. The levels of rabies awareness and precautions among high-school students were relatively low. The high dropout rate of the survey was due to discontinuity in communication between the researcher and the students over the year. In conclusion, this study focused on using the SBPR approach via mobile application to collect data informing dog population dynamics and raising awareness regarding rabies in Thailand Other engaging platforms (e.g. Facebook, Instagram, Twitter, and other popular applications) is necessary to enhance communication and engagement, thereby sustaining and maintaining data collection. Further health education on rabies vaccination and animal-care practices via social media platforms would be highly beneficial. For sustainable disease control, engaging communities to raise awareness of rabies and increase dog owners' understanding of their responsibilities should be encouraged.
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Affiliation(s)
- Weerakorn Thichumpa
- Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Anuwat Wiratsudakul
- Department of Clinical Sciences and Public Health, and the Monitoring and Surveillance, Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Nakhon Pathom, Thailand
| | - Sarin Suwanpakdee
- Department of Clinical Sciences and Public Health, and the Monitoring and Surveillance, Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Nakhon Pathom, Thailand
| | - Chayanin Sararat
- Biophysics Group, Department of Physics, Faculty of Science, Mahidol University, Bangkok, Thailand
| | - Charin Modchang
- Biophysics Group, Department of Physics, Faculty of Science, Mahidol University, Bangkok, Thailand
- Centre of Excellence in Mathematics, MHESI, Bangkok, Thailand
| | - Setha Pan-Ngum
- Department of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Nakornthip Prompoon
- Department of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand
| | - Onpawee Sagarasaeranee
- Department of Livestock Development, Ministry of Agriculture and Cooperatives, Bangkok, Thailand
| | - Sith Premashthira
- Department of Livestock Development, Ministry of Agriculture and Cooperatives, Bangkok, Thailand
| | - Weerapong Thanapongtharm
- Department of Livestock Development, Ministry of Agriculture and Cooperatives, Bangkok, Thailand
| | - Arun Chumkaeo
- Songkhla Provincial Livestock Office, Muang, Songkhla, Thailand
| | - Wirichada Pan-Ngum
- Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
- Mahidol Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
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Leve LD, Kanamori M, Humphreys KL, Jaffee SR, Nusslock R, Oro V, Hyde LW. The Promise and Challenges of Integrating Biological and Prevention Sciences: A Community-Engaged Model for the Next Generation of Translational Research. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024:10.1007/s11121-024-01720-8. [PMID: 39225944 DOI: 10.1007/s11121-024-01720-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2024] [Indexed: 09/04/2024]
Abstract
Beginning with the successful sequencing of the human genome two decades ago, the possibility of developing personalized health interventions based on one's biology has captured the imagination of researchers, medical providers, and individuals seeking health care services. However, the application of a personalized medicine approach to emotional and behavioral health has lagged behind the development of personalized approaches for physical health conditions. There is potential value in developing improved methods for integrating biological science with prevention science to identify risk and protective mechanisms that have biological underpinnings, and then applying that knowledge to inform prevention and intervention services for emotional and behavioral health. This report represents the work of a task force appointed by the Board of the Society for Prevention Research to explore challenges and recommendations for the integration of biological and prevention sciences. We present the state of the science and barriers to progress in integrating the two approaches, followed by recommended strategies that would promote the responsible integration of biological and prevention sciences. Recommendations are grounded in Community-Based Participatory Research approaches, with the goal of centering equity in future research aimed at integrating the two disciplines to ultimately improve the well-being of those who have disproportionately experienced or are at risk for experiencing emotional and behavioral problems.
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Affiliation(s)
- Leslie D Leve
- Prevention Science Institute, University of Oregon, Eugene, USA.
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, USA.
- Cambridge Public Health, University of Cambridge, Cambridge, UK.
| | - Mariano Kanamori
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, USA
| | - Kathryn L Humphreys
- Department of Psychology and Human Development, Vanderbilt University, Nashville, USA
| | - Sara R Jaffee
- Department of Psychology, University of Pennsylvania, Philadelphia, USA
| | - Robin Nusslock
- Department of Psychology & Institute for Policy Research, Northwestern University, Evanston, USA
| | - Veronica Oro
- Prevention Science Institute, University of Oregon, Eugene, USA
| | - Luke W Hyde
- Department of Psychology & Survey Research Center at the Institute for Social Research, University of Michigan, Ann Arbor, USA
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Coco L, Leon K, Navarro C, Piper R, Carvajal S, Marrone N. "Close to My Community": A Qualitative Study of Community Health Worker-Supported Teleaudiology Hearing Aid Services. Ear Hear 2024; 45:1191-1201. [PMID: 38812073 PMCID: PMC11333189 DOI: 10.1097/aud.0000000000001507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2024]
Abstract
OBJECTIVES Given well-documented disparities in rural and minority communities, alternative service delivery models that help improve access to hearing care are needed. This article reports on a study of older Latino adults with hearing loss who received hearing aid services with Community Health Workers (CHWs) providing support via teleaudiology. The present study used qualitative data to explore perceptions of this novel service delivery model. DESIGN Participants completed semistructured interviews related to their experiences in the intervention approximately 17 weeks after the hearing aid fitting appointment. Two coders independently coded the data, using an iterative deductive and inductive thematic analysis approach. Inter-rater reliability was good (κ = 0.80). RESULTS Of the 28 participants, 19 were interviewed (CHW group: n = 9, 8 females; non-CHW group: n = 10, 9 females). Both groups of participants reported experiencing barriers in access to care and reported positive experiences with teleaudiology and with hearing aids as part of the trial. CHW group participants reported interactions with patient-site facilitators that were indicative of patient-centeredness. CONCLUSIONS Results demonstrate the feasibility and potential effectiveness of trained CHWs as patient-site facilitators in teleaudiology-delivered hearing aid services for adults.
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Affiliation(s)
- Laura Coco
- School of Speech, Language, and Hearing Sciences, San Diego State University, San Diego, CA
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
| | - Kimberly Leon
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
- Department of Psychology, University of Arizona, Tucson, AZ
| | | | - Rosie Piper
- Mariposa Community Health Center, Nogales, AZ
| | - Scott Carvajal
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
| | - Nicole Marrone
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ
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Afable A, Salisu M, Blackwell T, Divittis A, Hoglund M, Lewis G, Boutin-Foster C, Douglas M. Community design of the Brooklyn Health Equity Index. HEALTH AFFAIRS SCHOLAR 2024; 2:qxae112. [PMID: 39301412 PMCID: PMC11412247 DOI: 10.1093/haschl/qxae112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 07/17/2024] [Accepted: 09/05/2024] [Indexed: 09/22/2024]
Abstract
Health equity drives quality care. Few reliable metrics that capture patients' perceptions of health equity exist. We report on the development of a patient-centered metric for health systems change in central Brooklyn, which stands out as an outlier in New York City with a disproportionate burden of poverty, disease, and death. A community-engaged, sequential, mixed-methods research design was used. Qualitative interviews were conducted with 80 community and health care stakeholders across central Brooklyn. Candidate items were derived from qualitative themes and examined for face, interpretive validity, and language. Interitem reliability and confirmatory factor analysis was assessed using data collected via text and automated discharge calls among 368 patients from a local hospital. Qualitative data analysis informed the content of 11 draft questions covering 3 broad domains: trust-building, provider appreciation of social determinants of health, and experiences of discrimination. Psychometric testing resulted in a Cronbach's alpha of 0.774 and led to deletion of 1 item, resulting in a 10-item Brooklyn Health Equity Index (BKHI). The 10-item BKHI is a novel, brief, and reliable measure that captures patients' perceptions of inequities and offers a real-time measure for health systems and payors to monitor progress toward advancing health equity.
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Affiliation(s)
- Aimee Afable
- School of Public Health, Downstate Health Sciences University, Brooklyn, NY 11203, United States
| | - Margaret Salisu
- Department of Medicine, Downstate Health Sciences University, Brooklyn, NY 11203, United States
| | - Tenya Blackwell
- Arthur Ashe Institute for Urban Health, Brooklyn, NY 11203, United States
| | - Anthony Divittis
- Ambulatory Services, One Brooklyn Health, Brooklyn, NY 11238, United States
| | - Mark Hoglund
- School of Public Health, Downstate Health Sciences University, Brooklyn, NY 11203, United States
| | - Gwendolyn Lewis
- Ambulatory Services, One Brooklyn Health, Brooklyn, NY 11238, United States
| | - Carla Boutin-Foster
- Department of Medicine, Downstate Health Sciences University, Brooklyn, NY 11203, United States
| | - Montgomery Douglas
- Department of Family and Community Medicine, Downstate Health Sciences University, Brooklyn, NY 11203, United States
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Barborini C, Goodyear T, Kia H, Gilbert M, Ferlatte O, Knight R. "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 131:104536. [PMID: 39141958 DOI: 10.1016/j.drugpo.2024.104536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 07/05/2024] [Accepted: 07/08/2024] [Indexed: 08/16/2024]
Abstract
BACKGROUND Transgender, non-binary and gender non-conforming (herein, "TGNC") youth (15-24 years old) face overlapping minority stressors (e.g., gender discrimination, lack of access to gender-affirming care, rejection, violence) that contribute to mental health inequities. TGNC youth also use substances at higher rates when compared to cisgender youth, including some of the highest rates of cannabis use in Canada. METHODS This community-based participatory research study provides an in-depth qualitative, photovoice-based analysis examining how cannabis use features within the gender experiences of a sample of TGNC youth in British Columbia (BC). We conducted in-depth, semi-structured interviews with 27 TGNC youth (15-24 years old) from across British Columbia. Interviews were designed to elicit discussions about the photos youth had taken as well as various gender and mental health experiences related to their cannabis use. Analysis and identification of emergent themes was guided by social constructivist grounded theory as well as queer and trans theorizing and informed by community-based research approaches through regular meetings with our team's Substance Use Beyond the Binary Youth Action Committee comprised of TGNC youth who use substances. RESULTS Three overarching themes pertaining to cannabis use and gender experiences amongst TGNC youth in our study were generated. First, participants used cannabis purposefully and strategically to enact diverse gender expressions and embodiments. Second, participants leveraged cannabis to support introspection whilst mobilizing identity discovery and development. Finally, participants mobilized cannabis as a vehicle for accessing moments of gender euphoria and affirmation. CONCLUSIONS These findings identify how some TGNC youth use cannabis to purposefully and strategically facilitate their mental health, well-being, identity development and self-expression. This research reveals critically important experiential and embodied dimensions of cannabis use that have not historically been considered in cannabis-related policy and the provision of care, including mental health and substance use-related care.
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Affiliation(s)
- Christian Barborini
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver BC, V6T 1Z3, Canada
| | - Trevor Goodyear
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver BC, V6T 2B5, Canada
| | - Hannah Kia
- School of Social Work, University of British Columbia, 2080 West Mall, Vancouver BC, V6T 1Z2, Canada
| | - Mark Gilbert
- School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver BC, V6T 1Z3, Canada
| | - Olivier Ferlatte
- École de Santé Publique, Université de Montréal, 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada; Centre de recherche en santé publique (CReSP), 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada
| | - Rod Knight
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; École de Santé Publique, Université de Montréal, 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada; Centre de recherche en santé publique (CReSP), 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada.
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Kang E, Chen J, Lipsey KL, Foster ER. Community-Engaged Implementation Strategies in Occupational Therapy: A Scoping Review. Am J Occup Ther 2024; 78:7805205030. [PMID: 39197014 DOI: 10.5014/ajot.2024.050526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2024] Open
Abstract
IMPORTANCE Despite the potential of community-engaged implementation research (CEIR) in developing strategies to accelerate the translation of evidence-based interventions (EBIs), there is a noticeable knowledge gap in the current state of CEIR in occupational therapy. A synthesis of the concept, purpose, and operationalization of CEIR is necessary. OBJECTIVE To identify the contexts, purposes, and operationalization of CEIR, focusing on implementation strategies in occupational therapy. DATA SOURCES PubMed/MEDLINE, Embase, CINAHL, Scopus, and Web of Science. STUDY SELECTION AND DATA COLLECTION We included studies that were explicit and intentional about CEIR and that focused on implementation strategies to support the translation of occupational therapy interventions, clinical guidelines, practice models, theories, or assessments. We extracted the research context (e.g., partners, recruitment), purpose (e.g., why community-engaged research was used), and operationalization (e.g., community engagement [CE] activities, how their findings inform the research) using thematic analysis. FINDINGS Of 3,219 records, 6 studies were included. Involved partners were mainly occupational therapy practitioners from existing networks. CEIR that focuses on implementation strategies informs various aspects of research design, ranging from study design to sustainability, by developing community-academia partnerships, building implementation capacity, and creating implementation strategies across diverse research areas. Current research has used various but mostly traditional CE activities (e.g., focus groups). CONCLUSIONS AND RELEVANCE We synthesized evidence on CEIR focused on implementation strategies in occupational therapy. Intentional efforts are needed to collaborate with diverse partners, explore innovative CE activities, produce equitable outputs, and develop multilevel implementation strategies to accelerate the translation of EBIs into practice. Plain-Language Summary: In this review, we synthesize evidence on the contexts, purposes, and operationalization of community-engaged implementation research (CEIR), focusing on implementation strategies in occupational therapy research. We found that current implementation efforts mainly rely on occupational therapy practitioners as community partners and use traditional recruitment methods and community engagement activities. In turn, they develop implementation strategies that mainly target practitioners without comprehensive, multilevel implementation support. We suggest more equitable collaboration with diverse partners to effectively promote the implementation and dissemination of evidence-based interventions in occupational therapy practice.
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Affiliation(s)
- Eunyoung Kang
- Eunyoung Kang, PhD, BOT, is Postdoctoral Research Fellow, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO;
| | - Julie Chen
- Julie Chen, BS, is Occupational Therapy Student, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO
| | - Kim L Lipsey
- Kim L. Lipsey, MLS, is Medical Librarian, Bernard Becker Medical Library, School of Medicine, Washington University in St. Louis, St. Louis, MO
| | - Erin R Foster
- Erin R. Foster, PhD, OTD, OTR/L, is Associate Professor, Program in Occupational Therapy, Departments of Neurology and Psychiatry, School of Medicine, Washington University in St. Louis, St. Louis, MO
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Orfin RH, Ramos Santiago JW, Decena Soriano R, Romero Acosta E, Bermudez D, Rodriguez YL, Li D, Rahman I, McIntosh S, Ossip DJ, Cupertino AP, Cartujano-Barrera F. Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults. J Ethn Subst Abuse 2024:1-13. [PMID: 39196764 DOI: 10.1080/15332640.2024.2397422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2024]
Abstract
OBJECTIVE To assess the feasibility, acceptability, and preliminary impact of Kick Vaping among Latino young adults. METHODS Forty Latino young adults (ages 18 to 25) who were currently vaping received Kick Vaping, a vaping cessation text messaging intervention available in English and Spanish. Feasibility was measured by the eligibility, enrollment, and follow-up rates. Acceptability was measured by overall satisfaction with the intervention. Preliminary impact was measured by self-reported 7-day point prevalence abstinence and changes in self-efficacy. RESULTS Two hundred three individuals were identified, 61 were assessed for eligibility, and 55 were eligible. Forty individuals consented to participate and were enrolled in Kick Vaping. At baseline, most participants used disposable devices (70%), vaped daily (97.5%), had low (37.5%) or medium (35.0%) e-cigarette dependence, and had attempted to quit in the past year (72.5%). At Month 3, the follow-up rate was 90% (36/40). Treating those lost to follow-up as participants who continued vaping, 75% (30/40) of participants self-reported 7-day point prevalence abstinence. Self-efficacy mean scores significantly increased from 30.65 (SD 8.07) at baseline to 50.11 (SD 10.57) at follow-up (p < 0.01). Most participants (88.9%, 32/36) reported being satisfied/extremely satisfied with Kick Vaping. CONCLUSION It is feasible to recruit and retain Latino young adults in a vaping cessation text messaging intervention. Kick Vaping generated high satisfaction among Latino young adults, significantly increased self-efficacy, and resulted in a notable vaping cessation rate at Month 3. Additional testing in a randomized controlled trial is warranted to assess the efficacy of the intervention.
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Affiliation(s)
- Rafael H Orfin
- University of Rochester Medical Center, Rochester, New York
| | | | | | | | | | | | - Dongmei Li
- University of Rochester Medical Center, Rochester, New York
| | - Irfan Rahman
- University of Rochester Medical Center, Rochester, New York
| | - Scott McIntosh
- University of Rochester Medical Center, Rochester, New York
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Seto S, Okuyama J, Iwasaki T, Fukuda Y, Matsuzawa T, Ito K, Takakura H, Terada K, Imamura F. Linking affected community and academic knowledge: a community-based participatory research framework based on a Shichigahama project. Sci Rep 2024; 14:19910. [PMID: 39198518 PMCID: PMC11358445 DOI: 10.1038/s41598-024-70813-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 08/21/2024] [Indexed: 09/01/2024] Open
Abstract
Earthquakes that cause extensive damage occur frequently in Japan, the most recent being the Noto Peninsula earthquake on January 1, 2024. To facilitate such a recovery, we introduce a community-based participatory research program implemented through cooperation between universities and local communities after the 2011 Great East Japan Earthquake. In this project, the university and the town of Shichigahama, one of the affected areas, collaborated to hold annual workshops in the target area, which evolved into a climate monitoring survey. Even in Japan, where disaster prevention planning is widespread, various problems arise in the process of emergency response, recovery and reconstruction, and building back better when disasters occur. As is difficult for residents and local governments to solve these problems alone, it is helpful when experts participate in the response process. In this study, we interviewed town hall and university officials as representatives of local residents regarding this project and discussed their mutual concerns. The community-based participatory research framework developed in the Shichigahama project could be used in the recovery from the Noto Peninsula Earthquake as well as in future reconstruction and disaster management projects.
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Affiliation(s)
- Shuji Seto
- Office for Establishment of New Faculty, Akita University, Akita, Japan
| | - Junko Okuyama
- Health Service Center, Tokyo University of Agriculture and Technology, 2-24-16 Naka-cho, Koganei-shi, Tokyo, 184-8588, Japan.
| | - Toshiki Iwasaki
- Atmospheric Science Laboratory, Department of Geophysics, Graduate School of Science, Tohoku University, Miyagi, Japan
| | - Yu Fukuda
- Notre Dame Seishin University, Okayama, Japan
| | - Toru Matsuzawa
- Research Center for Prediction of Earthquakes and Volcanic Eruptions, Graduate School of Science, Tohoku University, Miyagi, Japan
| | | | - Hiroki Takakura
- Core Research Cluster of Disaster Science, Tohoku University, Miyagi, Japan
- Center for Northeast Asian Studies, Tohoku University, Miyagi, Japan
| | - Kenjiro Terada
- Core Research Cluster of Disaster Science, Tohoku University, Miyagi, Japan
- Computational Safety Engineering Lab, International Research Institute of Disaster Science, Tohoku University, Miyagi, Japan
| | - Fumihiko Imamura
- Core Research Cluster of Disaster Science, Tohoku University, Miyagi, Japan
- Tsunami Engineering Lab, International Research Institute of Disaster Science, Tohoku University, Miyagi, Japan
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Kelleher BL. CASCADE: A Community-Engaged Action Model for Generating Rapid, Patient-Engaged Decisions in Clinical Research. RESEARCH SQUARE 2024:rs.3.rs-4790564. [PMID: 39257986 PMCID: PMC11384825 DOI: 10.21203/rs.3.rs-4790564/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/12/2024]
Abstract
Background Integrating patient and community input is essential to the relevance and impact of patient-focused research. However, specific techniques for generating patient and community-informed research decisions remain limited. Here, we describes a novel CASCADE method (Community-Engaged Approach for Scientific Collaborations and Decisions) that was developed and implemented to make actionable, patient-centered research decisions during a federally funded clinical trial. Methods The CASCADE approach includes 7 key pillars: (1) identifying a shared, specific, and actionable goal; (2) centering community input; (3) integrating both pre-registered statistical analyses and exploratory "quests"; (4) fixed-pace scheduling, supported by technology; (5) minimizing opportunities for cognitive biases typical to group decision making; (6) centering diversity experiences and perspectives, including those of individual patients; (7) making decisions that are community-relevant, rigorous, and feasible. Here, we implemented these pillars within a three-day CASCADE panel, attended by diverse members of a research project team that included community interest-holders. The goal of our panel was to identify ways to improve an algorithm for matching patients to specific types of telehealth programs within an active, federally funded clinical trial. Results The CASCADE panel was attended by 27 participants, including 5 community interest-holders. Data reviewed to generate hypotheses and make decisions included (1) pre-registered statistical analyses, (2) results of 12 "quests" that were launched during the panel to answer specific panelist questions via exploratory analyses or literature review, (3) qualitative and quantitative patient input, and (4) team member input, including by staff who represented the target patient population for the clinical trial. Panel procedures resulted in the generation of 18 initial and 12 final hypotheses, which were translated to 19 decisional changes. Conclusions The CASCADE approach was an effective procedure for rapidly, efficiently making patient-centered decisions during an ongoing, federally funded clinical trial. Opportunities for further development will include exploring best-practice structural procedures, enhancing greater opportunities for pre-panel input by community interest-holders, and determining how to best standardize CASCADE outputs. Trial registration The CASCADE procedure was developed in the context of NCT05999448.
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Sirek G, Erickson D, Muhammad LN, Losina E, Chandler MT, Son MB, Crespo-Bosque M, York M, Jean-Jacques M, Milaeger H, Pillai N, Roberson T, Chung A, Shramuk M, Osaghae E, Williams J, Ojikutu BO, Dhand A, Ramsey-Goldman R, Feldman CH. Community-engaged randomised controlled trial to disseminate COVID-19 vaccine-related information and increase uptake among Black individuals in two US cities with rheumatic conditions. BMJ Open 2024; 14:e087918. [PMID: 39181556 PMCID: PMC11344519 DOI: 10.1136/bmjopen-2024-087918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 07/19/2024] [Indexed: 08/27/2024] Open
Abstract
INTRODUCTION Inequities in COVID-19 infection and vaccine uptake among historically marginalised racial and ethnic groups in the USA persist. Individuals with rheumatic conditions, especially those who are immunocompromised, are especially vulnerable to severe infection, with significant racialised inequities in infection outcomes and in vaccine uptake. Structural racism, historical injustices and misinformation engender racial and ethnic inequities in vaccine uptake. The Popular Opinion Lleader (POL) model, a community-based intervention that trains trusted community leaders to disseminate health information to their social network members (eg, friends, family and neighbours), has been shown to reduce stigma and improve care-seeking behaviours. METHODS AND ANALYSIS This is a community-based cluster randomised controlled trial led by a team of community and academic partners to compare the efficacy of training POLs with rheumatic or musculoskeletal conditions using a curriculum embedded with a racial justice vs a biomedical framework to increase COVID-19 vaccine uptake and reduce vaccine hesitancy. This trial began recruitment in February 2024 in Boston, Massachusetts and Chicago, Illinois, USA. Eligible POLs are English-speaking adults who identify as Black and/or of African descent, have a diagnosis of a rheumatic or musculoskeletal condition and have received >=1 COVID-19 vaccine after 31 August 2022. POLs will be randomised to a 6-module virtual educational training; the COVID-19 and vaccine-related content will be the same for both groups however the framing for arm 1 will be with a racial justice lens and for arm 2, a biomedical preventative care-focused lens. Following the training, POLs will disseminate the information they learned to 12-16 social network members who have not received the most recent COVID-19 vaccine, over 4 weeks. The trial's primary outcome is social network member COVID-19 vaccine uptake, which will be compared between intervention arms. ETHICS AND DISSEMINATION This trial has ethical approval in the USA. This has been approved by the Mass General Brigham Institutional Review Board (IRB, 2023P000686), the Northwestern University IRB (STU00219053), the Boston University/Boston Medical Center IRB (H-43857) and the Boston Children's Hospital IRB (P00045404). Results will be published in a publicly accessible peer-reviewed journal. TRIAL REGISTRATION NUMBER NCT05822219.
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Affiliation(s)
- Greta Sirek
- Division of Rheumatology, Inflammation and Immunity, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Daniel Erickson
- Division of Biostatistics, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Lutfiyya N Muhammad
- Division of Biostatistics, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Elena Losina
- The Orthopedic and Arthritis Center for Outcomes Research, Department of Orthopedics, Brigham and Women's Hospital, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
| | - Mia T Chandler
- Harvard Medical School, Boston, Massachusetts, USA
- The Rheumatology Program, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Mary Beth Son
- The Rheumatology Program, Boston Children's Hospital, Boston, Massachusetts, USA
| | | | - Michael York
- Department of Rheumatology, Boston Medical Center, Boston, Massachusetts, USA
| | | | - Holly Milaeger
- Division of Rheumatology, Department of Medicine Northwestern Medicine/Feinberg School of Medicine, Chicago, Illinois, USA
| | - Neil Pillai
- Division of Rheumatology, Department of Medicine Northwestern Medicine/Feinberg School of Medicine, Chicago, Illinois, USA
| | - Tonya Roberson
- College of Health and Human Services, Governors State University, University Park, Illinois, USA
| | - Anh Chung
- Division of Rheumatology, Department of Medicine Northwestern Medicine/Feinberg School of Medicine, Chicago, Illinois, USA
| | - Maxwell Shramuk
- Division of Biostatistics, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Eseosa Osaghae
- Division of Rheumatology, Department of Medicine Northwestern Medicine/Feinberg School of Medicine, Chicago, Illinois, USA
| | - Jessica Williams
- Division of Rheumatology, Department of Medicine, Emory School of Medicine, Atlanta, Georgia, USA
| | - Bisola O Ojikutu
- Harvard Medical School, Boston, Massachusetts, USA
- Boston Public Health Commission, Boston, Massachusetts, USA
- Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Amar Dhand
- Division of Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Rosalind Ramsey-Goldman
- Division of Rheumatology, Department of Medicine Northwestern Medicine/Feinberg School of Medicine, Chicago, Illinois, USA
| | - Candace H Feldman
- Division of Rheumatology, Inflammation and Immunity, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
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Chowdhury N, Erman D, Raihan M, Marshall Z, Datta R, Aghajafari F, Shankar J, Sehgal K, Rashid R, Turin TC. Exploring community- and systemic-level gender-based violence in visible minority women across five countries from an intersectionality lens: protocol for a mixed-methods systematic review. BMJ Open 2024; 14:e077113. [PMID: 39174066 PMCID: PMC11340711 DOI: 10.1136/bmjopen-2023-077113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 08/06/2024] [Indexed: 08/24/2024] Open
Abstract
INTRODUCTION The intersection of sexism with racism and xenophobia disproportionately exposes visible minority women to gender-based violence (GBV) at the community and systemic levels. This study aims to understand the knowledge strengths and gaps on GBV against visible minority women with an intersectional lens, revealing systemic barriers to accessing support and how these barriers intensify GBV and its effects. It will also identify effective and ineffective policies and practices in the literature to develop strategies addressing the root causes of GBV and supporting survivors. METHODS AND ANALYSIS We will conduct a mixed-methods systematic review using a convergent integrated approach to examine current literature on community- and systemic-level GBV against visible minority women. We will follow Joanna Briggs Institute's guidelines to converge data from both qualitative and quantitative studies to obtain an integrated qualitative synthesis on GBV in five countries: Canada, the USA, the UK, Australia and New Zealand. This analysis will be conducted following Thomas and Harden's thematic synthesis guidelines. Community members with lived experience of GBV will actively contribute to improving the relevance and interpretation of results, following a community-engaged research approach. Themes are expected to unveil various aspects of community- and systemic-level GBV due to the intersection of racism, xenophobia and sexism, alongside barriers in addressing GBV and research gaps. ETHICS AND DISSEMINATION Since this study does not involve primary data collection or the use of identifiable human data, no ethical approval will be needed. Results will be disseminated through integrated knowledge translation, involving collaboration with participants who have lived experience of GBV. The findings will be used to identify specific areas of policy intervention, including adopting culturally sensitive approaches, improving school and workplace policies and promoting rights of visible minority women.
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Affiliation(s)
- Nashit Chowdhury
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Didem Erman
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Mohammad Raihan
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Zack Marshall
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Ranjan Datta
- Canada Research Chair, Mount Royal University, Calgary, Alberta, Canada
| | - Fariba Aghajafari
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Janki Shankar
- Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada
| | - Kamal Sehgal
- Alberta Network for Immigrant Women, Calgary, Alberta, Canada
| | - Ruksana Rashid
- Foundation for the Voice Of Immigrants in Canada for Empowerment, Calgary, Alberta, Canada
| | - Tanvir C Turin
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Pichardo CM, Ezeani A, Dwyer LA, Wali A, Czajkowski S, Nebeling L, Agurs-Collins T. Structural Racism and Obesity-Related Cancer Inequities in the United States: Challenges and Research Priorities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:1085. [PMID: 39200694 PMCID: PMC11354931 DOI: 10.3390/ijerph21081085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 08/08/2024] [Accepted: 08/10/2024] [Indexed: 09/02/2024]
Abstract
Structural racism has been identified as a fundamental cause of health disparities. For example, racial, ethnic, and economic neighborhood segregation; concentrated poverty; community disinvestment; and sociocultural context influence obesity and cancer disparities. Effects of structural racism are also evident through neighborhood obesogenic conditions such as limited access to affordable and healthy foods and physical activity opportunities within segregated communities that contribute to obesity and obesity-related cancer disparities. This article describes and expands on cross-cutting themes raised during a webinar held by the National Cancer Institute (NCI): (1) how structural factors, including neighborhood segregation and obesogenic conditions within racial and ethnic disadvantaged communities, influence disparities in the United States; (2) current research challenges and best ways to address them; and (3) selected priorities of the NCI aimed at addressing multilevel and intersecting factors that influence obesity-related cancer disparities. Further research is needed to understand how residential segregation and neighborhood obesogenic conditions influence cancer prevention and control across the continuum. Identifying the best approaches to address obesity and cancer disparities using social determinants of health framework and community-engaged approaches guided by a structural racism lens will allow researchers to move beyond individual-level approaches.
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Affiliation(s)
- Catherine M. Pichardo
- Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA (L.N.)
| | - Adaora Ezeani
- Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA (L.N.)
| | | | - Anil Wali
- Community Outreach, Research, and Engagement Branch, Center for Cancer Health Equity, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA
| | - Susan Czajkowski
- Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA (L.N.)
| | - Linda Nebeling
- Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA (L.N.)
| | - Tanya Agurs-Collins
- Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA (L.N.)
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Domingo A, Yessis J, Zupko B, McEachern LW, Valaitis R, Skinner K, Hanning RM. Scale up of the learning circles: a participatory action approach to support local food systems in four diverse First Nations school communities within Canada. BMC Public Health 2024; 24:2222. [PMID: 39148046 PMCID: PMC11325755 DOI: 10.1186/s12889-024-19391-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 07/06/2024] [Indexed: 08/17/2024] Open
Abstract
BACKGROUND Addressing Indigenous food security and food sovereignty calls for community-driven strategies to improve access to and availability of traditional and local food. Participatory approaches that integrate Indigenous leadership have supported successful program implementation. Learning Circles: Local Healthy Food to School is a participatory program that convenes a range of stakeholders including food producers, educators and Knowledge Keepers to plan, implement and monitor local food system action. Pilot work (2014-2015) in Haida Gwaii, British Columbia (BC), showed promising results of the Learning Circles (LC) approach in enhancing local and traditional food access, knowledge and skills among youth and adolescents. The objective of the current evaluation was therefore to examine the process of scaling-up the LC vertically within the Haida Nation; and horizontally across three diverse First Nations contexts: Gitxsan Nation, Hazelton /Upper Skeena, BC; Ministikwan Lake Cree Nation, Saskatchewan; and Black River First Nation, Manitoba between 2016 and 2019. METHODS An implementation science framework, Foster-Fishman and Watson's (2012) ABLe Change Framework, was used to understand the LC as a participatory approach to facilitate community capacity building to strengthen local food systems. Interviews (n = 52), meeting summaries (n = 44) and tracking sheets (n = 39) were thematically analyzed. RESULTS The LC facilitated a collaborative process to: (1) build on strengths and explore ways to increase readiness and capacity to reclaim traditional and local food systems; (2) strengthen connections to land, traditional knowledge and ways of life; (3) foster community-level action and multi-sector partnerships; (4) drive actions towards decolonization through revitalization of traditional foods; (5) improve availability of and appreciation for local healthy and traditional foods in school communities; and (6) promote holistic wellness through steps towards food sovereignty and food security. Scale-up within Haida Gwaii supported a growing, robust local and traditional food system and enhanced Haida leadership. The approach worked well in other First Nations contexts, though baseline capacity and the presence of champions were enabling factors. CONCLUSIONS Findings highlight LC as a participatory approach to build capacity and support iterative planning-to-action in community food systems. Identified strengths and challenges support opportunities to expand, adopt and modify the LC approach in other Indigenous communities with diverse food systems.
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Affiliation(s)
- Ashleigh Domingo
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada.
- Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.
| | - Jennifer Yessis
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
| | - Barbara Zupko
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
| | - Louise Watson McEachern
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
- Department of Geography, Western University, London, ON, N6A 3K7, Canada
| | - Renata Valaitis
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
| | - Kelly Skinner
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
| | - Rhona M Hanning
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, N2L 3G1, Canada
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Hayward SE, Vanqa N, Makanda G, Tisile P, Ngwatyu L, Foster I, Mcinziba AA, Biewer A, Mbuyamba R, Galloway M, Bunyula S, van der Westhuizen HM, Friedland JS, Medina-Marino A, Viljoen L, Schoeman I, Hoddinott G, Nathavitharana RR. "As a patient I do not belong to the clinic, I belong to the community": co-developing multi-level, person-centred tuberculosis stigma interventions in Cape Town, South Africa. BMC GLOBAL AND PUBLIC HEALTH 2024; 2:55. [PMID: 39157720 PMCID: PMC11324783 DOI: 10.1186/s44263-024-00084-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 07/17/2024] [Indexed: 08/20/2024]
Abstract
Background Anticipated, internal, and enacted stigma are major barriers to tuberculosis (TB) care engagement and directly impact patient well-being. Unfortunately, targeted stigma interventions are lacking. We aimed to co-develop a person-centred stigma intervention with TB-affected community members and health workers in South Africa. Methods Using a community-based participatory research approach, we conducted ten group discussions with people diagnosed with TB (past or present), caregivers, and health workers (total n = 87) in Khayelitsha, Cape Town. Group discussions were facilitated by TB survivors. Discussion guides explored experiences and drivers of stigma and used human-centred design principles to co-develop solutions. Recordings were transcribed, coded, thematically analysed, and then further interpreted using the socio-ecological model and behaviour change wheel framework. Results Intervention components across socio-ecological levels shared common functions linked to effective behaviour change, namely education, training, enablement, persuasion, modelling, and environmental restructuring. At the individual level, participants recommended counselling to improve TB knowledge and provide ongoing support. TB survivors can guide messaging to nurture stigma resilience by highlighting that TB can affect anyone and is curable, and provide lived experiences of TB to decrease internal and anticipated stigma. At the interpersonal level, support clubs and family-centred counselling were suggested to dispel TB-related myths and foster support. At the institutional level, health worker stigma reduction training informed by TB survivor perspectives was recommended to decrease enacted stigma. Participants discussed how integration of TB/HIV care services may exacerbate TB/HIV intersectional stigma and ideas for restructured service delivery models were suggested. At the community level, participants recommended awareness-raising events led by TB survivors, including TB information in school curricula. At the policy level, solutions focused on reducing the visibility generated by a TB diagnosis and resultant stigma in health facilities and shifting tasks to community health workers. Conclusions Decreasing TB stigma requires a multi-level approach. Co-developing a person-centred intervention with affected communities is feasible and generates stigma intervention components that are directed and implementable. Such community-led multi-level intervention components should be prioritised by TB programs, including integrated TB/HIV care services. Supplementary Information The online version contains supplementary material available at 10.1186/s44263-024-00084-z.
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Affiliation(s)
- Sally E. Hayward
- Institute for Infection and Immunity, St George’s, University of London, London, UK
- TB Proof, Cape Town, South Africa
| | - Nosivuyile Vanqa
- Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | | | | | | | | | - Abenathi A. Mcinziba
- Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Amanda Biewer
- Beth Israel Deaconess Medical Center, Boston, MA USA
| | | | | | | | | | - Jon S. Friedland
- Institute for Infection and Immunity, St George’s, University of London, London, UK
| | - Andrew Medina-Marino
- Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa
- Desmond Tutu Health Foundation, Cape Town, South Africa
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - Lario Viljoen
- Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | | | - Graeme Hoddinott
- Department of Paediatrics and Child Health, Desmond Tutu TB Centre, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
- Faculty of Medicine and Health, School of Public Health, The University of Sydney, Sydney, Australia
| | - Ruvandhi R. Nathavitharana
- TB Proof, Cape Town, South Africa
- Beth Israel Deaconess Medical Center, Boston, MA USA
- Harvard Medical School, Boston, MA USA
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Wopereis TM, Dijkstra C, Wierda JJ, Rongen FC, Poelman MP. Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations. Health Res Policy Syst 2024; 22:101. [PMID: 39135050 PMCID: PMC11318250 DOI: 10.1186/s12961-024-01199-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 07/29/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Current local food environments encourage poor diets, posing a significant threat to public and planetary health. Acknowledging and addressing its inherent complexity is vital to making meaningful improvements to the food environment. Using a participatory approach with local stakeholders, this study aims to gain insight into the factors and mechanisms underlying the local food environment and to identify leverage points and system-based actions to foster healthy and sustainable local food environments. METHODS A systems-thinking approach was used in a Dutch municipality in 2022. Two group model building (GMB) workshops were held with community stakeholders (e.g. local policymakers, retailers and residents). During the first workshop (June 2022), factors and mechanisms influencing the local food environment were identified and visualized through a causal loop diagram (CLD). During the second workshop, leverage points and system-based actions to improve food environments were identified by the stakeholders. Four months after (October 2022), an action-implementation meeting was organized to stimulate the implementation of selected actions. Progress was monitored through brief telephone interviews 6 and 12 months after the second workshop. RESULTS The CLD visualises the factors and mechanisms influencing the local food environment from the point of view of the community stakeholders. The CLD consists of 46 factors shaping the local food environment, which were categorized into four identified subsystems: societal factors, individual, socio-economic factors, commercial factors and political factors. Eight leverage points were identified within the CLD, for example, 'lobby from food industry', 'governmental food policies' and 'e-commerce and platform economy'. Stakeholders formulated 20 actions targeting the identified leverage points. During the action-implementation meeting, long-term plans were created for five actions. After 1 year, only one participant (policy advisory role) remained actively engaged in three of these actions. CONCLUSIONS This study yields insight into the numerous factors and mechanisms underlying the local food environment and identified system-based actions as perceived by local stakeholders to improve this food environment locally. The CLD offers stakeholders valuable insights on employing a systems approach when enhancing food environments. More research is necessary, especially into the long-term processes and effects of implementing system-oriented actions to improve local food environments.
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Affiliation(s)
- Tamika M Wopereis
- Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands
| | - Coosje Dijkstra
- Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Joline J Wierda
- Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands
| | - Frédérique C Rongen
- Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands
| | - Maartje P Poelman
- Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands.
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Farrell CC, Penuel WR, Arce-Trigatti P, Soland J, Singleton C, Resnick AF, Stamatis K, Riedy R, Henrick E, Sexton S, Wellberg S, Schmidt D. Designing measures of complex collaborations with participatory, evidence-centered design. Front Res Metr Anal 2024; 9:1210547. [PMID: 39188421 PMCID: PMC11345517 DOI: 10.3389/frma.2024.1210547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Accepted: 07/22/2024] [Indexed: 08/28/2024] Open
Abstract
An increasingly popular form of collaboration involves forming partnerships among researchers, educators, and community members to improve or transform education systems through research inquiry. However, not all partnerships are successful. The field needs valid, reliable, and useful measures to help with assessing progress toward partnership goals. In this community case study, we present a participatory, mixed-methods approach for creating measures to assess the progress of education research-practice partnerships (RPPs). The case illustrates a novel approach to measurement design, driven by perspectives and feedback of over 300 members of 80 partnerships. As a result, the measures align with the values and practices of the very collaborations the measures were intended to assess.
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Affiliation(s)
- Caitlin C. Farrell
- School of Education, University of Colorado Boulder, Boulder, CO, United States
| | - William R. Penuel
- Institute of Cognitive Science, University of Colorado Boulder, Boulder, CO, United States
| | - Paula Arce-Trigatti
- National Network of Education Research Practice Partnerships, Houston, TX, United States
| | - James Soland
- School of Education and Human Development, University of Virginia, Charlottesville, VA, United States
| | - Corinne Singleton
- School of Education, University of Colorado Boulder, Boulder, CO, United States
| | - Alison Fox Resnick
- School of Education, University of Colorado Boulder, Boulder, CO, United States
| | - Kristina Stamatis
- College of Education, Health, and Human Sciences, University of Nebraska Omaha, Omaha, NE, United States
| | - Robbin Riedy
- School of Education, University of Colorado Boulder, Boulder, CO, United States
| | - Erin Henrick
- Partner to Improve, Nashville, TN, United States
| | | | - Sarah Wellberg
- School of Education and Human Development, University of Virginia, Charlottesville, VA, United States
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Simmons T, Quattlebaum M, Martin P, Wilson DK. Strength-based strategies for addressing racial stressors in African American families: lessons learned from developing the LEADS health promotion intervention. J Behav Med 2024:10.1007/s10865-024-00509-y. [PMID: 39126610 DOI: 10.1007/s10865-024-00509-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 07/22/2024] [Indexed: 08/12/2024]
Abstract
Recognizing the real-life impact of racial stress on physical and psychological health is vital for creating impactful health promotion interventions among African American families. Despite the known link between racial stress and poor physical health outcomes, no existing intervention to date has targeted stress management strategies to buffer racial stress and build positive health behaviors among African American families. The current study outlines the lessons learned throughout the development of the Linking Exercise for Advancing Daily Stress (LEADS) Management and Resilience program, a 10-week family-based health promotion, stress management, and resilience intervention that aimed to improve physical activity, healthy eating, and well-being among African American adolescents and parents. We highlight the evolution of the LEADS intervention from a health promotion and stress management intervention to a culturally salient health promotion, stress management, and resilience intervention utilizing community-based participatory research strategies. This paper chronicles our systematic journey in making those changes and the lessons we learned along the way. We provide specific recommendations and implications for future health promotion interventions developed for African American families. Overall, we argue for a research orientation that respects cultural and racial contexts, embraces diversity within research teams and self-reflection, recognizes the heterogeneity among African American populations, and applies strength-based approaches.
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Affiliation(s)
- Timothy Simmons
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Mary Quattlebaum
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Pamela Martin
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Dawn K Wilson
- Department of Psychology, University of South Carolina, Columbia, SC, USA.
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DuBose L, Fan Q, Fisher L, Hoang MN, Salha D, Lee S, Ory MG, Falohun T. Development and Evaluation of a Web-Based Platform for Personalized Educational and Professional Assistance for Dementia Caregivers: Proposal for a Mixed Methods Study. JMIR Res Protoc 2024; 13:e64127. [PMID: 39110962 PMCID: PMC11339571 DOI: 10.2196/64127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 07/12/2024] [Accepted: 07/13/2024] [Indexed: 08/25/2024] Open
Abstract
BACKGROUND Alzheimer disease (AD) and AD-related dementia are prevalent concerns for aging populations. With a growing older adult population living in the United States, the number of people living with dementia is expected to grow, posing significant challenges for informal caregivers. The mental and physical burdens associated with caregiving highlight the importance of developing novel and effective resources to support caregivers. However, technology solutions designed to address their needs often face low adoption rates due to usability issues and a lack of contextual relevance. This study focuses on developing a web-based platform providing financial and legal planning information and education for dementia caregivers and evaluating the platform's usability and adoptability. OBJECTIVE The goal of this project is to create a web-based platform that connects caregivers with personalized and easily accessible resources. This project involves industrial, academic, and community partners and focuses on two primary aims: (1) developing a digital platform using a Dementia Care Personalization Algorithm and assessing feasibility in a pilot group of caregivers, and (2) evaluating the acceptability and usability of the digital platform across different racial or ethnic populations. This work will aid in the development of technology-based interventions to reduce caregiver burden. METHODS The phase I study follows an iterative Design Thinking approach, involving at least 25 dementia caregivers as a user feedback panel to assess the platform's functionality, aesthetics, information, and overall quality using the adapted Mobile Application Rating Scale. Phase II is a usability study with 300 dementia caregivers in Texas (100 African American, 100 Hispanic or Latinx, and 100 non-Hispanic White). Participants will use the digital platform for about 4 weeks and evaluate its usefulness and ease of use through the Technology Acceptance Survey. RESULTS The study received funding from the National Institute on Aging on September 3, 2021. Ethical approval for phase I was obtained from the Texas A&M University Institutional Review Board on December 8, 2021, with data collection starting on January 1, 2022, and concluding on May 31, 2022. Phase I results were published on September 5, 2023, and April 17, 2024, respectively. On June 21, 2023, ethical approval for human subjects for phase II was granted, and participant recruitment began on July 1, 2023. CONCLUSIONS Upon completing these aims, we expect to deliver a widely accessible digital platform tailored to assist dementia caregivers with financial and legal challenges by connecting them to personalized, contextually relevant information and resources in Texas. If successful, we plan to work with caregiving organizations to scale and sustain the platform, addressing the needs of the growing population living with dementia. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/64127.
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Affiliation(s)
- Logan DuBose
- School of Public Health, Texas A&M University, College Station, TX, United States
- Olera lnc, Houston, TX, United States
| | - Qiping Fan
- Department of Public Health Sciences, Clemson University, Clemson, SC, United States
| | - Louis Fisher
- Department of Public Health Sciences, Clemson University, Clemson, SC, United States
| | - Minh-Nguyet Hoang
- School of Medicine, Texas A&M University, College Station, TX, United States
| | - Diana Salha
- School of Public Health, Texas A&M University, College Station, TX, United States
| | - Shinduk Lee
- College of Nursing, University of Utah, Salt Lake City, UT, United States
| | - Marcia G Ory
- School of Public Health, Texas A&M University, College Station, TX, United States
| | - Tokunbo Falohun
- Olera lnc, Houston, TX, United States
- Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States
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Wrona J, Hardy P, Youssef C, Adeleke S, Martin MA, Gerald LB, Pappalardo AA. Stock Inhalers: A Qualitative Data Analysis of Illinois Health Policy Trials and Triumphs. THE JOURNAL OF SCHOOL HEALTH 2024. [PMID: 39098995 DOI: 10.1111/josh.13500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 05/31/2024] [Accepted: 07/13/2024] [Indexed: 08/06/2024]
Abstract
BACKGROUND Asthma reliever medication access is critical, especially in schools. Policies that "stock" reliever inhalers in schools provide failsafe medication access. This research aims to understand barriers and facilitators to Illinois stock inhaler policy implementation. METHODS We conducted 18 semi-structured interviews in 2021-2022 with key school-based and non-school-based partners (school administrators, nurses, governmental agencies, and advocacy leaders). Through Atlas.ti, code frequencies compared (Fisher's exact test), and a thematic analysis performed. RESULTS Four themes emerged: facilitators, barriers, program rationale, and process considerations. The common facilitators were "Finding a provider," having a "Champion," and "Funding". Barriers included "Not enough school nurses," "Pharmacy refusal to fill prescriptions," and "Feeling overwhelmed." All were supportive of the rationale for stock inhalers. Non-school-based informants (p < .01) were more likely to mention medication donations, while school staff reported having enough nurses as a facilitator (p < .01). School staff reported concerns about children with asthma not having their medication significantly more than other partners (p = .02). IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY Our analysis revealed that school partners recognize the value of stock inhalers. Barrier mitigation to support the funding, prescription access and processing, and training are essential to success of stock inhaler programming. Multilevel collaborative efforts through coalitions could be a potential solution.
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Affiliation(s)
- Jessica Wrona
- School of Public Health, University of Illinois Chicago, Chicago, IL, USA
| | - Paige Hardy
- School of Public Health, University of Illinois Chicago, Chicago, IL
- Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA
| | - Caroline Youssef
- Department of Pediatrics, University of Illinois Chicago, Chicago, IL, USA
| | - Semmy Adeleke
- Department of Pediatrics, University of Illinois Chicago, Chicago, IL
- Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA
| | - Molly A Martin
- Department of Pediatrics, University of Illinois Chicago, Chicago, IL, USA
| | - Lynn B Gerald
- Department of Medicine, University of Illinois Chicago, at Chicago, Chicago, IL
- Office of Population Health Sciences, University of Illinois, Chicago, IL, USA
| | - Andrea A Pappalardo
- Department of Pediatrics, University of Illinois Chicago, Chicago, IL
- Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA
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McHugh TLF, Davenport MH. Development of sport policy and practice recommendations for pregnant, postpartum and parenting Canadian high-performance athletes. BMJ Open Sport Exerc Med 2024; 10:e001888. [PMID: 39104377 PMCID: PMC11298730 DOI: 10.1136/bmjsem-2024-001888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2024] [Indexed: 08/07/2024] Open
Abstract
Our objective is to describe the development of evidence-based policy and practice recommendations for pregnant, postpartum and parenting Canadian high-performance athletes. A community-based participatory research approach was employed as the study design, and data were generated via a rapid review of existing sport policy for pregnant and postpartum athletes, followed by an extensive consultation and engagement process with key sport stakeholders via survey and one-on-one and group interviews. 102 sport stakeholders participated via the survey (n=56), individual and group interviews (n=33), and follow-up interviews (n=13). Individuals represented a range of summer/winter Olympic and Paralympic athletes, medical and support staff, National Sport Organisations and Sport Canada representatives. Seven evidence-based policy and practice recommendations were developed for Sport Canada decision-makers. Recommendations include the need for Sport Canada to (a) establish two new cards for pregnant and parenting athletes, (b) develop a policy to support pregnant, postpartum and parenting athletes, (c) create new funding sources for facilities that accommodate the needs of pregnant, postpartum and parenting athletes, (d) create new funding source for athletes to train and/or compete during infants' first year, (e) develop training and educational modules related to pregnant, postpartum and parenting athletes, (f) increase visibility of pregnant, postpartum and parenting athletes and (g) invest in research on high-performance sport participation during and following pregnancy. The collaborative processes employed in this research serve as a model for sports organisations to develop evidence-based policies and practices that can support pregnant, postpartum and parenting athletes.
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Affiliation(s)
- Tara-Leigh F McHugh
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Margie H Davenport
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
- Program for Pregnancy and Postpartum Health, University of Alberta, Edmonton, Alberta, Canada
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Shaff J, Cubbage J, Bandara S, Wilcox HC. Examining identity disclosure: Racial and ethnic identity amongst Multiracial/ethnic adults in the United States. Health Expect 2024; 27:e14083. [PMID: 38943250 PMCID: PMC11213818 DOI: 10.1111/hex.14083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 03/05/2024] [Accepted: 05/02/2024] [Indexed: 07/01/2024] Open
Abstract
OBJECTIVES Providing personal demographic information is routine practice in the United States, and yet, little is known about the impacts of this process. This study aims to examine the experiences and perspectives of Multiracial/ethnic adults in the United States when disclosing racial/ethnic identity. METHODS Seventeen semistructured interviews were conducted with adults identifying as Multiracial/ethnic. The Multiracial/ethnic identities of participants included Black or African American and White; Black or African American, American Indian or Alaska Native (AI/AN) and Hispanic or Latino; Black or African American and Hispanic or Latino; Black or African American and AI/AN; AI/AN and White and Asian, Native Hawaiian or Pacific Islander and White. Multiple participants reported identifying with multiple ethnic groups for any single broad category. Three identified as sexual minorities. Nine were Millennials; six were Gen X; one was Gen Z; one was Baby Boomer. Qualitative data were analyzed using staged hybrid inductive-deductive thematic analysis. RESULTS Disclosure of racial and ethnic identities presents a unique stressor for Multiracial/ethnic populations due to methods used to obtain data, perceived mismatch of identity and phenotype and exposure to prejudice. Social norms, constructs and movements impact the categories that a Multiracial/ethnic person indicates to external parties. CONCLUSIONS The stress and negative feelings that Multiracial/ethnic adults face when identifying their race/ethnicity underscore the broader implications of standard demographic questions on feelings of inclusivity and visibility within a population. PATIENT OR PUBLIC CONTRIBUTION Gathering data on individuals' racial and ethnic backgrounds is a standard practice, and yet, it can pose challenges for those who identify with multiple groups or do not see their identities reflected in the options provided. Such individuals may feel excluded or experience unfair treatment when disclosing their identity, leading to significant stress. As the frequency of this data collection increases, it is essential that the questions are posed empathetically and equitably, with a strong commitment to enhancing inclusivity throughout the process.
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Affiliation(s)
- Jaimie Shaff
- Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Janel Cubbage
- Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Sachini Bandara
- Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Holly C. Wilcox
- Department of Mental HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
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Cunningham‐Erves J, Mayo‐Gamble T, Campbell L, Barlow BC, Barajas C, Jones JL, Winkfield K. The Bidirectional Engagement and Equity (BEE) Research Framework to Guide Community-Academic Partnerships: Developed From a Narrative Review and Diverse Stakeholder Perspectives. Health Expect 2024; 27:e14161. [PMID: 39087753 PMCID: PMC11292665 DOI: 10.1111/hex.14161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 06/15/2024] [Accepted: 07/16/2024] [Indexed: 08/02/2024] Open
Abstract
BACKGROUND The engagement of community partners in equitable partnerships with academic teams is necessary to achieve health equity. However, there is no standardized approach to support bidirectional engagement among research stakeholders in the context of partnership equity at each phase of the research process. OBJECTIVE We describe the development of a systematic framework along with competencies and tools promoting bidirectional engagement and equity within community-academic partnerships at each phase of the research process. DESIGN We conducted a four-step research process between November 2020 and December 2023 for framework development: (1) a narrative literature review; (2) expansion of existing bidirectional, equitable framework; (3) a scientific review with two groups of cognitive interviews (five community engagement researchers and five community leaders and members); and (4) three community-based organization leader focus groups. Thematic analysis was used to analyse focus group data. RESULTS Using results of each step, the framework was iteratively developed, yielding four phases of the bidirectional engagement and equity (BEE) research framework: Relationship building and assessment of goals and resources (Phase I); form a community-academic partnership based on shared research interests (may include multilevel stakeholders) (Phase II); develop a research team comprising members from each partnering organization (Phase III); and implement the six-step equitable research process (Phase IV). Bidirectional learning and partnership principles are at the core of the partnership, particularly in Phases II-IV. Competencies and tools for conducting an equitable, engaged research process were provided. DISCUSSION This conceptual framework offers a novel, stepwise approach and competencies for community-academic partners to successfully partner and conduct the research process equitably. CONCLUSION The BEE research framework can be implemented to standardize the conduct of an equitable, engaged research process within a community-academic partnership, while improving knowledge and trust across partners and, ultimately, an increased return on investment and sustainability to benefit both partners in the area of health outcomes and ultimately health equity. PATIENT OR PUBLIC CONTRIBUTION The development of this framework was co-led with a community organization in which two leaders in the organization were equitably involved in each phase of the research process, including grant development, study design, participant recruitment, protocol development for focus groups and community and researcher review, framework design and content and dissemination of this manuscript as a co-author. For grant development, the community leader completed the give-get grid components for them as a partner. They also wrote up their lived experience in the research process for the progress report. For the focus groups, one community leader co-led the focus group with the academic partner. For the narrative review, the community leaders did not actively conduct the narrative review but observed the process through the academic partners. One community leader wrote the section 'relationship building' and 'bidirectional learning' sections with the assistance of the academic partner, while they both equally provided input on other sections of the manuscript alongside academic partners. The community leaders have extensive experience in leading programmes, along with partnering with researchers to address health equity issues and improve health outcomes.
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Affiliation(s)
- Jennifer Cunningham‐Erves
- Division of Public Health PracticeMeharry Medical CollegeNashvilleTennesseeUSA
- Department of Health PolicyVanderbilt University Medical CenterNashvilleUSA
| | - Tilicia Mayo‐Gamble
- Department Community Health Behavior and EducationGeorgia Southern UniversityStatesboroGeorgiaUSA
| | - LaNese Campbell
- Second Missionary Baptist Cooperative MinistriesNashvilleTennesseeUSA
| | | | - Claudia Barajas
- Vanderbilt Ingram Cancer CenterVanderbilt University Medical CenterNashvilleTennesseeUSA
| | | | - Karen Winkfield
- Vanderbilt Ingram Cancer CenterVanderbilt University Medical CenterNashvilleTennesseeUSA
- Meharry Vanderbilt AllianceNashvilleTennesseeUSA
- Department of Radiation OncologyVanderbilt University Medical CenterNashvilleTennesseeUSA
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Franco Z, Ruffalo L, Curry B, Gollin-Graves M, Ahamed SI, Winstead O, Hooyer K, Pazdera M, Rein L, Lizarraga Mazaba J, Hossain MF, Stoffel V, Flower M, Madiraju P, Melka S, Berte K, Whittle J. Impact of veteran-led peer mentorship on posttraumatic stress disorder. J Trauma Stress 2024; 37:617-630. [PMID: 38635149 DOI: 10.1002/jts.23038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 02/05/2024] [Accepted: 03/23/2024] [Indexed: 04/19/2024]
Abstract
Peer mentorship shows promise as a strategy to support veteran mental health. A community-academic partnership involving a veteran-led nonprofit organization and institutions of higher education evaluated a collaboratively developed peer mentor intervention. We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12-week discharge using the PTSD Checklist for DSM-5 (PCL-5), Deployment Risk and Resilience Inventory-2, Social Adaptation Self-evaluation Scale, and Values in Action Survey. Brief weekly check-in surveys reinforced mentor contact and assessed retention. The sample included 307 veterans who were served by 17 veteran peer mentors. Mixed-effects linear models found a modest effect for PTSD symptom change, with a mean PCL-5 score reduction of 4.04 points, 95% CI [-6.44, -1.64], d = 0.44. More symptomatic veterans showed a larger effect, with average reductions of 9.03 points, 95% CI [-12.11, -5.95], d = 0.77. There were no significant findings for other outcome variables. Compared to younger veterans, those aged 32-57 years were less likely to drop out by 6 weeks, aORs = 0.32-0.26. Week-by-week hazard of drop-out was lower with mentors ≥ 35 years old, aHR = 0.62, 95% CI [0.37, 1.05]. Unadjusted survival differed by mentor military branch, p = .028, but the small mentor sample reduced interpretability. Like many community research efforts, this study lacked a control group, limiting the inferences that can be drawn. Continued study of veteran peer mentorship is important as this modality is often viewed as more tolerable than therapy.
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Affiliation(s)
- Zeno Franco
- Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Leslie Ruffalo
- Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Bob Curry
- Great Lakes Dryhootch, Milwaukee, Wisconsin, USA
| | | | - Sheikh Iqbal Ahamed
- Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA
| | | | - Katinka Hooyer
- Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Myah Pazdera
- Office of Community Engagement, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Lisa Rein
- Institute for Health & Equity, Division of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Jose Lizarraga Mazaba
- Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Md Fitrat Hossain
- Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA
| | - Virginia Stoffel
- Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Mark Flower
- Mental Health America of Wisconsin, Milwaukee, Wisconsin, USA
| | - Praveen Madiraju
- Department of Computer Science, Marquette University, Milwaukee, Wisconsin, USA
| | - Stephen Melka
- Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA
| | - Karen Berte
- Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA
| | - Jeffrey Whittle
- Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA
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Carl A, Good M, Haag E, Hutaff-Lee C, Swain D, Tartaglia N, Sakamoto C, Davis S, Thompson T. Anxiety in Turner syndrome: Engaging community to address barriers and facilitators to diagnosis and care. Am J Med Genet A 2024; 194:e63564. [PMID: 38528640 DOI: 10.1002/ajmg.a.63564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 01/25/2024] [Accepted: 01/29/2024] [Indexed: 03/27/2024]
Abstract
Turner syndrome (TS), caused by complete or partial loss of the second sex chromosome, is associated with complex medical manifestations. The TS community identifies anxiety as a major contributor to reduced quality of life. The study aimed to improve understanding of anxiety symptomatology, diagnosis, and care in individuals with TS. A mixed methods design integrated community engagement, including community leaders as co-investigators and a community advisory board, an online survey (N = 135), and in-depth interviews (N = 10). The majority of respondents reported that anxiety symptoms occur two or more days per week, with self-advocates reporting more frequent symptoms than caregivers (p = 0.03). Self-advocates reported feeling anxious more often at school/work; both rater groups reported anxiety-related behaviors were most likely to be expressed at home. Insomnia was the most common symptom of anxiety endorsed across age and rater groups (>70%). Anxiety symptoms and triggers changed with age and often were undiagnosed or untreated during childhood. Therapy and medication were reported as helpful by most respondents who had tried these strategies. Qualitative themes included: 'Triggers for anxiety are related to TS', 'Anxiety impacts the whole family', and 'Opportunities for early identification and intervention'.
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Affiliation(s)
- Alexandra Carl
- eXtraOrdinary Kids Turner Syndrome Research and Clinic Team, Children's Hospital of Colorado, Aurora, Colorado, USA
| | | | | | - Christa Hutaff-Lee
- eXtraOrdinary Kids Turner Syndrome Research and Clinic Team, Children's Hospital of Colorado, Aurora, Colorado, USA
- Division of Neurology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Deanna Swain
- Division of Developmental Pediatrics, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Nicole Tartaglia
- eXtraOrdinary Kids Turner Syndrome Research and Clinic Team, Children's Hospital of Colorado, Aurora, Colorado, USA
- Division of Developmental Pediatrics, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Casey Sakamoto
- Child Health Biostatistics Core, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Shanlee Davis
- eXtraOrdinary Kids Turner Syndrome Research and Clinic Team, Children's Hospital of Colorado, Aurora, Colorado, USA
- Division of Endocrinology, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Talia Thompson
- eXtraOrdinary Kids Turner Syndrome Research and Clinic Team, Children's Hospital of Colorado, Aurora, Colorado, USA
- Child Health Biostatistics Core, University of Colorado School of Medicine, Aurora, Colorado, USA
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Even B, Crawford S, Shittu OF, Lundy M, Wertheim-Heck S, Samuel FO, Talsma EF, Pastori G, Thi Le H, Hernandez R, Brouwer ID, Béné C. From Streets to Tables: Bottom-Up Co-creation Case Studies for Healthier Food Environments in Vietnam and Nigeria. Curr Dev Nutr 2024; 8:104395. [PMID: 39157008 PMCID: PMC11327531 DOI: 10.1016/j.cdnut.2024.104395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 06/12/2024] [Accepted: 06/17/2024] [Indexed: 08/20/2024] Open
Abstract
Current food systems fail to provide equity, sustainability, and positive health outcomes, thus underscoring the critical need for their transformation. Intervening in food environments holds substantial promise for contributing to this much-needed transformation. Despite scholars and practitioners often recognizing the necessity for bottom-up approaches, there is a dearth of empirical investigations evaluating the potential of these approaches to contribute to food system transformations in low- and middle-income countries (LMICs). Our study aimed to address this research gap, providing a unique perspective in this regard. Drawing on evidence from two co-creation case studies conducted with small-scale informal fruit and vegetable vendors and poor consumers in Vietnam and Nigeria from January 2020 to December 2021, we explored the relevance of bottom-up community-engaged co-creation processes in intervening within LMICs' food retail environments. Employing a mixed-methods approach that includes quantitative surveys, qualitative interviews, participatory workshops, and focus group discussions, we demonstrated that bottom-up co-creation processes involving marginalized socioeconomic groups can generate retail-level innovations that are tailored to informal retail contexts, whereas remaining aligned with established top-down theories and literature pertaining to food environments and healthy diets. We provided empirical evidence highlighting how both vendors and consumers respond positively to the co-created innovations. Expanding upon our results, we offered methodological insights applicable to interventions targeted at food environments in LMICs, and considerations for future research or development initiatives in this domain. Our findings revealed the capacity of vulnerable stakeholders to actively engage in public health initiatives and contribute to developing innovative solutions that are context-specific and conducive to the adoption of healthier dietary practices. These results confirm the potential of bottom-up, co-creation, real-world interventions within informal settings to contribute toward fostering inclusive transformation of food systems.
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Affiliation(s)
- Brice Even
- International Center for Tropical Agriculture (CIAT), Hanoi, Vietnam
| | | | - Oluyemisi F Shittu
- Department of Human Nutrition and Dietetics, University of Ibadan, Nigeria
| | - Mark Lundy
- International Center for Tropical Agriculture (CIAT), Cali, Colombia
| | - Sigrid Wertheim-Heck
- Department of Global Nutrition, Division of Human Nutrition and Health, Wageningen University and Research, the Netherlands
| | - Folake O Samuel
- Department of Human Nutrition and Dietetics, University of Ibadan, Nigeria
| | - Elise F Talsma
- Department of Global Nutrition, Division of Human Nutrition and Health, Wageningen University and Research, the Netherlands
| | - Giulia Pastori
- Department of Global Nutrition, Division of Human Nutrition and Health, Wageningen University and Research, the Netherlands
| | - Huong Thi Le
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Vietnam
| | - Ricardo Hernandez
- International Center for Tropical Agriculture (CIAT), Hanoi, Vietnam
| | - Inge D Brouwer
- Department of Global Nutrition, Division of Human Nutrition and Health, Wageningen University and Research, the Netherlands
- International Food Policy Research Institute, Washington DC, United States
| | - Christophe Béné
- International Center for Tropical Agriculture (CIAT), Cali, Colombia
- Department of Global Nutrition, Division of Human Nutrition and Health, Wageningen University and Research, the Netherlands
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Reifsnider E. About Research: Community-Based Participatory Research (CBPR). J Hum Lact 2024; 40:352-355. [PMID: 38808950 DOI: 10.1177/08903344241257252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/30/2024]
Affiliation(s)
- Elizabeth Reifsnider
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
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Driedger SM, Maier R, Capurro G, Jardine C, Tustin J, Chartrand F, Sanguins J, Kloss O. "There's a little bit of mistrust": Red River Métis experiences of the H1N1 and COVID-19 pandemics. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2024; 44:1770-1787. [PMID: 38286593 DOI: 10.1111/risa.14274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 11/24/2023] [Accepted: 12/28/2023] [Indexed: 01/31/2024]
Abstract
We examined the perspectives of the Red River Métis citizens in Manitoba, Canada, during the H1N1 and COVID-19 pandemics and how they interpreted the communication of government/health authorities' risk management decisions. For Indigenous populations, pandemic response strategies play out within the context of ongoing colonial relationships with government institutions characterized by significant distrust. A crucial difference between the two pandemics was that the Métis in Manitoba were prioritized for early vaccine access during H1N1 but not for COVID-19. Data collection involved 17 focus groups with Métis citizens following the H1N1 outbreak and 17 focus groups during the COVID-19 pandemic. Métis prioritization during H1N1 was met with some apprehension and fear that Indigenous Peoples were vaccine-safety test subjects before population-wide distribution occurred. By contrast, as one of Canada's three recognized Indigenous nations, the non-prioritization of the Métis during COVID-19 was viewed as an egregious sign of disrespect and indifference. Our research demonstrates that both reactions were situated within claims that the government does not care about the Métis, referencing past and ongoing colonial motivations. Government and health institutions must anticipate this overarching colonial context when making and communicating risk management decisions with Indigenous Peoples. In this vein, government authorities must work toward a praxis of decolonization in these relationships, including, for example, working in partnership with Indigenous nations to engage in collaborative risk mitigation and communication that meets the unique needs of Indigenous populations and limits the potential for less benign-though understandable-interpretations.
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Affiliation(s)
- S Michelle Driedger
- Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Ryan Maier
- Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Gabriela Capurro
- Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Cindy Jardine
- Faculty of Health Sciences, University of the Fraser Valley, Chilliwack, British Columbia, Canada
| | - Jordan Tustin
- School of Occupational and Public Health, Toronto Metropolitan University, Toronto, Ontario, Canada
| | - Frances Chartrand
- Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada
| | - Julianne Sanguins
- Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada
| | - Olena Kloss
- Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada
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Radziszewski S, Houle J, Montiel C, Fontan JM, Torres J, Frohlich KL, Boivin A, Coulombe S, Gaudreau H. Aiming for transformations in power: lessons from intersectoral CBPR with public housing tenants (Québec, Canada). Health Promot Int 2024; 39:daae085. [PMID: 39110009 PMCID: PMC11304601 DOI: 10.1093/heapro/daae085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2024] Open
Abstract
Intersectoral collaborations are recommended as effective strategies to reduce health inequalities. People most affected by health inequalities, as are people living in poverty, remain generally absent from such intersectoral collaborations. Community-based participatory research (CBPR) projects can be leveraged to better understand how to involve people with lived experience to support both individual and community empowerment. In this paper, we offer a critical reflection on a CBPR project conducted in public housing in Québec, Canada, that aimed to develop intersectoral collaboration between tenants and senior executives from four sectors (housing, health, city and community organizations). This single qualitative case study design consisted of fieldwork documents, observations and semi-structured interviews. Using the Emancipatory Power Framework (EPF) and the Limiting Power Framework (LPF), we describe examples of types of power and resistance shown by the tenants, the intersectoral partners and the research team. The discussion presents lessons learned through the study, including the importance for research teams to reflect on their own power, especially when aiming to reduce health inequalities. The paper concludes by describing the limitations of the analyses conducted through the EPF-LPF frameworks and suggestions to increase the transformative power of future studies.
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Affiliation(s)
- Stephanie Radziszewski
- Department of Physical Education, Université Laval, 2300, rue de la Terrasse, Québec, G1V 0A6, Canada
| | - Janie Houle
- Department of Psychology, Université du Québec à Montréal, 100, rue Sherbrooke Ouest, Montréal, Québec, H2X 3P2, Canada
| | - Corentin Montiel
- Department of Psychology, Université du Québec à Montréal, 100, rue Sherbrooke Ouest, Montréal, Québec, H2X 3P2, Canada
| | - Jean-Marc Fontan
- Department of Sociology, Université du Québec à Montréal, 1255, St-Denis, Montréal, Québec, H2X 3R9, Canada
| | - Juan Torres
- School of Urban Planning, Université de Montréal, 2940, chemin de la Côte-Sainte-Catherine, Montréal, Québec, H3T 1B9, Canada
| | - Katherine L Frohlich
- School of Public Health, Université de Montréal, 7101, avenue du Parc, Montréal, Québec, H3N 1X9, Canada
| | - Antoine Boivin
- Faculty of Medicine, Université de Montréal, 2900, boulevard Édouard-Montpetit, Montréal, Québec, H3T 1J4, Canada
| | - Simon Coulombe
- Department of Industrial Relations, Université Laval, 1030, avenue des Sciences-Humaines, Québec, G1V 0A6, Canada
| | - Hélène Gaudreau
- Department of Psychology, Université du Québec à Montréal, 100, rue Sherbrooke Ouest, Montréal, Québec, H2X 3P2, Canada
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Miyamoto S, Wright EN, Thiede E, Perkins DF, Bittner C, Dorn L. Multidisciplinary Perspectives on the Implementation of a Comprehensive Sexual Assault Telehealth Program in Rural Communities: A Qualitative Study. Violence Against Women 2024; 30:2674-2696. [PMID: 36913738 PMCID: PMC11292964 DOI: 10.1177/10778012231159413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
Abstract
Access to quality sexual assault (SA) care in rural communities is limited by challenges surrounding building and sustaining a skilled SA nurse examiner workforce. Telehealth can facilitate access to expert care while cultivating a local sexual assault response. The Sexual Assault Forensic Examination Telehealth (SAFE-T) Center aims to decrease disparities in SA care by providing expert, live, interactive mentoring, quality assurance, and evidence-based training via telehealth. This study examines multidisciplinary perceptions of pre-implementation barriers and SAFE-T program impact using qualitative methods. Implications for the implementation of telehealth programs to support access to quality SA care are considered.
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Affiliation(s)
- Sheridan Miyamoto
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Elizabeth N. Wright
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Elizabeth Thiede
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Daniel F. Perkins
- Department of Agricultural Economics, Sociology and Education, The Pennsylvania State University, University Park, PA, USA
| | - Cynthia Bittner
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Lorah Dorn
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
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Wali N, Huda MN, Gill T, Green J, Renzaho AMN. A systematic review of recruitment and retention of ethnic minorities and migrants in obesity prevention randomised controlled trials. Int J Obes (Lond) 2024; 48:1065-1079. [PMID: 38834795 PMCID: PMC11281904 DOI: 10.1038/s41366-024-01545-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 05/13/2024] [Accepted: 05/13/2024] [Indexed: 06/06/2024]
Abstract
BACKGROUND Participants' recruitment and retention into community-based interventions can be challenging, especially in research involving ethnic minorities and migrants. Despite known challenges, there are limited reviews that probe recruitment and retention strategies involving ethnic minorities and migrants in the Organisation for Economic Cooperation and Development (OECD) countries. This systematic review aimed to measure recruitment and retention rates and identify the barriers and facilitators to effective recruitment and retention of ethnic minorities and migrants in community-based obesity prevention Randomised Control Trials (RCTs) in OECD countries. METHODS This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five databases (CINAHL, Cochrane, Embase, Medline and PsychInfo) were searched from January 2000 to March 2022, in addition to Google and Google Scholar. Methodological quality and risk of bias were assessed, and pooled analysis and meta-ethnographic analysis were conducted on the included studies. RESULTS Twenty-five studies were included in the review. The pooled analysis found a 64% rate of recruitment of ethnic minorities in RCTs, with a retention rate of 71%. Key facilitators identified were-use of multiple communication channels, incentives, recruiting community champions, participant convenience and employing culturally sensitive strategies. Key barriers to participation were limited access to study sites, time constraints, limited trust, perceived fear, and anxiety. CONCLUSION Findings suggest the importance of undertaking culturally appropriate recruitment and retention strategies to minimise barriers and facilitate effective recruitment and retention of low-income ethnic minorities and migrants in community-based research.
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Affiliation(s)
- Nidhi Wali
- School of Social Sciences, Humanitarian and Development Research Initiative (HADRI), Western Sydney University, Sydney, NSW, 2751, Australia.
| | - Md Nazmul Huda
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, 2052, Australia
| | - Timothy Gill
- Charles Perkins Centre, University of Sydney, Sydney, NSW, 2050, Australia
| | - Julie Green
- Murdoch Children's Research Institute, Parkville, VIC, 3052, Australia
- Department of Paediatric, University of Melbourne, Parkville, VIC, 3052, Australia
- School of Medicine, Western Sydney University, Campbelltown, NSW, 2560, Australia
| | - Andre M N Renzaho
- Translational Health Research Institute (THRI), Western Sydney University, Campbelltown, NSW, 2560, Australia
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Woolford SJ, Carrera JS, Key K, Evans L, Lewis EY, Bailey S, Robinson D, McKay A, Calhoun K. Youth Perspectives on the Flint Water Crisis and Its Health Effects. Ethn Dis 2024; 34:123-128. [PMID: 39211817 PMCID: PMC11354827 DOI: 10.18865/ethndis-2022-2018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
Background While the youth of Flint are at risk from the effects of the water crisis, little is known about their perspective of the impact of the water on their health. Objective To explore adolescents' perceptions of living in Flint during the water crisis, its impact on their health, and ways to address the crisis and rebuild trust. Methods In summer 2018, four focus groups were conducted with adolescents in Flint (ages 13 to 17 years). Group sessions were conducted by trained facilitators who were Flint residents along with members of the community-academic research team. Group sessions were audio-recorded and transcribed. Transcripts were reviewed and themes identified by the research team and youth from the focus groups. Results Of the 53 participants, most identified as Black (66%) and male (64%). Participants expressed concern about the impact of the water on their health. They knew people who developed rashes, experienced cognitive changes, and who died, they believed, owing to the water. The crisis also led to psychological consequences for youth. They expressed ongoing mistrust of the water and of institutions that should protect them, as well as concern that exposure may have long-term effects on their health and their children's health. Despite these concerns, participants expressed resilience and a desire to share that they had the potential to live successful lives. Conclusion Youth expressed concern about current and long-term health sequelae of the water crisis. Further work is needed to monitor the consequences of the crisis and to identify resident-informed approaches to mitigate its effects and rebuild trust.
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Affiliation(s)
- Susan J. Woolford
- Department of Pediatrics, University of Michigan, Ann Arbor, MI
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI
| | - Jennifer S. Carrera
- Department of Sociology, Environmental Science & Policy Program, Michigan State University, East Lansing, MI
| | - Kent Key
- Division of Public Health, College of Human Medicine, Michigan State University, Flint, MI
- Community Based Organization Partners, Flint, MI
| | - Luther Evans
- Community Based Organization Partners, Flint, MI
| | - E. Yvonne Lewis
- Community Based Organization Partners, Flint, MI
- National Center for African American Health Consciousness, Flint, MI
| | - Sarah Bailey
- Community Based Organization Partners, Flint, MI
| | | | - Athena McKay
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI
| | - Karen Calhoun
- Michigan Institute of Clinical and Health Research, University of Michigan, Ann Arbor, MI
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Burduladze N, Jones LP, Jones BD, Msowoya U, Salsberg J, Whitney A, Gilfoyle M. Exploring power and power sharing in participatory health research partnerships: A scoping review protocol. PLoS One 2024; 19:e0303799. [PMID: 39024348 PMCID: PMC11257268 DOI: 10.1371/journal.pone.0303799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Accepted: 06/25/2024] [Indexed: 07/20/2024] Open
Abstract
INTRODUCTION Participatory health research (PHR) as a research paradigm, guides the research process and strives to achieve positive change in society in the interest of people's health. In this scoping review, PHR will be used as an umbrella term considering a wide range of collaborative research approaches in the health context. PHR is conducted 'with' or 'by' those it intends to benefit, as opposed to 'on' and 'for' them. Their involvement throughout the research process seeks to shift power and decision-making from where they traditionally lay within academia toward community, patient and public end-users. Research cannot be truly participatory without concurrently addressing power dynamics within the partnership and power imbalances in decision making. Therefore, power sharing can be defined as a major factor in building effective academic-community collaborations. This scoping review aims to identify, clarify, and map existing literature on power and power sharing in PHR from both theoretical and practical perspectives. Specifically, we will explore how power is conceptualised throughout the literature, and how power and power sharing are applied and addressed in real-life PHR partnerships. MATERIALS AND METHODS This scoping review will be conducted in accordance with the guidelines outlined in the Joanna Briggs Institute (JBI) Reviewer's Manual. This scoping review will consider both empirical and non-empirical research that report on understanding power and power sharing in participatory health research partnerships. All appropriate studies will be retrieved from the following five electronic databases: PubMed, Scopus, Embase, PsycINFO, SocIndex. This review will be limited to articles published in English and from January 1998 to March 2024. As the scoping review aims to capture more than peer-reviewed and published literature, it will also include grey literature such as theses and dissertations, reports, conference proceedings, and editorials. Data from the included literature will be extracted based on the data extraction tool, defined in advance. ETHICS AND DISSEMINATION As primary data will not be collected, ethical approval is not required to conduct the scoping review. The findings of this study will be disseminated through peer-reviewed publications.
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Affiliation(s)
- Nino Burduladze
- School of Medicine, University of Limerick, Limerick, Ireland
| | - Laundette P. Jones
- University of Maryland School of Medicine, Baltimore, MD, United States of America
| | - Brian D. Jones
- Community Consultant, The Prized Apex, Baltimore, Maryland, United States of America
| | - Uchizi Msowoya
- School of Medicine, University of Limerick, Limerick, Ireland
| | - Jon Salsberg
- School of Medicine, University of Limerick, Limerick, Ireland
- PPI Research Unit, School of Medicine, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
| | - Anna Whitney
- Department of Psychiatry, School of Medicine, Community Health Specialist, University of Maryland, Baltimore, MD, United States of America
| | - Meghan Gilfoyle
- School of Medicine, University of Limerick, Limerick, Ireland
- PPI Research Unit, School of Medicine, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
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50
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Pasetto R, Zona A, Marsili D, Buratti FM, Iavarone I, Soggiu ME, Testai E. Promotion of environmental public health and environmental justice in communities affected by large and long lasting industrial contamination: methods applied and lessons learned from the case study of Porto Torres (Italy). Front Public Health 2024; 12:1408127. [PMID: 39050598 PMCID: PMC11266294 DOI: 10.3389/fpubh.2024.1408127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 06/19/2024] [Indexed: 07/27/2024] Open
Abstract
Introduction Communities affected by large scale and long lasting industrial contamination are often keen to understand whether their health has been impaired by such contamination. This requires answers that integrate environmental public health and environmental justice perspectives. At these sites, exposure scenarios from environmental contamination over time by multiple chemicals, often involving different environmental matrices, are complex and challenging to reconstruct. Methods An approach for describing the health of such communities in association with environmental contamination is presented, with the methods applied across the three domains of environmental contamination, population exposure and toxicology, environmental and social epidemiology, and environmental public health communication. The approach is described with examples from its application to the case study of Porto Torres, a town with a substantial industrially conditioned evolution. Results Activities in the field of environmental contamination, population exposure and toxicology focus on the collection and systematization of available contamination data, the identification of priority pollutants based on their toxicological profiles, the qualitative assessment of the likelihood of exposure for the population to priority pollutants and their known health effects. Environmental and social epidemiology methods are applied to describe the health profiles and socioeconomic conditions of the local population, taking into account multiple health outcomes from local information systems and considering specific diseases based on exposure and toxicological assessments. The environmental public health communication methods are directed to produce a communication plan and for its implementation through interaction with local institutional and social actors. The interpretation of health profiles benefits from a transdisciplinary analysis of the results. Discussion The proposed approach combines the needs of environmental public health and environmental justice allowing the integration of multidisciplinary knowledge to define recommendations for reducing and/or preventing hazardous environmental exposures and adverse health effects, stimulating the interactions between stakeholders, and making the study results more accessible to citizens.
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Affiliation(s)
- Roberto Pasetto
- Environmental and Social Epidemiology Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
- WHO Collaborating Centre for Environmental Health in Contaminated Sites, Rome, Italy
| | - Amerigo Zona
- Environmental and Social Epidemiology Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
- WHO Collaborating Centre for Environmental Health in Contaminated Sites, Rome, Italy
| | - Daniela Marsili
- Environmental and Social Epidemiology Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
- WHO Collaborating Centre for Environmental Health in Contaminated Sites, Rome, Italy
| | - Franca M. Buratti
- Mechanisms, Biomarkers and Models Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
| | - Ivano Iavarone
- Environmental and Social Epidemiology Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
- WHO Collaborating Centre for Environmental Health in Contaminated Sites, Rome, Italy
| | - Maria Eleonora Soggiu
- Exposure to Air, Soil Contaminants and Lifestyle Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
| | - Emanuela Testai
- Mechanisms, Biomarkers and Models Unit, Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
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