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Syed U, Kapera O, Chandrasekhar A, Baylor BT, Hassan A, Magalhães M, Meidany F, Schenker I, Messiah SE, Bhatti A. The Role of Faith-Based Organizations in Improving Vaccination Confidence & Addressing Vaccination Disparities to Help Improve Vaccine Uptake: A Systematic Review. Vaccines (Basel) 2023; 11:vaccines11020449. [PMID: 36851325 PMCID: PMC9966262 DOI: 10.3390/vaccines11020449] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/09/2023] [Accepted: 02/12/2023] [Indexed: 02/18/2023] Open
Abstract
The COVID-19 pandemic underscored the importance of vaccination to support individual health across the life-course, with vaccination playing a central strategy role in mitigating transmission and disease. This required unprecedented mobilization and coordination across all sectors to meet people where they are, enable equitable access, and build vaccination confidence. A literature search was conducted with combinations of the keywords and variations of vaccination and faith-based organizations (FBOs). Search inclusion criteria were: (1) FBO programs that supported public health emergency efforts, including vaccination efforts as the primary outcome; and (2) articles written in English language. A total of 37 articles met inclusion criteria (n = 26 focused on general public health campaigns, n = 11 focused on vaccination efforts). The findings related to public health campaigns fell into four themes: FBO's ability to (1) tailor public health campaigns; (2) mitigate barriers; (3) establish trust; and (4) disseminate and sustain efforts. The findings related to vaccine uptake efforts fell into three themes: (1) pre-pandemic influenza and HPV vaccination efforts, (2) addressing vaccine disparities in minority communities, and (3) enabling COVID-19 vaccination. This review demonstrated that FBOs have a vital role in both public health campaigns and vaccination initiatives to support high vaccine uptake and confidence.
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Affiliation(s)
- Uzma Syed
- South Shore Infectious Diseases and Travel Medicine Consultants, Bayshore, NY 11706, USA
| | - Olivia Kapera
- School of Public Health, University of Texas Health Science Center, Austin Campus, Austin, TX 78712, USA
- Center for Pediatric Population Health, UTHealth School of Public Health and Children’s Health System of Texas, Dallas, TX 75027, USA
| | - Aparajita Chandrasekhar
- Center for Pediatric Population Health, UTHealth School of Public Health and Children’s Health System of Texas, Dallas, TX 75027, USA
- School of Public Health, University of Texas Health Science Center, Dallas Campus, Dallas, TX 75207, USA
| | - Barbara T. Baylor
- Caucus on Public Health and the Faith Community, Atlanta, GA 30331, USA
| | - Adebola Hassan
- Illinois Department of Public Health, Chicago, IL 60612, USA
| | - Marina Magalhães
- School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Farshid Meidany
- Black Pearl Consulting & Research, Leesburg, VA 20175-3012, USA
| | | | - Sarah E. Messiah
- Center for Pediatric Population Health, UTHealth School of Public Health and Children’s Health System of Texas, Dallas, TX 75027, USA
- School of Public Health, University of Texas Health Science Center, Dallas Campus, Dallas, TX 75207, USA
| | - Alexandra Bhatti
- Merck & Co., Inc., Rahway, NJ 07065, USA
- Correspondence: ; Tel.: +1-602-814-7519
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Martinez-Lopez N, Makarov DV, Thomas J, Ciprut S, Hickman T, Cole H, Fenstermaker M, Gold H, Loeb S, Ravenell JE. A Study to Compare a CHW-Led Versus Physician-Led Intervention for Prostate Cancer Screening Decision-Making among Black Men. Ethn Dis 2023; 33:26-32. [PMID: 38846259 PMCID: PMC11152150 DOI: 10.18865/1722] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2024] Open
Abstract
Introduction Prostate cancer is the second leading cause of cancer deaths among men in the United States and harms Black men disproportionately. Most US men are uninformed about many key facts important to make an informed decision about prostate cancer. Most experts agree that it is important for men to learn about these problems as early as possible in their lifetime. Objectives To compare the effect of a community health worker (CHW)-led educational session with a physician-led educational session that counsels Black men about the risks and benefits of prostate-specific antigen (PSA) screening. Methods One hundred eighteen Black men recruited in 8 community-based settings attended a prostate cancer screening education session led by either a CHW or a physician. Participants completed surveys before and after the session to assess knowledge, decisional conflict, and perceptions about the intervention. Both arms used a decision aid that explains the benefits, risks, and controversies of PSA screening and decision coaching. Results There was no significant difference in decisional conflict change by group: 24.31 physician led versus 30.64 CHW led (P=.31). The CHW-led group showed significantly greater improvement on knowledge after intervention, change (SD): 2.6 (2.81) versus 5.1 (3.19), P<.001). However, those in the physician-led group were more likely to agree that the speaker knew a lot about PSA testing (P<.001) and were more likely to trust the speaker (P<.001). Conclusions CHW-led interventions can effectively assist Black men with complex health decision-making in community-based settings. This approach may improve prostate cancer knowledge and equally minimize decisional conflict compared with a physician-led intervention.
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Affiliation(s)
| | - Danil V. Makarov
- Department of Population Health, NYU Langone Health, New York, NY
- Department of Urology, NYU Langone Health, New York, NY
- VA New York Harbor Healthcare System, New York, NY
| | - Jerry Thomas
- Department of Population Health, NYU Langone Health, New York, NY
- VA New York Harbor Healthcare System, New York, NY
| | - Shannon Ciprut
- Department of Population Health, NYU Langone Health, New York, NY
- Department of Urology, NYU Langone Health, New York, NY
- VA New York Harbor Healthcare System, New York, NY
| | - Theodore Hickman
- Department of Population Health, NYU Langone Health, New York, NY
| | - Helen Cole
- Department of Population Health, NYU Langone Health, New York, NY
| | | | - Heather Gold
- Department of Population Health, NYU Langone Health, New York, NY
| | - Stacy Loeb
- Department of Population Health, NYU Langone Health, New York, NY
- Department of Urology, NYU Langone Health, New York, NY
- VA New York Harbor Healthcare System, New York, NY
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Harley AE, Frazer D, Weber T, Edwards TC, Carnegie N. No Longer an Island: A Social Network Intervention Engaging Black Men Through CBPR. Am J Mens Health 2020; 14:1557988320913387. [PMID: 32202194 PMCID: PMC7092655 DOI: 10.1177/1557988320913387] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
The aim of this study was to assess outcomes from a multilevel social network intervention to promote the health of Black men. Through a community–academic collaboration and using a participatory research approach, we implemented the intervention over 4 years in a 110-block area of an urban neighborhood. The project aimed to implement a neighborhood peer outreach and leadership network to strengthen social support of Black men and increase community and family engagement. Intervention activities included three 12-month intergenerational peer support groups (N = 46), a door-to-door outreach campaign (N = 186), media and communication efforts, and a community partner network. Primary outcomes for the peer support groups were measured using a pretest/posttest cohort design and included social support, perceived stress, social capital, and global self-esteem. Primary outcomes for the door-to-door outreach campaign were measured using a repeated cross-sectional design and included a sense of community, neighborhood social interaction, perceived neighborhood control, and self-rated health status. Significant findings from the peer support groups included an increase in social support overall (p = .027), driven by improvements in guidance, reliable alliance, and reassurance of worth; and an improvement in perceived stress (p = .047). Significant findings from the door-to-door outreach campaign included increases in neighborhood social interaction (p < .0001) and perceived neighborhood control (p = .036). This project provides evidence that a participatory approach to planning and delivering a health promotion intervention aimed at creating positive social spaces and enhancing social connections can result in significant outcomes and successful engagement of Black men.
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Affiliation(s)
- Amy E Harley
- Joseph J. Zilber School of Public Health, University of Wisconsin, Milwaukee, USA
| | - David Frazer
- Center for Urban Population Health, Milwaukee, WI, USA
| | - Tyler Weber
- Walnut Way Conservation Corps, Milwaukee, WI, USA
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Dutta MJ, Collins W, Sastry S, Dillard S, Anaele A, Kumar R, Roberson C, Robinson T, Bonu T. A Culture-Centered Community-Grounded Approach to Disseminating Health Information among African Americans. HEALTH COMMUNICATION 2019; 34:1075-1084. [PMID: 29634356 DOI: 10.1080/10410236.2018.1455626] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study highlights the role of local communities in creating culturally rooted health information resources based on comparative effectiveness research (CER), depicting the role of culture in creating entry points for building community-grounded communication structures for evidence-based health knowledge. We report the results from running a year-long culture-centered campaign that was carried out among African American communities in two counties, Lake and Marion County, in Indiana addressing basic evidence-based knowledge on four areas of cardiovascular disease (CVD). Campaign effectiveness was tested through an experimental design with post-test knowledge of CER among African Americans in these counties compared to CER knowledge among African Americans in a comparable control county (Allen). Our campaign, based on the principles of the culture-centered approach (CCA), increased community CER knowledge in the experimental communities relative to a community that did not receive the culturally centered health information campaign. The CCA-based campaign developed by community members and distributed through the mass media, community wide channels such as health fairs and church meetings, postcards, and face-to-face interventions explaining the postcards improved CER knowledge in specific areas (ACE-I/ARBs, atrial fibrillation, and renal artery stenosis) in the CCA communities as compared to the control community.
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Affiliation(s)
- Mohan J Dutta
- a National University of Singapore , Singapore , Singapore
| | - William Collins
- b Beering Hall of Liberal Arts and Education , Purdue University, West Lafayette , IN , USA
| | - Shaunak Sastry
- c University of Cincinnati, McMicken College of Arts & Sciences , Cincinnati , OH , USA
| | | | - Agaptus Anaele
- b Beering Hall of Liberal Arts and Education , Purdue University, West Lafayette , IN , USA
| | - Rati Kumar
- e Central Connecticut State University , New Britain , CT , USA
| | - Calvin Roberson
- f Indiana Minority Health Coalition (IMHC) , Indianapolis , IN , USA
| | - Tracy Robinson
- f Indiana Minority Health Coalition (IMHC) , Indianapolis , IN , USA
| | - Tafor Bonu
- f Indiana Minority Health Coalition (IMHC) , Indianapolis , IN , USA
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Truong L, Tat J, Booy M, Le A, Marasigan JM, Yuan C, Zeng A, Panchal A, Sadler GR. The Asian Grocery Store-Based Cancer Education Program: Creating New Education Modules. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:292-300. [PMID: 25971431 PMCID: PMC4644696 DOI: 10.1007/s13187-015-0836-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Operating since 1994, the UCSD Moores Cancer Center's Asian Grocery Store-Based Cancer Education Program (the Program) is a proven and sustainable strategy for disseminating cancer and poison control information to Asian and Pacific Islander (API) communities. This paper describes the process taken to identify health topics that can be readily addressed within the Program's infrastructure and reports results of the pilot testing of the educational module that was developed by following that process. The development of each new module is guided by the Health Belief Model and the Tipping Point Model. The process starts with the selection of a health topic demonstrating pressing need and treatment options in the API community. Then, using the Pareto principle, reasonably modifiable risk factors are chosen to be addressed in the module. "Sticky messaging" for the modifiable risk factors is developed to package the health information as memorable and transmissible calls-to-action. Finally, grocery store outreaches were used to pilot test the new module to assess its effectiveness at facilitating health care information to API community members. By adhering to the steps described in this paper, the authors were able to: (1) select liver cancer as a pressing API health issue that could be positively impacted by the Program; (2) identify reasonably modifiable risk factors for the chosen health issue; (3) generate compelling call-to-action messages to decrease risk of exposure; and (4) demonstrate the cultural and linguistic alignment of the liver cancer control module. The development and testing of new health education modules follow a methodical process guided by scientific principles. Understanding and employing the elements of an existing evidence-based and sustainable health education program can increase the likelihood of success in addressing the health needs of the API community.
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Affiliation(s)
- Linh Truong
- University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - John Tat
- Department of Cell and Molecular Biology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA
- Kellogg School of Science and Technology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Molly Booy
- Northeast Ohio Medical University, 4209 Ohio 44, Rootstown, OH, 44272, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Annie Le
- Fielding School of Public Health, University of California, Los Angeles, 640 Charles E. Young Dr. S, Los Angeles, CA, 90024, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Jeanne Marie Marasigan
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
- San Diego Mesa College, 7250 Mesa College Drive, San Diego, CA, 92111, USA
| | - Christine Yuan
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Athena Zeng
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Anand Panchal
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Georgia Robins Sadler
- University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA.
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
- Department of Surgery, University of California, San Diego, School of Medicine, 9500 Gilman Dr, La Jolla, CA, 92093-0850, USA.
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Jamshidi E, Morasae EK, Shahandeh K, Majdzadeh R, Seydali E, Aramesh K, Abknar NL. Ethical Considerations of Community-based Participatory Research: Contextual Underpinnings for Developing Countries. Int J Prev Med 2014; 5:1328-36. [PMID: 25400893 PMCID: PMC4223954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Accepted: 08/21/2014] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND The nature of community-based participatory research (CBPR) poses distinctive ethical challenges. In the absence of organized guidelines, a remarkable amount of researchers' time and energy will be spent tackling these ethical challenges. The study aimed to explore ethical issues and principles potentially arising when conducting CBPR. METHODS This qualitative study conducted in CBPR Center of Tehran University of Medical Sciences. Required data were gathered through systematic literature review and semi-structured interviews. Representatives of community, academia, and nongovernmental organizations (NGOs) participated in our study. Ten interviews with representatives of partner organizations, four group interviews with academic staff, and four with representatives of community were conducted. Repeated thematic analysis was used to elicit ethics-related overarching themes from transcribed interviews. As recommendations, these themes were then organized into a set of CBPR-related ethical issues and principles. RESULTS Four CBPR ethical guidelines (including 173 articles) were selected from a systematic review. Overarching themes relating to ethical principles which emerged from interviews were as follows: Trust, transparency and accountability, equity and inclusion, power imbalance, tolerance and conflict management, and attention to cultural sensitivity. Practical principles that emerged included: Consensus rather than informed consent, ownership of data and research achievements, and sustainability and maintenance of relationships. According to findings and in comparison to international guidelines, the present study put more emphasis on cultural sensitivity and sustainability as CBPR ethical tangles. CONCLUSIONS Community-based participatory research ethical challenges are of the same kind in most parts of the world. However, some discrepancies exist that calls for local scrutiny. Future use and critic of current explored ethical issues and principles are highly encouraged.
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Affiliation(s)
- Ensiyeh Jamshidi
- Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran,Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Esmaeil Khedmati Morasae
- Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
| | - Khandan Shahandeh
- Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran,Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran,Correspondence to: Mrs. Khandan Shahandeh, No. 1547, Enghlab Square, Kargar Street, Flat 7, Floor 9, Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran. E-mail:
| | - Reza Majdzadeh
- Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran,Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Seydali
- Bushehr University of Medical Sciences, Bushehr, Iran
| | - Kiarash Aramesh
- Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Nina Loori Abknar
- Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
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Eisenberg MS, Leibovich BC, Kim SP. Re: Phillip J. Gray, Stacey A. Fedewa, William U. Shipley, et al. Use of potentially curative therapies for muscle-invasive bladder cancer in the United States: results from the National Cancer Data Base. Eur Urol 2013;63:823-9. Eur Urol 2013; 64:e84-5. [PMID: 23849999 DOI: 10.1016/j.eururo.2013.06.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Accepted: 06/21/2013] [Indexed: 10/26/2022]
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