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Peter N, Donelle L, George C, Kothari A. Equity-informed social media COVID-19 risk communication strategies: a scoping review. BMJ Open 2024; 14:e085630. [PMID: 39134442 PMCID: PMC11331911 DOI: 10.1136/bmjopen-2024-085630] [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: 02/21/2024] [Accepted: 07/08/2024] [Indexed: 08/21/2024] Open
Abstract
OBJECTIVES The COVID-19 pandemic has had devastating worldwide impact but most prominent was its effect on marginalised, underserved and equity-deserving populations. Social media arose as an important platform from which health organisations could rapidly disseminate information to equity-deserving populations about COVID-19 risks and events, provide instructions on how to mitigate those risks, motivate compliance with health directives, address false information, provide the opportunity for engagement and immediate feedback. The objective of this scoping review was to synthesise the academic and grey literature on equity-informed social media risk communication strategies developed during the pandemic. DESIGN The review followed the Arksey and O'Malley framework and focused on the research question: What are the promising principles, processes, and practices for producing equity-informed social media risk communications? DATA SOURCES CINAHL Complete, MEDLINE (OVID), Business Source Complete, EMBASE database OVID, Scopus and PubMed's curated COVID-19 literature hub: LitCovid, PsycINFO OVID were searched using terms related to access to health services, social media, risk communication, misinformation, community engagement, infectious disease, pandemics and marginalisation, supplemented by grey literature from relevant health organisations. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Studies were eligible if the population of interest was an equity-deserving population, the concept discussed was COVID-19 risk communication and the article was published in English between January 2019 and December 2022. DATA EXTRACTION AND SYNTHESIS COVIDENCE facilitated screening and extraction. Charted data were thematically analysed following Braun and Clarke's phased process. Preliminary findings were collaboratively discussed with representatives from health agencies and community organisations focused on serving equity-deserving groups. RESULTS 12 studies were included. In terms of principles and process, studies emphasised the need to collaboratively create plans for message construction and targeted dissemination using a risk communication framework, capitalise on access to community resources and pre-established communication mediums and be considerate of population-specific needs and concerns. Practice entails careful consideration of communication mediums, language usage, communication frequency and evaluation. CONCLUSION This scoping review provides valuable insights for health agencies and community organisations in developing principles, processes and practices to equitably communicate risk information through social media. Engagement with stakeholders further refined and confirmed the findings, offering insights for future crisis communication strategies.
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Affiliation(s)
- Nedra Peter
- Faculty of Education, Western University, London, Ontario, Canada
| | - Lorie Donelle
- College of Nursing, University of South Carolina, Columbia, South Carolina, USA
- School of Nursing, Western University, London, Ontario, Canada
| | - Catherine George
- Health and Rehabilitation Sciences, Western University, London, Ontario, Canada
| | - Anita Kothari
- Faculty of Health Studies, Western University, London, Ontario, Canada
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Kepper MM, Fowler LA, Kusters IS, Davis JW, Baqer M, Sagui-Henson S, Xiao Y, Tarfa A, Yi JC, Gibson B, Heron KE, Alberts NM, Burgermaster M, Njie-Carr VP, Klesges LM. Expanding a Behavioral View on Digital Health Access: Drivers and Strategies to Promote Equity. J Med Internet Res 2024; 26:e51355. [PMID: 39088246 PMCID: PMC11327633 DOI: 10.2196/51355] [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: 07/28/2023] [Revised: 05/02/2024] [Accepted: 05/27/2024] [Indexed: 08/02/2024] Open
Abstract
The potential and threat of digital tools to achieve health equity has been highlighted for over a decade, but the success of achieving equitable access to health technologies remains challenging. Our paper addresses renewed concerns regarding equity in digital health access that were deepened during the COVID-19 pandemic. Our viewpoint is that (1) digital health tools have the potential to improve health equity if equitable access is achieved, and (2) improving access and equity in digital health can be strengthened by considering behavioral science-based strategies embedded in all phases of tool development. Using behavioral, equity, and access frameworks allowed for a unique and comprehensive exploration of current drivers of digital health inequities. This paper aims to present a compilation of strategies that can potentially have an actionable impact on digital health equity. Multilevel factors drive unequal access, so strategies require action from tool developers, individual delivery agents, organizations, and systems to effect change. Strategies were shaped with a behavioral medicine focus as the field has a unique role in improving digital health access; arguably, all digital tools require the user (individual, provider, and health system) to change behavior by engaging with the technology to generate impact. This paper presents a model that emphasizes using multilevel strategies across design, delivery, dissemination, and sustainment stages to advance digital health access and foster health equity.
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Affiliation(s)
- Maura M Kepper
- Prevention Research Center, Washington University in St. Louis, St. Louis, MO, United States
| | - Lauren A Fowler
- Sexuality, Health, and Gender Center, Washington University in St. Louis School of Medicine, Saint Louis, MO, United States
| | - Isabelle S Kusters
- Department of Health, Human, and Biomedical Sciences, University of Houston-Clear Lake, Houston, TX, United States
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, United States
| | - Jean W Davis
- College of Nursing, University of Central Florida, Orlando, FL, United States
| | - Manal Baqer
- Neamah Health Consulting, Boston, MA, United States
| | - Sara Sagui-Henson
- Clinical Strategy and Research Team, Modern Health, San Francisco, CA, United States
| | - Yunyu Xiao
- Department of Population Health Science, Weill Cornell Medicine, Cornell University, New York, NY, United States
| | - Adati Tarfa
- School of Medicine, Yale University, New Haven, CT, United States
| | - Jean C Yi
- Fred Hutchinson Cancer Center, Seattle, WA, United States
| | - Bryan Gibson
- Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States
| | - Kristin E Heron
- Psychology Department, Old Dominion University, Norfolk, VA, United States
- Virginia Consortium Program in Clinical Psychology, Norfolk, VA, United States
| | - Nicole M Alberts
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Marissa Burgermaster
- Department of Nutritional Sciences, University of Texas at Austin, Austin, TX, United States
- Department of Population Health, Dell Medical School, University of Texas at Austin, Austin, TX, United States
| | - Veronica Ps Njie-Carr
- Department of Organizational Systems and Adult Health, University of Maryland, Baltimore, MD, United States
| | - Lisa M Klesges
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States
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Berkley-Patton J, Thompson CB, Templeton T, Finocchario-Kessler S, Williams E, Wainright C, Materia FT, Dennis L, Catley D, Burgin T, Derose KP, Bradley-Ewing A, Geyer A, Ellison SR, Allsworth JE. Have a Little Faith: Overcoming Pandemic-Related Challenges to Designing and Implementing a COVID-19 Testing Trial in African American Churches. Am J Public Health 2024; 114:S366-S371. [PMID: 38776493 PMCID: PMC11111378 DOI: 10.2105/ajph.2024.307607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2024] [Indexed: 05/25/2024]
Affiliation(s)
- Jannette Berkley-Patton
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Carole Bowe Thompson
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Turquoise Templeton
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Sarah Finocchario-Kessler
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Eric Williams
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Cassandra Wainright
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Frank T Materia
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Lesha Dennis
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Delwyn Catley
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Tacia Burgin
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Kathryn P Derose
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Andrea Bradley-Ewing
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Alex Geyer
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Stefanie R Ellison
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
| | - Jenifer E Allsworth
- Jannette Berkley-Patton, Carole Bowe Thompson, Turquoise Templeton, Tacia Burgin, Alex Geyer, Stefanie R. Ellison, and Jenifer E. Allsworth are with the School of Medicine, University of Missouri, Kansas City. Sarah Finocchario-Kessler is with the Department of Family Medicine and Community Health, Kansas University Medical Center, Kansas City, MO. Eric Williams is with Calvary Community Outreach Network, Kansas City, MO. Cassandra Wainright is with Heaven Sent Outreach Ministries, Kansas City, MO. Frank T. Materia and Andrea Bradley-Ewing are with Health Services & Outcomes Research, Children's Mercy Kansas City, Kansas City, MO. Lesha Dennis is with the Office of Population Health Science, Kansas City MO Health Department. Delwyn Catley is with the Center for Healthy Lifestyles & Nutrition, Children's Mercy Kansas City, MO. Kathryn P. Derose is with the Department of Health Promotion & Policy, University of Massachusetts Amherst
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Kalocsányiová E, Essex R, Fortune V. Inequalities in Covid-19 Messaging: A Systematic Scoping Review. HEALTH COMMUNICATION 2023; 38:2549-2558. [PMID: 35850593 DOI: 10.1080/10410236.2022.2088022] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The impact of the Covid-19 pandemic has been widely documented. While deaths are now in the millions and many more have been impacted in other ways, the impact of Covid-19 has not been felt equally, with it exacerbating existing inequalities and disproportionately impacting a number of populations. With this Covid-19 has created unprecedented challenges in relation to health communication, with the need to reach disadvantaged populations. This systematic scoping review sought to 1) synthesize the existing research regarding communication inequalities in the response to the Covid-19 pandemic, and 2) analyze the recommendations that emerge from this body of evidence on how to best address these inequalities. This review includes 40 studies that fell into three broad groups (1) those revealing a disadvantage or inequality in studies of general population; (2) those focussing on communication with sub-groups disproportionately affected by the pandemic; and (3) those reporting and evaluating practical attempts to address inequalities. The results largely corroborate those found in past pandemics, highlighting the role of sociodemographic, cultural/religious, and economic factors in facilitating/jeopardizing the public's capacity to access and act upon public health messaging. In a number of studies it was encouraging to see recommendations from the literature - particularly, lessons learnt on the importance of community partnerships, trusted messengers and the co-creation of health and risk messages - being applied, however many challenges remain unmet. Covid-19 has also highlighted the need to actively tackle misinformation, something which was recognized, but largely unaddressed.
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Affiliation(s)
| | - Ryan Essex
- Institute for Lifecourse Development, University of Greenwich
| | - Vanessa Fortune
- Institute for Lifecourse Development, University of Greenwich
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Ramji R, Rämgård M, Carlson E, Shleev S, Awad E, Cirovic S, Kottorp A. Health and quality of life among women after participation in a CBPR-informed physical activity intervention: with a pandemic perspective. Sci Rep 2023; 13:17972. [PMID: 37863947 PMCID: PMC10589350 DOI: 10.1038/s41598-023-45239-4] [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: 06/13/2023] [Accepted: 10/17/2023] [Indexed: 10/22/2023] Open
Abstract
The lack of culturally and contextually oriented interventions promoting physical activity (PA) has led to increased physical inactivity among women living in disadvantaged neighbourhoods in Sweden. In this study one such intervention informed by community-based participatory research (CBPR) has been evaluated among 34 women from a disadvantaged neighbourhood before and during COVID-19. Health-related quality of life (HRQOL), behavioural and biomedical outcomes were assessed directly prior and post-intervention, followed by evaluations at 6-months and 18-months follow-up during COVID-19. The results revealed that HRQOL, particularly psychological, social, and environmental health significantly increased post-intervention compared to prior to intervention but reversed back at 6-months follow-up. Perceived health satisfaction and environmental health increased at 18-months follow-up during COVID-19. Participation in PA improved post-intervention and at 6-months follow-up. Everyday activities and fruit and vegetable intake continued to increase through all timepoints. Systolic blood pressure significantly decreased post-intervention and 6-months follow-up; blood flow rate increased significantly at all timepoints. Overall, the findings underscores the potential effectiveness of CBPR approaches in promoting and sustaining healthy lifestyles, even during acute situations such as the COVID-19. It may even serve as a future model for promoting health and addressing health disparities in similar groups.
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Affiliation(s)
- Rathi Ramji
- Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden.
| | - Margareta Rämgård
- Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
| | - Elisabeth Carlson
- Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
| | - Sergey Shleev
- Department of Biomedical Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
| | - Eman Awad
- Department of Biomedical Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
| | - Stefan Cirovic
- Department of Biomedical Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
| | - Anders Kottorp
- Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms Gata 25, 20506, Malmö, Sweden
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Lalika M, Salinas M, Asiedu GB, Jones C, Richard M, Erickson J, Weis J, Abbenyi A, Brockman TA, Sia IG, Wieland ML, White RO, Doubeni CA, Brewer LC. Perspectives of African American Church Leaders in Response to COVID-19 Emergency Preparedness and Risk Communication Efforts Within a Community Engaged Research Partnership: COVID-19 emergency risk communication. Disaster Med Public Health Prep 2023; 17:e532. [PMID: 37830352 PMCID: PMC11017953 DOI: 10.1017/dmp.2023.182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Affiliation(s)
- Mathias Lalika
- Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA
| | - Manisha Salinas
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Jacksonville, FL, USA
| | - Gladys B. Asiedu
- Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA
| | | | | | | | - Jennifer Weis
- Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
| | - Adeline Abbenyi
- Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
| | - Tabetha A. Brockman
- Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
| | - Irene G. Sia
- Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
- Division of Infectious Diseases, Mayo Clinic Department of Medicine, Rochester, MN, USA
| | - Mark L. Wieland
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
- Division of Community Internal Medicine, Mayo Clinic Department of Medicine, Rochester, MN, USA
| | - Richard O. White
- Division of Community Internal Medicine, Mayo Clinic Department of Medicine, Jacksonville, FL, USA
| | - Chyke A. Doubeni
- Department of Family and Community Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - LaPrincess C. Brewer
- Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
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Hamilton JB, Abiri AN, Nicolas CA, Gyan K, Chandler RD, Worthy VC, Grant EJ. African American Women Breast Cancer Survivors: Coping with the COVID-19 Pandemic. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2023; 38:1539-1547. [PMID: 37014616 PMCID: PMC10071457 DOI: 10.1007/s13187-023-02296-7] [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] [Accepted: 03/26/2023] [Indexed: 06/19/2023]
Abstract
African American women breast cancer survivors are among those with the greater burden of cancer. Breast cancer is the second leading cause of death among black women, and this death rate is 40% higher than that of white women. The COVID-19 pandemic increased the burden of morbidity and mortality among this population of cancer survivors. In this report, we explore the ways in which the COVID-19 pandemic was a source of stress for African American women breast cancer survivors and their subsequent responses to these stressors. This is a qualitative descriptive study with content analysis of data from the narratives of 18 African American breast cancer survivors. Participants were interviewed via phone and video conferencing platform and asked questions related to their experiences with the COVID-19 pandemic. The findings suggest stressors associated with (1) potential COVID-19 spreaders in their immediate environments; (2) closures and restricted access to social- and faith-based activities; (3) televised news broadcasts of COVID-19; and (4) disruptions to planned cancer prevention and control healthcare. Three categories emerged that captured the ways in which these women responded to stressors during the early phase of this pandemic: (1) seeking control in their social environments; (2) following the rules; and (3) seeking support from God, family, and friends. These findings can be used to better support breast cancer patients during the early phases of a pandemic.
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Affiliation(s)
- Jill B Hamilton
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 30322, USA.
- Candler School of Theology, Emory University, Atlanta, GA, 30322, USA.
| | - Autherine N Abiri
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 30322, USA
| | - Charlyne A Nicolas
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 30322, USA
| | - Kayoll Gyan
- Dana Farber Cancer Institute, Harvard Medical School, Boston, 02115, USA
| | - Rasheeta D Chandler
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 30322, USA
| | | | - Ernest J Grant
- Duke University School of Nursing, Durham, NC, 27708, USA
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Lohr AM, Neumbo KC, Njeru JW, Molina L, Hasley R, Ahmed Y, Quirindongo-Cedeno O, Torres-Herbeck GA, Goodson ML, Osman A, Weis JA, Wieland ML, Sia IG. Addressing COVID-19 inequities using bidirectional crisis and emergency risk communication and vaccine clinic interventions: a descriptive study. BMC Public Health 2023; 23:1517. [PMID: 37558981 PMCID: PMC10413496 DOI: 10.1186/s12889-023-16410-3] [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: 07/06/2022] [Accepted: 07/27/2023] [Indexed: 08/11/2023] Open
Abstract
BACKGROUND Im/migrants (immigrants and migrants, including refugees, asylum seekers, and individuals without legal documentation) experience unique assets and needs in relation to coronavirus disease 2019 (COVID-19). Community-based participatory research (CBPR) is one way to engage im/migrant communities. Rochester Healthy Community Partnership (RHCP) is a CBPR partnership in Rochester, Minnesota. RHCP partners noted that credible COVID-19 information was not available to their communities. In response, RHCP formed a COVID-19 Task Force and adapted the Centers for Disease Control and Prevention's Crisis and Emergency Risk Communication (CERC) framework to create an intervention that prioritized im/migrant groups experiencing health disparities. In the CERC intervention, communication leaders delivered COVID-19 health messages to their social networks and documented related concerns. RHCP relayed these concerns to regional leaders to ensure that im/migrant experiences were included in decision making. Once vaccines were available, RHCP continued to deploy the CERC intervention to promote vaccination equity. The aims of this paper are to (1) describe the implementation of a bidirectional CERC intervention for vaccination equity, and (2) describe a community-engaged and community-based vaccine clinic intervention. METHODS First, we surveyed participants (n = 37) to assess COVID-19 experiences, acceptability of the CERC intervention, and motivation to receive a COVID-19 vaccination. Second, we collaborated with community partners to hold vaccine clinics. We report descriptive statistics from each intervention. RESULTS When asked about the acceptability of the CERC intervention for vaccine equity, most participants either reported that they 'really liked it' or 'thought it was just ok'. Most participants stated that they would recommend the program to family or friends who have not yet received the COVID-19 vaccine. Almost all participants reported that they felt 'much more' or 'somewhat more' motivated to receive a COVID-19 vaccine after the intervention. We administered 1158 vaccines at the vaccination clinics. CONCLUSIONS We found that participants viewed the CERC intervention for vaccination equity as an acceptable way to disseminate COVID-19-related information. Nearly all participants reported that the intervention convinced them to receive a COVID-19 vaccine. In our experience, community-engaged and community-based clinics are a successful way to administer vaccines to im/migrant communities during a pandemic.
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Affiliation(s)
- Abby M Lohr
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, USA.
| | | | - Jane W Njeru
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, USA
| | - Luz Molina
- Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, USA
- Community Based Research, Mayo Clinic, Rochester, USA
| | | | - Yahye Ahmed
- Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, USA
- Community Based Research, Mayo Clinic, Rochester, USA
| | - Onelis Quirindongo-Cedeno
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, USA
| | - Gloria A Torres-Herbeck
- Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, USA
- Community Based Research, Mayo Clinic, Rochester, USA
- Alliance of Chicanos, Hispanics, and Latin Americans, Rochester, USA
| | - Miriam L Goodson
- Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, USA
- Community Based Research, Mayo Clinic, Rochester, USA
- Alliance of Chicanos, Hispanics, and Latin Americans, Rochester, USA
| | - Ahmed Osman
- Intercultural Mutual Assistance Association, Rochester, USA
| | - Jenny A Weis
- Research Administrative Services, Mayo Clinic, Rochester, USA
| | - Mark L Wieland
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, USA
| | - Irene G Sia
- Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, USA
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Seale H, Harris-Roxas B, Mustafa K, McDermid P. Communication and engagement of community members from ethnic minorities during COVID-19: a scoping review. BMJ Open 2023; 13:e069552. [PMID: 37344110 DOI: 10.1136/bmjopen-2022-069552] [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: 06/23/2023] Open
Abstract
OBJECTIVES This review examined the factors influencing communication and engagement with ethnic and racial minority groups in Australia during the COVID-19 pandemic. It aimed to answer two main questions: (1) what communication problems people from these communities typically faced during the pandemic? and (2) what strategies and recommendations were suggested to enhance communication and engagement for ethnic and racial minorities during the current COVID-19 pandemic and any similar events in the future? DESIGN Scoping review. DATA SOURCES PubMed, EMBASE, Cochrane Library, PsychINFO and CINAHL. Grey literature was searched within organisations' websites and a Google search of key terms. ELIGIBILITY CRITERIA FOR SELECTING STUDIES We included original research, case studies, reports (including government and charity reports), systematic and scoping articles and literature reviews in English, published from January 2020 to August 2022. DATA EXTRACTION AND SYNTHESIS Two researchers independently assessed the literature for eligibility and extracted data from the included literature. The selected papers were analysed and summarised into themes relevant to the research questions. The final review included 38 studies combining published academic papers and grey literature. RESULTS Key themes relating to communication and engagement issues included a lack of trust in authority, a lack of access to information and ineffective communication channels and a lack of timely and culturally responsive materials. To reduce the issues, the papers spoke about the key role of community organisations to provide local support and community leaders as trusted spokespersons. Lastly, key recommendations to reduce inequity and strengthen future pandemic responses focused on the need for collaborations and consultations, increasing the number of bilingual workers and supporting community-led communication efforts. CONCLUSIONS The insights gained from the activities and experiences documented in this review during the COVID-19 pandemic should be incorporated into future decision-making and interventions to enhance communication and engagement strategies.
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Affiliation(s)
- Holly Seale
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Ben Harris-Roxas
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Kinza Mustafa
- Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Pippa McDermid
- School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
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Bouchard EG, Saad-Harfouche FG, Clark N, Colon J, LaValley SA, Reid M, Attwood K, Bansal-Travers M, Glaser K. Adapting Community Educational Programs During the COVID-19 Pandemic: Comparing the Feasibility and Efficacy of a Lung Cancer Screening Educational Intervention by Mode of Delivery. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2023; 38:854-862. [PMID: 35840859 PMCID: PMC9286703 DOI: 10.1007/s13187-022-02197-1] [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] [Accepted: 06/27/2022] [Indexed: 06/02/2023]
Abstract
Few eligible patients receive lung cancer screening. We developed the Lung AIR (awareness, information, and resources) intervention to increase community education regarding lung cancer screening. The intervention was designed as an in-person group intervention; however, the COVID-19 pandemic necessitated adapting the mode of delivery. In this study we examined intervention feasibility and efficacy overall and by mode of delivery (in-person group vs. one-on-one phone) to understand the impact of adapting community outreach and engagement strategies. Feasibility was examined through participant demographics. Efficacy was measured through pre/post knowledge, attitudes, and beliefs about lung cancer screening, and intention to complete screening. We reached N = 292 participants. Forty percent had a household income below $35,000, 58% had a high school degree or less, 40% were Hispanic, 57% were Black, and 84% reported current or past smoking. One-on-one phone sessions reached participants who were older, had lower incomes, more current smoking, smoked for more years, more cigarettes per day, lower pre-intervention lung cancer screening knowledge, and higher pre-intervention fear and worry. Overall pre/post test scores show significant increases in knowledge, salience, and coherence, and reduced fear and worry. Participants in the one-on-one phone sessions had significantly higher increases in salience and coherence and intention to complete screening compared to participants in the in-person group sessions. The Lung AIR intervention is a feasible and effective community-based educational intervention for lung cancer screening. Findings point to differences in reach and efficacy of the community-based intervention by mode of delivery.
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Affiliation(s)
- Elizabeth G Bouchard
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA.
| | - Frances G Saad-Harfouche
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Nikia Clark
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Jomary Colon
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Susan A LaValley
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Mary Reid
- Department of Medical Oncology, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Kristopher Attwood
- Department of Biostatistics, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Maansi Bansal-Travers
- Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Kathryn Glaser
- Department of Cancer Prevention and Control, Office of Community Outreach and Engagement, Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY, 14263, USA
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Riggs MA, Madni SA, Cornelius J, Zhang A, Czarnik M, Zullig K, Bensley RJ, Gibson-Young L, Gardner M, Waggett CE, Grabeel V, Pettyjohn SJ, Fisher C, Jones RM, Maniccia DM, Doyle J, Treuth M, Neatherlin J, Thomas E, Barrios L. Knowledge, attitudes, and behaviors with mask use and vaccines for COVID-19 prevention at 13 colleges and universities, April 2021. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-11. [PMID: 37130266 DOI: 10.1080/07448481.2022.2122719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Objectives: To understand college and university student knowledge, attitudes, and behaviors (KAB) regarding COVID-19 prevention strategies. Methods: Thirteen colleges and universities volunteered to conduct an anonymous electronic survey in April 2021 to assess students' KAB about mask use and vaccination to prevent COVID-19. Results: Three-quarters of students indicated they "Always" wore a mask correctly when in public indoor places. Of those not yet vaccinated, 55% expressed concern about unknown side effects. Over half of students were unsure or believe they do not need to continue wearing masks after vaccination and older students more likely to be vaccinated. There was a significant inverse correlation between intention of getting vaccinated and intention to attend a large indoor party without a mask. Conclusions: Colleges and universities are important to community efforts to slow the COVID-19 pandemic. The KAB findings can inform approaches to increase overall mask use and vaccination uptake among young students.
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Affiliation(s)
| | - Sabrina A Madni
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
- 4ES Corporation, San Antonio, Texas, USA
| | - January Cornelius
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
- 4ES Corporation, San Antonio, Texas, USA
| | - Amy Zhang
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
- Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA
| | - Michaila Czarnik
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
- 4ES Corporation, San Antonio, Texas, USA
| | - Keith Zullig
- West Virginia University, Morgantown, West Virginia, USA
| | | | | | | | | | - Vonia Grabeel
- Eastern Kentucky University, Richmond, Kentucky, USA
| | | | - Christine Fisher
- East Stroudsburg University of Pennsylvania, East Stroudsburg, Pennsylvania, USA
| | - Resa M Jones
- Temple University, Philadelphia, Pennsylvania, USA
| | | | - Jack Doyle
- Lock Haven University, Lock Haven, Pennsylvania, USA
| | - Margarita Treuth
- University of Maryland Eastern Shore, Princess Anne, Maryland, USA
| | | | - Ebony Thomas
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
| | - Lisa Barrios
- CDC COVID-19 Emergency Response Team, Atlanta, Georgia, USA
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12
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Community-Based Approach to Assess Obstructive Respiratory Diseases and Risk in Urban African American Churches. J Immigr Minor Health 2023; 25:389-397. [PMID: 36307622 PMCID: PMC9616427 DOI: 10.1007/s10903-022-01405-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 11/25/2022]
Abstract
Asthma, and chronic obstructive pulmonary disease (COPD) are significant health problems that have disparate effects on many Americans. Misdiagnosis and underdiagnosis are common and lead to ineffective treatment and management. This study assessed the feasibility of applying a two-step case-finding technique to identify both COPD and adult asthma cases in urban African American churches. We established a community-based partnership, administered a cross-sectional survey in step one of the case-finding technique and performed spirometry testing in step two. A total of 219 surveys were completed. Provider-diagnosed asthma and COPD were reported in 26% (50/193) and 9.6% (18/187) of the sample. Probable asthma (13.9%), probable COPD (23.1%), and COPD high-risk groups (31.9%) were reported. It is feasible to establish active case-finding within the African American church community using a two-step approach to successfully identify adult asthma and COPD probable cases for early detection and treatment to reduce disparate respiratory health outcomes.
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13
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Haboush-Deloye A, Marquez E, Dunne R, Pharr JR. The Importance of Community Voice: Using Community-Based Participatory Research to Understand the Experiences of African American, Native American, and Latinx People During a Pandemic. Prev Chronic Dis 2023; 20:E12. [PMID: 36893354 PMCID: PMC10038093 DOI: 10.5888/pcd20.220152] [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: 03/09/2023] Open
Abstract
INTRODUCTION Although the disproportionate impact of COVID-19 infection, hospitalization, and death rates on racial and ethnic minority communities in the US is known, information about how COVID-19 has affected these communities and how community context and perceptions can inform a better response to future health crises needs further exploration. To help achieve these objectives, we used a community-based participatory research approach to gain a better insight into African American, Native American, and Latinx communities. METHODS From September through December 2020, we conducted 19 focus groups and recruited 142 participants. Participants were selected via a purposeful sampling technique. We used a phenomenology study design to conduct semistructured interviews, thematic analysis to code qualitative data, and descriptive statistics to summarize demographic data. RESULTS Data analysis revealed the following 3 themes: 1) COVID-19 exacerbated mistrust, anxiety, and fear in racial and ethnic minority populations, affecting their mental health, 2) understanding sociocultural context is essential for emergency response, and 3) adapting communication strategies can help address community concerns. CONCLUSION Amplifying the voices of people disproportionately affected by the COVID-19 pandemic can help to inform a better response to future health crises and ultimately reduce health inequity among racial and ethnic minority populations.
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Affiliation(s)
- Amanda Haboush-Deloye
- Nevada Institute for Children's Research and Policy, School of Public Health, University of Nevada, Las Vegas, 4700 S Maryland Pkwy, Ste 335, Mail Stop 063, Las Vegas, NV 89119
| | - Erika Marquez
- Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas
| | - Rebecca Dunne
- Nevada Institute for Children's Research and Policy, School of Public Health, University of Nevada, Las Vegas
| | - Jennifer R Pharr
- Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas
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Wieland ML, Njeru JW, Weis JA, Lohr A, Nigon JA, Goodson M, Osman A, Molina L, Ahmed Y, Capetillo GP, Nur O, Sia IG. Rochester Healthy Community Partnership: Then and now. Front Public Health 2023; 10:1090131. [PMID: 36703848 PMCID: PMC9871468 DOI: 10.3389/fpubh.2022.1090131] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 12/21/2022] [Indexed: 01/12/2023] Open
Abstract
Community-engaged research partnerships promote health equity through incorporation of regional contexts to inform partnership dynamics that shape research and interventions that reflect community voice and priorities. Long-term partnerships build trusted relationships and promote capacity building among community and academic partners, but there are many structural barriers to sustaining long-term partnerships. Here we describe lessons learned from sustaining Rochester Healthy Community Partnership (RHCP), an 18-year community-based participatory research (CBPR) partnership in Southeast Minnesota. RHCP collaborates with immigrant and refugee populations to co-create interventions that promote health equity for community health priorities. Challenges to sustainability include a tension between project-based funding and the needs of long-term community-based research infrastructure. These challenges can be met with a focus on shared CBPR principles, operating norms, partnership dynamics, and governance. RHCP began in 2004 through identification of a community health priority, defining the community, and establishment of CBPR principles. It grew through identification of broader community health priorities, capacity building for community and academic partners, and integration of diverse learners. We describe the capacity for RHCP to respond to new societal contexts, the importance of partnership dynamics as a barometer for partnership health, and lessons learned about sustainability of the CBPR partnership.
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Affiliation(s)
- Mark L. Wieland
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, United States,Rochester Healthy Community Partnership, Rochester, MN, United States,*Correspondence: Mark L. Wieland ✉
| | - Jane W. Njeru
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, United States,Rochester Healthy Community Partnership, Rochester, MN, United States
| | - Jennifer A. Weis
- Rochester Healthy Community Partnership, Rochester, MN, United States,Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, United States
| | - Abby Lohr
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, United States,Rochester Healthy Community Partnership, Rochester, MN, United States
| | - Julie A. Nigon
- Rochester Healthy Community Partnership, Rochester, MN, United States,Hawthorne Education Center, Rochester, MN, United States
| | - Miriam Goodson
- Rochester Healthy Community Partnership, Rochester, MN, United States,Alliance of Chicanos, Hispanics, and Latin Americans, Rochester, MN, United States
| | - Ahmed Osman
- Rochester Healthy Community Partnership, Rochester, MN, United States,Intercultural Mutual Assistance Association, Rochester, MN, United States
| | - Luz Molina
- Rochester Healthy Community Partnership, Rochester, MN, United States,Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, United States
| | - Yahye Ahmed
- Rochester Healthy Community Partnership, Rochester, MN, United States,Somali American Social Service Association, Rochester, MN, United States
| | - Graciela Porraz Capetillo
- Rochester Healthy Community Partnership, Rochester, MN, United States,Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, United States
| | - Omar Nur
- Rochester Healthy Community Partnership, Rochester, MN, United States,Somali American Social Service Association, Rochester, MN, United States
| | - Irene G. Sia
- Rochester Healthy Community Partnership, Rochester, MN, United States,Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, United States
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Moran VH, Ceballos-Rasgado M, Fatima S, Mahboob U, Ahmad S, McKeown M, Zaman M. Participatory action research to co-design a culturally appropriate COVID-19 risk communication and community engagement strategy in rural Pakistan. Front Public Health 2023; 11:1160964. [PMID: 37168074 PMCID: PMC10166109 DOI: 10.3389/fpubh.2023.1160964] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 04/05/2023] [Indexed: 05/13/2023] Open
Abstract
Background Community engagement has shown to be fundamental component of the response to previous disease outbreaks. This study aimed co-design and implement a culturally appropriate COVID-19 risk communication and community engagement strategy with a resource-poor rural community in Northwest Pakistan. Methods Participatory Action Research (PAR) was conducted from January 2021 to March 2022. Five PAR meetings took place with community members (n = 30) to: (1) explore how the COVID-19 pandemic impacted on the community; (2) identify challenges to limit the spread of the virus; (3) identify and implement solutions to these challenges; and (4) highlight the enablers, challenges and knowledge of the cultural context needed to optimize safety during emergencies. Focus group discussions (N = 6) with community members not involved in the PAR meetings (N = 50) and children of the community (N = 26) were conducted following the PAR meetings. Thematic analysis of the PAR and focus group data was conducted. Results Delivery of messages on how to keep families safe, provision of personal protective equipment and improved water systems were part of the strategies taken by the community to create awareness and reduce the spread of COVID-19. Nine themes were identified: Attitudes to the pandemic: From skepticism to acceptance, Changing attitudes about vaccination: rumors and trust, COVID-19 and Faith, Social impact of the pandemic, Access to water, Resource mobilization: personal protective equipment, Spaces where collaborative effort can bring to solutions, Agents of change, and Empowerment of women. Discussion The participatory approach of this research allowed understanding of the challenges faced by the community to engage in behavior change strategies to reduce the spread of COVID-19 and enabled the community to find sustainable solutions. Engagement with the community empowered men and women to be agents of change and promoted necessary precautionary actions to reduce the risk of infection within their community. Conclusion Participatory approach highlighted the importance of engaging with and integrating to local culture and values to overcome challenges such as gender imbalance and distrust. Findings of this study are relevant to others working in diverse cultural settings in similar crises events regardless of particular cultural variations.
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Affiliation(s)
- Victoria Hall Moran
- Centre for Global Development, University of Central Lancashire, Preston, United Kingdom
| | | | - Sadia Fatima
- Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
- *Correspondence: Sadia Fatima,
| | - Usman Mahboob
- Institute of Health Professions Education and Research, Khyber Medical University, Peshawar, Pakistan
| | - Salman Ahmad
- Department of Sociology, Abdul Wali Khan University, Mardan, Pakistan
| | - Michael McKeown
- School of Nursing, University of Central Lancashire, Preston, United Kingdom
| | - Mukhtiar Zaman
- Department of Pulmonology, Rehman Medical Institute, Peshawar, Pakistan
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16
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Ramji R, Carlson E, Kottorp A, Rämgård M. Impact of a CBPR-informed physical activity intervention before and during COVID-19 among women from a disadvantaged neighborhood in Sweden. Front Public Health 2022; 10:997329. [PMID: 36478727 PMCID: PMC9719947 DOI: 10.3389/fpubh.2022.997329] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 10/07/2022] [Indexed: 11/22/2022] Open
Abstract
Background Public health practitioners have been striving to reduce the social gradient and promote physical activity among citizens living in disadvantaged neighborhoods. The emergence of the COVID-19 pandemic, which has affected these citizens extensively, has posed a significant challenge to efforts to maintain a physically active lifestyle. Thus, the aim of this study was to explore the impact of a CBPR-informed physical activity intervention before and during the COVID-19 pandemic from the perspective of women from a socially disadvantaged neighborhood. Methods A total of 34 women participated in a CBPR-informed physical activity intervention previously developed in collaboration with lay health promoters and other citizens from the same neighborhood. Focus group discussions were conducted at four time points, namely, at baseline prior to the intervention, post-intervention, 6 months after the intervention ended, and during the COVID-19 pandemic. The data were analyzed using qualitative content analysis following an inductive approach. Results In total, four themes emerged from the discussions: "Wavering between frustration and action," "Shifting from prioritizing family needs to taking control of self," "Between isolation and social support," and "Restricted access to health-related knowledge vs. utilizing internalized knowledge". Conclusion The results of this study reveal that building on CBPR-informed health promotion initiatives has the potential to foster individual empowerment and assist during acute situations like the COVID-19 pandemic through mobilizing communities and their resources, which leads to increased community resilience and health. This study is regarded as unique in that it involves evaluation of a CBPR intervention that was initiated ahead of the pandemic and followed even during the pandemic.
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17
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Experience of a National Cancer Institute-Designated Community Outreach and Engagement Program in Supporting Communities During the COVID-19 Pandemic. J Community Health 2022; 47:862-870. [PMID: 35819548 DOI: 10.1007/s10900-022-01115-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2022] [Indexed: 11/27/2022]
Abstract
Coronavirus disease of 2019 (COVD-19) continues to disrupt cancer care delivery efforts and exacerbate existing health inequities. Here we describe the impact of COVID-19 on community outreach organizations partnering with a National Cancer Institute-designated Community Outreach and Engagement (COE) office in New York City (NYC) and lessons learned from these experiences. Between July and September of 2020, we conducted 16 semi-structured interviews with community key-informants to validate and inform efforts to support community organizations in response to COVID-19. Key-informants represented organizations performing a broad range of health and cancer care activities serving historically underserved, low-income, marginalized communities of color in NYC. All interviews were recorded, transcribed, and analyzed using rapid qualitative approaches. We summarize our response to challenges raised by partnering organizations. Themes included the impact of COVID-19 on communities served, challenges faced by organizations, and solutions to address COVID-19 related challenges. The COE and community organizations had to shift priorities and adapt engagement efforts to address the more urgent needs of the community (e.g., emotional distress, food insecurity). COVID-19 disrupted traditional community engagement activities for cancer outreach-calling for creativity and innovation in the community engagement process and shift in priorities. The COE responded by maintaining ongoing dialogue with community partners, by being flexible in scope/priorities beyond cancer prevention and control, and by providing education, outreach, fundraising and other resources, and developing new partnerships to meet needs of community organizations and the populations they serve.
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Zhang R, Qiao S, McKeever BW, Olatosi B, Li X. Listening to Voices from African American Communities in the Southern States about COVID-19 Vaccine Information and Communication: A Qualitative Study. Vaccines (Basel) 2022; 10:vaccines10071046. [PMID: 35891210 PMCID: PMC9319640 DOI: 10.3390/vaccines10071046] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 06/21/2022] [Accepted: 06/26/2022] [Indexed: 11/23/2022] Open
Abstract
The high uptake of COVID-19 vaccines is one of the most promising measures to control the pandemic. However, some African American (AA) communities exhibit vaccination hesitancy due to mis- or disinformation. It is important to understand the challenges in accessing reliable COVID-19 vaccine information and to develop feasible health communication interventions based on voices from AA communities. We conducted 2 focus group discussions (FGDs) among 18 community stakeholders recruited from 3 counties in South Carolina on 8 October and 29 October 2021. The FGDs were conducted online via Zoom meetings. The FGD data were managed and thematically analyzed using NVivo 12. Participants worked primarily in colleges, churches, and health agencies. We found that the challenges of accessing reliable vaccine information in AA communities primarily included structural barriers, information barriers, and a lack of trust. Community stakeholders recommended recruiting trusted messengers, using social events to reach target populations, and conducting health communication campaigns through open dialogue among stakeholders. Health communication interventions directed at COVID-19 vaccine uptake should be grounded in ongoing community engagement, trust-building activities, and transparent communication about vaccine development. Tailoring health communication interventions to different groups may help reduce misinformation spread and thus promote vaccination in AA communities in the southern states.
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Affiliation(s)
- Ran Zhang
- Department of Health Promotion Education and Behavior, Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Columbia, SC 29208, USA; (R.Z.); (X.L.)
| | - Shan Qiao
- Department of Health Promotion Education and Behavior, Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Columbia, SC 29208, USA; (R.Z.); (X.L.)
- Correspondence: ; Tel.: +1-803-777-6844
| | - Brooke W. McKeever
- School of Journalism and Mass Communications, College of Information and Communications, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA;
| | - Bankole Olatosi
- Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA;
| | - Xiaoming Li
- Department of Health Promotion Education and Behavior, Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Columbia, SC 29208, USA; (R.Z.); (X.L.)
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Kerkhoff AD, Rojas S, Black D, Ribeiro S, Rojas S, Valencia R, Lemus J, Payan J, Schrom J, Jones D, Manganelli S, Bandi S, Chamie G, Tulier-Laiwa V, Petersen M, Havlir D, Marquez C. Integrating Rapid Diabetes Screening Into a Latinx Focused Community-Based Low-Barrier COVID-19 Testing Program. JAMA Netw Open 2022; 5:e2214163. [PMID: 35616939 PMCID: PMC9136625 DOI: 10.1001/jamanetworkopen.2022.14163] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
IMPORTANCE Community-based COVID-19 testing and vaccination programs play a crucial role in mitigating racial and ethnic disparities in COVID-19 service delivery. They also represent a platform that can be leveraged to expand access to testing for chronic diseases, including diabetes, that disproportionately affect the Latinx community and other marginalized communities. OBJECTIVE To evaluate outcomes associated with a diabetes testing strategy designed to reach low-income Latinx persons by leveraging COVID-19 testing infrastructure and community trust developed during the COVID-19 pandemic. DESIGN, SETTING, AND PARTICIPANTS This health care improvement study was conducted from August 1 to October 5, 2021, at an outdoor, community-based COVID-19 testing site at a transport hub in the Mission Neighborhood in San Francisco, California. Because the program was designed to expand access to diabetes screening to the local community, all individuals presenting for on-site testing were eligible. Data were analyzed in November 2021. INTERVENTIONS Integration of rapid, point-of-care hemoglobin A1c screening as a testing option in an existing low-barrier COVID-19 testing program. MAIN OUTCOMES AND MEASURES Evaluation was guided by the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework and utilized programmatic data and structured surveys among clients and staff. RESULTS Of 6631 individuals tested (median [IQR] age 39.3 [29.7-51.3] years; 3417 [52.3%] female, 4348 [65.6%] Latinx), 923 (13.9%) underwent hemoglobin A1c testing with or without COVID-19 testing and 5708 (86.1%) underwent COVID-19 testing only. Individuals tested for diabetes were more likely to be Latinx (763 of 923 individuals [82.7%] who underwent testing were Latinx vs 3585 of 5708 [62.8%] not undergoing testing), have an annual household income of less than $50 000 (450 individuals [81.2%] vs 2409 individuals [66.0%]), and not have health insurance (381 individuals [47.2%] vs 1858 individuals [39.9%]), and 206 (48.0%) had never tested for diabetes before. Overall, 313 (33.9%) and 113 (12.2%) individuals had prediabetes and diabetes, respectively; only 141 of 354 of these individuals (39.8%) had a primary care clinician whom they had seen in the prior 12 months, which was lower among Latinx individuals (113 of 307 individuals [36.8%] vs 28 of 47 [59.6%]). Acceptability of the rapid testing program was high-98% were satisfied with their visit and 96% said they would return for future services; key factors underpinning acceptability included friendly staff, efficiency, and a convenient location. CONCLUSIONS AND RELEVANCE In this health care improvement study conducted within an existing community-based COVID-19 testing program, integrating rapid testing for diabetes was feasible, reached low-income Latinx individuals, and identified many persons with prediabetes and diabetes, most of whom lacked access to services in formal health care settings. Leveraging pandemic-related public health responses represents an important opportunity for engaging socioeconomically disadvantaged populations into care for diabetes.
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Affiliation(s)
- Andrew D. Kerkhoff
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
| | - Susana Rojas
- San Francisco Latino Task Force–Response to COVID-19, San Francisco, California
| | - Douglas Black
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
| | | | - Susy Rojas
- Unidos en Salud, San Francisco, California
| | | | | | | | - John Schrom
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
| | | | | | | | - Gabriel Chamie
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
| | | | - Maya Petersen
- Division of Epidemiology and Biostatistics, School of Public Health, University of California, Berkeley
| | - Diane Havlir
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
| | - Carina Marquez
- Division of HIV, Infectious Diseases and Global Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco
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20
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Community-based, cluster-randomized pilot trial of a cardiovascular mHealth intervention: Rationale, design, and baseline findings of the FAITH! Trial. Am Heart J 2022; 247:1-14. [PMID: 35065922 PMCID: PMC9037298 DOI: 10.1016/j.ahj.2022.01.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 01/14/2022] [Accepted: 01/15/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Compared to whites, African-Americans have lower prevalence of ideal cardiovascular health (CVH) based on the American Heart Association Life's Simple 7 (LS7). These CVH inequities have worsened during the COVID-19 pandemic. Ideal LS7 health-promoting behaviors and biological risk factors (eg, diet, blood pressure) are associated with improved CVH outcomes. The FAITH! (Fostering African-American Improvement in Total Health) App, a community-informed, mobile health (mHealth) intervention, previously demonstrated significant improvements in LS7 components among African-Americans, suggesting that mHealth interventions may be effective in improving CVH. This paper presents the FAITH! Trial design, baseline findings, and pandemic-related lessons learned. METHODS Utilizing a community-based participatory research approach, this study assessed the feasibility/preliminary efficacy of a refined FAITH! App for promoting LS7 among African-Americans in faith communities using a cluster, randomized controlled trial. Participants received the FAITH! App (immediate intervention) or were assigned to a delayed intervention comparator group. Baseline data were collected via electronic surveys and health assessments. Primary outcomes are change in LS7 score from baseline to 6-months post-intervention and app engagement/usability. RESULTS Of 85 enrolled individuals, 76 completed baseline surveys/health assessments, for a participation rate of 89% (N = 34 randomized to the immediate intervention, N = 42 to delayed intervention). At baseline, participants were predominantly female (54/76, 71%), employed (56/76, 78%) and of high cardiometabolic risk (72/76, 95% with hypertension and/or overweight/obesity) with mean LS7 scores in the poor range (6.8, SD = 1.9). CONCLUSIONS The FAITH! Trial recruitment was feasible, and its results may inform the use of mHealth tools to increase ideal CVH among African-Americans.
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Panneer S, Kantamaneni K, Palaniswamy U, Bhat L, Pushparaj RRB, Nayar KR, Soundari Manuel H, Flower FXLL, Rice L. Health, Economic and Social Development Challenges of the COVID-19 Pandemic: Strategies for Multiple and Interconnected Issues. Healthcare (Basel) 2022; 10:healthcare10050770. [PMID: 35627910 PMCID: PMC9140679 DOI: 10.3390/healthcare10050770] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/16/2022] [Accepted: 04/17/2022] [Indexed: 12/29/2022] Open
Abstract
The COVID-19-pandemic-related economic and social crises are leading to huge challenges for all spheres of human life across the globe. Various challenges highlighted by this pandemic include, but are not limited to, the need for global health cooperation and security, better crisis management, coordinated funding in public health emergencies, and access to measures related to prevention, treatment and control. This systematic review explores health, economic and social development issues in a COVID-19 pandemic context and aftermath. Accordingly, a methodology that focuses on identifying relevant literature with a focus on meta-analysis is used. A protocol with inclusion and exclusion criteria was developed, with articles from 15 December 2019 to 15 March 2022 included in the study. This was followed by a review and data analysis. The research results reveal that non-pharmaceutical measures like social distancing, lockdown and quarantine have created long-term impacts on issues such as changes in production and consumption patterns, market crashes resulting in the closure of business operations, and the slowing down of the economy. COVID-19 has exposed huge health inequalities across most countries due to social stratification and unequal distribution of wealth and/or resources. People from lower socio-economic backgrounds lack access to essential healthcare services during this critical time for both COVID-19 and other non-COVID ailments. The review shows that there is minimal literature available with evidence and empirical backup; similarly, data/studies from all countries/regions are not available. We propose that there is a need to conduct empirical research employing a trans-disciplinary approach to develop the most effective and efficient strategies to combat the pandemic and its aftermath. There is a need to explore the social and ecological determinants of this contagious infection and develop strategies for the prevention and control of COVID-19 or similar infections in future.
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Affiliation(s)
- Sigamani Panneer
- Department of Social Work, School of Social Sciences and Humanities, Central University of Tamil Nadu, Thiruvarur 610005, Tamil Nadu, India; (U.P.); (L.B.); (R.R.B.P.)
- Correspondence: (S.P.); (K.K.)
| | - Komali Kantamaneni
- Faculty of Science and Technology, University of Central Lancashire, Preston PR1 2HE, UK
- Correspondence: (S.P.); (K.K.)
| | - Udhayakumar Palaniswamy
- Department of Social Work, School of Social Sciences and Humanities, Central University of Tamil Nadu, Thiruvarur 610005, Tamil Nadu, India; (U.P.); (L.B.); (R.R.B.P.)
| | - Lekha Bhat
- Department of Social Work, School of Social Sciences and Humanities, Central University of Tamil Nadu, Thiruvarur 610005, Tamil Nadu, India; (U.P.); (L.B.); (R.R.B.P.)
| | - Robert Ramesh Babu Pushparaj
- Department of Social Work, School of Social Sciences and Humanities, Central University of Tamil Nadu, Thiruvarur 610005, Tamil Nadu, India; (U.P.); (L.B.); (R.R.B.P.)
| | - Kesavan Rajasekharan Nayar
- Global Institute of Public Health, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram 695024, Kerala, India;
| | - Hilaria Soundari Manuel
- Centre for Applied Research, The Gandhigram Rural Institute, Deemed to be University, Gandhigram, Dindigul 624302, Tamil Nadu, India;
| | | | - Louis Rice
- Centre for Architecture and Built Environment Research, University of the West of England, Bristol BS16 1QY, UK;
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22
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Cancer healthcare disparities among African Americans in the United States. J Natl Med Assoc 2022; 114:236-250. [DOI: 10.1016/j.jnma.2022.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 01/10/2022] [Indexed: 12/16/2022]
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23
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Wieland ML, Asiedu GB, Njeru JW, Weis JA, Lantz K, Abbenyi A, Molina L, Ahmed Y, Osman A, Goodson M, Torres-Herbeck G, Nur O, Porraz Capetillo G, Mohamed AA, Sia IG. Community-Engaged Bidirectional Crisis and Emergency Risk Communication With Immigrant and Refugee Populations During the COVID-19 Pandemic. Public Health Rep 2022; 137:352-361. [PMID: 35023414 PMCID: PMC8900245 DOI: 10.1177/00333549211065514] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES This study was conducted to assess an intervention that was created by a community-academic partnership to address COVID-19 health inequities. We evaluated a community-engaged bidirectional pandemic crisis and emergency risk communication (CERC) framework with immigrant and refugee populations during the COVID-19 pandemic. METHODS A 17-year community-engaged research partnership adopted a CERC framework in March 2020 to address COVID-19 prevention, testing, and socioeconomic impacts with immigrant and refugee groups in southeast Minnesota. The partnership used bidirectional communication between communication leaders and their social networks to refine messages, leverage resources, and advise policy makers. We conducted a mixed-methods evaluation for intervention acceptability, feasibility, reach, adaptation, and sustainability through multisource data, including email communications, work group notes, semistructured interviews, and focus groups. RESULTS The intervention reached at least 39 000 people in 9 months. It was implemented as intended and perceived efficacy was high. Frequent communication between community and academic partners allowed the team to respond rapidly to concerns and facilitated connection of community members to resources. Framework implementation also led to systems and policy changes to meet the needs of immigrant and refugee populations. CONCLUSIONS Community-engaged CERC is feasible and sustainable and can reduce COVID-19 disparities through shared creation and dissemination of public health messages, enhanced connection to existing resources, and incorporation of community perspectives in regional pandemic mitigation policies.
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Affiliation(s)
- Mark L. Wieland
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Gladys B. Asiedu
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
| | - Jane W. Njeru
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Jennifer A. Weis
- Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
| | - Kiley Lantz
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
| | - Adeline Abbenyi
- Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
| | - Luz Molina
- Language Services, Mayo Clinic, Rochester, MN, USA
| | - Yahye Ahmed
- Somali American Social Services Association, Rochester, MN, USA
| | - Ahmed Osman
- Intercultural Mutual Assistance Association, Rochester, MN, USA
| | - Miriam Goodson
- Alliance of Chicanos, Hispanics and Latin Americans, Rochester, MN, USA
| | | | - Omar Nur
- Somali American Social Services Association, Rochester, MN, USA
| | | | - Ahmed A. Mohamed
- Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
| | - Irene G. Sia
- Division of Infectious Diseases, Mayo Clinic, Rochester, MN, USA
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24
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Reproductive Justice, Public Black Feminism in Practice: A Reflection on Community-Based Participatory Research in Cincinnati. SOCIETIES 2022. [DOI: 10.3390/soc12010017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Research on reproductive justice has mainly, but not exclusively, appeared in academic literature in the context of grassroots social justice movements and as a theoretical framework for understanding the limitations of “reproductive choice” in the absence of social justice. But how can scholars design research to explore and understand reproductive (in)justice in the real lives of women of color? How can research partnerships between university scholars and community stewards be formed and sustained? What tensions and challenges are inherent in these efforts? And how can we find more equitable ways of sharing research findings and creating change with and not on behalf of our community? This paper reflects on the use of Community-Based Participatory Research (CBPR) in a reproductive justice research project focused on Black women residing in Cincinnati.
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25
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Brown NR, Alick CL, Heaston AG, Monestime S, Powe N. The Black Church and Public Health: A Key Partnership for Theory Driven COVID-19 Recovery Efforts. J Prim Care Community Health 2022; 13:21501319221097672. [PMID: 35619243 PMCID: PMC9150224 DOI: 10.1177/21501319221097672] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 04/11/2022] [Accepted: 04/12/2022] [Indexed: 11/15/2022] Open
Abstract
The COVID-19 epidemic has negatively impacted the Black community in the United States. Despite current disease mitigation efforts, work is still needed to ensure that Black individuals living in the United States understand their risks regarding COVID-19 infection whether vaccinated or unvaccinated. Thus, the current article posits that the Black church, in concert with public health practitioners, is a venue through which theoretically based health messages should be designed and disseminated regarding COVID-19 recovery efforts. The Health Belief Model and the Harm Reduction approach are posed as theoretical frameworks to facilitate the design of such messages.
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Affiliation(s)
| | - Candice L. Alick
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Shanada Monestime
- Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA
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26
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McElfish PA, Rowland B, Porter A, Felix HC, Selig JP, Semingson J, Willis DE, Smith M, Riklon S, Alik E, Padilla-Ramos A, Jasso EY, Zohoori N. Use of Community-Based Participatory Research Partnerships to Reduce COVID-19 Disparities Among Marshallese Pacific Islander and Latino Communities - Benton and Washington Counties, Arkansas, April-December 2020. Prev Chronic Dis 2021; 18:E91. [PMID: 34618667 PMCID: PMC8522500 DOI: 10.5888/pcd18.210124] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Marshallese and Latino communities in Benton and Washington counties, Arkansas, were disproportionately affected by COVID-19. We evaluated the effectiveness of a comprehensive community-based intervention to reduce COVID-19 disparities in these communities. We examined all laboratory-confirmed COVID-19 cases in the 2 counties reported from April 6, 2020, through December 28, 2020. A 2-sample serial t test for rate change was used to evaluate changes in case rates before and after implementation of the intervention. After implementation, the proportions of cases among Marshallese and Latino residents declined substantially and began to align more closely with the proportions of these 2 populations in the 2 counties. Infection rates remained lower throughout the evaluation period, and weekly incidence also approximated Marshallese and Latino population proportions. Leveraging community partnerships and tailoring activities to specific communities can successfully reduce disparities in incidence among populations at high-risk for COVID-19 .
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Affiliation(s)
- Pearl A McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas.,1125 N College Ave, Fayetteville, AR 72703.
| | - Brett Rowland
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
| | - Austin Porter
- Arkansas Department of Health, Little Rock, Arkansas
| | - Holly C Felix
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - James P Selig
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | | | - Don E Willis
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
| | | | - Sheldon Riklon
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
| | - Eldon Alik
- Republic of the Marshall Islands Consulate, Springdale, Arkansas
| | - Alan Padilla-Ramos
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
| | - Erika Y Jasso
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas
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Brewer LC, Woods C, Patel A, Weis J, Jones C, Abbenyi A, Brockman TA, Sia IG, Berbari E, Crane S, Doubeni CA. Establishing a SARS-CoV-2 (COVID-19) Drive-Through Collection Site: A Community-Based Participatory Research Partnership With a Federally Qualified Health Center. Am J Public Health 2021; 111:658-662. [PMID: 33600248 DOI: 10.2105/ajph.2020.306097] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The COVID-19 pandemic has disproportionately affected underserved and minority populations in the United States. This is partially attributable to limited access to diagnostic testing from deeply rooted structural inequities precipitating higher infection and mortality rates. We describe the process of establishing a drive-through collection site by leveraging an academic-community partnership between a medical institution and a federally qualified health center in Minnesota. Over 10 weeks, 2006 COVID-19 tests were provided to a socioeconomically disadvantaged population of racial/ethnic minorities and low-income essential workers.
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Affiliation(s)
- LaPrincess C Brewer
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Cynthia Woods
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Aarti Patel
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Jennifer Weis
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Clarence Jones
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Adeline Abbenyi
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Tabetha A Brockman
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Irene G Sia
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Elie Berbari
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Sarah Crane
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
| | - Chyke A Doubeni
- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
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- LaPrincess C. Brewer is with the Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Cynthia Woods and Aarti Patel are with Open Cities Health Center, St Paul, MN. Jennifer Weis, Adeline Abbenyi, and Tabetha A. Brockman are with the Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN. Clarence Jones is with Hue-Man Partnership, Minneapolis, MN. Irene G. Sia and Elie Berbari are with the Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Sarah Crane is with the Division of Community Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN. Chyke A. Doubeni is with the Department of Family Medicine, Mayo Clinic, Rochester, MN
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