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Riccardi M, Pettinicchio V, Di Pumpo M, Altamura G, Nurchis MC, Markovic R, Šagrić Č, Stojanović M, Rosi L, Damiani G. Community-based participatory research to engage disadvantaged communities: Levels of engagement reached and how to increase it. A systematic review. Health Policy 2023; 137:104905. [PMID: 37716190 DOI: 10.1016/j.healthpol.2023.104905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/12/2023] [Accepted: 09/02/2023] [Indexed: 09/18/2023]
Abstract
Community-based participatory research (CBPR) is one of the most used community engagement frameworks to promote health changes in vulnerable populations. The more a community is engaged, the more a program can impact the social determinants of health. The present study aims to measure the level of engagement reached in randomized controlled trials (RCTs) using CBPR in disadvantaged populations, and to find out the CBPR components that better correlate with a higher level of engagement. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Embase, Web of Science, MEDLINE, Cochrane and Scopus databases were queried. Engagement level was assessed using the revised version of IAP2 spectrum, ranging from "inform" to "shared leadership" . Fifty-one RCTs were included, belonging to 36 engagement programs. Fourteen CBPR reached the highest level of engagement. According to the multivariate logistic regression, a pre-existing community intervention was associated with a higher engagement level (OR = 10.08; p<0.05). The variable "institutional funding" was perfectly correlated with a higher level of engagement. No correlation was found with income status or type of preventive programs. A history of collaboration seems to influence the effectiveness in involving communities burdened with social inequities, so starting new partnerships remains a public health priority to invest on. A strong potentiality of CBPR was described in engaging disadvantaged communities, addressing social determinants of health. The key findings described above should be taken into account when planning a community engagement intervention, to build up an effective collaborative field between researchers and population.
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Affiliation(s)
- MariaTeresa Riccardi
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | | | - Marcello Di Pumpo
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Gerardo Altamura
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Mario Cesare Nurchis
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy
| | - Roberta Markovic
- University of Niš, Faculty of Medicine, Niš, Serbia; Public Health Institute Niš, Niš, Serbia
| | | | - Miodrag Stojanović
- University of Niš, Faculty of Medicine, Niš, Serbia; Public Health Institute Niš, Niš, Serbia
| | - Luca Rosi
- Department of Infectious Diseases, National Institute of Health (Istituto Superiore di Sanità, ISS), Rome, Italy
| | - Gianfranco Damiani
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy
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Simon L, Jackson T, King W, Beals D, Washington T, Miller M, Pogroszewski S. FADE OUT HIV: An Educational Intervention Allying Black Community Barbers, Their Clients, and Community Clinicians. JOURNAL OF CME 2023; 12:2269074. [PMID: 37860222 PMCID: PMC10583629 DOI: 10.1080/28338073.2023.2269074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 10/05/2023] [Indexed: 10/21/2023]
Abstract
Black individuals in the United States are less likely to use medication to prevent HIV (pre-exposure prophylaxis, or PrEP) than White individuals and are significantly more likely to receive a new HIV diagnosis. Because of America's long history of unethical medical and research practices and ongoing prejudice and bias, Black Americans have mistrust towards the medical community. This distrust, along with the social determinants of health, leads to low participation in health care. Health interventions at culturally "safe" and familiar venues are a popular strategy to engage Black Americans in health care. In the United States, barbershops are staples of the Black community and the utility of barbershops as a venue for delivering interventions has been successfully explored. We describe FADE OUT HIV, a program designed to increase barberknowledge of prevalence of HIV in the Black community; facilitatediscussions between Black barbers and their Black clients about HIVexposure, prevention, and treatment; provide free HIV tests forbarbers' clients; and educate community clinicians via live andenduring webcasts about HIV prevention and treatment. Clinician education was designed to facilitate HIV screening and ensure that the barber clients would be referred to clinicians who were knowledgeable about HIV. The learning objectives of the education were focused on barriers that prevent HIV screening and PrEP uptake and strategies to overcome these barriers, monitoring recommendations for people using PrEP, the benefits and limitations of new and in-development PrEP, and the importance of rapid initiation of antiretroviral therapy (ART). As a result of this programme, 308 HIV tests were administered to barber clients at hosted events in Los Angeles and clinician knowledge and competence increased by 33% and 34%, respectively.
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Affiliation(s)
| | | | - William King
- W. King Health Care Group, Los Angeles, CA, USA
- Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Willowbrook, CA, USA
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Chau MM, Ahmed N, Pillai S, Telzak R, Fraser M, Islam NS. Community-Based Organizations as Trusted Messengers in Health. Hastings Cent Rep 2023; 53 Suppl 2:S91-S98. [PMID: 37963042 PMCID: PMC10939007 DOI: 10.1002/hast.1529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
Trust is a key component in delivering quality and respectful care within health care systems. However, a growing lack of confidence in health care, particularly among specific subgroups of the population in the United States, could further widen health disparities. In this essay, we explore one approach to building trust and reaching diverse communities to promote health: engaging community-based organizations (CBOs) as trusted community messengers. We present case studies of partnerships in health promotion, community education, and outreach that showcase how CBOs' programs build and leverage trust in health care systems through their workforce, services, and engagement with the community.
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Dale SK, Etienne K, Hall S, Lazarus K, Nunnally K, Gibson G, Bolden R, Gardner N, Sanders J, Reid R, Phillips A. Five point initiative: a community-informed bundled implementation strategy to address HIV in Black communities. BMC Public Health 2023; 23:1625. [PMID: 37626315 PMCID: PMC10463742 DOI: 10.1186/s12889-023-16525-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Black individuals in the U.S. remain the most disproportionately impacted by new HIV diagnoses, represent the highest portion of individuals living with HIV, and have the highest morbidity rates. Structural inequities and historical oppression are the primary drivers. Such drivers limit access to HIV prevention tools that need to be delivered with culturally congruent and community-informed approaches. METHODS The Five Point Initiative (FPI) is a community-informed bundled implementation strategy developed and piloted between September 2019 and March 2020 in Miami, Florida in communities heavily impacted by HIV. Key components of the strategy included community consultants/experts, five categories (hence the "Five Point") of community businesses (e.g., corner stores, beauty supply stores, laundromats, mechanics, barbershops), local health organizations, an academic research program engrossed in community engaged research, and community residents who provided ongoing feedback throughout. Outcomes of FPI included (a) survey information (e.g., knowledge of and access to PrEP, barriers to care) and pilot data (acceptability and feasibility), (b) expansion of reach to Black individuals in HIV high impact zip codes in Miami, (c) insights on our bundled implementation strategy, (d) condom distribution, and (e) HIV testing. RESULTS Over the course of six months FPI carried out 10 outreach events, partnered with 13 community businesses and 5 health organizations, engaged 677 community residents, collected health information via a survey, distributed 12,434 condoms, provided information on PrEP, and offered voluntary HIV testing (131 completed). FPI's ability to reach residents who are not being reached (e.g., 68.8% never heard of PrEP, 8% no HIV testing ever, 65.9% no primary care provider), positive feedback from residents (e.g., 70% very satisfied, 21% satisfied; 62% strongly agree and 25% agree they would participate again) and qualitative interviews with businesses provide evidence of acceptability and feasibility. Further, survey data provided insights on factors such as socio-demographics, discrimination experiences, barriers to care, social-structural factors, physical and sexual health, and mental health and substance use. CONCLUSIONS The FPI bundled implementation strategy shows promise to deliver health prevention/intervention for HIV and other health conditions to communities facing health inequities and for whom the current system for delivering care is insufficient.
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Affiliation(s)
- Sannisha K Dale
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA.
| | - Kayla Etienne
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
| | - Sidny Hall
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
- New College of Florida, Sarasota, FL, USA
| | - Kimberly Lazarus
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
| | | | | | - Roxana Bolden
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
- A Sister with A Testimony, Miami, FL, USA
| | - Nadine Gardner
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
| | - Jasmyn Sanders
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
| | - Rachelle Reid
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
| | - Arnetta Phillips
- Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Miami, FL, 33146, USA
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Nwakoby C, Pierce LJ, Crawford R, Conserve D, Perkins J, Hurt S, Ahonkhai AA. Establishing an Academic-Community Partnership to Explore the Potential of Barbers and Barbershops in the Southern United States to Address Racial Disparities in HIV Care Outcomes for Black Men Living With HIV. Am J Mens Health 2023; 17:15579883231152114. [PMID: 36757054 PMCID: PMC9943967 DOI: 10.1177/15579883231152114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 12/14/2022] [Accepted: 01/03/2023] [Indexed: 02/10/2023] Open
Abstract
Black men comprise most new HIV infections in the Southern United States and have worse HIV outcomes than their non-Black counterparts. We developed an academic-community partnership in Nashville, Tennessee, to explore opportunities to improve HIV outcomes for Black men. We recruited barbers to an HIV training and focus group discussion about prevention and potential barber/barbershop-based strategies to address HIV-related needs for Black men. We assessed HIV knowledge and stigma with validated scales and conducted thematic analysis on discussion transcripts. HIV-related stigma was low (1.8 of 15 points [SD = 1.69]) among 13 participants of unknown HIV status (12 men and one woman). HIV knowledge increased among eight (67%) participants after receiving a brief HIV didactic. Participants described general health care barriers (e.g., the social norm that Black men do not go to the doctor until they are "damn near dead"), fears about unwanted HIV disclosure when seeking HIV testing or care, and community fears about negative stereotypes associated with HIV. Participants expressed enthusiasm about receiving more HIV-related training and utilizing communication skills and client/community relationships to serve as health educators and navigators. Barbers highlighted opportunities to disseminate HIV information in barbershops and combine HIV interventions with other health issues, such as COVID-19, and suggested that these interventions may help reduce HIV-related stigma. Our findings suggest that barbers and barbershops are an underutilized resource for disseminating HIV-related health information and engaging Black men in HIV and other important prevention and care activities such as COVID-19.
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Affiliation(s)
| | - Leslie J. Pierce
- Vanderbilt Institute of Global Health,
Vanderbilt University Medical Center, Nashville, TN, USA
| | | | - Donaldson Conserve
- Department of Prevention and Community
Health, Milken Institute School of Public Health, The George Washington University,
Washington, DC, USA
| | | | | | - Aima A. Ahonkhai
- Vanderbilt Institute of Global Health,
Vanderbilt University Medical Center, Nashville, TN, USA
- Division of Infectious Diseases,
Vanderbilt University Medical Center, Nashville, TN, USA
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Ransome Y, Luan H, Dean LT, Quick H, Nassau T, Kawachi I, Brady KA. Is race-specific neighborhood social cohesion key to reducing racial disparities in late HIV diagnosis: A multiyear ecological study. Spat Spatiotemporal Epidemiol 2022; 42:100508. [PMID: 35934322 PMCID: PMC9912753 DOI: 10.1016/j.sste.2022.100508] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 03/01/2022] [Accepted: 04/18/2022] [Indexed: 11/21/2022]
Abstract
We examined whether race/ethnic-specific social cohesion is associated with race/ethnic-specific HIV diagnosis rates using Bayesian space-time zero-inflated Poisson multivariable models, across 376 Census tracts. Social cohesion data were from the Southeastern Pennsylvania Household Health Survey, 2008-2015 and late HIV diagnosis data from eHARS system, 2009-2016. Areas where trust in neighbors reported by Black/African Americans was medium (compared to low) had lower rates of late HIV diagnosis among Black/African Americans (Relative Risk (RR)=0.52, 95% credible interval (CrI)= 0.34, 0.80). In contrast, areas where trust in neighbors reported by Black/African Americans were highest had lower late HIV diagnosis rates among Whites (RR=0.35, 95% CrI= 0.16, 0.76). Race/ethnic-specific differences in social cohesion may have implications for designing interventions aimed at modifying area-level social factors to reduce racial disparities in late HIV diagnosis.
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Affiliation(s)
- Yusuf Ransome
- Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, LEPH 4th Floor, New Haven, CT 06520.
| | - Hui Luan
- Department of Geography, Spatial Cognition, Computation, and Complexity (S3C) Lab, University of Oregon, 107D Condon Hall, 1251 University of Oregon, Eugene OR, 97403; School of Geodesy and Geomatics, Wuhan University, 129 Luoyu Road, Wuchang District, Wuhan, Hubei, China, 430079
| | - Lorraine T Dean
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615N Wolfe St, E6650, Baltimore, MD, 21205
| | - Harrison Quick
- Department of Epidemiology and Biostats, Drexel University Dornsife School of Public Health, 3215 Market St, Philadelphia, PA, 19104
| | - Tanner Nassau
- AIDS Activities Coordinating Office, Philadelphia Department of Public Health, 1101 Market St., 8th Floor, Philadelphia, PA, 19107
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building 7th Floor, Boston MA, 02115
| | - Kathleen A Brady
- AIDS Activities Coordinating Office, Philadelphia Department of Public Health, 1101 Market St., 8th Floor, Philadelphia, PA, 19107
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Irie WC, Calabrese SK, Patel RR, Mayer KH, Geng EH, Marcus JL. Preferences for HIV Preexposure Prophylaxis Products Among Black Women in the U.S. AIDS Behav 2022; 26:2212-2223. [PMID: 34985607 DOI: 10.1007/s10461-021-03571-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2021] [Indexed: 01/27/2023]
Abstract
In a nationwide sample of Black women in the U.S., we assessed preferences for HIV preexposure prophylaxis (PrEP) products, including long-acting injectable (LAI) PrEP and once-daily oral PrEP. Among 315 respondents, 32.1% were aware of PrEP and 40.6% were interested in using it; interest increased to 62.2% if PrEP were provided for free. Oral PrEP was the preferred option (51.1%), followed by LAI PrEP (25.7%), vaginal gel (16.5%), and vaginal ring (6.7%). When examining oral and LAI PrEP alone, most (62.7%) preferred oral PrEP. LAI PrEP was more likely to be preferred among respondents with concerns about healthcare costs or PrEP-related stigma, and among those who reported inconsistent condom use and multiple sexual partners. Although most Black women preferred oral PrEP, LAI PrEP may be appealing to a subset with social and structural barriers to PrEP use, such as cost and stigma, and those at increased risk of HIV infection.
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Gousse Y, Wilson TE, McFarlane D, Browne RC, Fraser M, Yusim D, Stewart M, Salifu MO, Joseph MA. HIV Testing Correlates: U.S. and Foreign Born High-Risk Black Heterosexual Men. J Immigr Minor Health 2021; 23:1145-1151. [PMID: 33507520 PMCID: PMC9796172 DOI: 10.1007/s10903-021-01140-8] [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: 01/08/2021] [Indexed: 12/30/2022]
Abstract
In the U.S., Black men are disproportionately affected by HIV, with some of the highest HIV incidence rates and lowest rates of HIV testing. We examined correlates of HIV testing and knowledge among participants of the Barbershop Talk with Brothers (BTWB) project, an HIV prevention program targeting high-risk sexual behaviors among Black heterosexual men in Brooklyn, New York. Specifically, we examined differences between U.S. vs. foreign-born status and HIV testing rates, HIV knowledge, and socio-demographic factors. Of the 855 men included, the mean age was 33 years and 35.0% were foreign-born. Lifetime HIV testing was reported at 84%, with greater proportion of U.S. vs foreign-born men reporting lifetime (88.6% vs. 75.0%) and recent testing (68.6% vs. 51.0%), p < 0.001. Among foreign-born men, recent HIV testing was associated with lower stigma and greater HIV transmission knowledge than those un-tested. The authors recommend tailored approaches to increasing HIV testing in Black communities, based on nativity and social factors.
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Affiliation(s)
- Yolene Gousse
- Department of Pharmacy Administration and Public Health, St. John’s University, Queens, NY, USA,Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Pharmacy Administration and Public Health, Dr. Andrew J. Bartilucci Center, St. John’s University, 8000 Utopia Parkway, New York, NY 11439, USA
| | - Tracey E. Wilson
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Davin McFarlane
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Special Treatment and Research Program, College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | | | - Marilyn Fraser
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Arthur Ashe Institute for Urban Health, Brooklyn, NY, USA
| | - Diana Yusim
- Baystate Medical Center, Springield, MA, USA
| | - Mark Stewart
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,School of Graduate Studies, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Moro O. Salifu
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Division of Nephrology, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Michael A. Joseph
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
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Wippold GM, Frary SG, Abshire DA, Wilson DK. Improving Recruitment, Retention, and Cultural Saliency of Health Promotion Efforts Targeting African American Men: A Scoping Review. Ann Behav Med 2021; 56:605-619. [PMID: 34473823 DOI: 10.1093/abm/kaab079] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND When health promotion efforts intend to include African American men, they experience challenges with recruitment and retention, in addition to limited cultural saliency-interventions that do not align the cultural preferences and experiences of the target population produce less effective results. PURPOSE This scoping review provides an understanding of (a) how health promotion efforts among African American men are developed and implemented, in addition to the (b) main outcomes, (c) retention rates, and (d) methodological rigor of those efforts. METHODS The following databases were used: PubMed, EMBASE (Ovid), PsycINFO (EBSCO), CINAHL (EBSCO), Web of Science (Clarivate), and ProQuest. Included studies were restricted to those: (a) conducted among African American men and (b) reported the effects of a health promotion intervention. Interventions using single-group pre-post study, post-test-only study, non-randomized controlled trial, and randomized controlled trial (RCT) study designs were included. RESULTS The results indicate that varying degrees of customization in the design and implementation of health promotion efforts targeting African American can improve recruitment, retention, and health-related outcomes. Results draw attention to the need for community input when designing and implementing efforts targeting these men. CONCLUSIONS These results indicate that opportunities exist to innovate health promotion efforts among African American men, such as the intentional incorporation of the community's values, perspectives, and preferences in the effort (i.e., cultural saliency) and explicitly indicating how the efforts were culturally tailored to improve saliency. Opportunities also exist to innovate health promotion efforts among African American men based on literature-derived best practices.
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Affiliation(s)
- Guillermo M Wippold
- Department of Psychology, University of South Carolina, Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, SC, USA
| | - Sarah Grace Frary
- Department of Psychology, University of South Carolina, Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, SC, USA
| | | | - Dawn K Wilson
- Department of Psychology, University of South Carolina, Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, SC, USA
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Wippold GM, Frary SG, Abshire D, Wilson DK. Peer-to-peer health promotion interventions among African American men: a scoping review protocol. Syst Rev 2021; 10:184. [PMID: 34154638 PMCID: PMC8218504 DOI: 10.1186/s13643-021-01737-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Accepted: 06/08/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Health promotion efforts among African American men have been met with significant challenges and have produced limited results. Interventions that do not align with the values, perspectives, and preferences of African American men often produce less effective results. Research among African American men has provided compelling evidence that these men prefer informal networks of health support. Recent successful health promotion efforts among these men have benefited from peer-to-peer models of implementation. To date, no known scoping or systematic review of peer-to-peer health promotion interventions among African American men has been conducted. The goal of this scoping review is to understand the extent of, design, implementation, and use of peer-to-peer interventions to promote health, improve quality of life, and prevent disease among African American men. METHODS A review of the literature will be performed in PubMED, EMBASE, PsycInfo, CINAHL, and Web of Science. The development of this protocol was guided by the work of Arksey and O'Malley and the PICOS statement. Reporting will be guided by the PRISMA-ScR checklist. Eligible studies include those testing the effects of a peer-to-peer health promotion intervention targeting African American men. A comparison group will not be required. For the purposes of the current review, "peers" will be limited to other African American men. An initial screening of the titles and abstracts of potentially eligible studies will be completed by two independent reviewers. The full text of records that appear to meet the eligibility criteria will be accessed and further screened. Data will then be extracted and collected using a custom Microsoft Excel spreadsheet. Extracted data will include authors' name and publication year, target health issue(s), design of the intervention, components of the intervention, peer-led components of the intervention, peer role, length and type of training for peer leaders, intervention duration, frequency of the intervention, study design and number of participants, and main outcomes. Finally, results will be presented in table format and summarized in text format. DISCUSSION Results will have implications for the design, implementation, and evaluation of health promotion interventions among African American men. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020198664.
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Affiliation(s)
- Guillermo M Wippold
- Department of Psychology, University of South Carolina, 1512 Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, South Carolina, 29208, USA.
| | - Sarah Grace Frary
- Department of Psychology, University of South Carolina, 1512 Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, South Carolina, 29208, USA
| | | | - Dawn K Wilson
- Department of Psychology, University of South Carolina, 1512 Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, South Carolina, 29208, USA
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Pekmezaris R, Williams MS, Pascarelli B, Finuf KD, Harris YT, Myers AK, Taylor T, Kline M, Patel VH, Murray LM, McFarlane SI, Pappas K, Lesser ML, Makaryus AN, Martinez S, Kozikowski A, Polo J, Guzman J, Zeltser R, Marino J, Pena M, DiClemente RJ, Granville D. Adapting a home telemonitoring intervention for underserved Hispanic/Latino patients with type 2 diabetes: an acceptability and feasibility study. BMC Med Inform Decis Mak 2020; 20:324. [PMID: 33287815 PMCID: PMC7720574 DOI: 10.1186/s12911-020-01346-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 11/22/2020] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Home telemonitoring is a promising approach to optimizing outcomes for patients with Type 2 Diabetes; however, this care strategy has not been adapted for use with understudied and underserved Hispanic/Latinos (H/L) patients with Type 2 Diabetes. METHODS A formative, Community-Based Participatory Research approach was used to adapt a home telemonitoring intervention to facilitate acceptability and feasibility for vulnerable H/L patients. Utilizing the ADAPT-ITT framework, key stakeholders were engaged over an 8-month iterative process using a combination of strategies, including focus groups and structured interviews. Nine Community Advisory Board, Patient Advisory, and Provider Panel Committee focus group discussions were conducted, in English and Spanish, to garner stakeholder input before intervention implementation. Focus groups and structured interviews were also conducted with 12 patients enrolled in a 1-month pilot study, to obtain feedback from patients in the home to further adapt the intervention. Focus groups and structured interviews were approximately 2 hours and 30 min, respectively. All focus groups and structured interviews were audio-recorded and professionally transcribed. Structural coding was used to mark responses to topical questions in the moderator and interview guides. RESULTS Two major themes emerged from qualitative analyses of Community Advisory Board/subcommittee focus group data. The first major theme involved intervention components to maximize acceptance/usability. Subthemes included tablet screens (e.g., privacy/identity concerns; enlarging font sizes; lighter tablet to facilitate portability); cultural incongruence (e.g., language translation/literacy, foods, actors "who look like me"); nursing staff (e.g., ensuring accessibility; appointment flexibility); and, educational videos (e.g., the importance of information repetition). A second major theme involved suggested changes to the randomized control trial study structure to maximize participation, including a major restructuring of the consenting process and changes designed to optimize recruitment strategies. Themes from pilot participant focus group/structured interviews were similar to those of the Community Advisory Board such as the need to address and simplify a burdensome consenting process, the importance of assuring privacy, and an accessible, culturally congruent nurse. CONCLUSIONS These findings identify important adaptation recommendations from the stakeholder and potential user perspective that should be considered when implementing home telemonitoring for underserved patients with Type 2 Diabetes. TRIAL REGISTRATION NCT03960424; ClinicalTrials.gov (US National Institutes of Health). Registered 23 May 2019. Registered prior to data collection. https://www.clinicaltrials.gov/ct2/show/NCT03960424?term=NCT03960424&draw=2&rank=1.
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Affiliation(s)
- Renee Pekmezaris
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA.
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA.
| | - Myia S Williams
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | - Briana Pascarelli
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | - Kayla D Finuf
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA.
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA.
| | - Yael T Harris
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Department of Medicine, Division of Endocrinology, North Shore University Hospital, Manhasset, NY, USA
| | - Alyson K Myers
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
- Department of Medicine, Division of Endocrinology, North Shore University Hospital, Manhasset, NY, USA
| | - Tonya Taylor
- College of Medicine, Division of Infectious Disease, SUNY-Downstate Health Sciences University, Brooklyn, NY, USA
| | - Myriam Kline
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
| | - Vidhi H Patel
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | - Lawrence M Murray
- Annie E. Casey Foundation Children and Family Fellowship, Baltimore, MD, USA
| | - Samy I McFarlane
- Department of Medicine, SUNY-Downstate Health Sciences University, Brooklyn, NY, USA
| | - Karalyn Pappas
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
| | - Martin L Lesser
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
| | - Amgad N Makaryus
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Department of Cardiology, Nassau University Medical Center, East Meadow, NY, USA
| | - Sabrina Martinez
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | - Andrjez Kozikowski
- Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, USA
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | | | | | - Roman Zeltser
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Nassau University Medical Center, East Meadow, NY, USA
| | - Jose Marino
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, NY, USA
| | - Maria Pena
- Nassau University Medical Center, East Meadow, NY, USA
- Mount Sinai Hospital, Mount Sinai Health System, New York, NY, USA
| | - Ralph J DiClemente
- Department of Social and Behavioral Sciences, NYU School of Global Public Health, New York, NY, USA
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12
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Burns J, Johnstone K, Chavanduka T, Jamison C, Pena V, Stephenson R, Darbes L. Evaluation of the Sexual Health Behaviors of Black Male Adolescents and Young Adults Through Social Media Platforms: Web-Based Survey Study. JMIR Public Health Surveill 2020; 6:e19219. [PMID: 32693387 PMCID: PMC7539156 DOI: 10.2196/19219] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/23/2020] [Accepted: 06/24/2020] [Indexed: 11/26/2022] Open
Abstract
Background Social media platforms such as Facebook, Instagram, and Twitter, which have millions of users who interact and communicate every day, have been effective in promoting sexual health interventions and in disseminating reproductive health education. They have also been shown to be useful in health promotion and have been used to track several key metrics (eg, comments, posts) among users of all demographics. However, there is a lack of research on the impact and reach of these social media platforms as a community-based tool for disseminating sexual health information and for increasing engagement among Black adolescents and young adults, which is a targeted high-risk population. Objective The purpose of this study was to determine the social media platforms and banner advertisements that affected engagement among Black male adolescents and young adults in participating in web-based health surveys. Methods A web-based survey was conducted from March 2019 to July 2019 to assess sexual health and health behaviors in a convenience sample of Black male adolescents and young adults in the age range of 18-24 years (N=170). Social media metrics from Facebook, Instagram, and Twitter were monitored. This cross-sectional survey comprised several categories, including basic personal information, drug-related risk behaviors, health care, sexual reproductive health questions, attitudes, norms, and perceived control, mental health, violence-related risk behaviors, and social media preferences. Results Social media advertisements on the Black Male Opinion survey reached approximately 146,412 individuals. Our primary finding of the web-based survey engagement was that referral (eg, group chat, indirect social media sharing) led to as the greatest proportion of recruitment, with Twitter and YouTube as the preferred sites to receive sexual health information. Conclusions Recognizing the variety of technologies being used among Black male young adults and adolescents can help the community, researchers, and health care providers understand the web-based engagement of this high-risk population. This information may also promote culturally sensitive, customized marketing on sexual health information for this population.
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Affiliation(s)
- Jade Burns
- Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, MI, United States
| | - Keith Johnstone
- Ross School of Business, University of Michigan, Ann Arbor, MI, United States
| | - Tanaka Chavanduka
- Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, MI, United States
| | - Cornelius Jamison
- Department of Family Medicine, Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, United States
| | - Valery Pena
- The College of Arts and Sciences, Cornell University, Ithaca, NY, United States
| | - Rob Stephenson
- Department of Systems, Population and Leadership, Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, MI, United States
| | - Lynae Darbes
- Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, MI, United States
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13
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Pekmezaris R, Kozikowski A, Pascarelli B, Wolf-Klein G, Boye-Codjoe E, Jacome S, Madera D, Tsang D, Guerrero B, Medina R, Polo J, Williams M, Hajizadeh N. A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach. JMIR Form Res 2020; 4:e13197. [PMID: 32012039 PMCID: PMC7055744 DOI: 10.2196/13197] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 08/08/2019] [Accepted: 09/26/2019] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using home TM has not been tested for use with individuals living with chronic obstructive pulmonary disease (COPD) residing in underserved communities. OBJECTIVE This study aimed to analyze qualitative data from focus groups with key stakeholders to ensure the acceptability and usability of the TM COPD intervention. METHODS We utilized a community-based participatory research (CBPR) approach to adapt a home TM COPD intervention to facilitate acceptability and feasibility in low-income African American and Hispanic patients. The study engaged community stakeholders in the process of modifying the intervention in the context of 2 community advisory board meetings. Discussions were audio recorded and professionally transcribed and lasted approximately 2 hours each. Structural coding was used to mark responses to topical questions in interview guides. RESULTS We describe herein the formative process of a CBPR study aimed at optimizing telehealth utilization among African American and Latino patients with COPD from underserved communities. A total of 5 major themes emerged from qualitative analyses of community discussions: equipment changes, recruitment process, study logistics, self-efficacy, and access. The identification of themes was instrumental in understanding the concerns of patients and other stakeholders in adapting the pulmonary rehabilitation (PR) home intervention for acceptability for patients with COPD from underserved communities. CONCLUSIONS These findings identify important adaptation recommendations from the stakeholder perspective that should be considered when implementing in-home PR via TM for underserved COPD patients. TRIAL REGISTRATION ClinicalTrials.gov NCT03007485; https://clinicaltrials.gov/ct2/show/NCT03007485.
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Affiliation(s)
- Renee Pekmezaris
- Northwell Health, Manhasset, NY, United States.,Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY, United States.,Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, Great Neck, NY, United States
| | | | | | | | | | | | | | - Donna Tsang
- Northwell Health, Manhasset, NY, United States
| | | | | | | | - Myia Williams
- Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, Great Neck, NY, United States
| | - Negin Hajizadeh
- Northwell Health, Manhasset, NY, United States.,Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY, United States
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14
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Taylor TN, DeHovitz J, Hirshfield S. Intersectional Stigma and Multi-Level Barriers to HIV Testing Among Foreign-Born Black Men From the Caribbean. Front Public Health 2020; 7:373. [PMID: 31998675 PMCID: PMC6965168 DOI: 10.3389/fpubh.2019.00373] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Accepted: 11/21/2019] [Indexed: 01/08/2023] Open
Abstract
Testing is the entry point into the HIV care continuum that includes linkage to and retention in prevention services, and adherence to prevention strategies, including repeat HIV testing. Despite US policy approaches to expand HIV testing to diverse clinical care and community settings, disparities in HIV testing among Black populations persist. Foreign-born (FB) Black persons from the Caribbean have higher annual rates of HIV diagnosis and a higher percentage of late-stage HIV diagnosis, compared with US-born Black persons; and most HIV infections among FB Blacks are among men. In this article, we provide an overview of HIV testing barriers among FB Black men who engage in HIV risk-taking behaviors (e.g., condomless sex with male and/or female partners of unknown HIV serostatus). Barriers to HIV testing for both FB and US-born Black men, include HIV stigma (anticipated, perceived, internalized), low perceived HIV risk, medical or government mistrust, and perceived low access to testing resources. We examine beliefs about masculinity and gender roles that may perpetuate heteronormative stereotypes associated with perceptions of low HIV risk and barriers to HIV testing. We also discuss the impact of recent immigration policies on accessing HIV testing and treatment services and how intersectional stigmas and structural forms of oppression, such as racism, prejudice against select immigrant groups, and homophobia that may further amplify barriers to HIV testing among FB Black men. Finally, we review comprehensive prevention approaches, and suggest innovative approaches, that may improve the uptake of HIV testing among FB Black men.
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Affiliation(s)
- Tonya N. Taylor
- SUNY Downstate Health Sciences University, Brooklyn, NY, United States
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15
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Wilson TE, Gousse Y, Joseph MA, Browne RC, Camilien B, McFarlane D, Mitchell S, Brown H, Urraca N, Romeo D, Johnson S, Salifu M, Stewart M, Vavagiakis P, Fraser M. HIV Prevention for Black Heterosexual Men: The Barbershop Talk with Brothers Cluster Randomized Trial. Am J Public Health 2019; 109:1131-1137. [PMID: 31219715 DOI: 10.2105/ajph.2019.305121] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives. To identify the impact of a strengths-focused HIV prevention program among high-risk heterosexual Black men. Methods. Barbershops in Brooklyn, New York, neighborhoods with high rates of heterosexually transmitted HIV were randomized to the intervention or an attention control program. Men were recruited from barbershops between 2012 and 2016 and participated in a single small group, peer-led session focused on HIV risk reduction skills and motivation, community health empowerment, and identification of personal strengths and communication skills. The outcome was defined as 1 or more acts of condomless anal or vaginal sex in the preceding 90 days at a 6-month interview. Results. Fifty-three barbershops (24 intervention, 29 control) and 860 men (436 intervention, 424 control) were recruited; follow-up was completed by 657 participants (352 intervention, 305 control). Intervention exposure was associated with a greater likelihood of no condomless sex (64.4%) than control group participation (54.1%; adjusted odds ratio = 1.61; 95% confidence interval = 1.05, 2.47). Conclusions. Program exposure resulted in reduced sexual risk behaviors, and the program was acceptable for administration in partnership with barbershops. Public Health Implications. Dissemination of similar programs could improve public health in communities with high rates of HIV attributable to heterosexual transmission.
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Affiliation(s)
- Tracey E Wilson
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Yolene Gousse
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Michael A Joseph
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Ruth C Browne
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Brignel Camilien
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Davin McFarlane
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Shawn Mitchell
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Humberto Brown
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Nelson Urraca
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Desmond Romeo
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Steven Johnson
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Moro Salifu
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Mark Stewart
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Peter Vavagiakis
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
| | - Marilyn Fraser
- Tracey E. Wilson, Yolene Gousse, Michael A. Joseph, Davin McFarlane, Moro Salifu, and Mark Stewart are with the State University of New York Downstate Medical Center, Brooklyn. Ruth C. Browne, Brignel Camilien, Shawn Mitchell, Humberto Brown, and Marilyn Fraser are with the Arthur Ashe Institute for Urban Health, Brooklyn. Nelson Urraca is with Nelson's Barbershop, Brooklyn. Desmond Romeo is with Cuts Barbershop, Brooklyn. Steven Johnson is with F & S Barbershop, Brooklyn. Peter Vavagiakis is with Panna Technologies, New York, NY. The authors collaborated through the Brooklyn Health Disparities Center, Brooklyn
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16
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Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, Legido-Quigley H. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One 2019; 14:e0216112. [PMID: 31075120 PMCID: PMC6510456 DOI: 10.1371/journal.pone.0216112] [Citation(s) in RCA: 144] [Impact Index Per Article: 28.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 04/15/2019] [Indexed: 11/23/2022] Open
Abstract
Background Community participation is widely believed to be beneficial to the development, implementation and evaluation of health services. However, many challenges to successful and sustainable community involvement remain. Importantly, there is little evidence on the effect of community participation in terms of outcomes at both the community and individual level. Our systematic review seeks to examine the evidence on outcomes of community participation in high and upper-middle income countries. Methods and findings This review was developed according to PRISMA guidelines. Eligible studies included those that involved the community, service users, consumers, households, patients, public and their representatives in the development, implementation, and evaluation of health services, policy or interventions. We searched the following databases from January 2000 to September 2016: Medline, Embase, Global Health, Scopus, and LILACs. We independently screened articles for inclusion, conducted data extraction, and assessed studies for risk of bias. No language restrictions were made. 27,232 records were identified, with 23,468 after removal of duplicates. Following titles and abstracts screening, 49 met the inclusion criteria for this review. A narrative synthesis of the findings was conducted. Outcomes were categorised as process outcomes, community outcomes, health outcomes, empowerment and stakeholder perspectives. Our review reports a breadth of evidence that community involvement has a positive impact on health, particularly when substantiated by strong organisational and community processes. This is in line with the notion that participatory approaches and positive outcomes including community empowerment and health improvements do not occur in a linear progression, but instead consists of complex processes influenced by an array of social and cultural factors. Conclusion This review adds to the evidence base supporting the effectiveness of community participation in yielding positive outcomes at the organizational, community and individual level. Trial registration Prospero record number:CRD42016048244.
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Affiliation(s)
- Victoria Haldane
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Fiona L. H. Chuah
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Aastha Srivastava
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Shweta R. Singh
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Gerald C. H. Koh
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Chia Kee Seng
- Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Helena Legido-Quigley
- Swee Hock School of Public Health, National University of Singapore, Singapore
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
- * E-mail:
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17
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Dill LJ, Gousse Y, Huggins K, Fraser MA, Browne RC, Stewart M, Salifu M, Joseph MA, Wilson TE. Adjournment in Community HIV Prevention: Exploring Transitions in Community-Academic Partnerships. Health Promot Pract 2019; 21:544-551. [PMID: 30943792 DOI: 10.1177/1524839919839361] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Barbershop-based interventions have been increasingly implemented as a means to support culturally relevant and community-accessible health promotion and disease prevention efforts. Specifically, in neighborhoods of Brooklyn, New York, with high HIV seroprevalence rates, barbers have volunteered to support an initiative to help reduce sexual risk behavior. After implementing the Barbershop Talk With Brothers program for 5 years, we explored how program participation has affected barbers' HIV prevention and counseling skills to promote their clients' health, and assessed their views of next stages of the community-academic partnership, once the specific project ended. Through employing rigorous qualitative research methods with personnel at participating barbershops, key results include that although barbers self-identify as community leaders and even as health educators, they want ongoing support in educating customers about other topics like nutrition and physical activity, including upstream social determinants of health, such as housing and employment. They are also concerned regarding how best to support continuity of efforts and maintenance of partnerships between projects. These findings provide insight toward adjourning community-based participatory research projects, which can inform other academic researchers, organizations, and businesses that partner with community members.
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Affiliation(s)
| | - Yolene Gousse
- St. John's University, Queens, NY, USA.,Brooklyn Health Disparities Center, Brooklyn, NY, USA
| | - Kimberly Huggins
- Widener University, Chester, PA, USA.,SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Marilyn A Fraser
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,Arthur Ashe Institute for Urban Health, Brooklyn, NY, USA
| | - Ruth C Browne
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,Arthur Ashe Institute for Urban Health, Brooklyn, NY, USA
| | - Mark Stewart
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Moro Salifu
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Michael A Joseph
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Tracey E Wilson
- Brooklyn Health Disparities Center, Brooklyn, NY, USA.,SUNY Downstate Medical Center, Brooklyn, NY, USA
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18
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Guerra-Reyes L, Fu TCJ, Williams D, Herbenick D, Dodge B, Reece M, Fortenberry JD. Knowledge of Zika and perception of risk among sexually-active adults in the United States of America: results from a nationally representative sample. Rev Panam Salud Publica 2018; 42:e43. [PMID: 31093071 PMCID: PMC6386031 DOI: 10.26633/rpsp.2018.43] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Accepted: 10/12/2017] [Indexed: 01/05/2023] Open
Abstract
Objective To examine knowledge of Zika transmission and risk perception and to assess variability by condom use in a probability sample of sexually-active adults in the United States. Methods Data for this study came from the 2016 wave of the National Survey of Sexual Health and Behavior, a nationally representative probability sample of adults in the United States. Data were collected in November 2016 via a cross-sectional Internet-based survey administered to members of a Knowledge Panel, an address-based random sample service managed by GfK. A weighted subsample (n = 1 713) of sexually active adults, 18 - 50 years of age, was included in analyses. Results More than 90% of men and women reported low or no perceived risk of Zika. Most participants identified mosquito bite as a route of transmission, while significantly fewer identified sexual intercourse (≈ 40%) and vertical (29% men, 41% women) transmission routes. Conclusion Sexually-active adults in the United States, especially young men, lack awareness of sexual and vertical transmission of Zika Virus. Given the likely endemic nature of Zika, this low-risk perception is an important prevention challenge. Zika prevention messaging should address lesser known transmission routes, emphasize male education, and promote correct and consistent condom use.
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Affiliation(s)
- Lucia Guerra-Reyes
- Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, United States
| | - Tsung-Chieh Jane Fu
- Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, United States
| | - Deana Williams
- Department of Applied Health Science, Indiana University, Bloomington, Indiana, United States
| | - Debby Herbenick
- Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, United States
| | - Brian Dodge
- Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, United States
| | - Michael Reece
- Center for Sexual Health Promotion, School of Public Health, Indiana University, Bloomington, Indiana, United States
| | - J Dennis Fortenberry
- Section of Adolescent Medicine, Indiana University School of Medicine, Bloomington, Indiana, United States
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Mullins CD, Wingate LT, Edwards HA, Tofade T, Wutoh A. Transitioning from learning healthcare systems to learning health care communities. J Comp Eff Res 2018; 7:603-614. [PMID: 29478331 DOI: 10.2217/cer-2017-0105] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The learning healthcare system (LHS) model framework has three core, foundational components. These include an infrastructure for health-related data capture, care improvement targets and a supportive policy environment. Despite progress in advancing and implementing LHS approaches, low levels of participation from patients and the public have hampered the transformational potential of the LHS model. An enhanced vision of a community-engaged LHS redesign would focus on the provision of health care from the patient and community perspective to complement the healthcare system as the entity that provides the environment for care. Addressing the LHS framework implementation challenges and utilizing community levers are requisite components of a learning health care community model, version two of the LHS archetype.
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Affiliation(s)
- C Daniel Mullins
- Pharmaceutical Health Services Research, University of Maryland, Baltimore, 220 Arch Street, 12th Floor, Baltimore, MD 21201, USA
| | - La'Marcus T Wingate
- Department of Clinical & Administrative Pharmacy Sciences, Howard University College of Pharmacy, Washington, DC 20059, USA
| | - Hillary A Edwards
- Pharmaceutical Health Services Research, University of Maryland, Baltimore, 220 Arch Street, 12th Floor, Baltimore, MD 21201, USA
| | - Toyin Tofade
- Department of Clinical & Administrative Pharmacy Sciences, Howard University College of Pharmacy, Washington, DC 20059, USA
| | - Anthony Wutoh
- Department of Clinical & Administrative Pharmacy Sciences, Howard University College of Pharmacy, Washington, DC 20059, USA
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20
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Gousse Y, McFarlane D, Fraser M, Joseph M, Alli B, Council-George M, Fraser H, Romeo D, Urraca N, Wellington P, Stewart M, Browne RC, Salifu MO, Vavagiakis P, Wilson TE. Lessons Learned from the Implementation of a Shared Community-Academic HIV Prevention Intervention. Prog Community Health Partnersh 2018; 12:451-461. [PMID: 30739899 PMCID: PMC6373485 DOI: 10.1353/cpr.2018.0070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Community-based participatory research (CBPR) is used to guide the design and evaluation of programs aimed at addressing complex health issues. Effective administrative management of CBPR projects is essential to ensuring the success and fidelity of these programs. OBJECTIVE We identify an administrative framework to support the implementation and management of a community- academic CBPR initiative. METHODS The Barbershop Talk with Brothers (BTWB) project was a cluster randomized CBPR intervention designed to reduce HIV among high-risk heterosexual men. Eight-hundred sixty men, representing 53 barbershops, participated in the project. RESULTS The 3Ps framework is defined by 1) partnership, 2) product, and 3) process. We describe the implementation of the 3Ps through applied examples including partnership management strategies, planning of shared resources, and flexible budgeting that can support the unique infrastructure of a shared community-academic project. CONCLUSIONS The 3Ps are a translatable framework for comparable shared community-academic research projects to adopt.
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Affiliation(s)
- Yolene Gousse
- St. John’s University, Department of Pharmacy Administration and Public Health Queens, New York 11439, United States
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
| | - Davin McFarlane
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- State University of New York Downstate Medical Center, School of Public Health, Brooklyn, New York 11203, United States
| | - Marilyn Fraser
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- Arthur Ashe Institute for Urban Health, Brooklyn, New York 11203, United States
| | - Michael Joseph
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- State University of New York Downstate Medical Center, School of Public Health, Brooklyn, New York 11203, United States
| | - Bibi Alli
- Linda Salon, Brooklyn, NY 11255, United States
| | | | | | - Desmond Romeo
- Dr. Cuts Barbershop, Brooklyn, NY 11225, United States
| | - Nelson Urraca
- Nelson’s Barbershop, Brooklyn, NY 11225, United States
| | | | - Mark Stewart
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- State University of New York Downstate Medical Center, School of Graduate Studies, Brooklyn, New York 11203, United States
| | - Ruth C. Browne
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
| | - Moro O. Salifu
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- State University of New York Downstate Medical Center, Department of Medicine, Division of Nephrology, Brooklyn, New York 11203, United States
| | | | - Tracey E. Wilson
- Brooklyn Health Disparities Center, Brooklyn, New York 11203, United States
- State University of New York Downstate Medical Center, School of Public Health, Brooklyn, New York 11203, United States
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21
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Hood S, Hall M, Dixon C, Jolly D, Linnan L. Organizational-Level Recruitment of Barbershops as Health Promotion Intervention Study Sites: Addressing Health Disparities Among Black Men. Health Promot Pract 2017; 19:377-389. [PMID: 29161902 DOI: 10.1177/1524839917696715] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article describes the process and results associated with the organizational-level recruitment of Black barbershops into Fitness in the Shop (FITShop), a 6-month barbershop-based intervention study designed to promote physical activity among Black men. Organizational-level recruitment activities included (1) a telephone call to prospective barbershop owners to assess their interest and eligibility for participation, (2) an organizational eligibility letter sent to all interested and eligible barbershops, (3) a visit to interested and eligible barbershops, where a culturally sensitive informational video was shown to barbershop owners to describe the study activities and share testimonies from trusted community stakeholders, and (4) a signed agreement with barbershop owners and barbers, which formalized the organizational partnership. Structured interviews were conducted with owners of a total of 14 enrolled barbershops, representing 30% of those determined to be eligible and interested. Most enrolled shops were located in urban settings and strip malls. Barbershop owners were motivated to enroll in the study based on commitment to their community, perceived client benefits, personal interest in physical activity, and a perception that the study had potential to make a positive impact on the barbershop and on reducing health disparities. Results offer important insights about recruiting barbershops into intervention trials.
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Affiliation(s)
- Sula Hood
- 1 Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Marla Hall
- 2 East Carolina University, Greenville, NC, USA
| | | | - David Jolly
- 4 North Carolina Central University, Durham, NC, USA
| | - Laura Linnan
- 5 Univeristy of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA
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22
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Cooke IJ, Jeremiah RD, Moore NJ, Watson K, Dixon MA, Jordan GL, Murray M, Keeter MK, Hollowell CMP, Murphy AB. Barriers and Facilitators toward HIV Testing and Health Perceptions among African-American Men Who Have Sex with Women at a South Side Chicago Community Health Center: A Pilot Study. Front Public Health 2017; 4:286. [PMID: 28097120 PMCID: PMC5206579 DOI: 10.3389/fpubh.2016.00286] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Accepted: 12/15/2016] [Indexed: 11/13/2022] Open
Abstract
In the United States, African-Americans' (AAs) HIV infection rates are higher than any other racial group, and AA men who have sex with women (MSW) are a significant proportion of new cases. There is little research into AA MSW HIV/AIDS knowledge, barriers, and facilitators of HIV testing in Chicago. We enrolled a convenience sample of AA MSW from a community health clinic who completed self-administered surveys assessing HIV knowledge and testing-related barriers and facilitators. The survey was a combination of questions from several validated instruments, and additional questions were written based on key informant interviews with social scientists to tailor the questionnaire for AA men living on the South Side of Chicago. We recruited 20 AA MSW (mean age 47.4 years). Sixty-five percent had incomes <$10,000/year, 30% were insured, and 50% had post-secondary education. Despite low socioeconomic status, their HIV literacy was relatively high. The identified major barriers to testing were low perceived HIV risk, concerns over privacy, and external stigma at testing sites. Future efforts should focus on educating AA MSW on actual risk for HIV and address issues of privacy and stigma at testing sites.
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Affiliation(s)
- Ian J. Cooke
- Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Rohan D. Jeremiah
- School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
| | | | | | - Michael A. Dixon
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | | | - Mary K. Keeter
- Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | - Adam B. Murphy
- Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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23
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Moore N, Wright M, Gipson J, Jordan G, Harsh M, Reed D, Murray M, Keeter MK, Murphy A. A Survey of African American Men in Chicago Barbershops: Implications for the Effectiveness of the Barbershop Model in the Health Promotion of African American Men. J Community Health 2016; 41:772-9. [PMID: 26831485 DOI: 10.1007/s10900-016-0152-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The barbershop has been used to target African American (AA) men across age groups for health screenings, health interventions, and for research. However, few studies explore the sociodemographic characteristics of barbers and their clients. Additionally, few have evaluated the client's relative comfort with receiving health information and screenings in barbershops and other non-clinical settings. Lastly, it is unknown whether barbers feel capable of influencing health-decision making of AA men. AA male clients and barbers completed a self-administered survey in barbershops in predominantly AA neighborhoods throughout Chicago, Illinois. We assessed sociodemographic characteristics and attitudes towards receiving physical and mental health education and screenings in barbershops and other settings. Barbers were also surveyed regarding their most and least common clients by age group and their perceived ability to influence the decision-making of AA males by age group. AAs surveyed in barbershops have similar rates of high school completion, poverty and unemployment as the AA residents of their neighborhood. AA males prefer to receive health education and screening in clinician offices followed by barbershops and churches. Barbers reported serving males age 18-39 years of age most frequently while men 50 years and older were the least served group. Overall, barbers did not believe they could influence the decision-making of AA men and in the best case scenario, only 33 % felt they could influence young men 18-29 years old. Barbershops reach AA men that are representative of the demographics of the neighborhood where the barbershop is located. Barbers reach a small population of men over age 49 and feel incapable of influencing the decisions of AAs over age 39. Further studies are needed to assess other locales for accessing older AA men and to evaluate the feasibility of mental health interventions and screenings within the barbershop.
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Affiliation(s)
- Nataka Moore
- Department of Clinical Psychology, Adler University, 17 N. Dearborn, 15th Floor, Chicago, IL, 60615, USA.
| | - Matara Wright
- Department of Clinical Psychology, Adler University, 17 N. Dearborn, 15th Floor, Chicago, IL, 60615, USA
| | - Jessica Gipson
- Department of Clinical Psychology, Adler University, 17 N. Dearborn, 15th Floor, Chicago, IL, 60615, USA
| | - Greg Jordan
- Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Chicago Avenue, Tarry Building 16-703, Chicago, IL, 60611, USA
| | - Mohit Harsh
- Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Chicago Avenue, Tarry Building 16-703, Chicago, IL, 60611, USA
| | - Daniel Reed
- Department of Clinical Psychology, Adler University, 17 N. Dearborn, 15th Floor, Chicago, IL, 60615, USA
| | - Marcus Murray
- Woodlawn Health Center, Project Brotherhood Inc., Chicago, IL, 60637, USA
| | - Mary Kate Keeter
- Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Chicago Avenue, Tarry Building 16-703, Chicago, IL, 60611, USA
| | - Adam Murphy
- Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Chicago Avenue, Tarry Building 16-703, Chicago, IL, 60611, USA
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24
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Pekmezaris R, Schwartz RM, Taylor TN, DiMarzio P, Nouryan CN, Murray L, McKenzie G, Ahern D, Castillo S, Pecinka K, Bauer L, Orona T, Makaryus AN. A qualitative analysis to optimize a telemonitoring intervention for heart failure patients from disparity communities. BMC Med Inform Decis Mak 2016; 16:75. [PMID: 27343060 PMCID: PMC4919886 DOI: 10.1186/s12911-016-0300-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Accepted: 05/29/2016] [Indexed: 11/23/2022] Open
Abstract
Background The use of telemonitoring is a promising approach to optimizing outcomes in the treatment of heart failure (HF) for patients living in the community. HF telemonitoring interventions, however, have not been tested for use with individuals residing in disparity communities. Methods The current study describes the results of a community based participatory research approach to adapting a telemonitoring HF intervention so that it is acceptable and feasible for use with a lower-income, Black and Hispanic patient population. The study uses the ADAPT-ITT framework to engage key community stakeholders in the process of adapting the intervention in the context of two consecutive focus groups. In addition, data from a third focus group involving HF telemonitoring patient participants was also conducted. All three focus group discussions were audio recorded and professionally transcribed and lasted approximately two hours each. Structural coding was used to mark responses to topical questions in the interview guide. Results This is the first study to describe the formative process of a community-based participatory research study aimed at optimizing telehealth utilization among African-American and Latino patients from disparity communities. Two major themes emerged from qualitative analyses of the focus group data. The first theme that arose involved suggested changes to the equipment that would maximize usability. Subthemes identified included issues that reflect the patient populations targeted, such as Spanish translation, font size and medical jargon. The second theme that arose involved suggested changes to the RCT study structure in order to maximize participant engagement. Subthemes also identified issues that reflect concerns of the targeted patient populations, such as the provision of reassurances regarding identity protection to undocumented patients in implementing an intervention that utilizes a camera, and that their involvement in telehealth monitoring would not replace their clinic care, which for many disparity patients is their only connection to medical care. Conclusions The adaptation, based on the analysis of the data from the three focus groups, resulted in an intervention that is acceptable and feasible for HF patients residing in disparity communities. Trial registration NCT02196922; ClinicalTrials.gov (US National Institutes of Health). Electronic supplementary material The online version of this article (doi:10.1186/s12911-016-0300-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- R Pekmezaris
- Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY, USA.,Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, 175 Community Drive, Great Neck, NY, 11021, USA.,Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - R M Schwartz
- Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, 175 Community Drive, Great Neck, NY, 11021, USA. .,Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA.
| | - T N Taylor
- SUNY Downstate School of Medicine, 450 Clarkson Ave, Brooklyn, NY, 11203, USA
| | - P DiMarzio
- Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY, USA.,Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, 175 Community Drive, Great Neck, NY, 11021, USA.,Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - C N Nouryan
- Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY, USA.,Department of Occupational Medicine, Epidemiology, and Prevention, Hofstra Northwell School of Medicine, 175 Community Drive, Great Neck, NY, 11021, USA.,Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - L Murray
- Community Advisory Board, Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - G McKenzie
- Community Advisory Board, Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - D Ahern
- Nassau University Medical Center, 2201 Hempstead Tpke, East Meadow, NY, 11554, USA
| | - S Castillo
- Nassau University Medical Center, 2201 Hempstead Tpke, East Meadow, NY, 11554, USA
| | - K Pecinka
- Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - L Bauer
- Nassau University Medical Center, 2201 Hempstead Tpke, East Meadow, NY, 11554, USA
| | - T Orona
- Northwell Health, 175 Community Drive, Great Neck, NY, 11021, USA
| | - A N Makaryus
- Nassau University Medical Center, 2201 Hempstead Tpke, East Meadow, NY, 11554, USA.,Department of Cardiology, Hofstra Northwell School of Medicine, Manhasset, NY, USA
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25
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Garfield CF, Duncan G, Peters S, Rutsohn J, McDade TW, Adam EK, Coley RL, Chase-Lansdale PL. Adolescent Reproductive Knowledge, Attitudes, and Beliefs and Future Fatherhood. J Adolesc Health 2016; 58:497-503. [PMID: 26896211 PMCID: PMC5052073 DOI: 10.1016/j.jadohealth.2015.12.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Revised: 12/19/2015] [Accepted: 12/21/2015] [Indexed: 11/17/2022]
Abstract
PURPOSE With a growing focus on the importance of men's reproductive health, including preconception health, the ways in which young men's knowledge, attitudes, and beliefs (KAB) predict their reproductive paths are understudied. To determine if reproductive KAB predicts fatherhood status, timing and residency (living with child or not). METHODS Reproductive KAB and fatherhood outcomes were analyzed from the National Longitudinal Study of Adolescent Health, a 20-year, nationally representative study of individuals from adolescence into adulthood. Four measures of reproductive KAB were assessed during adolescence in waves I and II. A generalized linear latent and mixed model predicted future fatherhood status (nonfather, resident/nonresident father, adolescent father) and timing while controlling for other socio-demographic variables. RESULTS Of the 10,253 men, 3,425 were fathers (686 nonresident/2,739 resident) by wave IV. Higher risky sexual behavior scores significantly increased the odds of becoming nonresident father (odds ratio [OR], 1.30; p < .0001), resident father (OR, 1.07; p = .007), and adolescent father (OR, 1.71; p < .0001); higher pregnancy attitudes scores significantly increased the odds of becoming a nonresident father (OR, 1.20; p < .0001) and resident father (OR, 1.11; p < .0001); higher birth control self-efficacy scores significantly decreased the odds of becoming a nonresident father (OR, .72; p < .0001) and adolescent father (OR, .56; p = .01). CONCLUSIONS Young men's KAB in adolescence predicts their future fatherhood and residency status. Strategies that address adolescent males' reproductive KAB are needed in the prevention of unintended reproductive consequences such as early and nonresident fatherhood.
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Affiliation(s)
- Craig F Garfield
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Institute for Policy Research, Northwestern University, Evanston, Illinois.
| | - Greg Duncan
- School of Education, University of California-Irvine, Irvine, California
| | - Sarah Peters
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Joshua Rutsohn
- Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Thomas W McDade
- Institute for Policy Research, Northwestern University, Evanston, Illinois; Department of Anthropology, Northwestern University, Evanston, Illinois
| | - Emma K Adam
- Institute for Policy Research, Northwestern University, Evanston, Illinois; School of Education and Social Policy, Northwestern University, Evanston, Illinois
| | | | - Patricia Lindsay Chase-Lansdale
- Institute for Policy Research, Northwestern University, Evanston, Illinois; School of Education and Social Policy, Northwestern University, Evanston, Illinois
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