Rodriguez Elisa M, Bowie Janice V, Frattaroli Shannon, Gielen Andrea
Department of Health Behavior, School of Public Health and Health Professions, The State University of New York at Buffalo, 3435 Main Street, 321 Kimball Tower, Buffalo, NY 14214, USA.
Health Educ Res. 2009 Oct;24(5):760-71. doi: 10.1093/her/cyp010. Epub 2009 Mar 23.
Although community partner engagement is a key component in faith-based health promotion/disease prevention intervention research, the perspective of community partners on their experiences in the intervention process has been infrequently investigated. Semi-structured in-depth interviews were conducted with 12 African-American community partners [i.e. four pastors and eight lay health co-ordinators (LHCs)] from eight churches in greater Baltimore, MD, USA, that engaged in a breast cancer educational intervention that followed a community-based participatory research (CBPR) approach. Audiotaped interviews were transcribed, coded and content analysis was used to identify themes across the codes. Findings show that pastors support a holistic approach to health and that LHCs act as a link between the pastors, participants and academic researchers. In addition, pastors and LHCs emphasized that the religious and/or spiritual program elements should not overpower the importance of reaching participants with critical health information regardless of their religious or spiritual beliefs. Study findings suggest that faith-based educational intervention efforts that follow a CBPR approach are important in promoting cancer awareness in the African-American community. Including community partner assessment can further elucidate critical intervention impacts and helps to address health disparities in underserved communities.
尽管社区合作伙伴参与是基于信仰的健康促进/疾病预防干预研究的关键组成部分,但社区合作伙伴对其在干预过程中经历的看法却很少得到研究。我们对来自美国马里兰州巴尔的摩市八所教堂的12名非裔美国社区合作伙伴[即四名牧师和八名非专业健康协调员(LHC)]进行了半结构化深度访谈,这些教堂参与了一项遵循社区参与式研究(CBPR)方法的乳腺癌教育干预。对录音访谈进行了转录、编码,并使用内容分析来识别代码中的主题。研究结果表明,牧师支持全面的健康方法,LHC充当牧师、参与者和学术研究人员之间的纽带。此外,牧师和LHC强调,无论参与者的宗教或精神信仰如何,宗教和/或精神项目元素都不应压倒向他们提供关键健康信息的重要性。研究结果表明,遵循CBPR方法的基于信仰的教育干预措施对于提高非裔美国社区的癌症意识很重要。纳入社区合作伙伴评估可以进一步阐明关键的干预影响,并有助于解决服务不足社区的健康差距。