Harvey Idethia, Schulz Amy, Israel Barbara, Sand Sharon, Myrie Deanna, Lockett Murlisa, Weir Sheryl, Hill Yolanda
University of Illinois, Urbana Champaign, IL, USA.
Prog Community Health Partnersh. 2009 Winter;3(4):287-300. doi: 10.1353/cpr.0.0088.
BACKGROUND: The Healthy Connections (HC) project was a community health worker (CHW) intervention that built upon existing social networks to encourage African American and Latina women to obtain screening for type 2 diabetes and hypertension. OBJECTIVES: This community-based participatory research (CBPR) project involved identifying and training CHWs, known as HC Advocates (HCAs). The HCAs provided screening through House Parties and shared health information and practical support with members of their social networks and broader networks of individuals. METHODS: Data collection methods included project documentation, participant observation, group interviews, closed-ended surveys, and written examinations to ensure HCAs had the required knowledge and skills to perform their roles. Data collection and analysis incorporated both qualitative and quantitative methods, and used a formative approach that integrated results from key aspects of the project into ongoing decision-making and project activities. RESULTS: Eight community residents completed training and the required exams to become HCAs. Together, they conducted 124 House Parties, screened 1,428 individuals for high blood pressure and glucose levels, and shared health information with those individuals as well as 218 additional members of HCAs informal social networks. Of those who attended the House Parties, 93% were African American, 4% Latina, 2% non-Hispanics whites, and 1% other racial and ethnic groups. CONCLUSION: The HC project demonstrated the potential for using a CBPR approach to develop, implement, and evaluate a CHW intervention designed to reach African American and Latina women at high risk for hypertension and type 2 diabetes. Participation from relevant communities in the design of the intervention and evaluation, with particular attention to recruitment and retention of representatives from communities who face challenges accessing health care, can help to increase involvement of community residents in screening and educational programs aimed at addressing disparities in type 2 diabetes and hypertension.
背景：“健康连接”（HC）项目是一项社区卫生工作者（CHW）干预措施，该措施基于现有的社会网络，鼓励非裔美国女性和拉丁裔女性进行2型糖尿病和高血压筛查。 目的：这个基于社区的参与性研究（CBPR）项目包括识别和培训社区卫生工作者，即HC倡导者（HCA）。HCA通过家庭聚会提供筛查服务，并与他们社交网络及更广泛人际网络中的成员分享健康信息和实际支持。 方法：数据收集方法包括项目文档、参与观察、小组访谈、封闭式调查以及书面考试，以确保HCA具备履行其职责所需的知识和技能。数据收集和分析采用定性和定量方法，并采用一种形成性方法，将项目关键方面的结果纳入正在进行的决策和项目活动中。 结果：八名社区居民完成培训并通过了成为HCA所需的考试。他们总共举办了124场家庭聚会，为1428人进行了高血压和血糖水平筛查，并与这些人以及HCA非正式社交网络中的另外218名成员分享了健康信息。参加家庭聚会的人中，93%是非裔美国人，4%是拉丁裔，2%是非西班牙裔白人，1%是其他种族和族裔群体。 结论：HC项目展示了运用CBPR方法来开发、实施和评估一项CHW干预措施的潜力，该干预措施旨在覆盖高血压和2型糖尿病高风险的非裔美国女性和拉丁裔女性。相关社区参与干预措施的设计和评估，尤其关注招募和留住那些在获取医疗保健方面面临挑战的社区代表，有助于提高社区居民对旨在解决2型糖尿病和高血压差异的筛查和教育项目的参与度。
Prog Community Health Partnersh. 2009
Prog Community Health Partnersh. 2009
Implement Sci. 2011-4-11
Prog Community Health Partnersh. 2014
JBI Database System Rev Implement Rep. 2015-10
Prog Community Health Partnersh. 2009
Front Public Health. 2020
J Racial Ethn Health Disparities. 2017-12-7
Glob Health Action. 2015-12-18
Fam Community Health. 2015
J Community Health. 2014-12
Matern Child Health J. 2014-12
Zotero 插件