University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Heart Lung. 2013 Jan-Feb;42(1):19-25. doi: 10.1016/j.hrtlng.2012.06.007. Epub 2012 Aug 21.
The study had 2 objectives: (1) to gather the observations of community health advisors (CHAs) on the role of social support in the lives of African Americans; and (2) to develop a lay support intervention framework, on the basis of the existing literature and observations of CHAs, depicting how social support may address the needs of African American patients with heart failure.
Qualitative data were collected in semistructured interviews among 15 CHAs working in African American communities in Birmingham, Alabama.
Prominent themes included the challenge of meeting clients' overlapping health care and general life needs, the variation in social support received from family and friends, and the opportunities for CHAs to provide multiple types of social support to clients. CHAs also believed that their support activities could be implemented among populations with heart failure.
The experience of CHAs with social support can inform a potential framework of a lay support intervention among African Americans with heart failure.
本研究有两个目标：（1）收集社区卫生顾问（CHA）对社会支持在非裔美国人生活中作用的观察结果；（2）在现有文献和 CHA 观察结果的基础上，制定一个外行支持干预框架，描述社会支持如何满足心力衰竭的非裔美国患者的需求。
在阿拉巴马州伯明翰的非裔美国人社区工作的 15 名 CHA 进行了半结构化访谈，收集定性数据。
突出的主题包括满足客户重叠的医疗保健和一般生活需求的挑战、从家人和朋友那里获得的社会支持的变化，以及 CHA 为客户提供多种类型社会支持的机会。CHA 还认为，他们的支持活动可以在心力衰竭患者中实施。
CHA 在社会支持方面的经验可以为心力衰竭的非裔美国人制定潜在的外行支持干预框架提供信息。
