一种基于社区的系统参与式方法,用于完善基于证据的社区层面干预措施:针对与男性发生性关系的拉丁裔男性的HOLA干预措施。

A systematic community-based participatory approach to refining an evidence-based community-level intervention: the HOLA intervention for Latino men who have sex with men.

作者信息

Rhodes Scott D, Daniel Jason, Alonzo Jorge, Duck Stacy, García Manuel, Downs Mario, Hergenrather Kenneth C, Alegría-Ortega José, Miller Cindy, Boeving Allen Alex, Gilbert Paul A, Marsiglia Flavio F

机构信息

Wake Forest School of Medicine, Winston-Salem, NC, USA.

出版信息

Health Promot Pract. 2013 Jul;14(4):607-16. doi: 10.1177/1524839912462391. Epub 2012 Oct 17.

Abstract

Our community-based participatory research partnership engaged in a multistep process to refine a culturally congruent intervention that builds on existing community strengths to promote sexual health among immigrant Latino men who have sex with men (MSM). The steps were the following: (1) increase Latino MSM participation in the existing partnership, (2) establish an Intervention Team, (3) review the existing sexual health literature, (4) explore needs and priorities of Latino MSM, (5) narrow priorities based on what is important and changeable, (6) blend health behavior theory with Latino MSM's lived experiences, (7) design an intervention conceptual model, (8) develop training modules and (9) resource materials, and (10) pretest and (11) revise the intervention. The developed intervention contains four modules to train Latino MSM to serve as lay health advisors known as Navegantes. These modules synthesize locally collected data with other local and national data; blend health behavior theory, the lived experiences, and cultural values of immigrant Latino MSM; and harness the informal social support Latino MSM provide one another. This community-level intervention is designed to meet the expressed sexual health priorities of Latino MSM. It frames disease prevention within sexual health promotion.

摘要

我们基于社区的参与式研究伙伴关系开展了一个多步骤过程,以完善一种文化上契合的干预措施,该措施基于现有的社区优势,旨在促进与男性发生性关系的拉丁裔移民男同性恋者(MSM)的性健康。步骤如下:(1)增加拉丁裔男同性恋者对现有伙伴关系的参与度;(2)成立一个干预团队;(3)审查现有的性健康文献;(4)探索拉丁裔男同性恋者的需求和优先事项;(5)根据重要且可改变的因素缩小优先事项范围;(6)将健康行为理论与拉丁裔男同性恋者的生活经历相结合;(7)设计一个干预概念模型;(8)开发培训模块和(9)资源材料;以及(10)对干预措施进行预测试并(11)进行修订。所开发的干预措施包含四个模块,用于培训拉丁裔男同性恋者成为被称为“导航者”的非专业健康顾问。这些模块将本地收集的数据与其他本地和全国数据进行整合;融合健康行为理论、移民拉丁裔男同性恋者的生活经历和文化价值观;并利用拉丁裔男同性恋者相互提供的非正式社会支持。这种社区层面的干预措施旨在满足拉丁裔男同性恋者所表达的性健康优先事项。它将疾病预防置于性健康促进的框架内。

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