Hood Sula, Linnan Laura, Jolly David, Muqueeth Sadiya, Hall Marla B, Dixon Carrissa, Robinson Seronda
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Am J Mens Health. 2015 Jul;9(4):262-73. doi: 10.1177/1557988314539501. Epub 2014 Jun 27.
African American (AA) men have a higher prevalence of many chronic disease risk behaviors compared to Caucasian men, including physical inactivity. Innovative ways to reach AA men with interventions to increase physical activity (PA) and decrease other key risk factors are needed to reduce health disparities in this population. The barbershop is a natural but underutilized setting for reaching AA men. In the Fitness in the Shop (FITShop) study, shop owners, barbers, and customers were recruited from four local barbershops to complete structured interviews and customer focus groups. We assessed knowledge, perceived barriers, and interests/concerns about PA, as well as explored how to best intervene in the barbershop. Barbers and customers endorsed the idea of receiving health and PA information in the barbershop. These formative research results generated information and strategies for developing a multilevel barbershop-based health intervention to promote PA in the barbershop. This article describes the formative research results and how PRECEDE was used to develop a culturally and contextually appropriate, multilevel barbershop-based intervention designed to promote PA and to reduce chronic disease disparities among AA men.
与白人男性相比,非裔美国(AA)男性有许多慢性疾病风险行为的患病率更高,包括身体活动不足。需要创新方法,通过干预措施让AA男性增加身体活动(PA)并减少其他关键风险因素,以减少该人群中的健康差距。理发店是接触AA男性的自然场所,但未得到充分利用。在“店内健身”(FITShop)研究中,从当地四家理发店招募了店主、理发师和顾客,以完成结构化访谈和顾客焦点小组。我们评估了对PA的知识、感知到的障碍以及兴趣/担忧,还探讨了如何在理发店进行最佳干预。理发师和顾客认可在理发店获取健康和PA信息的想法。这些形成性研究结果为制定基于理发店的多层次健康干预措施以促进店内PA生成了信息和策略。本文描述了形成性研究结果,以及如何运用“教育诊断与评价中的程序顺序概念(PRECEDE)”来开发一种基于理发店的、在文化和背景方面合适的多层次干预措施,旨在促进PA并减少AA男性中的慢性病差距。