University of North Texas Health Science Center, Fort Worth, TX, USA.
Design and Action Team, Fort Worth, TX, USA.
Health Promot Pract. 2020 Jul;21(4):591-600. doi: 10.1177/1524839918812428. Epub 2018 Nov 20.
Chronic diseases, like diabetes and heart disease, disproportionately impact women of color as compared to White women. Community-engaged and participatory approaches are proposed as a means to address chronic disease health disparities in minority communities, as they allow for tailoring and customization of strategies that align with community needs, interests, and priorities. While community-based participatory research (CBPR) is a framework that offers a clear set of principles to guide intervention design and development, the complexity and diversity of community contexts make it challenging to anticipate all of the possible pathways to implementation. This article describes the application of CBPR principles in the design and development of SHE Tribe (She's Healthy and Empowered), a social network-based healthy lifestyle intervention intended to promote the adoption of sustainable health behaviors in underserved communities. Practical and specific strategies are described to aid practitioners, researchers, and community partners as they engage in community-academic partnerships. These strategies uncover some of the inner workings of this partnership to promote trust and collaboration and maximize partner strengths, with the aim to aid others with key elements and practical steps in the application of participatory methods.
慢性疾病,如糖尿病和心脏病,与白人女性相比,有色人种女性受其影响更大。社区参与和参与式方法被提议作为解决少数族裔社区慢性疾病健康差距的一种手段,因为它们允许根据社区的需求、利益和优先事项来定制和定制策略。虽然基于社区的参与式研究 (CBPR) 是一个提供明确原则指导干预设计和开发的框架,但社区环境的复杂性和多样性使得难以预测实施的所有可能途径。本文介绍了 CBPR 原则在 SHE Tribe(她健康且有力量)设计和开发中的应用,SHE Tribe 是一个基于社交网络的健康生活方式干预措施,旨在促进服务不足社区采用可持续的健康行为。本文还描述了实用和具体的策略,以帮助从业者、研究人员和社区合作伙伴参与社区学术伙伴关系。这些策略揭示了这种伙伴关系的一些内部运作情况,以促进信任和合作,并最大限度地发挥合作伙伴的优势,旨在帮助其他人了解参与式方法应用中的关键要素和实际步骤。