Department of Kinesiology, Recreation and Sport Studies, University of Tennessee, Knoxville, 322 HPER Building, 1914 Andy Holt Avenue, Knoxville, TN, 37996, USA.
Department of Child and Family Studies, University of Tennessee, Knoxville, 422 Jessie Harris Building, 1215 W. Cumberland Avenue, Knoxville, TN, 37996, USA.
J Prim Prev. 2020 Jun;41(3):261-278. doi: 10.1007/s10935-020-00589-x.
This paper describes our approach to forming and engaging a community advisory board (CAB) to assist in the development of a proposed exercise intervention pilot study. The intervention aimed to examine the effects of exercise on exercise adherence, the provision of partner support and receptivity to partner health influence, and cardiometabolic risk in older African-American romantic couples. CAB invitations were extended to local community members and leaders who had a stake in the health of the target population. Seven individuals accepted the invitation and attended at least one of two CAB meetings during which we proposed ideas for the exercise intervention pilot study, then solicited CAB input in four key areas related to the study including: (1) priority health concerns of the target population, (2) the intervention protocol and methodologies, (3) cultural relevance, and (4) sustainability. Two investigators jointly led both CAB meetings, which lasted approximately 3 h each. Recorded community feedback was summarized and coded using a thematic analysis approach. Themes were identified and agreed upon within the four areas identified above. Overall, the proposed study was well-received by the CAB and considered beneficial for and relevant to the target population. Although not all suggestions put forth by the CAB were feasible given the inherent limitations of pilot work, we made multiple study modifications as a result of CAB recommendations. Further, all CAB feedback helped inform plans to launch the intervention on a larger scale and were vital in ensuring that the pilot study was valued in the local community. Although community-based participatory research that originates within a community may be preferable, we demonstrate the utility of a community-partnered approach to intervention design in a vulnerable population. This model could assist researchers who wish to engage the local community to help develop a preliminary idea for a health-related intervention.
本文介绍了我们组建和参与社区顾问委员会（CAB）的方法，以协助制定拟议的运动干预试验研究。该干预旨在研究运动对运动依从性、伴侣支持提供和对伴侣健康影响的接受程度以及老年非裔美国浪漫伴侣的心脏代谢风险的影响。向对目标人群健康有兴趣的当地社区成员和领导人发出了 CAB 邀请。七人接受了邀请，并参加了至少两次 CAB 会议中的一次，在此期间，我们提出了运动干预试验研究的想法，然后征求了 CAB 在四个关键领域的意见，包括：（1）目标人群的优先健康问题，（2）干预方案和方法，（3）文化相关性，（4）可持续性。两名研究人员共同主持了这两次 CAB 会议，每次会议持续约 3 小时。使用主题分析方法对记录的社区反馈进行总结和编码。在上述四个领域中确定并同意了主题。总体而言，该研究得到了 CAB 的好评，并被认为对目标人群有益且相关。尽管由于试点工作的固有局限性，CAB 提出的并非所有建议都可行，但我们根据 CAB 的建议对多项研究进行了修改。此外，CAB 的所有反馈都有助于为更大规模地开展干预计划提供信息，并对确保试点研究在当地社区得到重视至关重要。虽然起源于社区的基于社区的参与性研究可能更可取，但我们展示了社区伙伴关系方法在弱势人群中的干预设计中的实用性。这种模式可以帮助希望与当地社区合作以帮助制定与健康相关的干预初步想法的研究人员。
