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社区-学术合作,探索并解决芝加哥西南部阿拉伯裔美国人的癌症差异问题。

A Community-Academic Partnership to Explore and Address Cancer Disparities in Southwest Chicago Arab Americans.

出版信息

Prog Community Health Partnersh. 2023;17(3):361-378.

PMID:37934436
Abstract

BACKGROUND

Despite the need to consider multiple sources of evidence to guide locally and culturally relevant interventions, few studies have documented the process by which evidence is integrated.

OBJECTIVES

We leveraged a community-academic partnership to describe a participatory approach to integrating community and academic sources of evidence to inform cancer programming priorities in the Arab American (ArA) community in Southwest Chicago.

METHODS

Informed by Intervention Mapping, this study comprised three phases led by community and academic partners: 1) qualitative assessment of cancer-related priorities through eight focus groups with 48 ArA community members, 2) a focused literature review to identify models of cancer interventions implemented with ArAs, and 3) integration of focus group and literature review findings and development of a strategy for a community-based cancer program administered by the community partner.

RESULTS

Focus groups revealed attitudes and beliefs across the cancer control continuum. The literature review highlighted two cancer interventions utilizing education, community health workers, and patient navigation components. Through facilitated discussions with community partners, we integrated community and academic sources of evidence to develop a comprehensive cancer program plan that is informed by the data we generated as well as our community partners' preferences and organizational capacity.

CONCLUSIONS

Our participatory approach for integrating community and academic sources of evidence generated a locally relevant strategy to address cancer burden in the ArA community in Chicago. We discuss the benefits and challenges of utilizing this approach in intervention development.

摘要

背景

尽管需要考虑多种证据来源来指导具有地方特色和文化相关性的干预措施,但很少有研究记录证据整合的过程。

目的

我们利用社区-学术伙伴关系,描述了一种参与式方法,以整合社区和学术来源的证据,为芝加哥西南部的阿拉伯裔美国人(ArA)社区的癌症规划优先事项提供信息。

方法

本研究以干预映射为指导,由社区和学术伙伴共同进行三个阶段:1)通过与 48 名 ArA 社区成员进行八次焦点小组,对癌症相关优先事项进行定性评估;2)对针对 ArA 实施的癌症干预模型进行重点文献回顾;3)整合焦点小组和文献回顾的结果,并制定由社区伙伴管理的基于社区的癌症计划策略。

结果

焦点小组揭示了癌症控制连续体的态度和信念。文献回顾强调了两项利用教育、社区卫生工作者和患者导航组成部分的癌症干预措施。通过与社区伙伴进行的有针对性的讨论,我们整合了社区和学术来源的证据,制定了一个全面的癌症计划方案,该方案不仅基于我们生成的数据,还考虑了我们社区伙伴的偏好和组织能力。

结论

我们整合社区和学术来源证据的参与式方法为解决芝加哥 ArA 社区的癌症负担提供了一个具有地方特色的策略。我们讨论了在干预措施制定中利用这种方法的益处和挑战。

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