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研究方案:探索在密歇根州弗林特市非裔美国人社区利用家族健康史来减少健康差距。

Study protocol: Exploring the use of Family Health Histories in the African American community to reduce health disparities in Flint, Michigan.

作者信息

Key Kent D, Lewis Lena, Blanchard Courtney, Sikorskii Alla, Patel Minal, Lucas Todd, Henry Akintobi Tabia, Bailey Sarah, Loney E Hill, Johnson Jennifer E

机构信息

Michigan State University College of Human Medicine, Lansing, MI, United States.

University of Michigan-Ann Arbor.

出版信息

Res Sq. 2024 Apr 1:rs.3.rs-4131949. doi: 10.21203/rs.3.rs-4131949/v1.

Abstract

BACKGROUND

Health disparities are costly and preventable differences in disease progression that disproportionately affect minority communities such as African Americans. Practices to reduce health disparities can be rooted in prevention, particularly through screening tools. Family Health History tools are preventative screening mechanisms meant to explore family history to better understand how an individual's health can potentially be predicted or impacted. These tools are underutilized in the African American community. Contributions to this underutilization include a lack of cultural tailoring in the tools, a lack of health literacy in community members, and a lack of effective health communication. The Family Health History Study will create a culturally appropriate Family Health History toolkit to increase family health history utilization and ultimately decrease health disparities.

METHODS

The proposed sample will be composed of 195 African American adults ages 18 + who live in Genesee County, Michigan. The study consists of two phases: the development phase and the randomized pilot study phase. The goal of the development phase (n = 95) is to explore how Family Health History toolkits can be modified to better serve the African American community using a community based participatory research approach and to create a culturally tailored family health history toolkit. In the pilot study phase, 100 participants will be randomized to the culturally tailored toolkit or the current standard Family Health History toolkit. Outcomes will include feasibility and acceptability of the intervention.

DISCUSSION

This study will result in a culturally appropriate Family Health History tool that is co-developed with community members that can be utilized by African American adults to better understand their family health histories.

TRIAL REGISTRATION

Clinicaltrials.gov: NCT05358964 Date: May 5, 2022.

摘要

背景

健康差异是疾病进展中代价高昂且可预防的差异,对非裔美国人等少数族裔社区的影响尤为严重。减少健康差异的措施可以基于预防,特别是通过筛查工具。家族健康史工具是预防性筛查机制,旨在探究家族病史,以便更好地了解如何潜在地预测或影响个人健康。这些工具在非裔美国人社区的利用率较低。造成这种低利用率的原因包括工具缺乏文化适应性、社区成员缺乏健康素养以及缺乏有效的健康沟通。家族健康史研究将创建一个适合文化背景的家族健康史工具包,以提高家族健康史的利用率,并最终减少健康差异。

方法

拟招募的样本将由195名年龄在18岁及以上、居住在密歇根州杰纳西县的非裔美国成年人组成。该研究包括两个阶段:开发阶段和随机试点研究阶段。开发阶段(n = 95)的目标是探索如何使用基于社区的参与性研究方法修改家族健康史工具包,以更好地服务非裔美国人社区,并创建一个适合文化背景的家族健康史工具包。在试点研究阶段,100名参与者将被随机分配到适合文化背景的工具包组或当前标准的家族健康史工具包组。结果将包括干预措施的可行性和可接受性。

讨论

本研究将产生一个与社区成员共同开发的、适合文化背景的家族健康史工具,非裔美国成年人可以使用该工具更好地了解他们的家族健康史。

试验注册

Clinicaltrials.gov:NCT05358964 日期:2022年5月5日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7aa1/11030532/71481103de9c/nihpp-rs4131949v1-f0001.jpg

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