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参与以黑人为主要群体的教堂,开展干预措施以改善心血管健康和减少种族不平等。

Engaging Predominantly Black Churches in an Intervention to Improve Cardiovascular Health and Reduce Racial Inequities.

机构信息

School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA.

Translational Science Institute, Tulane University, New Orleans, LA.

出版信息

Ethn Dis. 2024 Apr 24;DECIPHeR(Spec Issue):89-95. doi: 10.18865/ed.DECIPHeR.89. eCollection 2023 Dec.

Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in the United States and disproportionately impacts Black adults. Effective implementation of interventions to improve cardiovascular health in the Black community is needed to reduce health inequities. The Church-Based Health Intervention to Eliminate Health Inequalities in Cardiovascular Health (CHERISH) study is implementing interventions recommended by the 2019 American College of Cardiology/American Heart Association guideline on the primary prevention of CVD in Black communities to improve cardiovascular health and reduce health disparities. The recently completed 3-year planning phase of CHERISH has focused on engaging with the predominantly Black church community in New Orleans with the goals of informing study protocol development and recruiting churches for study participation. Community engagement approaches include convening a community advisory board (CAB), conducting qualitative and quantitative needs assessments, and hosting and attending church events. These activities have resulted in an engaged CAB that has contributed meaningfully to planning activities and the study protocol. The needs assessment found that while there are substantial barriers to cardiovascular health, such as knowledge, access to healthy foods, and safe spaces for physical activity, people are willing to make lifestyle changes and think that the proposed intervention components are feasible. Community engagement activities have resulted in the recruitment of 50 geographically and denominationally diverse predominantly Black churches willing to participate in the study (exceeding our goal of 42). Overall, a multicomponent approach to extensive community engagement has produced effective church enrollment for study participation and meaningful input on study design and implementation.

摘要

心血管疾病(CVD)是美国的主要死亡原因,并且不成比例地影响着美国黑人成年人。需要有效实施干预措施,以改善黑人社区的心血管健康,从而减少健康不平等。“基于教会的消除心血管健康健康不平等的健康干预措施研究(CHERISH)”正在实施 2019 年美国心脏病学会/美国心脏协会关于在黑人社区预防 CVD 的指南中推荐的干预措施,以改善心血管健康并减少健康差距。CHERISH 最近完成的 3 年规划阶段专注于与新奥尔良的主要黑人教会社区合作,目标是为研究方案的制定提供信息,并为教会参与研究招募成员。社区参与方法包括召集社区咨询委员会(CAB),进行定性和定量需求评估,以及举办和参加教会活动。这些活动产生了一个积极参与的 CAB,为规划活动和研究方案做出了有意义的贡献。需求评估发现,虽然存在知识、获取健康食品和安全体育活动空间等大量心血管健康障碍,但人们愿意做出生活方式的改变,并认为拟议的干预措施是可行的。社区参与活动已招募了 50 个地理位置和教派多样化的主要黑人教会,愿意参与研究(超过我们招募 42 个教会的目标)。总体而言,广泛的社区参与的多组分方法已经为研究参与带来了有效的教会登记,并为研究设计和实施提供了有意义的投入。

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