English Devin, Smith Justin C, Scott-Walker Larry, Lopez Felix Gabriel, Morris Michael, Reid Malcolm, Lashay Crystal, Bridges Dwain, Rosales Alayne, Cunningham Diamond J
Devin English, Justin C. Smith, and Larry Scott-Walker contributed equally to this manuscript and are co-first authors.
Rutgers School of Public Health, Department of Urban-Global Public Health, Newark, NJ, USA.
Ann LGBTQ Public Popul Health. 2023 Dec;4(4):363-383. doi: 10.1891/lgbtq-2022-0009.
Although health inequities among Black same gender loving men (SGLM) are well documented (e.g., chronic psychological disorders, HIV, suicide), there are few accessible, culturally affirming, and community-led interventions designed to reduce these inequities. The present manuscript describes the process through which we developed iTHRIVE 365, a multicomponent health-promotion intervention designed by Black SGLM for Black SGLM. We utilized a community-based participatory research approach (CBPR) that included collaboration between THRIVE SS, a Black SGLM-run community-based organization, and a multisectoral team of public health, research, and digital design professionals to develop the intervention. A five-phase development process included four phases of focus groups and a technical pilot to assess community priorities and incorporate input on each feature of the intervention. Directed content analysis indicated that participants wanted a multicomponent and technology-mediated intervention that promotes health knowledge and motivation, Black SGLM social support, access to affirming healthcare, and housing and economic resources. iTHRIVE 365 combines multilevel and culturally affirming intervention features to combat the effects of oppression and ultimately promote Black SGLM's biopsychosocial health.
尽管黑人同性恋爱男性(SGLM)之间的健康不平等现象有充分记录(例如,慢性心理障碍、艾滋病毒、自杀),但旨在减少这些不平等的可及、具有文化肯定性且由社区主导的干预措施却很少。本手稿描述了我们开发iTHRIVE 365的过程,这是一项由黑人SGLM为黑人SGLM设计的多成分健康促进干预措施。我们采用了基于社区的参与性研究方法(CBPR),其中包括由黑人SGLM运营的社区组织THRIVE SS与公共卫生、研究和数字设计专业人员组成的多部门团队合作开发该干预措施。一个五阶段的开发过程包括四个焦点小组阶段和一次技术试点,以评估社区优先事项并纳入对干预措施每个特征的意见。定向内容分析表明,参与者希望有一个多成分且由技术介导的干预措施,以促进健康知识和动力、黑人SGLM的社会支持、获得肯定性医疗保健以及住房和经济资源。iTHRIVE 365结合了多层次且具有文化肯定性的干预特征,以对抗压迫的影响并最终促进黑人SGLM的生物心理社会健康。