Ivantechenko Marie, Akhter Shubarna, Gutnick Damara
Albert Einstein College of Medicine, Bronx, NY, USA.
Montefiore Medical Center, Bronx, NY, USA.
Community Health Equity Res Policy. 2025 Oct;46(1):41-51. doi: 10.1177/2752535X241304081. Epub 2024 Nov 27.
BackgroundHistorical injustices, structural racism, and negative healthcare experiences contribute to Black and Brown communities' distrust of science. Bridging Research, Accurate Information, and Dialogue (BRAID) is a community engagement model that leverages trusted messengers to share accurate, co-created health and science messages to their community through their social networks. In our prior research, trusted messengers reported encountering resistance or "discord" when conveying information about controversial topics such as COVID-19 vaccines and the importance of diversity in clinical trials. Motivational Interviewing (MI) is an evidence-based communication style widely practiced by healthcare providers to guide ambivalent patients toward behavior change. However, MI's application by community members, particularly trusted messengers, as a strategy for enhancing health message dissemination remains unexplored.PurposeThis study used mixed methods to explore the feasibility of training trusted messengers in MI to support the dissemination of public health messages through social networks. Specifically, we sought to understand perspectives on learning MI and use of MI in conversations about clinical trial diversity and research subject protection.Research Design13 trusted messengers completed a MI introductory training.ResultsEighty-five percent found the training highly valuable, 54% reported high self-efficacy, and 69% expressed a desire for additional training. Qualitative analysis revealed trusted messenger endorsement of MI, recognition of MI's applicability to various contexts, and a sense of empowerment to share accurate information to their communities.ConclusionsOur findings suggest that empowering trusted messengers with communication skills can be a practical, feasible, and cost-effective public health strategy for effective dissemination of accurate public health messages.
背景
历史上的不公正、结构性种族主义以及负面的医疗经历导致黑人和棕色人种社区对科学产生不信任。“桥梁研究、准确信息与对话”（BRAID）是一种社区参与模式，它利用受信任的传播者通过其社交网络向所在社区分享准确的、共同创建的健康和科学信息。在我们之前的研究中，受信任的传播者报告称，在传达有关COVID-19疫苗等争议性话题以及临床试验中多样性的重要性等信息时遇到了阻力或“分歧”。动机性访谈（MI）是一种基于证据的沟通方式，医疗保健提供者广泛采用它来引导矛盾的患者改变行为。然而，社区成员，特别是受信任的传播者将MI作为增强健康信息传播的一种策略的应用情况仍未得到探索。
目的
本研究采用混合方法探讨培训受信任的传播者掌握动机性访谈技巧以支持通过社交网络传播公共卫生信息的可行性。具体而言，我们试图了解他们对学习动机性访谈的看法以及在关于临床试验多样性和研究对象保护的对话中对动机性访谈的使用情况。
研究设计
13名受信任的传播者完成了动机性访谈入门培训。
结果
85%的人认为培训非常有价值，54%的人报告自我效能感高，69%的人表示希望接受更多培训。定性分析显示，受信任的传播者认可动机性访谈，认识到其在各种情况下的适用性，并有一种向所在社区分享准确信息的赋权感。
结论
我们的研究结果表明，赋予受信任的传播者沟通技巧可以成为有效传播准确公共卫生信息的一种切实可行且具有成本效益的公共卫生策略。
