实施基于社区和信仰的干预措施以提高美国黑人眼保健利用率的障碍与促进因素
Barriers and Facilitators of Implementing a Community and Faith-Based Intervention to Increase Eye Care Utilization in Black Americans.
作者信息
Alexis Dominique A, Johnson Olivia L, Williams Charles E, Newman-Casey Paula Anne, Piatt Gretchen A, Elam Angela R
机构信息
Norton College of Medicine (D.A.A.), SUNY Upstate Medical University, Syracuse, New York, USA.
Harvard University (O.L.J.), Cambridge, Massachusetts, USA.
出版信息
Am J Ophthalmol. 2025 Sep;277:96-111. doi: 10.1016/j.ajo.2025.05.006. Epub 2025 May 13.
PURPOSE
To identify the determinants to successfully implement a community-based intervention to increase eye care utilization in individuals at high-risk for eye diseases.
DESIGN
Qualitative study with semi-structured interviews.
METHODS
Semi-structured qualitative interviews were conducted with community members in Detroit, Michigan at a trusted community site. Participants were Black Americans at least 40 years of age. A codebook of themes was developed through an iterative process and analyzed using Dedoose.
RESULTS
Narrative themes emerged under 2 overarching categories: barriers and facilitators. The number of themes identified were 15 and 14 for barriers and facilitators, respectively. All perceived barriers and facilitators fell into one or more domains of the social determinants of health model.
CONCLUSIONS
Identifying facilitators and eliminating barriers to eye care in Black and low-income communities is essential to successful implementation of interventions to increase eye care utilization. Understanding how these determinants align with social determinants of health may be helpful in designing community-based interventions. Community-based participatory research methods are critical to achieving equity in eye care.
目的
确定成功实施一项基于社区的干预措施的决定因素，以提高眼病高危人群的眼保健利用率。
设计
采用半结构化访谈的定性研究。
方法
在密歇根州底特律一个受信任的社区场所，对社区成员进行半结构化定性访谈。参与者为年龄至少40岁的非裔美国人。通过反复过程制定了一个主题编码本，并使用Dedoose进行分析。
结果
在两个总体类别下出现了叙事主题：障碍和促进因素。确定的障碍和促进因素主题数量分别为15个和14个。所有感知到的障碍和促进因素都属于健康社会决定因素模型的一个或多个领域。
结论
识别促进因素并消除黑人和低收入社区眼保健的障碍，对于成功实施提高眼保健利用率的干预措施至关重要。了解这些决定因素如何与健康社会决定因素相契合，可能有助于设计基于社区的干预措施。基于社区的参与性研究方法对于实现眼保健公平至关重要。
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