A community and culture-centered approach to developing effective cardiovascular health messages.
A community and culture-centered approach to developing effective cardiovascular health messages.
复制标题
以社区和文化为中心的方法来制定有效的心血管健康信息。
DOI：
10.1007/s11606-012-2102-9
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发表时间：
2012
影响因子：
5.7
通讯作者：
Baker,DavidW
中科院分区：
文献类型：
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作者：
Kandula,NamrathaR;Khurana,NeerjaR;Makoul,Gregory;Glass,Sara;Baker,DavidW
关于如何最好地针对少数群体的心血管健康促进信息，人们知之甚少。本研究介绍了关键的经验教训，出现了从社区和文化为中心的方法来开发一个多媒体，冠心病（CHD）患者教育计划（PEP）为医疗服务不足的南亚immigrants.MethodsThe原型PEP集成的表面结构（如语言）和更深层次的结构（如解释模型（EM），价值观）的南亚人的社会文化背景。七个焦点小组和13个个人访谈被用来调查南亚人的反应，并获得定性反馈后，观看文化有针对性的PEP。定性数据被组织成紧急的主题construction.ResultsParticipants（n= 56）的平均年龄为51岁，48%的印地语发言者。社区成员对一些有针对性的信息有强烈的负面反应，“这一声明是一个大胆的攻击。你是在针对一个社区。“从焦点小组和关于PEP的访谈中出现的其他重要主题：1）它没有捕捉到社区的异质性; 2）没有充分纳入南亚人的CHD EM; 3）没有解决CHD预防的经济障碍。反馈被用来修改PEP.ConclusionA社区和文化为中心的方法来发展心血管健康促进信息揭示了紧张局势之间的研究人员的Vantage位置的“文化定位”和社区的看法和反应，这些消息。让社区参与信息设计的每个阶段、纳入新兴市场、认识到社区异质性以及解决经济和结构性障碍，是确保健康促进信息到达目标受众并实现真正的文化适当性的关键步骤。
ObjectiveLittle is known about how best to target cardiovascular health promotion messages to minorities. This study describes key lessons that emerged from a community and culture-centered approach to developing a multimedia, coronary heart disease (CHD) patient education program (PEP) for medically underserved South Asian immigrants.MethodsThe prototype PEP integrated the surface structures (e.g. language) and deeper structures (e.g. explanatory models (EMs), values) of South Asians' socio-cultural context. Seven focus groups and 13 individual interviews were used to investigate South Asians’ reactions and obtain qualitative feedback after viewing the culturally targeted PEP. Qualitative data were organized into emergent thematic constructs.ResultsParticipants (n= 56) mean age was 51 years and 48 % were Hindi speakers. Community members had a strong, negative reaction to some of the targeted messages, "This statement is a bold attack. You are pin-pointing one community." Other important themes emerged from focus groups and interviews about the PEP: 1) it did not capture the community’s heterogeneity; 2) did not sufficiently incorporate South Asians’ EMs of CHD; and 3) did not address economic barriers to CHD prevention. Feedback was used to revise the PEP.ConclusionA community and culture-centered approach to developing cardiovascular health promotion messages revealed tensions between the researcher’s vantage point of “cultural targeting” and the community’s perceptions and reactions to these messages. Engaging communities in every phase of message design, incorporating their EMs, recognizing community heterogeneity, and addressing economic and structural barriers, are critical steps to ensuring that health promotion messages reach their intended audience and achieve true cultural appropriateness.