MULTILEVEL HEALTH PROMOTION IN AFRICAN AMERICAN CHURCHES

非裔美国教会的多层次健康促进

• 批准号: 8499492
• 负责人: Jannette Yvonne Berkley-Patton
• 金额: $ 35.05万
• 依托单位: UNIVERSITY OF MISSOURI KANSAS CITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8499492
• 关键词: AIDS/HIV problem; Accounting; Address; Adult; African; African American; Area; Asthma; Behavior; Behavioral; Bible; Caring; Centers for Disease Control and Prevention (U.S.); Church; Cities; Clothing; Communication; Communities; Community Health; Community Health Networks; Community Outreach; Continuity of Patient Care; Controlled Study; Diabetes Mellitus; Diagnosis; Disease; Evaluation; Focus Groups; Food; Fostering; Funding; HIV/STD; Health; Health Personnel; Health Promotion; Health Services; Health Services Accessibility; Health behavior; Heart Diseases; Ice; Influentials; Influenza; Institution; Insurance; Intervention; Kansas; Life Expectancy; Malignant Neoplasms; Missouri; Modeling; Needs Assessment; Network-based; Not Hispanic or Latino; Obesity; Patients; Pharmaceutical Preparations; Phase; Population; Prayers; Premature Birth; Prevention; Principal Investigator; Prisons; Process; Provider; Public Health; Reading; Recording of previous events; Recovery; Recruitment Activity; Religion and Spirituality; Research; Research Infrastructure; Risk; Services; Social Work; Stroke; Surveys; System; Systems Theory; Testing; Time; United States National Institutes of Health; Universities; arm; base; community based participatory research; design; disorder prevention; disorder risk; effective intervention; experience; health disparity; health literacy; health science research; high risk sexual behavior; intervention effect; male; meetings; member; men; men' s group; outreach; programs; screening; social; social stigma; therapy design; therapy development; tool; volunteer

DESCRIPTION (provided by applicant): The proposed study focuses on African Americans (AAs) - a population experiencing multiple health disparities. Promotion of healthy behaviors among AAs across the continuum of care from prevention to diagnosis and treatment services is critical to addressing AA health disparities. Black churches may be an ideal setting for health promotion interventions as they have extensive influence and reach in AA communities, high AA attendance rates, and a strong emphasis on health. Yet, limited studies exist on AA church-based health interventions that support a continuum of health services from prevention to linkage to care with church members and community members using church outreach services. This study focuses on planning, developing, and pilot testing an AA church-based multilevel health promotion intervention to address an AA health disparity. Using community-based participatory (CBPR) principles, our faith-health- community-academic partnership's (Heartland Health Network) CAB will assist in engaging faith and other community partners in all aspects of this study from setting the research agenda to pilot intervention development, implementation, evaluation, and dissemination of findings. In Year 1, the planning phase will consist of: a) conducting a needs assessment survey with 10 churches (n=450 adult church members total) and 10 health and community-based organizations (n=50 key stakeholders) to identify a health condition that disproportionately impacts AAs and feasible multilevel intervention strategies; b) holding a church/community forum to review needs assessment survey findings and explore facilitators/barriers and a plausible multilevel intervention strategies; and c) guided by the CAB and needs assessment findings, developing a culturally/religiously tailored, multilevel health promotion intervention that engages church health liaisons and health providers in promoting prevention, health screening, and linkage to care. In Years 2 and 3, a 2- or 3- arm pilot intervention will be tested with 6 AA churches (N=400 church and community members) assessed at baseline and 12-months. Post study focus groups will be conducted with church leaders and CAB members (n=40 total) to assess the CBPR process used in the study. RELEVANCE: This study is the first to test a multilevel health promotion intervention in African American (AA) churches through delivery of prevention, health screening, and linkage to care services to AA church and community members. This model could have a significant public health impact by providing a faith community engagement model for implementing scalable, wide-reaching socio-ecological interventions and supporting AA faith leaders with a religiously and culturally-appropriate church-based intervention strategies and tools.

描述（由申请人提供）：拟议的研究重点关注非裔美国人（AA）——一个经历多种健康差异的人群。在从预防到诊断和治疗服务的整个护理过程中促进 AA 之间的健康行为对于解决 AA 健康差异至关重要。黑人教会可能是健康促进干预措施的理想场所，因为它们在 AA 社区中具有广泛的影响力和影响力、AA 出席率高并且高度重视健康。然而，关于基于 AA 教会的健康干预措施的研究有限，这些干预措施支持从预防到与使用教会外展服务的教会成员和社区成员的联系到护理的一系列健康服务。本研究的重点是规划、开发和试点测试基于 AA 教会的多层次健康促进干预措施，以解决 AA 健康差异问题。使用基于社区的参与 (CBPR) 原则，我们的信仰-健康-社区-学术伙伴关系 (Heartland Health Network) CAB 将协助信仰和其他社区合作伙伴参与本研究的各个方面，从制定研究议程到试点干预措施的制定、实施、评估和传播研究结果。在第一年，规划阶段将包括： a) 对 10 个教会（总共 450 名成年教会成员）和 10 个健康和社区组织（n=50 个主要利益相关者）进行需求评估调查，以确定对 AA 影响不成比例的健康状况和可行的多层次干预策略； b) 举办教会/社区论坛，审查需求评估调查结果，探讨促进因素/障碍以及可行的多层次干预策略； c) 以 CAB 和需求评估结果为指导，制定针对文化/宗教量身定制的多层次健康促进干预措施，让教会健康联络员和健康提供者参与促进预防、健康筛查和护理联系。在第 2 年和第 3 年，将在 6 个 AA 教会（N = 400 名教会和社区成员）中测试 2 组或 3 组试点干预措施，并在基线和 12 个月内进行评估。研究后焦点小组将与教会领袖和 CAB 成员（总共 40 名）一起进行，以评估研究中使用的 CBPR 流程。 相关性：本研究首次通过向非裔美国人 (AA) 教会和社区成员提供预防、健康筛查以及与护理服务的联系来测试非裔美国人 (AA) 教会的多层次健康促进干预措施。该模型可以通过提供信仰社区参与模型来实施可扩展的、影响广泛的社会生态干预措施，并通过宗教和文化上适当的基于教会的干预策略和工具来支持 AA 信仰领袖，从而对公共卫生产生重大影响。