Healthy Together: A self-management and support intervention for low-income African American men with multiple chronic conditions

项目摘要/摘要：尽管对慢性病自身进行了大量研究 在管理方面，在知识方面仍然存在很大差距，特别是关于弱势群体和 服务不足的人群。更具体地说，低收入的非洲裔美国男性 不成比例地受到慢性病的影响，尤其是应对多种疾病。 低收入的非裔美国男性也经历了与以下相关的额外健康负担 关于健康、知识和观念的污名、歧视、文化信仰和做法 关于慢性病和缺乏支持系统，创造了更大的健康 不平等。社会经济地位、种族/民族、性别、性取向、 而多重诊断强烈影响有效的自我管理技能和获得 支持系统。此外，目前新冠肺炎的局势也增加了复杂性， 在健康公平方面造成了更大的差距。这一行政补充文件的具体目的是 共同健康：对低收入非洲人的自我管理和支持干预 《患有多种慢性病的美国男性》包括：目标1：纳入关键问题 新冠肺炎相关纳入现有慢性病自我管理干预重点 低收入的非裔美国男性。目标2：对48-60名非洲人进行定性访谈 患有慢性疾病的美国男性，包括艾滋病毒、糖尿病、高血压、 高胆固醇血症、哮喘、关节炎和精神疾病，并参与健康 共同干预他们使用新冠肺炎的经历。目标3：在目标2的基础上发展 并实施关于管理健康和疾病的需求和挑战的调查 (包括身体和精神)在新冠肺炎期间。这项研究的目的是仔细检查 新冠肺炎对这一人群的影响，特别是关注非洲人的需求 美国男性慢性病自我管理计划，包括慢性病和慢性病 身体和精神状况，以及那些关心他们的人。这项创新研究 让研究参与者通过基于社区的参与性研究来解决 在非洲，与有效管理慢性病相关的复杂性 美国男性，尤其是在后新冠肺炎时代。这将推动所需的科学进步 达到临床上重要的结果，如最大限度地减少残疾，优化功能，以及 在所有病人中生活得很好。

PROJECT SUMMARY/ABSTRACT: Despite much research in chronic disease self- management, significant gaps in knowledge still exist, especially regarding vulnerable and underserved populations. More specifically, low-income African American men are disproportionately affected by chronic conditions, especially coping with multiple morbidities. Low-income African American men also experience additional burdens to health related to stigma, discrimination, cultural beliefs and practices about health, knowledge and perceptions regarding chronic conditions, and lack of support systems, creating even greater health inequalities. The critical intersections of socioeconomic status, race/ethnicity, gender, sexuality, and multiple diagnoses strongly influence effective self-management skills and access to support systems. Moreover, the current COVID-19 situation has added additional complexities, creating bigger gaps in health equity. The specific aims for this administrative supplement to Healthy Together: A Self-Management and Support Intervention for Low-Income African American Men with Multiple Chronic Conditions” include: AIM 1: Incorporate critical issues related to COVID-19 into the existing chronic disease self-management intervention focusing on low-income African American men. AIM 2: Conduct qualitative interviews with 48-60 African American men who are living with chronic conditions, including HIV, diabetes, hypertension, hypercholesterolemia, asthma, arthritis, and mental illness, and participate in the Healthy Together intervention about their experiences with COVID-19. AIM 3: Based on Aim 2, develop and implement a survey regarding the needs and challenges of managing health and illness (both physical and mental) during COVID-19. The purpose of this study is to carefully examine the implications of COVID-19 on this population, specifically focusing on the needs of African American men within a chronic disease self-management program, including both chronic physical and mental conditions, as well as those who care for them. This innovative study engages the research participants through community based participatory research to address the complexities of related to effectively managing their chronic diseases among African American men, particularly in a post-COVID-19 world. This will advance the science needed to achieve the clinically important outcomes such as minimizing disability, optimizing function, and living well among all patients.