MULTILEVEL HEALTH PROMOTION IN AFRICAN AMERICAN CHURCHES

描述(由申请人提供)：拟议的研究重点是非洲裔美国人(AAs)--一种经历多重健康差异的人群。在从预防到诊断和治疗服务的整个护理过程中促进再生障碍性贫血的健康行为，对于解决再生障碍性贫血的健康差距至关重要。黑人教堂可能是健康促进干预的理想场所，因为它们在AA社区具有广泛的影响力和影响范围，AA出席率高，并且强烈强调健康。然而，关于以教会为基础的健康干预措施的研究有限，这些干预措施支持从预防到联系到使用教会外展服务与教会成员和社区成员进行护理的一系列健康服务。这项研究的重点是规划、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健康差距问题。利用基于社区的参与式(CBPR)原则，我们的信仰-健康-社区-学术合作伙伴(心脏地带健康网络)CAB将帮助信仰和其他社区合作伙伴参与这项研究的所有方面，从制定研究议程到试点干预措施的制定、实施、评估和结果的传播。在第一年，规划阶段将包括：a)对10个教会(共450名成年教会成员)和10个健康及社区组织(n=50个主要持份者)进行需求评估调查，以确定对协会和可行的多层次干预策略产生不成比例影响的健康状况；b)举办教会/社区论坛，审查需求评估调查结果，并探讨促进者/障碍和合理的多层次干预策略；以及c)在CAB和需求评估结果的指导下，制定文化/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、健康筛查和与护理的联系。在第二年和第三年，将在基线和12个月评估的6个AA教会(N=400名教会和社区成员)中测试2或3臂试点干预。研究后焦点小组将与教会领袖和CAB成员(共40人)一起进行，以评估研究中使用的CBPR过程。 相关性：这项研究首次通过向非裔美国人(AA)教会和社区成员提供预防、健康筛查和与护理服务的联系来测试多层次的健康促进干预措施。这一模式可以通过提供信仰社区参与模式来实施可扩展的、广泛的社会生态干预措施，并为AA信仰领袖提供宗教和文化上适当的基于教会的干预战略和工具，从而对公共卫生产生重大影响。

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.