Beyond the cathedral: building trust to engage the African American community in health promotion and disease prevention.
ABSTRACT Effective efforts to eliminate health disparities must be grounded in strong community partnerships and trusting relationships between academic institutions and minority communities. However, there are often barriers to such efforts, including the frequent need to rely on time-limited funding mechanisms that take categorical approaches. This article provides an overview of health promotion and disease prevention projects implemented through the Community Outreach and Information Dissemination Core (COID) of the Center for Minority Health, within the Graduate School of Public Health at the University of Pittsburgh. The COID is one of five Cores that comprised the University of Pittsburgh's NIH Excellence in Partnerships for Community Outreach, and Research on Disparities in Health and Training (EXPORT Health) funded from 2002 to 2007 by the National Center on Minority Health and Health Disparities. Based in large part on the success of the community engagement activities, in 2007, the National Center on Minority Health and Health Disparities, National Institutes of Health, designated the CMH as a Research Center of Excellence on Minority Health Disparities. COID major initiatives included the Community Research Advisory Board, Health Disparity Working Groups, Health Advocates in Reach, Healthy Class of 2010, and the Healthy Black Family Project. Lessons learned may provide guidance to other academic institutions, community-based organizations, and health departments who seek to engage minority communities in changing social norms to support health promotion and disease prevention.
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ABSTRACT: The aim of this study was to identify parent and child characteristics which could influence par-ent satisfaction with preventive health services designed to detect preschool children with speech and language (SL) delay. This study was conducted on 101 children aged 18 to 36 months who participated in an organized SL delay early detection program. Validated instruments were used to assess children's and parents' charac-teristics. Satisfaction was evaluated using the client satisfaction questionnaire for the three activities of the program: 1) a public information session about SL development, 2) parent train-ing sessions for parents concerned by their child SL development, and 3) a child's SL assessment. Multiple logistic regressions were used to iden-tify all independent factors (p < 0.05) associated with satisfaction and to estimate the odds ratios (OR) for satisfaction. Economically disadvan-taged parents were less prone to participate in the first two activities of the early detection pro-gram. Older parents were more satisfied with the public information session (OR = 1.33 for 1 year increment; p = 0.001). Distressed parents were less satisfied with both the parent training sessions (OR = 0.28; p = 0.009) and the SL as-sessment (OR = 0.43; p = 0.046). Parents whose child had health problems at birth were less sa-tisfied with the public information session (OR = 0.14, p = 0.03) and the SL assessment (OR = 0.33, p = 0.036). There is a need to better adapt the delivery of preventive services for the early de-tection of SL delay, especially for disadvantaged and distressed parents and for those whose child had suffered from health problems at birth.Open Journal of Preventive Medicine 10/2011; 1(3):135-142.
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ABSTRACT: Because interventions developed in partnership with African American fathers not residing with their children are virtually non-existent, existing interventions fail to address the multiple factors that constrain these fathers' positive involvement with their children. We developed a videotape fatherhood intervention: Building Bridges to Fatherhood. In collaboration with a Fathers Advisory Council composed of 12 African American fathers, we used Aranda's framework for community-based nursing intervention development to design the intervention. Data from 13 focus group meetings show Advisory Council members' insights on program structure and content, fathers' commitment to their children and communities, and the benefits they garnered from Council participation. The implications for involving fathers in intervention development include using relevant language, vernacular, and interpersonal interactions. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:490-506, 2012.Research in Nursing & Health 06/2012; 35(5):490-506. · 1.16 Impact Factor
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ABSTRACT: PurposeThe purpose of this study was to evaluate a community-based diabetes education pilot project. The Neighborhood Health Talker project aimed to train and implement cultural health brokers primarily targeting communities of color to improve community members' diabetes knowledge and diabetes self-management skills. A secondary aim was to establish diabetes resource libraries accessible to communities that normally experience barriers to these resources.Methods Recruited community members completed 1 week of formal training developed by a multidisciplinary team in Buffalo, NY. The effect of training was evaluated through the use of baseline surveys, a pretest/posttest covering all training content, and daily quizzes evaluating knowledge relevant to each of the five training modules. Trained NHTs then held at least five community conversations in various locations and administered anonymous postconversation surveys to participants. Descriptive statistics and qualitative analysis techniques were used to summarize test, quiz, and survey results.ResultsTwelve women and 1 man completed the training program. Working alone as well as in pairs, each held at least five community conversations reaching over 700 community members of all ages over 3 months and established 8 diabetes resource libraries in the community. All trainees increased their diabetes knowledge and confidence as well as their abilities to perform the tasks of a cultural health broker. Trainees also indicated that the goals they set at training initiation were met.Conclusions The training was successful in increasing trainee knowledge and confidence about diabetes prevention and self-management. Participants not only developed proficiency in discussing diabetes, they also made important lifestyle changes that demonstrated their commitment to the cause and the project. Low-cost initiatives like this are easily reproducible in other communities of color and could be modified to meet the needs of other communities as well.The Diabetes Educator 11/2012; · 1.92 Impact Factor