Barriers and Facilitators of Implementing a Community and Faith-Based Intervention to Increase Eye Care Utilization in Black Americans.

IF 4.1 1区医学 Q1 OPHTHALMOLOGY

American Journal of Ophthalmology Pub Date : 2025-05-13 DOI:10.1016/j.ajo.2025.05.006

Dominique A Alexis,Olivia L Johnson,Charles E Williams,Paula Anne Newman-Casey,Gretchen A Piatt,Angela R Elam

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引用次数: 0

Abstract

Purpose To identify the determinants to successfully implement a community-based intervention to increase eye care utilization in individuals at high-risk for glaucoma. Design Qualitative study with semi-structured interviews Methods Semi-structured qualitative interviews were conducted with community members in Detroit, Michigan at a trusted community site. Participants were Black Americans at least 40 years of age. A codebook of themes was developed through an iterative process and analyzed using Dedoose. Results Narrative themes emerged under two overarching categories: barriers and facilitators. The number of themes identified were 15 and 14 for barriers and facilitators, respectively. All perceived barriers and facilitators fell into one or more domains of the social determinants of health model. Conclusion Identifying facilitators and eliminating barriers to eye care in Black and low-income communities is essential to successful implementation of interventions to increase eye care utilization. Understanding how these determinants align with social determinants of health may be helpful in designing community-based interventions. Community-based participatory research methods are critical to achieving equity in eye care.

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实施社区和信仰干预以提高美国黑人眼科保健使用率的障碍和促进因素。

目的确定成功实施社区干预以提高青光眼高危人群眼保健利用的决定因素。采用半结构化访谈的定性研究方法在密歇根州底特律市一个值得信赖的社区站点对社区成员进行半结构化定性访谈。参与者为40岁以上的美国黑人。通过迭代过程开发主题代码本，并使用Dedoose进行分析。叙事主题主要分为两大类：障碍和促进因素。确定的障碍和促进因素主题分别为15个和14个。所有感知到的障碍和促进因素都属于健康模式社会决定因素的一个或多个领域。结论确定促进因素，消除黑人和低收入社区眼保健障碍是成功实施干预措施以提高眼保健利用率的关键。了解这些决定因素如何与健康的社会决定因素相一致，可能有助于设计基于社区的干预措施。基于社区的参与性研究方法对于实现眼科护理的公平性至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Ophthalmology 医学-眼科学

CiteScore

9.20

自引率

7.10%

发文量

406

审稿时长

36 days

期刊介绍： The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.