iTHRIVE 365: A Community-Led, Multicomponent Health Promotion Intervention for Black Same Gender Loving Men.

Devin English, Justin C Smith, Larry Scott-Walker, Felix Gabriel Lopez, Michael Morris, Malcolm Reid, Crystal Lashay, Dwain Bridges, Alayne Rosales, Diamond J Cunningham
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Abstract

Although health inequities among Black same gender loving men (SGLM) are well documented (e.g., chronic psychological disorders, HIV, suicide), there are few accessible, culturally affirming, and community-led interventions designed to reduce these inequities. The present manuscript describes the process through which we developed iTHRIVE 365, a multicomponent health-promotion intervention designed by Black SGLM for Black SGLM. We utilized a community-based participatory research approach (CBPR) that included collaboration between THRIVE SS, a Black SGLM-run community-based organization, and a multisectoral team of public health, research, and digital design professionals to develop the intervention. A five-phase development process included four phases of focus groups and a technical pilot to assess community priorities and incorporate input on each feature of the intervention. Directed content analysis indicated that participants wanted a multicomponent and technology-mediated intervention that promotes health knowledge and motivation, Black SGLM social support, access to affirming healthcare, and housing and economic resources. iTHRIVE 365 combines multilevel and culturally affirming intervention features to combat the effects of oppression and ultimately promote Black SGLM's biopsychosocial health.

iTHRIVE 365:一个社区主导的,多成分的健康促进干预黑人同性爱的男人
尽管黑人同性爱男性(SGLM)在健康方面的不平等现象(如慢性心理障碍、艾滋病、自杀)已被充分记录在案,但旨在减少这些不平等现象的、可获得的、文化上肯定的、社区主导的干预措施却寥寥无几。本手稿介绍了我们开发 iTHRIVE 365 的过程,这是一项由黑人 SGLM 为黑人 SGLM 设计的多成分健康促进干预措施。我们采用了社区参与式研究方法(CBPR),包括由黑人 SGLM 运营的社区组织 THRIVE SS 与由公共卫生、研究和数字设计专业人士组成的多部门团队合作开发干预措施。开发过程分为五个阶段,其中包括四个阶段的焦点小组和一个技术试点,以评估社区的优先事项,并纳入对干预措施每个特征的意见。指导性内容分析表明,参与者需要一种多成分、以技术为媒介的干预措施,以促进健康知识和动力、黑人 SGLM 的社会支持、获得肯定的医疗保健以及住房和经济资源。iTHRIVE 365 结合了多层次和文化肯定的干预特点,以消除压迫的影响,最终促进黑人 SGLM 的生物-心理-社会健康。
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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