Lea Ayers LaFave, Naomi Clemmons, Milton Kotelchuck, Naima Morales Cozier, Ana Geltman, Dianne R Browne, Katie Kenyon
{"title":"Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality.","authors":"Lea Ayers LaFave, Naomi Clemmons, Milton Kotelchuck, Naima Morales Cozier, Ana Geltman, Dianne R Browne, Katie Kenyon","doi":"10.1177/2752535X231170737","DOIUrl":"10.1177/2752535X231170737","url":null,"abstract":"<p><strong>Background: </strong>Racial/ethnic disparities in maternal and infant morbidity and mortality (MIM&M) is a wicked problem that is reinforced and perpetuated by our system[s] of care. Life Course Theory (LCT) helps to explain drivers of health disparities, but its application is challenged. An upstream approach that promotes systemic change requires the implementation of an expanded prevention framework that includes primordial and quaternary prevention.</p><p><strong>Research design: </strong>We developed an innovative expanded Whole System Prevention Framework (WSPF) that incorporates LCT, prevention (including primordial and quaternary prevention) and systems thinking.</p><p><strong>Study sample: </strong>We implemented this new conceptual Framework with two Healthy Start community partnerships through training, service mapping, and strategic planning to address upstream drivers of MIM&M.</p><p><strong>Data collection and analysis: </strong>Service mapping revealed few Healthy Start upstream activities/services with the predominance being delivered downstream at the program (microsystem) level.</p><p><strong>Results: </strong>Service mapping provided a snapshot of the current service distribution of services across the systems. The preponderance were primary, secondary and tertiary prevention activities (75.5% and 65.6%) delivered at the program level (58.2% and 68%), revealing opportunities for upstream strategies to promote equity. The implementation process provided a new way to frame strategic planning and develop upstream strategies to promote health equity and reduce MIM&M.</p><p><strong>Conclusion: </strong>The Whole System Prevention Framework and its implementation methodology could be applied to address other wicked problems.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"349-364"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Darlingtina Esiaka, Christina C Yarborough, Bernadette A Fausto, Mark A Gluck
{"title":"A Mini-Review of Strategies for Recruiting Older African Americans to Alzheimer's Disease Research.","authors":"Darlingtina Esiaka, Christina C Yarborough, Bernadette A Fausto, Mark A Gluck","doi":"10.1177/0272684X221118493","DOIUrl":"10.1177/0272684X221118493","url":null,"abstract":"<p><p>African Americans experience higher incidence and prevalence of Alzheimer's disease (AD). Yet, they continue to be underrepresented in AD research, limiting the ability to generalize findings to the increasingly diverse US population. To reduce AD disparities, targeted efforts are needed to increase the representation of African Americans in AD research. This mini review identified evidence-based strategies that increased research participation among older African Americans. Four recruitment strategies emerged from eight published peer-reviewed studies that directly evaluated the effectiveness of strategies aimed at increasing the number of African American participants in Alzheimer's research. The strategies include community outreach and education, face-to-face discussions, remote access, and referral and partnership with local organizations. Across different locations, these strategies increased the number of African Americans enrolled into AD research, the number of people that signed up to donate their brains for AD research upon death, and the knowledge and perception of AD in the communities. Targeted efforts are effective in increasing AD research participation among older African Americans, especially when combined with approaches that emphasize transparency and mutual trust and involve the community as stakeholders in the research process.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"419-428"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40368685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board.","authors":"Kathryn P Derose, Aline Gubrium","doi":"10.1177/2752535X241256784","DOIUrl":"10.1177/2752535X241256784","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"347"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexis K Grant, Jennifer K Felner, Yvette Castañeda, Preethi Pratap, Jeni Hebert-Beirne
{"title":"Leveraging Key Informant Interviews to Inform Intervention Development: The Greater Lawndale Healthy Work Project.","authors":"Alexis K Grant, Jennifer K Felner, Yvette Castañeda, Preethi Pratap, Jeni Hebert-Beirne","doi":"10.1177/2752535X231196395","DOIUrl":"10.1177/2752535X231196395","url":null,"abstract":"<p><strong>Background: </strong>The Greater Lawndale Healthy Work project is a sequential mixed methods community based participatory research project that examines work as a structural determinant of health and builds community capacity for healthy work in a predominantly Black and Latinx community in Chicago known as Greater Lawndale (GL).</p><p><strong>Objectives: </strong>We interviewed community leaders in GL as key informants to understand the barriers to healthy work and inform intervention development.</p><p><strong>Methods: </strong>We conducted a directed content analysis of transcripts from 20 key informants and coded the social ecology and type of intervention.</p><p><strong>Results: </strong>Every key informant mentioned at least one asset in GL, showing an opportunity to employ a capacity-oriented approach to intervention development. Key informants suggested a variety of interventions to address precarious work across levels of the social ecology, with individual and community level interventions being the most salient.</p><p><strong>Conclusion: </strong>Through this approach, we were able to navigate tensions and challenges in conducting research for community-wide change. Key informant stakeholder interviews can be leveraged to meaningfully inform intervention development and support the development of multi-level, sustainable, and culturally acceptable interventions that advance health equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"429-438"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board.","authors":"Kathryn P Derose, A. Gubrium","doi":"10.1177/2752535X241256784","DOIUrl":"https://doi.org/10.1177/2752535X241256784","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"48 18","pages":"2752535X241256784"},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True
{"title":"Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates.","authors":"Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True","doi":"10.1177/2752535X241245270","DOIUrl":"https://doi.org/10.1177/2752535X241245270","url":null,"abstract":"This paper explores the concept of \"community-engaged research\" (CEnR) within the context of Veteran health care delivery and reintegration programs. A multi-sector expert panel (msExP) was formed to evaluate and make recommendations on Veteran community reintegration research and programs. The panel consisted of Veterans, care partners, clinical providers, researchers, community stakeholders, and subject matter experts. The paper examines the composition and lifecycle of the panel, highlighting the characteristics and experiences of the participants. Shifts in the panel's purpose and engagement levels occurred in response to unanticipated disruptions, particularly the COVID-19 pandemic. The transformation of the panel emphasizes the importance of aligning individual and group needs and deepening intrapersonal relationships Findings based on observations, surveys, and interviews with panel members contribute to the field of community-engaged research by demonstrating the utility of catalytic validity that balances group and individual development. As part of a broader study on Veteran reintegration, the panel and its development over time allowed for various perspectives on Veteran experiences and reintegration within the community that shaped the overall project. Despite the challenges of developing and maintaining a panel alongside a research study, feedback from the panel members on their participation provides insight into the potential for future working alliances in community-engaged health research.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"209 2","pages":"2752535X241245270"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo
{"title":"Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres.","authors":"J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo","doi":"10.1177/2752535X231184029","DOIUrl":"10.1177/2752535X231184029","url":null,"abstract":"<p><strong>Background: </strong>Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as 'change agents' to promote rational antibiotic use.</p><p><strong>Methods: </strong>In-depth-interviews with stakeholders (<i>N</i> = 55) and a subsequent group discussion with key personnel (<i>N</i> = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres (<i>N</i> = 40) to assess the effectiveness and acceptability of the new tool.</p><p><strong>Results: </strong>Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge (<i>p</i> < 0.001) and demonstrated a high acceptability (all respondents stated 'Strongly Agree' or 'Agree' on all statements).</p><p><strong>Conclusion: </strong>This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"281-293"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women and Care: Reflections on the Lived Experience of COVID-19 Sufferers.","authors":"Sheilalaine G Romulo, Ryan C Urbano","doi":"10.1177/2752535X231163029","DOIUrl":"10.1177/2752535X231163029","url":null,"abstract":"<p><p>Women play a crucial role in the care and response to the COVID-19 pandemic, whether in paid or unpaid work. This article looks into the lived experience of some of these women infected by COVID-19 while doing their job as care providers. We selected nine women from Cebu City, Philippines. We presented their lived experience through van Manen's phenomenology of practice. Themes of the lived experience reveal pain and separation, suffering and caring, stigma of discrimination, caring response, and supportive relationship in the midst of a health crisis. Our reflections reveal that even in serious vulnerability and sustained domestic burden, women remained steadfast in their caring character. Their caring attitude has turned the quarantine facility into a liveable space where empathy, reciprocity, and relationality dwell and thus help everyone survive the COVID-19 ordeal.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"243-252"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014448/pdf/10.1177_2752535X231163029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty
{"title":"Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic.","authors":"Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty","doi":"10.1177/2752535X231185221","DOIUrl":"10.1177/2752535X231185221","url":null,"abstract":"<p><p>Given COVID-19's disproportionate impact on populations that identify as Black, Indigenous, and People of Color (BIPOC) in the United States, researchers and advocates have recommended that health systems and institutions deepen their engagement with community-based organizations (CBOs) with longstanding relationships with these communities. However, even as CBOs leverage their earned trust to promote COVID-19 vaccination, health systems and institutions must also address underlying causes of health inequities more broadly. In this commentary, we discuss key lessons learned about trust from our participation in the U.S. Equity-First Vaccination Initiative, an effort funded by The Rockefeller Foundation to promote COVID-19 vaccination equity. The first lesson is that trust cannot be \"surged\" to meet the needs of the moment until it is no longer deemed important; rather, it must predate <i>and</i> outlast the crisis. Second, to generate long-term change, health systems cannot simply rely on CBOs to bridge the trust gap; instead, they must directly address the root causes of this gap among BIPOC populations.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333557/pdf/10.1177_2752535X231185221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isaac A Adedeji, Saheed Akinmayowa Lawal, Sola Aluko-Arowolo
{"title":"Qualitative Analysis of Coping Strategies Among Older Persons During COVID-19 Lockdown in Nigeria: Considerations for Community Health Promotion.","authors":"Isaac A Adedeji, Saheed Akinmayowa Lawal, Sola Aluko-Arowolo","doi":"10.1177/2752535X231173527","DOIUrl":"10.1177/2752535X231173527","url":null,"abstract":"<p><p><b>Background:</b> The challenge of COVID-19 and the disease control restrictions in Nigeria directly affected social life. Older adults were disproportionately affected because of social vulnerabilities, socio-economic dependency, and the high risk of COVID-19 infectious disease in the population.<b>Purpose:</b> To this end, the study explored the instrumental coping strategies of older adults duirng the COVID-19 lockdown in Nigeria.<b>Research Design:</b> An exploratory research design using qualitative approach based on in-depth interviews was adopted.<b>Study Sample:</b> Twenty-seven (27) older adults aged 60 years and more in Ibadan, Nigeria were purposively selected for participation in the research.<b>Data Collection and/or Analysis:</b> Community living older adults participated in in-depth telephone interviews during the COVID-19 restrictions. Using Atlas ti 8.4, the 27 transcripts were analyzed and validated through content analysis.<b>Results:</b> Older adults coped with fear, anxiety, depression, and other health challenges, and three major themes emerged as problem-focused coping strategies. Older adults explored spirituality, engaged in their social networks through telephones, and focused on a healthy diet and physical activities.<b>Conclusions:</b> Community health promotion strategies for older adults should explore the identified problem-focused coping strategies to optimize the health and wellbeing of older adults.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"253-263"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149519/pdf/10.1177_2752535X231173527.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}