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促进非裔美国教堂与学术-社区研究伙伴关系的因素:在 COVID-19 大流行期间开展基于社区的整群随机对照试验的招募流程。

Factors Facilitating Academic-Community Research Partnerships With African American Churches: Recruitment Process for a Community-Based, Cluster Randomized Controlled Trial During the COVID-19 Pandemic.

机构信息

Mayo Clinic Alix School of Medicine, Rochester, MN, USA.

Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.

出版信息

Health Promot Pract. 2024 Jan;25(1):8-12. doi: 10.1177/15248399221118394. Epub 2022 Oct 3.

Abstract

African American (AA) churches are valuable partners in implementing health promotion programming (HPP) to combat health disparities. The study purpose was to evaluate AA church characteristics associated with enrollment into the FAITH! (Fostering African American Improvement in Total Health) Trial, a community-based, cluster randomized controlled trial (RCT) of a mobile health intervention for cardiovascular health promotion among AA churches. Churches located in Minneapolis-St. Paul and Rochester, Minnesota were invited to complete an electronic screening survey and follow-up telephone interview including the PREACH (Predicting Readiness to Engage African American Churches in Health) tool to assess church characteristics and infrastructure for HPP. The primary outcome was church enrollment in the FAITH! Trial. Key predictors included overall PREACH scores and its subscales (Personnel, Physical Structure, Faith-based Approach, Funding), congregation size, and mean congregation member age. Of the 26 churches screened, 16 (61.5%) enrolled in the trial. The enrolled churches had higher overall mean PREACH scores (36.1 vs. 30.2) and subscales for Personnel (8.8 vs. 5.6), Faith-based Approach (11.0 vs. 9.6), and Funding (7.3 vs. 4.8) compared with non-enrolled churches; all differences were not statistically significant due to small sample size. Twelve (75.0%) of the enrolled churches had >75 members versus six (60.0%) of the non-enrolled churches. Twelve (80.0%) of the enrolled churches had an average congregation member age ≤54 years versus six (67.0%) of the non-enrolled churches. AA churches enrolling into a community-based RCT reported greater infrastructure for HPP, larger congregations, and members of younger age. These characteristics may be helpful to consider among researchers partnering with AA churches for HPP studies.

摘要

非裔美国人(AA)教堂是实施健康促进计划(HPP)以消除健康差距的有价值的合作伙伴。本研究的目的是评估与 AA 教会参与 FAITH!(促进非裔美国人全面健康改善)试验相关的特征,该试验是一项基于社区的、集群随机对照试验(RCT),针对 AA 教堂的心血管健康促进进行了一项移动健康干预。明尼苏达州明尼阿波利斯-圣保罗和罗切斯特的教堂被邀请完成电子筛查调查和后续电话访谈,包括 PREACH(预测准备让非裔美国人教堂参与健康)工具,以评估教堂的特点和 HPP 的基础设施。主要结果是教会参与 FAITH!试验。主要预测因素包括总体 PREACH 得分及其子量表(人员、物理结构、基于信仰的方法、资金)、会众规模和平均会众成员年龄。在筛查的 26 家教堂中,有 16 家(61.5%)参加了试验。参加试验的教会的总体 PREACH 得分较高(36.1 对 30.2),人员子量表(8.8 对 5.6)、基于信仰的方法子量表(11.0 对 9.6)和资金子量表(7.3 对 4.8)高于未参加试验的教会;由于样本量小,所有差异均无统计学意义。参加试验的 12 家教会(75.0%)的成员超过 75 人,而非参加试验的 6 家教会(60.0%);参加试验的 12 家教会(80.0%)的平均会众成员年龄≤54 岁,而非参加试验的 6 家教会(67.0%)。参与基于社区的 RCT 的 AA 教会报告称,其 HPP 基础设施更大,会众更大,成员年龄更轻。这些特征可能有助于研究人员在与 AA 教会合作进行 HPP 研究时考虑。

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