Community Health Worker Interventions for Men: A Scoping Review Using the RE-AIM Framework

Wippold, Guillermo M.; Garcia, Kaylyn; Frary, Sarah Grace

doi:10.1177/10901981231179498

Cited by 3 publications

(1 citation statement)

References 80 publications

(80 reference statements)

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“…RE-AIM has been used to evaluate programs and setting in public health and community settings and is thought to be particularly useful when evaluate interventions in “real-world” settings ( 40 , 41 ). It has also been used to evaluate public health interventions which make use of community health workers in community-based setting ( 42 – 44 ). Results are made up of quantitative measures from the participant questionnaires, qualitative interviews with the participants, the CHWs, VCSE partners, and the research team.…”

Section: Methodsmentioning

confidence: 99%

A community health worker led approach to cardiovascular disease prevention in the UK—SPICES-Sussex (scaling-up packages of interventions for cardiovascular disease prevention in selected sites in Europe and Sub-saharan Africa): an implementation research project

Grice-Jackson,

Rogers,

Ford

et al. 2024

Front. Health Serv.

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BackgroundThis paper describes a UK-based study, SPICES-Sussex, which aimed to co-produce and implement a community-based cardiovascular disease (CVD) risk assessment and reduction intervention to support under-served populations at moderate risk of CVD. The objectives were to enhance stakeholder engagement; to implement the intervention in four research sites and to evaluate the use of Voluntary and Community and Social Enterprises (VCSE) and Community Health Worker (CHW) partnerships in health interventions.MethodsA type three hybrid implementation study design was used with mixed methods data. This paper represents the process evaluation of the implementation of the SPICES-Sussex Project. The evaluation was conducted using the RE-AIM framework.ResultsReach: 381 individuals took part in the risk profiling questionnaire and forty-one women, and five men participated in the coaching intervention. Effectiveness: quantitative results from intervention participants showed significant improvements in CVD behavioural risk factors across several measures. Qualitative data indicated high acceptability, with the holistic, personalised, and person-centred approach being valued by participants. Adoption: 50% of VCSEs approached took part in the SPICES programme, The CHWs felt empowered to deliver high-quality and mutually beneficial coaching within a strong project infrastructure that made use of VCSE partnerships. Implementation: Co-design meetings resulted in local adaptations being made to the intervention. 29 (63%) of participants completed the intervention. Practical issues concerned how to embed CHWs in a health service context, how to keep engaging participants, and tensions between research integrity and the needs and expectations of those in the voluntary sector. Maintenance: Several VCSEs expressed an interest in continuing the intervention after the end of the SPICES programme.ConclusionCommunity-engagement approaches have the potential to have positively impact the health and wellbeing of certain groups. Furthermore, VCSEs and CHWs represent a significant untapped resource in the UK. However, more work needs to be done to understand how links between the sectors can be bridged to deliver evidence-based effective alternative preventative healthcare. Reaching vulnerable populations remains a challenge despite partnerships with VCSEs which are embedded in the community. By showing what went well and what did not, this project can guide future work in community engagement for health.

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Section: Methodsmentioning

confidence: 99%

A community health worker led approach to cardiovascular disease prevention in the UK—SPICES-Sussex (scaling-up packages of interventions for cardiovascular disease prevention in selected sites in Europe and Sub-saharan Africa): an implementation research project

Grice-Jackson,

Rogers,

Ford

et al. 2024

Front. Health Serv.

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Understanding and Promoting Preventive Health Service Use Among Black Men: Community-Driven and Informed Insights

Wippold,

Jowers,

Garcia

et al. 2023

J. Racial and Ethnic Health Disparities

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Shop Talk: A Qualitative Study to Understand Peer Health-related Communication Among Black Men at the Barbershop

Wippold,

Abshire,

Wilson

et al. 2024

Annals of Behavioral Medicine

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Background While successful health promotion efforts among Black men have been implemented at barbershops, the focus has largely been on outcomes as opposed to the processes by which outcomes are produced. An understanding of processes can be leveraged in the design and implementation of future efforts to improve the health of Black men. Purpose The objectives of the present study were to: (i) understand peer-derived sources of health-related support at the barbershop and (ii) understand the role of the barbershop in promoting health among Black men. Methods Seven focus groups were conducted at barbershops used predominately by Black men. Each focus group lasted between 45 and 60 min. Using a thematic approach, each focus group was independently coded by two coders using a codebook derived from an inductive and deductive approach. The results were confirmed with members of the community advisory board. Results Three themes emerged: (i) dynamic and candid exchange of health-related support at the barbershop; (ii) tailored forms of health-related and judgment-free communication that provide encouragement and increase motivation; and (iii) characteristics of a supportive environment at the barbershop that facilitate health-related communication. Conclusions The findings of the present study offer a potential pathway for public health efforts seeking to improve health among Black men. Those interested in designing and implementing these efforts can create tailored programs for Black men by recognizing and leveraging the unique dynamics of health-related conversations at the barbershop.

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Community Health Worker Interventions for Men: A Scoping Review Using the RE-AIM Framework

Cited by 3 publications

References 80 publications

A community health worker led approach to cardiovascular disease prevention in the UK—SPICES-Sussex (scaling-up packages of interventions for cardiovascular disease prevention in selected sites in Europe and Sub-saharan Africa): an implementation research project

A community health worker led approach to cardiovascular disease prevention in the UK—SPICES-Sussex (scaling-up packages of interventions for cardiovascular disease prevention in selected sites in Europe and Sub-saharan Africa): an implementation research project

Understanding and Promoting Preventive Health Service Use Among Black Men: Community-Driven and Informed Insights

Shop Talk: A Qualitative Study to Understand Peer Health-related Communication Among Black Men at the Barbershop

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