Community Participation in Health Disparity Intervention Research in Vietnamese American Community

Nguyen, Bang H.; Luong, Nhien T.; Lehr, Kim Thien Nguyen; Marlow, Elizabeth; Vuong, Quyen

doi:10.1353/cpr.2016.0024

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…They are members of the community of focus who speak the same language and share similar cultural backgrounds and/or social connections; because of their backgrounds and connections, they can be effective in delivering health messages in a trusted and culturally appropriate manner (Pasick et al, 2009). LHWs have been shown to be effective in addressing health disparities (Nguyen et al, 2016;Finlayson et al, 2017), improving health outcomes (Patel et al, 2011;Hsu et al, 2016;Puchalski Ritchie et al, 2016;Viramontes et al, 2017) and improving health-and screening-related behaviors (Han et al, 2008;Hou et al, 2011;Byrd et al, 2013;deRosset et al, 2014;Fernandez et al, 2014;Juon et al, 2016) There are however important differences between programs in the status LHWs hold and the roles they play. In many programs, LHWs are central to outreach activity and work directly with community members to provide social support (Navarro et al, 1998;Mock et al, 2006;Taylor et al, 2010), offer practical assistance to facilitate access to health care (Burke et al, 2004a,b;Taylor et al, 2009;Kim et al, 2016) and provide health education, counseling and case management (Kim et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Unpacking the ‘black box’ of lay health worker processes in a US-based intervention

Burke

Phung

et al. 2018

Health Promotion International

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Summary Prior studies have supported the effectiveness of the use of Lay Health Workers (LHWs) as an intervention model for managing chronic health conditions, yet few have documented the mechanisms that underlie the effectiveness of the interventions. This study provides a first look into how LHWs delivered a family-based intervention and the challenges encountered. We utilize observation data from LHW-led educational sessions delivered as part of a randomized controlled trial (RCT) designed to test a LHW outreach family-based intervention to promote smoking cessation among Vietnamese American smokers. The RCT included experimental (smoking cessation) and control (healthy living) arms. Vietnamese LHWs were trained to provide health information in Vietnamese to groups of family dyads (smoker and family member). Bilingual, bicultural research team members conducted unobtrusive observations in a subset of LHW educational sessions and described the setting, process and activities in structured fieldnotes. Two team members coded each fieldnote following a grounded theory approach. We utilized Atlas.ti qualitative software to organize coding and facilitate combined analysis. Findings offer a detailed look at the ‘black box’ of how LHWs work with their participants to deliver health messages. LHWs utilized multiple relational strategies, including preparing an environment that enables relationship building, using recognized teaching methods to engage learners and co-learners as well as using humor and employing culturally specific strategies such as hierarchical forms of address to create trust. Future research will assess the effectiveness of LHW techniques, thus enhancing the potential of LHW interventions to promote health among underserved populations.

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Section: Introductionmentioning

confidence: 99%

Unpacking the ‘black box’ of lay health worker processes in a US-based intervention

Burke

Phung

et al. 2018

Health Promotion International

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Can we Build on Social Movement Theories to Develop and Improve Community‐Based Participatory Research? A Framework Synthesis Review

Tremblay

Martin

Macaulay

et al. 2017

American J of Comm Psychol

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A long‐standing challenge in community‐based participatory research (CBPR) has been to anchor practice and evaluation in a relevant and comprehensive theoretical framework of community change. This study describes the development of a multidimensional conceptual framework that builds on social movement theories to identify key components of CBPR processes. Framework synthesis was used as a general literature search and analysis strategy. An initial conceptual framework was developed from the theoretical literature on social movement. A literature search performed to identify illustrative CBPR projects yielded 635 potentially relevant documents, from which eight projects (corresponding to 58 publications) were retained after record and full‐text screening. Framework synthesis was used to code and organize data from these projects, ultimately providing a refined framework. The final conceptual framework maps key concepts of CBPR mobilization processes, such as the pivotal role of the partnership; resources and opportunities as necessary components feeding the partnership's development; the importance of framing processes; and a tight alignment between the cause (partnership's goal), the collective action strategy, and the system changes targeted. The revised framework provides a context‐specific model to generate a new, innovative understanding of CBPR mobilization processes, drawing on existing theoretical foundations.

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Perspectives of community members on community-based participatory research: A systematic literature review

Lee,

Clark,

Schmiesing

et al. 2024

Journal of Urban Affairs

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Community Participation in Health Disparity Intervention Research in Vietnamese American Community

Abstract: CBPR in underserved communities has their own styles, expectations, benefits, and challenges. Understanding these issues is critical in engaging the community.

Cited by 5 publications

References 16 publications

Unpacking the ‘black box’ of lay health worker processes in a US-based intervention

Unpacking the ‘black box’ of lay health worker processes in a US-based intervention

Can we Build on Social Movement Theories to Develop and Improve Community‐Based Participatory Research? A Framework Synthesis Review

Perspectives of community members on community-based participatory research: A systematic literature review

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