Qualitative Exploration of Cultural Influence on a Rural Health-Promotion Initiative

Randall, Nekeisha; Sanders, Catherine E.; Lamm, Alexa J.; Berg, Alison

doi:10.1016/j.jneb.2022.10.011

Cited by 3 publications

(12 citation statements)

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“…A significant finding was that participants would consider using PEOLC for themselves or family members and were able to share how they would help a church member, family member, or neighbor experiencing PEOLC challenges. Similarly, in several studies using community faith-based initiatives and emphasizing the cultural values and beliefs of participants, researchers found that interventions also impacted families and communities 16,24 . Palliative and end-of-life care educational interventions could dismantle palliative and hospice myths and prepare people to access care earlier in the illness/dying trajectory and thus benefit from the full scope of palliative and hospice care.…”

Section: Discussionmentioning

confidence: 98%

“…Study findings indicated that the intervention was culturally and theologically acceptable to participants. Other studies also found the importance of tailoring interventions that reflect people's values and beliefs to promote health and improve access to health care 13,16-19 …”

Section: Discussionmentioning

confidence: 99%

“…1 Studies have demonstrated the effectiveness of using train-the-trainer (TTT) models 13,14 and culturally acceptable faith-based interventions in communities to disseminate health information, promote chronic disease management, improve community health, and ensure intervention sustainability. 13,[15][16][17] Researchers reported that health education should be co-developed with community partners to reflect people's values and ensure cultural and theological acceptability. [16][17][18] However, community/faith-based partner involvement varied considerably.…”

mentioning

confidence: 99%

“…13,[15][16][17] Researchers reported that health education should be co-developed with community partners to reflect people's values and ensure cultural and theological acceptability. [16][17][18] However, community/faith-based partner involvement varied considerably. Although several studies reported only using partners to adapt a premade educational program, 13,16 1 study tailored an intervention to each of 74 participating African American churches, 17 and another engaged Appalachian community and faith leaders in every aspect of intervention-from development through implementation.…”

mentioning

confidence: 99%

“…[16][17][18] However, community/faith-based partner involvement varied considerably. Although several studies reported only using partners to adapt a premade educational program, 13,16 1 study tailored an intervention to each of 74 participating African American churches, 17 and another engaged Appalachian community and faith leaders in every aspect of intervention-from development through implementation. 18 In their systematic literature review, researchers found that advance care planning education was effective when delivered within a trusted faith-based local community.…”

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confidence: 99%

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Community-Academic Partnership

Mixer,

Smith,

Brown

et al. 2024

J Hosp Palliat Nurs

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Despite research findings that rural Appalachians prefer to die at home, few people access palliative and hospice care services, and many report limited knowledge about palliative/end-of-life care resources. A community-academic partnership was formed to address this need. Train-the-trainer workshop and materials were co-developed. This study tested the feasibility and cultural acceptability of the training intervention to increase community members' knowledge about palliative/end-of-life care resources for East Tennessee Appalachian people. Community-based participatory research design and culture care theory guided the project, intervention, and research. After engaging in end-of-life training, participants completed a retrospective pretest-posttest survey. Paired samples t tests were used to compare knowledge before and after training. Means and standard deviations were used to report training material usefulness and cultural acceptability. Short-answer qualitative data were analyzed using content analysis. Sixty-six adults completed the survey. Ratings for training materials and cultural/theological acceptability were high. Participant knowledge rankings showed significant improvement after training at the P <.001 level. Qualitative feedback was positive. The training intervention was feasible, culturally acceptable, and effective for increasing East Tennessee Appalachian persons' palliative/end-of-life care knowledge. Community member expertise/collaboration integrated into every stage of the project is the bedrock of cultural acceptability and feasibility.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Community-Academic Partnership

Mixer,

Smith,

Brown

et al. 2024

J Hosp Palliat Nurs

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Utilizing a community capitals framework to assess a public health intervention: Application of the CD+SI toolkit

Sanders

Randall

Lamm

et al. 2023

Community Development

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Improving Sustainable Food Access and Availability in Rural Communities: An Assessment of Needed Resources

et al. 2023

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(1) Background: Extension educators are uniquely positioned to assist with sustainable community-based food environment change, especially related to obesity prevention efforts, because they are located in almost every county in the U.S. Extension educators strive to build resilient communities by improving food access and bridging various actors involved in the food systems. Needs assessments of desired educational program resources by priority populations, such as those in rural areas, are needed to ensure effective food access and nutrition literacy programs are established based on clientele needs. (2) Methods: Using a non-probability opt-in survey, data were collected from 780 rural residents in a U.S. state facing challenges with obesity rates due to lack of access to healthy, nutritious food to identify barriers to accessing fresh produce and desired educational program resources. (3) Results: The need for socioeconomic and market-based solutions within the built environment indicated educators should increase partnerships with economic resource organizations to enhance community resilience related to food access. (4) Conclusions: An increased understanding can enhance the efficacy of the resources Extension educators offer, resulting in improved food access and security by directly addressing clientele’s demonstrated needs.

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Qualitative Exploration of Cultural Influence on a Rural Health-Promotion Initiative

Cited by 3 publications

References 30 publications

Community-Academic Partnership

Community-Academic Partnership

Utilizing a community capitals framework to assess a public health intervention: Application of the CD+SI toolkit

Improving Sustainable Food Access and Availability in Rural Communities: An Assessment of Needed Resources

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