Integrating multiple community perspectives in intervention development.

Abstract:

:We offer a framework and exemplify how to integrate multiple community perspectives in research to develop breast cancer screening interventions among Latinas non-adherent to national guidelines. We leverage members of an academic institution's community consultative service [community engagement advisory board (CEAB) members]; study team members [community health workers (CHWs)] and study-eligible individuals (non-adherent Latinas). First, we asked what was needed from CEAB members (N=17), CHWs (N=14) and non-adherent Latinas (N=20) in one-time semi-structured group consultations and focus groups. Second, we drafted materials. Third, we conducted group consultations and focus groups with a new set of CEAB members (N=13), CHWs (N=17) and non-adherent Latinas (N=16) to reflect on our initial analysis and draft materials. Fourth, we finalized interventions. Certain recommendations were shared across stakeholders and simple to integrate (e.g. costs → access to free services). Some recommendations varied, but complementary integration was possible (e.g. location versus recruitment → multiple recruitment in multiple community areas). Others were distinct across stakeholders and resulted in strategies to recognize participants' agency and inform their choices about breast cancer screening (e.g. differences in preferred information about screening → personalized information and evidence about all screening options).

journal_name

Health Educ Res

authors

Molina Y,Watson KS,San Miguel LG,Aguirre K,Hernandez-Flores M,Giraldo TB,Lucio A,Coronado N,Matthews PA

doi

10.1093/her/cyz018

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

357-371

issue

4

eissn

0268-1153

issn

1465-3648

pii

5497818

journal_volume

34

pub_type

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