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A community based participatory approach to improving health in a Hispanic population.

Dulin MF, Tapp H, Smith HA, Urquieta de Hernandez B, Furuseth OJ - Implement Sci (2011)

Bottom Line: This population has experienced disparities in health outcomes and diminished ability to access healthcare services.The first step is the development of equitable partnerships between community representatives, providers, and researchers.Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Carolinas HealthCare System, 2001 Vail Avenue, Charlotte, NC 28207 USA.

ABSTRACT

Background: The Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care providers. The aims of this project are: to use key principles of community-based participatory research (CBPR) within a practice-based research network (PBRN) to identify a single disease or condition that negatively affects the Charlotte Hispanic community; to develop a community-based intervention that positively impacts the chosen condition and improves overall community health; and to disseminate findings to all stakeholders.

Methods/design: This project is designed as CBPR. The CBPR process creates new social networks and connections between participants that can potentially alter patterns of healthcare utilization and other health-related behaviors. The first step is the development of equitable partnerships between community representatives, providers, and researchers. This process is central to the CBPR process and will occur at three levels -- community members trained as researchers and outreach workers, a community advisory board (CAB), and a community forum. Qualitative data on health issues facing the community -- and possible solutions -- will be collected at all three levels through focus groups, key informant interviews and surveys. The CAB will meet monthly to guide the project and oversee data collection, data analysis, participant recruitment, implementation of the community forum, and intervention deployment. The selection of the health condition and framework for the intervention will occur at the level of a community-wide forum. Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.

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Maps showing the growth of the Hispanic population in Mecklenburg County between 1990 and 2005. Map A demonstrates minimal Hispanic penetration into the county in 1990. The safety-net clinics are labeled (+) along with the hospital emergency departments (H). Map B reveals the striking increase in the Hispanic population by the year 2005. Use of maps such as this will be a key step in engaging participants in the research project.
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Figure 1: Maps showing the growth of the Hispanic population in Mecklenburg County between 1990 and 2005. Map A demonstrates minimal Hispanic penetration into the county in 1990. The safety-net clinics are labeled (+) along with the hospital emergency departments (H). Map B reveals the striking increase in the Hispanic population by the year 2005. Use of maps such as this will be a key step in engaging participants in the research project.

Mentions: National data are reflected in Charlotte, North Carolina which, with a 1,404% increase in Hispanic residents between 1990 and 2009 has one of the highest Hispanic growth rates in the nation (Figure 1) [1,6] accompanied by an estimated 65% to 70% Hispanic uninsured rate [4,7]. Many barriers prevent this vulnerable and largely immigrant population from accessing medical care, negatively affecting overall community health [8-10]. Charlotte provides an ideal setting in which to identify new ways to counter barriers and improve health outcomes for Hispanic immigrants. Indeed, as a pre-emerging immigrant gateway, Charlotte has a unique opportunity to create constructive relationships between medical providers and the Hispanic community to proactively and positively impact community health, improve cultural understanding, and break down barriers between community members and health providers.


A community based participatory approach to improving health in a Hispanic population.

Dulin MF, Tapp H, Smith HA, Urquieta de Hernandez B, Furuseth OJ - Implement Sci (2011)

Maps showing the growth of the Hispanic population in Mecklenburg County between 1990 and 2005. Map A demonstrates minimal Hispanic penetration into the county in 1990. The safety-net clinics are labeled (+) along with the hospital emergency departments (H). Map B reveals the striking increase in the Hispanic population by the year 2005. Use of maps such as this will be a key step in engaging participants in the research project.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094257&req=5

Figure 1: Maps showing the growth of the Hispanic population in Mecklenburg County between 1990 and 2005. Map A demonstrates minimal Hispanic penetration into the county in 1990. The safety-net clinics are labeled (+) along with the hospital emergency departments (H). Map B reveals the striking increase in the Hispanic population by the year 2005. Use of maps such as this will be a key step in engaging participants in the research project.
Mentions: National data are reflected in Charlotte, North Carolina which, with a 1,404% increase in Hispanic residents between 1990 and 2009 has one of the highest Hispanic growth rates in the nation (Figure 1) [1,6] accompanied by an estimated 65% to 70% Hispanic uninsured rate [4,7]. Many barriers prevent this vulnerable and largely immigrant population from accessing medical care, negatively affecting overall community health [8-10]. Charlotte provides an ideal setting in which to identify new ways to counter barriers and improve health outcomes for Hispanic immigrants. Indeed, as a pre-emerging immigrant gateway, Charlotte has a unique opportunity to create constructive relationships between medical providers and the Hispanic community to proactively and positively impact community health, improve cultural understanding, and break down barriers between community members and health providers.

Bottom Line: This population has experienced disparities in health outcomes and diminished ability to access healthcare services.The first step is the development of equitable partnerships between community representatives, providers, and researchers.Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Carolinas HealthCare System, 2001 Vail Avenue, Charlotte, NC 28207 USA.

ABSTRACT

Background: The Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care providers. The aims of this project are: to use key principles of community-based participatory research (CBPR) within a practice-based research network (PBRN) to identify a single disease or condition that negatively affects the Charlotte Hispanic community; to develop a community-based intervention that positively impacts the chosen condition and improves overall community health; and to disseminate findings to all stakeholders.

Methods/design: This project is designed as CBPR. The CBPR process creates new social networks and connections between participants that can potentially alter patterns of healthcare utilization and other health-related behaviors. The first step is the development of equitable partnerships between community representatives, providers, and researchers. This process is central to the CBPR process and will occur at three levels -- community members trained as researchers and outreach workers, a community advisory board (CAB), and a community forum. Qualitative data on health issues facing the community -- and possible solutions -- will be collected at all three levels through focus groups, key informant interviews and surveys. The CAB will meet monthly to guide the project and oversee data collection, data analysis, participant recruitment, implementation of the community forum, and intervention deployment. The selection of the health condition and framework for the intervention will occur at the level of a community-wide forum. Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.

Show MeSH
Related in: MedlinePlus