scholarly journals Health promotion: results of focus groups with African-American men

2011 ◽  
Vol 8 (1) ◽  
pp. 50-55 ◽  
Author(s):  
G. Anita Heeren ◽  
John B. Jemmott
Author(s):  
Guillermo M Wippold ◽  
Sarah Grace Frary ◽  
Demetrius A Abshire ◽  
Dawn K Wilson

Abstract Background When health promotion efforts intend to include African American men, they experience challenges with recruitment and retention, in addition to limited cultural saliency—interventions that do not align the cultural preferences and experiences of the target population produce less effective results. Purpose This scoping review provides an understanding of (a) how health promotion efforts among African American men are developed and implemented, in addition to the (b) main outcomes, (c) retention rates, and (d) methodological rigor of those efforts. Methods The following databases were used: PubMed, EMBASE (Ovid), PsycINFO (EBSCO), CINAHL (EBSCO), Web of Science (Clarivate), and ProQuest. Included studies were restricted to those: (a) conducted among African American men and (b) reported the effects of a health promotion intervention. Interventions using single-group pre–post study, post-test-only study, non-randomized controlled trial, and randomized controlled trial (RCT) study designs were included. Results The results indicate that varying degrees of customization in the design and implementation of health promotion efforts targeting African American can improve recruitment, retention, and health-related outcomes. Results draw attention to the need for community input when designing and implementing efforts targeting these men. Conclusions These results indicate that opportunities exist to innovate health promotion efforts among African American men, such as the intentional incorporation of the community’s values, perspectives, and preferences in the effort (i.e., cultural saliency) and explicitly indicating how the efforts were culturally tailored to improve saliency. Opportunities also exist to innovate health promotion efforts among African American men based on literature-derived best practices.


2016 ◽  
Vol 41 (4) ◽  
pp. 772-779 ◽  
Author(s):  
Nataka Moore ◽  
Matara Wright ◽  
Jessica Gipson ◽  
Greg Jordan ◽  
Mohit Harsh ◽  
...  

2018 ◽  
Author(s):  
Mark Dworkin ◽  
Apurba Chakraborty ◽  
Sangyoon Lee ◽  
Colleen Monahan ◽  
Lisa Hightow-Weidman ◽  
...  

BACKGROUND Avatars and embodied agents are a promising innovation for human health intervention because they may serve as a relational agent that might augment user engagement in a behavioral change intervention and motivate behavioral change such as antiretroviral adherence and retention in care. OBJECTIVE This study aimed to develop a theory-driven talking avatar-like embodied agent mobile phone intervention guided by the information-motivation-behavioral skills model to promote HIV medication adherence and retention in care in young African American men who have sex with men (MSM). METHODS We performed 5 iterative focus groups in Chicago with HIV-positive African American MSM aged 18-34 years to inform the ongoing development of a mobile phone app. Participants for the focus groups were recruited from 4 University of Illinois at Chicago Community Outreach Intervention Project sites located in different high HIV incidence areas of the city and the University of Illinois at Chicago HIV clinic using fliers and word of mouth. The focus group data analysis included developing an ongoing list of priorities for app changes and discussion between two of the investigators based on the project timeline, resources, and to what extent they served the app’s objectives. RESULTS In this study, 16 men participated, including 3 who participated in two groups. The acceptability for an embodied agent app was universal in all 5 focus groups. The app included the embodied agent response to questions and antiretroviral regimen information, adherence tracking, CD4 count and viral load tracking, motivational spoken messages, and customizability. Concerns that were identified and responded to in the development process included privacy, stigma, avoiding the harsh or commanding tone of voice, avoiding negative motivational statements, and making reminder functions for a variety of health care interactions. CONCLUSIONS An avatar-like embodied agent mHealth approach was acceptable to young HIV-positive African American MSM. Its relational nature may make it an effective method of informing, motivating, and promoting health behavioral skills. Furthermore, the app’s ease of access, stigma-free environment, and audiovisual format may help overcome some adherence barriers reported in this population.


2012 ◽  
Vol 18 (3) ◽  
pp. 312-315 ◽  
Author(s):  
Tera R. Hurt ◽  
Steven R. H. Beach ◽  
LaTrena A. Stokes ◽  
Perdeta L. Bush ◽  
Kameron J. Sheats ◽  
...  

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Guillermo M. Wippold ◽  
Sarah Grace Frary ◽  
Demetrius Abshire ◽  
Dawn K. Wilson

Abstract Background Health promotion efforts among African American men have been met with significant challenges and have produced limited results. Interventions that do not align with the values, perspectives, and preferences of African American men often produce less effective results. Research among African American men has provided compelling evidence that these men prefer informal networks of health support. Recent successful health promotion efforts among these men have benefited from peer-to-peer models of implementation. To date, no known scoping or systematic review of peer-to-peer health promotion interventions among African American men has been conducted. The goal of this scoping review is to understand the extent of, design, implementation, and use of peer-to-peer interventions to promote health, improve quality of life, and prevent disease among African American men. Methods A review of the literature will be performed in PubMED, EMBASE, PsycInfo, CINAHL, and Web of Science. The development of this protocol was guided by the work of Arksey and O’Malley and the PICOS statement. Reporting will be guided by the PRISMA-ScR checklist. Eligible studies include those testing the effects of a peer-to-peer health promotion intervention targeting African American men. A comparison group will not be required. For the purposes of the current review, “peers” will be limited to other African American men. An initial screening of the titles and abstracts of potentially eligible studies will be completed by two independent reviewers. The full text of records that appear to meet the eligibility criteria will be accessed and further screened. Data will then be extracted and collected using a custom Microsoft Excel spreadsheet. Extracted data will include authors’ name and publication year, target health issue(s), design of the intervention, components of the intervention, peer-led components of the intervention, peer role, length and type of training for peer leaders, intervention duration, frequency of the intervention, study design and number of participants, and main outcomes. Finally, results will be presented in table format and summarized in text format. Discussion Results will have implications for the design, implementation, and evaluation of health promotion interventions among African American men. Systematic review registration PROSPERO CRD42020198664


2018 ◽  
Vol 12 (5) ◽  
pp. 1307-1316 ◽  
Author(s):  
Louis F Graham ◽  
Lamont Scott ◽  
Erus Lopeyok ◽  
Henry Douglas ◽  
Aline Gubrium ◽  
...  

African American men continue to bear a disproportionate share of the burden of disease. Engaging these men in health research and health promotion programs—especially lower-income, African American men who are vulnerable to chronic disease conditions such as obesity and heart disease—has historically proven quite difficult for researchers and public health practitioners. The few effective outreach strategies identified in the literature to date are largely limited to recruiting through hospital clinics, churches, and barbershops. The Men of Color Health Awareness (MOCHA) project is a grassroots, community-driven initiative that has developed a number of innovative outreach strategies. After describing these strategies, we present data on the demographic and health characteristics of the population reached using these methods, which indicate that MOCHA has been highly effective in reaching this population of men.


2015 ◽  
Vol 40 (6) ◽  
pp. 1300-1310 ◽  
Author(s):  
Darlene R. Saunders ◽  
Cheryl L. Holt ◽  
Daisy Le ◽  
Jimmie L. Slade ◽  
Bettye Muwwakkil ◽  
...  

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