scholarly journals Comment on Project THANKS: Examining HIV/AIDS-Related Barriers and Facilitators to Care in African American Women: A Community Perspective

2020 ◽  
Vol 19 ◽  
pp. 232595822093640
Author(s):  
Ndidiamaka Amutah-Onukagha ◽  
Meena Mahadevan ◽  
Ijeoma Opara ◽  
Monica Rodriguez ◽  
Aminah Baxter ◽  
...  
Keyword(s):  
Mental Health ◽  
African American ◽  
African American Women ◽  
Health Centers ◽  
Culturally Competent ◽  
Physical And Mental Health ◽  
Community Based ◽  
American Women ◽  
The Social ◽  
Hiv Aids

The aim of Project THANKS (Turning HIV/AIDS into Knowledge for Sisters) was to provide resources for African American women living with a dual diagnosis of HIV and associated comorbidities such as a chronic illness, and substance use disorder. HIV self-management is viewed within a larger context that addresses HIV and comorbidities concurrently. Project THANKS is an evidence-based, culturally competent curriculum that provides African American women with the necessary knowledge and tools to manage their complications associated with having multiple chronic diseases. The intervention was piloted in 2015 and later conducted in 2018 in 3 community-based health centers in New Jersey. Future interventions of Project THANKS will address the social support, mental health, and health literacy needs expressed by participants as well as incorporating a licensed social worker to further improve their physical and mental health outcomes.

scholarly journals Study protocol for the implementation of the Gabby Preconception Care System - an evidence-based, health information technology intervention for Black and African American women

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Angela Wangari Walter ◽  
Clevanne Julce ◽  
Nireesha Sidduri ◽  
Leanne Yinusa-Nyahkoon ◽  
Jessica Howard ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Community Health Centers ◽  
Preconception Care ◽  
Clinical Effectiveness ◽  
Health Centers ◽  
Evidence Based ◽  
Community Based ◽  
American Women ◽  
Implementation Outcomes

Abstract Background Improving the health of women before pregnancy and throughout a woman’s lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is important for reducing health risks associated with poor maternal, perinatal and neonatal outcomes, and eliminating racial and ethnic disparities in maternal and child health. Low cost health information technology interventions provided in community-based settings have the potential to reach and reduce disparities in health outcomes for socially disadvantaged, underserved and health disparity populations. These interventions are particularly important for Black and African American women who have a disproportionate burden of pregnancy-related complications and infant mortality rates compared to any other racial and ethnic group in the U.S. Methods This is a hybrid type II implementation-effectiveness cohort study aimed at evaluating appropriateness, acceptability and feasibility implementation outcomes, while also systematically examining the clinical effectiveness of a preconception care (PCC) intervention, the Gabby System, for Black and African American women receiving health services in community-based sites. The intervention will be implemented in six Community Health Centers and six Healthy Start programs across the U.S. Each study site will recruit and enroll 25–50 young Black and African American women who will participate in the intervention for a 6-month period. Appropriateness, acceptability and feasibility of implementing the PCC intervention will be assessed using: 1) Qualitative data derived from individual interviews with Gabby System end-users (clients and patients) and site staff; and, 2) Quantitative data from staff surveys, Gabby System usage and uptake. Aggregate health risk and utilization measures collected directly from the Gabby server will be used to examine the effectiveness of the Gabby System on self-reported behavior change. Discussion This study will examine implementation outcomes and clinical effectiveness of an evidence-based PCC intervention for Black and African American women receiving services in Healthy Start programs and Community Health Centers. Contextual factors that influence uptake and appropriate implementation strategies will be identified to inform future scalability of the intervention. Trial registration ClinicalTrials.gov NCT04514224. Date of registration: August 14, 2020. Retrospectively Registered.

African American Women and Depression: Promoting the Need for Culturally Competent Treatment

2018 ◽  
Author(s):  
Bernice Kennedy ◽  
Chalice Jenkins ◽  
Keyword(s):  
Mental Health ◽  
African American ◽  
Depressive Symptoms ◽  
African American Women ◽  
Mental Health Problems ◽  
American Woman ◽  
Stressful Events ◽  
Mental Illnesses ◽  
Diagnostic Process ◽  
American Women

Abstract Depression is gradually increasing in African American women. These women are experiencing role changes and additional life stressors. Depressed African American women may perceive themselves as being devalued by society with fewer support systems to buffer stressful events. Depressive symptoms may develop into clinical depression and a further decrease in the quality of life for the African American woman. The assumption that all women share similar experiences does not allow for differences to emerge regarding the diagnostic process, measuring tools, and successful treatment strategies for various cultures. The authors developed a Multifaceted Model of Depression in African American Women for improving treatment of African American women with depression and future research needs. Cultural background plays a vital role in how the symptoms of mental illnesses are developed, reported, interpreted, and how women are treated. African Americans who subscribed to the Strong Black Women Archetype (SBWA) are naturally strong, resilient, self-contained, and self-sacrificing. This self-reliance prevents them from reaching out for social support. This, in turn, can contribute to depressive symptoms with negative health outcomes. The African American women are more apt to have less access to routine medical care where early diagnosis and interventions can be done, so their mental health problems (e.g., depression, stress, etc.) are often more developed, complicated, and their social supports more depleted when they do access treatment. When African American women do have access to mental health care, they receive poor quality care compared to Whites.

Development and initial demonstration of a community-based intervention for homeless, cocaine-using, African-American Women

2005 ◽  
Vol 28 (2) ◽  
pp. 171-179 ◽  
Author(s):  
Gerald J. Stahler ◽  
Thomas E. Shipley ◽  
Kimberly C. Kirby ◽  
Catherine Godboldte ◽  
MaryLouise E. Kerwin ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Community Based ◽  
American Women

scholarly journals “I Worry about My Community”: African American Women Utilizing Communal Notions of Citizenship in the Social Studies Classroom

2016 ◽  
Vol 18 (1) ◽  
pp. 28 ◽  
Author(s):  
Amanda Elizabeth Vickery
Keyword(s):  
African American ◽  
Social Studies ◽  
African American Women ◽  
Students Of Color ◽  
Title Page ◽  
American Women ◽  
The Social ◽  
Ethic Of Caring ◽  
Feminist Ethic ◽  
Multiple Case

<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p><span>This qualitative multiple case study utilizes a Black feminist ethic of caring (Collins, 2009; Thompson, 1998) to explore how three African American women social studies teachers draw on their personal and community knowledge to conceptualize and teach the construct of citizenship to their students of color. Instead of conveying traditional notions of citizenship that value blind patriotism to the nation-state and individualism, they instead chose to teach citizenship as relational and centered on uplifting their cultural community. This study hopes to shed light on how critical notions of citizenship may be presented and utilized in classrooms.</span></p></div></div></div></div></div></div></div></div>

Staging of Dietary Patterns among African American Women

1999 ◽  
Vol 26 (1) ◽  
pp. 90-102 ◽  
Author(s):  
Debra Haire-Joshu ◽  
Wendy F. Auslander ◽  
Cheryl A. Houston ◽  
James H. Williams
Keyword(s):  
African American ◽  
African American Women ◽  
Dietary Patterns ◽  
Lower Percentage ◽  
Low Fat ◽  
Community Based ◽  
American Women ◽  
Fried Foods ◽  
Three Stages ◽  
Two Stages

This article describes the development of a behavioral staging algorithm for use in the Eat Well, Live Well Nutrition Program, a peer-delivered community-based program for African American women ( N = 301). The authors examined whether increased frequency in performing low-fat eating behaviors and lower percentage calories from fat intake resulted as a participant moved through five stages of readiness to change each of five low-fat dietary patterns. Frequency of performing low-fat dietary behaviors was significantly different ( p < .05) between four stages for the pattern of avoid fried foods, three stages for modify meats, and two stages for the patterns of substitution, avoid fat as seasoning, replacement. Percentage calories from fat were significantly different ( p < .05) between four stages for the pattern of replacement, three stages for avoid fried foods and modify meats, and two stages for substitution and avoid fat as seasoning. Implications of these findings for the tailoring of community-based dietary programs are presented.

scholarly journals Community Engagement in the Development of an mHealth-Enabled Physical Activity and Cardiovascular Health Intervention (Step It Up): Pilot Focus Group Study (Preprint)

2018 ◽  
Author(s):  
Joniqua Nashae Ceasar ◽  
Sophie Elizabeth Claudel ◽  
Marcus R Andrews ◽  
Kosuke Tamura ◽  
Valerie Mitchell ◽  
...  
Keyword(s):  
Physical Activity ◽  
African American ◽  
African American Women ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Minority Population ◽  
Washington Dc ◽  
Community Based ◽  
Convenience Sample ◽  
American Women

BACKGROUND Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based participatory research studies have evaluated methods of optimizing smartphone apps for health technology-enabled interventions in African Americans. OBJECTIVE This study aimed to utilize focus groups (FGs) for gathering qualitative data to inform the development of an app that promotes physical activity (PA) among African American women in Washington, DC. METHODS We recruited a convenience sample of African American women (N=16, age range 51-74 years) from regions of Washington, DC metropolitan area with the highest burden of cardiovascular disease. Participants used an app created by the research team, which provided motivational messages through app push notifications and educational content to promote PA. Subsequently, participants engaged in semistructured FG interviews led by moderators who asked open-ended questions about participants’ experiences of using the app. FGs were audiorecorded and transcribed verbatim, with subsequent behavioral theory-driven thematic analysis. Key themes based on the Health Belief Model and emerging themes were identified from the transcripts. Three independent reviewers iteratively coded the transcripts until consensus was reached. Then, the final codebook was approved by a qualitative research expert. RESULTS In this study, 10 main themes emerged. Participants emphasized the need to improve the app by optimizing automation, increasing relatability (eg, photos that reflect target demographic), increasing educational material (eg, health information), and connecting with community resources (eg, cooking classes and exercise groups). CONCLUSIONS Involving target users in the development of a culturally sensitive PA app is an essential step for creating an app that has a higher likelihood of acceptance and use in a technology-enabled intervention. This may decrease health disparities in cardiovascular diseases by more effectively increasing PA in a minority population.

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