PDF(Pubmed)
Abstract：
Cardiovascular disease (CVD) is the leading cause of mortality in the United States and disproportionately impacts Black adults. Effective implementation of interventions to improve cardiovascular health in the Black community is needed to reduce health inequities. The Church-Based Health Intervention to Eliminate Health Inequalities in Cardiovascular Health (CHERISH) study is implementing interventions recommended by the 2019 American College of Cardiology/American Heart Association guideline on the primary prevention of CVD in Black communities to improve cardiovascular health and reduce health disparities. The recently completed 3-year planning phase of CHERISH has focused on engaging with the predominantly Black church community in New Orleans with the goals of informing study protocol development and recruiting churches for study participation. Community engagement approaches include convening a community advisory board (CAB), conducting qualitative and quantitative needs assessments, and hosting and attending church events. These activities have resulted in an engaged CAB that has contributed meaningfully to planning activities and the study protocol. The needs assessment found that while there are substantial barriers to cardiovascular health, such as knowledge, access to healthy foods, and safe spaces for physical activity, people are willing to make lifestyle changes and think that the proposed intervention components are feasible. Community engagement activities have resulted in the recruitment of 50 geographically and denominationally diverse predominantly Black churches willing to participate in the study (exceeding our goal of 42). Overall, a multicomponent approach to extensive community engagement has produced effective church enrollment for study participation and meaningful input on study design and implementation.
摘要：
心血管疾病（CVD）是美国死亡的主要原因，对黑人成年人的影响不成比例。需要有效实施干预措施以改善黑人社区的心血管健康，以减少健康不平等。基于教会的健康干预以消除心血管健康中的健康不平等（CHERISH）研究正在实施2019年美国心脏病学会/美国心脏协会关于黑人社区心血管疾病一级预防的指南建议的干预措施，以改善心血管健康并减少健康差异。CHERISH最近完成的3年计划阶段的重点是与新奥尔良以黑人为主的教会社区进行接触，其目标是告知学习协议的制定和招募教会参加学习。社区参与方法包括召集社区咨询委员会(CAB)，进行定性和定量需求评估，主持和参加教堂活动。这些活动导致了一个参与的CAB，为计划活动和研究方案做出了有意义的贡献。需求评估发现，尽管心血管健康存在重大障碍，比如知识，获得健康食品，和体育活动的安全空间，人们愿意改变生活方式，并认为拟议的干预措施是可行的。社区参与活动导致招募了50个愿意参加研究的地理和教派差异很大的黑人教会（超过了我们的目标42）。总的来说,广泛的社区参与的多成分方法为研究参与和研究设计和实施提供了有效的教会注册。
