Integrating multiple community perspectives in intervention development. Issue 4 (23rd May 2019)

• Record Type: Journal Article
• Authors: Molina, Yamil�; Watson, Karriem S; San Miguel, Liliana G; Aguirre, Karen; Hernandez-Flores, Mariana; Giraldo, Tatiana B; Lucio, Araceli; Coronado, Nora; Matthews, Phoenix A
• Is Part Of: Health education research. Volume 34:Issue 4(2019)
• Page Start: 357
• Page End: 371
• Publication Date: 2019-05-23
• Subjects: Health education -- Periodicals; Health education -- Study and teaching -- Periodicals; 613.071
• DOI: 10.1093/her/cyz018
• Languages: English
• ISSNs: 0268-1153

Abstract

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).