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Public Health Nurs ; 35(4): 353-359, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29566271


OBJECTIVES: A community-academic team implemented a study involving collection of quantitative data using a computer-based audience response system (ARS) whereby community partners led data collection efforts. The team participated in a reflection exercise after the data collection to evaluate and identify best practices and lessons learned about the community partner-led process. DESIGN & SAMPLE: The methods involved a qualitative research consultant who facilitated the reflection exercise that consisted of two focus groups-one academic and one community research team members. The consultant then conducted content analysis. Nine members participated in the focus groups. RESULTS: The reflection identified the following themes: the positive aspects of the ARS; challenges to overcome; and recommendations for the future. CONCLUSION: The lessons learned here can help community-academic research partnerships identify the best circumstances in which to use ARS for data collection and practical steps to aid in its success.

Investigación Participativa Basada en la Comunidad/métodos , Recolección de Datos/métodos , Grupos Focales/métodos , Relaciones Comunidad-Institución , Procesamiento Automatizado de Datos/métodos , Ejercicio , Humanos , Investigación Cualitativa
J Transcult Nurs ; 29(5): 473-479, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29338624


INTRODUCTION: It is important for graduate-level nursing students to be competent in the issues involved in the social determinants of health and health disparities and have the tools to address them as graduates. METHOD: As part of a nursing workforce diversity program, master's-level nursing students were required to participate in a service learning project exposing them to an issue not directly linked to health-long bus rides for students as a result of school consolidations-to achieve educational goals and objectives while providing a service to an advocacy agency. RESULTS: Eighteen students completed the project, providing the advocacy agency with firsthand accounts about the impact of long bus rides and in-depth reviews of literature on the topic and laws and regulations of other states. CONCLUSION: These results further support providing nursing students opportunities to fully engage with multicultural communities to gain a broader understanding of health disparities and social determinants of health.

Disparidades en Atención de Salud , Determinantes Sociales de la Salud , Estudiantes de Enfermería/psicología , Curriculum/tendencias , Educación de Postgrado en Enfermería/métodos , Grupos Focales/métodos , Humanos , Investigación Cualitativa
Contemp Clin Trials ; 64: 22-29, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29170075


Rural African Americans are disproportionately exposed to numerous stressors such as poverty that place them at risk for experiencing elevated levels of depressive symptoms. Effective treatments for decreasing depressive symptoms exist, but rural African Americans often fail to receive adequate and timely care. Churches have been used to address physical health outcomes in rural African American communities, but few have focused primarily on addressing mental health outcomes. Our partnership, consisting of faith community leaders and academic researchers, adapted an evidence-based behavioral activation intervention for use with rural African American churches. This 8-session intervention was adapted to include faith-based themes, Scripture, and other aspects of the rural African American faith culture (e.g. bible studies) This manuscript describes a Hybrid-II implementation trial that seeks to test the effectiveness of the culturally adapted evidence-based intervention (Renewed and Empowered for the Journey to Overcome in Christ: REJOICE) and gather preliminary data on the strategies necessary to support the successful implementation of this intervention in 24 rural African American churches. This study employs a randomized one-way crossover cluster design to assess effectiveness in reducing depressive symptoms and gather preliminary data regarding implementation outcomes, specifically fidelity, associated with 2 implementation strategies: training only and training+coaching calls. This project has the potential to generate knowledge that will lead to improvements in the provision of mental health interventions within the rural African American community. Further, the use of the Hybrid-II design has the potential to advance our understanding of strategies that will support the implementation of and sustainability of mental health interventions within rural African American faith communities. TRIAL REGISTRATION: NCT02860741. Registered August 5, 2016.

Afroamericanos , Terapia Conductista/métodos , Depresión/terapia , Organizaciones Religiosas/organización & administración , Promoción de la Salud/organización & administración , Población Rural , Servicios de Salud Comunitaria/organización & administración , Estudios Cruzados , Competencia Cultural , Depresión/etnología , Femenino , Humanos , Masculino , Proyectos de Investigación , Sudeste de Estados Unidos
Res Gerontol Nurs ; 10(6): 252-259, 2017 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-29156065


Exercise is one of the most important health behaviors to reduce and prevent the severity of many chronic diseases. The purpose of the current study was to determine if adding temporal discounting (TD) would affect the predictability of the Theory of Planned Behavior (TPB) in exercising among older adults. One hundred thirty-seven older adults were recruited from 11 churches in rural Arkansas using a cross-sectional design. Information regarding participants' exercise behavior, constructs of the TPB, TD rates, and demographics was collected. Path analysis was used to examine the relationships between and among each of the concepts of the TPB and TD. TD was not a significant predictor (p = 0.413) for exercise behavior after adjusting for intention. Adding TD to the existing TPB did not significantly affect the predictability of the model negatively or positively. [Res Gerontol Nurs. 2017; 10(6):252-259.].

Descuento por Demora , Ejercicio/psicología , Conductas Relacionadas con la Salud , Intención , Motivación , Anciano , Anciano de 80 o más Años , Arkansas , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Teoría Psicológica , Factores Socioeconómicos , Encuestas y Cuestionarios