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Reducing cardiovascular disease in a rural community
Author(s) -
Allgood Sallie D.,
Leeman Jennifer,
Rosemond Cherie A.,
Ammerman Alice S.,
SamuelHodge Carmen,
Cykert Samuel
Publication year - 2019
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12649
Subject(s) - formative assessment , intervention (counseling) , context (archaeology) , psychological intervention , community health , nursing , medicine , medical education , public health , workflow , psychology , computer science , pedagogy , paleontology , database , biology
In this case report, we describe the one‐year formative phase of a five‐year study to develop, implement, and test a community health worker (CHW)‐delivered cardiovascular disease (CVD) prevention intervention. The purpose of the formative phase was to engage community partners in the adaptation of an existing evidence‐based CVD prevention intervention to fit the needs and preferences of a rural, predominantly African‐American community. The formative work was guided by a framework for adapting evidence‐based interventions and involved engaging stakeholders in assessing the intervention's fit with the local context and then applying assessment findings to iteratively adapt the intervention's contents, materials, and delivery methods. Findings from the formative work were then applied to develop CHW position descriptions, workflow diagrams, and a training plan. Findings also were applied to adapt intervention materials and protocols to fit the needs of the community. This case report illustrates how community‐engaged formative work can be applied to adapt an evidence‐based intervention to fit community needs and resources.