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13 - Culturally Sensitive Health Promotion and Health Care to Prevent Chronic Diseases in Black Communities

from Part Four - Across the Lifespan: Adults and Families

Published online by Cambridge University Press:  14 November 2024

By
Carolyn M. Tucker ,
Guillermo Wippold ,
Julia Roncoroni  and
Kirsten G. Klein
Edited by
Sally M. Hage
Sally M. Hage
Affiliation:
Springfield College
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Summary

Black communities in the United States experience disproportionate rates of adverse health. In this chapter, we discuss the importance of culturally sensitive, empowerment-focused health promotion programs in Black communities anchored in the community-based participatory research (CBPR) approach and/or the patient-centered culturally sensitive health care (PC-CSHC) model. One program is the Health-Smart Holistic Health Program for Black Seniors, which is an ongoing, multiyear program designed to promote physical activity and health eating and reduce social isolation, food insecurity, and financial insecurity among older Black adults in low-income communities. The second program is the Health-Smart for Weight Loss Program, which is a cluster randomized controlled trial targeting Black women with obesity that tested (a) the impact of evidence-based, patient-empowerment-focused weight loss program and (b) the comparative effectiveness of a patient-centered culturally sensitive weight loss maintenance program versus a standard behavioral weight loss maintenance program. The results support use of patient-centered, culturally sensitive, and community-based participatory approaches to improve health outcomes in Black communities.

Keywords

patient-centeredcultural sensitivityhealth promotionBlack adultscommunity-based participatory researchHealth-Smart
Type
Chapter
Information
An Ounce of Prevention
Evidence-Based Prevention for Counseling and Psychology
 , pp. 261 - 279
Publisher: Cambridge University Press
Print publication year: 2024

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References

Agency for Healthcare Research and Quality. (2021). National healthcare disparities report, 2021. Rockville, MD. www.ahrq.gov/research/findings/nhqrdr/nhqdr21/index.htmlGoogle Scholar
American Association of Retired Persons. (2020). The pandemic effect: A social isolation report. https://connect2affect.org/wp-content/uploads/2020/10/The-Pandemic-Effect-A-Social-Isolation-Report-AARP-Foundation.pdfGoogle Scholar
Centers for Disease Control and Prevention. (2013). CDC health disparities and inequalities report – United States. Morbidity and Mortality Weekly Report, 62(3). www.cdc.gov/mmwr/pdf/other/su6203.pdfGoogle Scholar
National Institute on Minority Health and Health Disparities. (2017). NIMHD research framework. https://nimhd.nih.gov/researchFramework.Google Scholar
Patient-Centered Outcomes Research Institute. (2022, March 4). Do Black women with obesity lose weight and keep the weight off when offered culturally sensitive treatment programs? Patient-Centered Outcomes Research Institute. www.pcori.org/research-results/2017/do-black-women-obesity-lose-weight-and-keep-weight-when-offered-culturally-sensitive-treatment-programsGoogle Scholar
Tucker, C. M., Roncoroni, J., & Buki, L. P. (2019). Counseling psychologists and behavioural health: Promoting mental and physical health outcomes. The Counseling Psychologist, 47(7), 970–998. https://psycnet.apa.org/doi/10.1177/0011000019896784CrossRefGoogle Scholar
Tucker, C. M., Williams, J. L., Roncoroni, J., & Heesacker, M. (2017). A socially just leadership approach to community-partnered research for reducing health disparities. The Counseling Psychologist, 45(6), 781–809. https://psycnet.apa.org/doi/10.1177/0011000017722213CrossRefGoogle Scholar
US Preventive Services Task Force. (2018). Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults: US Preventive Services Task Force recommendation statement. Journal of the American Medical Association, 320(11):1163–1171. doi.org/10.1001/jama.2018.13022CrossRefGoogle Scholar
Florida Community Health Workers Coalition. www.flchwcoalition.org/Google Scholar
The Florida Community Health Worker Coalition, Inc. is a statewide partnership dedicated to the support and promotion of the CHW profession through collaboration, training, advocacy, and leadership development.Google Scholar
Jacksonville Institute of Food and Agricultural Extension Office. https://sfyl.ifas.ufl.edu/duval/Google Scholar
The Jacksonville Institute of Food and Agricultural Extension Office’s mission is to continually enhance the quality of life for a unified Jacksonville through strengthening decision-making, knowledge application, economic security, environmental care, and leadership skills for all citizens.Google Scholar
Jacksonville Transportation Authority. www.jtafla.com/Google Scholar
The Jacksonville Transportation Authority, an independent state agency serving Duval County, has multimodal responsibilities. JTA designs and constructs bridges and highways and provides varied mass transit services. These include express and regular bus service, community shuttles for a neighborhood ride, a downtown Skyway monorail, the St. Johns River Ferry, the Gameday Xpress for various sporting events at TIAA Bank Field, paratransit for the disabled and elderly, and Ride Request on-demand services.Google Scholar
Northeast Florida Area Health Education Center. www.northfloridaahec.org/about/Google Scholar
The Northeast Florida Area Health Education Center’s mission is to enhance access to quality health care, particularly primary and preventive care, by improving the supply and distribution of healthcare professionals via strategic partnerships with academic programs, communities, and professional organizations.Google Scholar

References

Aggarwal, R., Chiu, N., Wadhera, R. K., Moran, A. E., Raber, I., Shen, C., Yeh, R. W., & Kazi, D. S. (2021). Racial/ethnic disparities in hypertension prevalence, awareness, treatment, and control in the United States, 2013 to 2018. Hypertension, 78(6), 1719–1726. doi.org/10.1161/hypertensionaha.121.17570CrossRefGoogle ScholarPubMed
Chatters, L. M., Taylor, H. O., & Taylor, R. J. (2020). Older Black Americans during COVID-19: Race and age double jeopardy. Health Education & Behavior, 47(6), 855–860. doi.org/10.1177/1090198120965513CrossRefGoogle ScholarPubMed
Chen, M. S., Lara, P. N., Dang, J. H. T., Paterniti, D. A., & Kelly, K. (2014). Twenty years post-NIH Revitalization Act: Enhancing minority participation in clinical trials (EMPaCT): Laying the groundwork for improving minority clinical trial accrual. Cancer, 120(S7), 1091–1096. doi.org/10.1002/cncr.28575CrossRefGoogle ScholarPubMed
Cohen, M. A., & Tavares, J. (2020). Who are the most at-risk older adults in the COVID-19 era? It’s not just those in nursing homes. Journal of Aging & Social Policy, 32(4–5), 380–386. doi.org/10.1080/08959420.2020.1764310CrossRefGoogle Scholar
Eckel, R. H., & Krauss, R. M. (1998). American Heart Association call to action: Obesity as a major risk factor for coronary heart disease. Circulation, 97(21), 2099–2100. doi.org/10.1161/01.cir.97.21.2099CrossRefGoogle Scholar
Geiss, L. S., James, C., Gregg, E. W., Albright, A., Williamson, D. F., & Cowie, C. C. (2010). Diabetes risk reduction behaviors among U.S. adults with prediabetes. American Journal of Preventive Medicine, 38(4), 403–409. doi.org/10.1016/j.amepre.2009.12.029CrossRefGoogle ScholarPubMed
Graham, J. (2020, September 3). Why Black aging matters, too. Kaiser Health News. https://khn.org/news/why-black-aging-matters-too/Google Scholar
Griffith, D. M., Cornish, E. K., Bergner, E. M., Bruce, M. A., & Beech, B. M. (2018). “Health is the ability to manage yourself without help”: How older African American men define health and successful aging. Journals of Gerontology: Series B, 73(2), 240–247. doi.org/10.1093/geronb/gbx075CrossRefGoogle ScholarPubMed
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017–2018. NCHS Data Brief, 360, 1–8. https://stacks.cdc.gov/view/cdc/85451/cdc_85451_DS1.pdfGoogle Scholar
Hankerson, S. H., Suite, D., & Bailey, R. K. (2015). Treatment disparities among African American men with depression: Implications for clinical practice. Journal of Health Care for the Poor and Underserved, 26(1), 21–34. doi.org/10.1353%2Fhpu.2015.0012CrossRefGoogle ScholarPubMed
Haq, C. (2017). The path to health equity through multidisciplinary collaboration. Journal of Patient-Centered Research and Reviews, 4(4), 208–210. doi.org/10.17294%2F2330-0698.1615CrossRefGoogle ScholarPubMed
Mitchell, N. S., Catenacci, V. A., Wyatt, H. R., & Hill, J. O. (2011). Obesity: Overview of an epidemic. Psychiatric Clinics of North America, 34(4), 717–732. doi.org/10.1016/j.psc.2011.08.005CrossRefGoogle ScholarPubMed
Minvielle, E. (2017). Toward customized care comment on “(re) making the procrustean bed? Standardization and customization as competing logics in healthcare.” International Journal of Health Policy and Management, 7(3), 272–274. doi.org/10.15171/ijhpm.2017.84CrossRefGoogle Scholar
Namageyo-Funa, A., Muilenburg, J., & Wilson, M. (2015). The role of religion and spirituality in coping with type 2 diabetes: A qualitative study among Black men. Journal of Religion and Health, 54(1), 242–252. doi.org/10.1007/s10943-013-9812-0CrossRefGoogle ScholarPubMed
National Institute on Minority Health and Health Disparities. (2021, April 15). National Institute on Minority Health and Health Disparities research framework. www.nimhd.nih.gov/about/overview/research-framework/nimhd-framework.htmlGoogle Scholar
Renehan, A. G., Tyson, M., Egger, M., Heller, R. F., & Zwahlen, M. (2008). Body-mass index and incidence of cancer: A systematic review and meta-analysis of prospective observational studies. The Lancet, 371(9612), 569–578. doi.org/10.1016/s0140-6736(08)60269-xCrossRefGoogle Scholar
Schulz, A. J., Mehdipanah, R., Chatters, L. M., Reyes, A. G., Neblett, E. W., & Israel, B. A. (2020). Moving health education and behavior upstream: Lessons From COVID-19 for addressing structural drivers of health inequities. Health Education & Behavior, 47(4), 519–524. doi.org/10.1177/1090198120929985CrossRefGoogle ScholarPubMed
Stepanikova, I., & Oates, G. R. (2017). Perceived discrimination and privilege in health care: The role of socioeconomic status and race. American Journal of Preventive Medicine, 52(1), S86–S94. doi.org/10.1016/j.amepre.2016.09.024Google ScholarPubMed
Tucker, C. M., Anton, S., Marsiske, M., Wippold, G., Bilello, L., Henry, M., Shah, N., Gautam, S., Klein, K., Mathews, A., Webb, F., & Desmond, F. (2022). A cluster randomized trial to test a culturally sensitive versus a standard behavioral intervention to promote weight loss maintenance among Black women primary care patients. (Submitted for publication).Google Scholar
Tucker, C. M., Butler, A., Kaye, L. B., Nolan, S. E. M., Flenar, D. J., Marsiske, M., Bragg, M., Hoover, E., & Daly, K. (2014). Impact of a culturally sensitive health self-empowerment workshop series on health behaviors/lifestyles, BMI, and blood pressure of culturally diverse overweight/obese adults. American Journal of Lifestyle Medicine, 8(2), 122–132. doi.org/10.1177/1559827613503117CrossRefGoogle ScholarPubMed
Tucker, C. M., Butler, A. M., Loyuk, I. S., Desmond, F. F., & Surrency, S. L. (2009). Predictors of a health-promoting lifestyle and behaviors among low-income African American mothers and White mothers of chronically ill children. Journal of the National Medical Association, 101(2), 103–110. doi.org/10.1016/S0027-9684(15)30821-XCrossRefGoogle ScholarPubMed
Tucker, C. M., Marsiske, M., Rice, K. G., Jones, J. D., & Herman, K. C. (2011). Patient-centered culturally sensitive health care: Model testing and refinement. Health Psychology, 30(3), 342–350. doi.org/10.1037/a0022967CrossRefGoogle ScholarPubMed
Tucker, C. M., Roncoroni, J., Klein, K. G., Derias, T. O., Ateyah, W., Williams, J., Nmezi, N. A., Shah, N. R., Bilello, L. A., & Anton, S. (2021). Views of Black women patients with obesity on desired and undesired weight-focused clinical encounters. Clinical Obesity, 11(5), e12468. doi.org/10.1111/cob.12468CrossRefGoogle ScholarPubMed
Tucker, C. M., Roncoroni, J., Wippold, G. M., Marsiske, M., Flenar, D. J., & Hultgren, K. (2018). Health self-empowerment theory: Predicting health behaviors and BMI in culturally diverse adults. Family & Community Health, 41(3), 168–177. doi.org/10.1097/FCH.0000000000000195CrossRefGoogle ScholarPubMed
Tucker, C. M., Smith, T. M., Wippold, G. M., Whitehead, N. E., Morrissette, T. A., Williams, J. L., Ukonu, N. A., Arthur, T. M., Sealy, Y. M., & Crosier, B. S. (2016). Impact of a university-community partnership approach to improving health behaviors and outcomes among overweight/obese Hispanic adults. American Journal of Lifestyle Medicine, 11(6), 479–488. doi.org/10.1177/1559827615623773CrossRefGoogle ScholarPubMed
Tucker, C. M., Wippold, G. M., Roncoroni, J., Henry, M. A., Klein, K. G., Garrepy, M., Ateyah, W., Burwell, A., Walker, H., Clements, L. M., Kelly Pryor, B. N., & Fullwood, D. (2022). Impact of the health-smart holistic health program: A CBPR approach to improve health and prevent adverse outcomes for Black older adults. Journal of Prevention and Health Promotion, 3(4), 589–607. doi.org/10.1177/26320770221099586CrossRefGoogle Scholar
Tucker, C. M., Wippold, G. M., Smith, T. M., Desmond, F. F., Arthur, T. M., Butler, A. M., Pauly, R. R., & Surrency, S. L. (2014). Association of health self-empowerment with health-promoting behaviors among chronically Ill African American and non-Hispanic White adolescents. Journal of Health Care for the Poor and Underserved, 25(4), 2019–2031. doi.org/10.1353/hpu.2014.0168CrossRefGoogle ScholarPubMed
Tucker, C. M., Wippold, G. M., Williams, J. L., Arthur, T. M., Desmond, F. F., & Robinson, K. C. (2017). A CBPR study to test the impact of a church-based health empowerment program on health behaviors and health outcomes of Black adult churchgoers. Journal of Racial and Ethnic Health Disparities, 4(1), 1–9. doi.org/10.1007/s40615-015-0203-yCrossRefGoogle ScholarPubMed
Vasquez Reyes, M. (2020). The disproportional impact of COVID-19 on African Americans. Health and Human Rights, 22(2), 299–307.Google ScholarPubMed
Vickers, S. M., & Fouad, M. N. (2014). An overview of EMPaCT and fundamental issues affecting minority participation in cancer clinical trials: Enhancing minority participation in clinical trials (EMPaCT): Laying the groundwork for improving minority clinical trial accrual. Cancer, 120, 1087–1090. doi.org/10.1002%2Fcncr.28569CrossRefGoogle ScholarPubMed
Wippold, G. M., Frary, S. G., Abshire, D., Wilson, D. K., (2022). Improving recruitment, retention, and cultural saliency of health promotion efforts targeting African American men: A scoping review. Annals of Behavioral Medicine, 56(6), 605–619. doi.org/10.1093/abm/kaab079CrossRefGoogle ScholarPubMed
Wippold, G. M., Tucker, C. M., Roncoroni, J., & Henry, M. A. (2021). Impact of stress and loneliness on health-related quality of life among low-income senior African Americans. Journal of Racial and Ethnic Health Disparities, 8(4), 1089–1097. doi.org/10.1007/s40615-020-00865-wCrossRefGoogle ScholarPubMed
Wippold, G. M., Tucker, C. M., Smith, T. M., Whitehead, N. E., Kang, S., Guastello, A. D., Morrissette, T. A., Arthur, T. M., & Desmond, F. F. (2019). An examination of health-promoting behaviors among Hispanic adults using an activation and empowerment approach. Progress in Community Health Partnerships: Research, Education, and Action, 13(1), 9–17. doi.org/10.1353/cpr.2019.0004CrossRefGoogle ScholarPubMed

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