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A qualitative analysis of post-hoc interviews with multilevel participants of a randomized controlled trial of a community-based intervention.
Kohrman, Nathan; Rashid, Mohamad; Flores, Roxana; Blyler, Ciantel; Barragan, Noel C; Kuo, Tony; Inkelas, Moira; Chen, Steven; Rader, Florian; Cheng, Susan; Albert, Christine; Bello, Natalie A; Ebinger, Joseph.
Afiliación
  • Kohrman N; Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America.
  • Rashid M; Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
  • Flores R; Los Angeles County Department of Public Health, Division of Chronic Disease and Injury Prevention, Los Angeles, California, United States of America.
  • Blyler C; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
  • Barragan NC; Los Angeles County Department of Public Health, Division of Chronic Disease and Injury Prevention, Los Angeles, California, United States of America.
  • Kuo T; Department of Epidemiology, Los Angeles (UCLA) Fielding School of Public Health, University of California, Los Angeles, California, United States of America.
  • Inkelas M; Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, United States of America.
  • Chen S; UCLA Clinical and Translational Science Institute, Population Health Program, Los Angeles, California, United States of America.
  • Rader F; UCLA Clinical and Translational Science Institute, Population Health Program, Los Angeles, California, United States of America.
  • Cheng S; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, United States of America.
  • Albert C; Associate Dean for Clinical Affairs, University of Southern California Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences, Los Angeles, California, United States of America.
  • Bello NA; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
  • Ebinger J; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, United States of America.
PLoS One ; 19(5): e0303075, 2024.
Article en En | MEDLINE | ID: mdl-38723012
ABSTRACT

INTRODUCTION:

Community-based health interventions often demonstrate efficacy in clinical trial settings but fail to be implemented in the real-world. We sought to identify the key operational and contextual elements of the Los Angeles Barbershop Blood Pressure Study (LABBPS), an objectively successful community-based health intervention primed for real-world implementation. LABBPS was a cluster randomized control trial that paired the barbers of Black-owned barbershops with clinical pharmacists to manage uncontrolled hypertension in Black male patrons, demonstrating a substantial 21.6 mmHg reduction in systolic blood pressure. Despite this success, the LABBPS intervention has not expanded beyond the original clinical trial setting. The aim of this study was to determine the facilitating and limiting factors to expansion of the LABBPS intervention.

METHODS:

We undertook a qualitative assessment of semi-structured interviews with study participants performed after trial completion. Interviews included a total of 31 participants including 20 (6%) of the 319 LABBPS program participants ("patrons"), 10 (19%) barbers, and one (50%) clinical pharmacist. The semi-structured interviews were focused on perceptions of the medical system, study intervention, and influence of social factors on health.

RESULTS:

Several common themes emerged from thematic analysis of interview responses including importance of care provided in a convenient and safe environment, individual responsibility for health and health-related behaviors, and engagement of trusted community members. In particular, patrons reported that receiving the intervention from their barber in a familiar environment positively influenced the formation of relationships with clinical pharmacists around shared efforts to improve medication adherence and healthy habits. All interviewee groups identified the trust diad, comprising the familiar environment and respected community member, as instrumental in increasing health-related behaviors to a degree not usually achieved by traditional healthcare providers.

DISCUSSION:

In conclusion, participants of an objectively successful community-based intervention trial consistently identified key features that could facilitate wider implementation and efficacy social trust relationships, soliciting insights of trust bearers, and consistent engagement in a familiar community setting. These findings can help to inform the design and operations of future community-based studies and programs aiming to achieve a broad and sustainable impact.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos