Community-engaged formative work successfully adapted an evidence-based cardiovascular disease prevention intervention to fit the cultural needs, literacy levels, and resources of a rural African-American community.
Case Report
Community-engaged formative work can successfully adapt an evidence-based CVD prevention intervention to fit the specific needs, resources, and cultural context of a rural, predominantly African-American community.
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.
Allgood et al. (Thu,) conducted a case report in Cardiovascular disease. CHANGE intervention (CHW-delivered CVD prevention) was evaluated. Community-engaged formative work successfully adapted an evidence-based cardiovascular disease prevention intervention to fit the cultural needs, literacy levels, and resources of a rural African-American community.