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Latino/Hispanic Participation in Community Nutrition Research: An Interplay of Decisional Balance, Cultural Competency, and Formative Work
Journal of the Academy of Nutrition and Dietetics ( IF 3.5 ) Pub Date : 2018-09-01 , DOI: 10.1016/j.jand.2018.04.006
Lillian Karina Diaz Rios , Karen Chapman-Novakofski

BACKGROUND Latinos/Hispanics are among the populations at high risk of nutrition disparities. Adequate participation of this group in community nutrition research is necessary to better understand such disparities and propose sensible solutions. OBJECTIVE To identify factors influencing participation and strategies to effectively reach Latinos/Hispanics for community nutrition research. DESIGN In-depth interviews with experienced community nutrition researchers across the United States, conducted from February to June 2013. PARTICIPANTS/SETTING Nine academics, including four registered dietitian nutritionists with extensive experience in community nutrition research with Latino/Hispanic groups, were interviewed in person (n=3) or via telephone/Skype (n=6). MAIN OUTCOME MEASURES Perceived participation barriers, facilitators, and structural factors affecting Latino/Hispanic participation were explored. Successful and unsuccessful recruitment strategies to reaching this group were identified. ANALYSIS A Grounded Theory approach was applied for inductive identification of relevant concepts and deductive interpretation of patterns and relationships among themes. RESULTS Formative work, cultural competency, and decisional balance emerged as the three interdependent factors influencing participation of Latinos/Hispanics in community nutrition research. Several approaches to influence participation were reported to be operationalized at the interpersonal, community and settings, and systems levels of influence. Trust, time, and tailoring were central concepts, postulated to moderate the relationship between the main themes and influence the effectiveness of recruitment tactics. CONCLUSIONS Experienced community nutrition researchers identified actions ascribed to formative work as the bedrock of successful reach of Latinos/Hispanics. A robust formative work plan is necessary to achieving a functional level of trust, time, and tailoring tactics, which appear to critically influence participation.

中文翻译:

拉丁裔/西班牙裔参与社区营养研究:决策平衡、文化能力和形成性工作的相互作用

背景 拉丁裔/西班牙裔是面临营养差异的高风险人群。该群体充分参与社区营养研究对于更好地了解这种差异并提出合理的解决方案是必要的。目标 确定影响参与的因素和有效接触拉丁裔/西班牙裔进行社区营养研究的策略。设计 在 2013 年 2 月至 6 月期间对美国各地经验丰富的社区营养研究人员进行了深入访谈。 参与者/设置 九名学者,包括四名在拉丁裔/西班牙裔群体的社区营养研究方面拥有丰富经验的注册营养师,接受了亲自采访(n=3) 或通过电话/Skype (n=6)。主要结果测量 感知参与障碍、促进者、和影响拉丁裔/西班牙裔参与的结构性因素进行了探讨。确定了接触该群体的成功和不成功的招聘策略。分析 扎根理论方法被应用于相关概念的归纳识别和主题之间模式和关系的演绎解释。结果 形成性工作、文化能力和决策平衡成为影响拉丁裔/西班牙裔参与社区营养研究的三个相互依存的因素。据报道,有几种影响参与的方法在人际、社区和环境以及影响的系统层面实施。信任、时间和剪裁是核心概念,假设调和主题之间的关系并影响招聘策略的有效性。结论 经验丰富的社区营养研究人员将形成性工作归因于的行动确定为拉丁裔/西班牙裔成功覆盖的基石。一个强有力的形成性工作计划对于实现信任、时间和定制策略的功能水平是必要的,这似乎对参与产生了关键影响。
更新日期:2018-09-01
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