Journal of general internal medicine
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Randomized Controlled Trial Clinical Trial
Trust, benefit, satisfaction, and burden: a randomized controlled trial to reduce cancer risk through African-American churches.
Community-based participatory research (CBPR) approaches that actively engage communities in a study are assumed to lead to relevant findings, trusting relationships, and greater satisfaction with the research process. ⋯ A randomized clinical trial designed with a CBPR approach was associated with high levels of trust and a perceived benefit of satisfaction with the research process. Understanding variations in responses to a research partnership will be helpful in guiding the design and implementation of future CBPR efforts.
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Randomized Controlled Trial Clinical Trial
Community action against asthma: examining the partnership process of a community-based participatory research project.
Community Action Against Asthma (CAAA) is a community-based participatory research (CBPR) project that assesses the effects of outdoor and indoor air quality on exacerbation of asthma in children, and tests household- and neighborhood-level interventions to reduce exposure to environmental asthma triggers. Representatives of community-based organizations, academia, an integrated health system, and the local health department work in partnership on CAAA's Steering Committee (SC) to design and implement the project. ⋯ CBPR can enhance and facilitate basic research, but care must be given to trust issues, governance issues, organizational culture, and costs of participation for all organizations involved.
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Randomized Controlled Trial Clinical Trial
Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education.
Five times more Vietnamese-American women develop cervical cancer than white women. Few studies have examined whether community-based participatory research can effectively address Asian immigrants' health problems. This article reports the preliminary evaluation of 1 such project. ⋯ Media education campaigns can increase Vietnamese women's awareness of the importance of Pap tests, but lay health workers are more effective at encouraging women to actually obtain the tests. Lay health workers are effective because they use their cultural knowledge and social networks to create change. Researchers, community members, and community-based organizations can share expert knowledge and skills, and build one another's capacities.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Cost-effectiveness of a primary care depression intervention.
To determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care. ⋯ This quality improvement depression intervention was cost-effective relative to usual care compared to cost-effectiveness ratios for common primary care interventions and commonly cited cost-effectiveness ratio thresholds for intervention implementation.
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Randomized Controlled Trial Clinical Trial
Diabetes control improved when inner-city patients received graphic feedback about glycosylated hemoglobin levels.
To develop and test an inexpensive visual tool to help patients with diabetes improve glycemic control. ⋯ A graph linking GHb and self-care activities shows promise for improving glycemic control.