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Design for Dissemination: Leaders Suggest Local Strategies for Implementing a Health Communications Campaign.

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Summary

Community-based organizations serving LGBTQ+ populations prefer adapting evidence-based health communication campaigns (EBHCC) using community stories and researcher involvement. These adaptations enhance engagement but require resource planning for effective implementation.

Keywords:
LGBTQcommunity-based organizationsdissemination and implementationhealth promotionparticipatory researchqualitative researchsexual and gender minoritiestobacco cessationtobacco prevention and control

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Area of Science:

  • Public Health
  • Health Communication
  • Health Disparities

Background:

  • Evidence-based health communication campaigns (EBHCC) are vital for reducing tobacco-related health disparities in LGBTQ+ communities.
  • Community-based organizations (CBOs) play a crucial role in delivering health interventions to these populations.
  • Integrating EBHCCs into CBO practices requires understanding their specific needs and operational contexts.

Purpose of the Study:

  • To examine the processes and supports necessary for CBOs serving LGBTQ+ populations to integrate EBHCCs into their practices.
  • To explore CBOs' perspectives on adapting EBHCCs using a design-for-dissemination framework.
  • To identify strategies for supporting CBOs in effectively utilizing interventions.

Main Methods:

  • Qualitative study involving 22 staff from U.S.-based CBOs serving LGBTQ+ populations.
  • Video interviews were conducted to gather in-depth insights.
  • Reflexive thematic analysis was used to identify key themes.

Main Results:

  • CBO leaders favored using community-generated storytelling, especially video content, for hyperlocal adaptation of EBHCCs.
  • Researcher participation in content creation and delivery was perceived as a valuable implementation strategy.
  • Adaptations were seen as adding value to existing EBHCCs, not replacing them, but could increase resource demands.

Conclusions:

  • CBOs serving LGBTQ+ populations have specific needs and preferences for adapting EBHCCs, emphasizing community-driven content and researcher collaboration.
  • Successful implementation of adapted EBHCCs requires addressing potential resource constraints (time, funding) for both CBOs and research teams.
  • Understanding these supports and processes can guide future efforts to enhance the effective utilization of interventions within these communities.