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Implementation Strategies to Address Cardiometabolic Disparities in Black Men: Lessons from Existing Research and

Jaclynn Hawkins1

  • 1School of Social Work, Department of Learning Health Sciences (DLHS), Medical School, University of Michigan, 1080 S University Ave, Ann Arbor, MI, 48109, USA. jachawk@umich.edu.

Current Diabetes Reports
|July 8, 2025
PubMed

Insights

Black men face higher rates of cardiometabolic diseases. Implementation science frameworks can optimize interventions by addressing barriers and leveraging facilitators for better engagement and sustainability.

Area of Science:

  • Public Health
  • Implementation Science
  • Health Disparities

Background:

  • Black men in the U.S. disproportionately experience cardiometabolic diseases like type 2 diabetes, hypertension, and cardiovascular disease.
  • Existing interventions often neglect shared risk factors, structural determinants, and implementation barriers crucial for engagement and sustainability.

Purpose of the Study:

  • To apply implementation science frameworks to evaluate strategies for enhancing cardiometabolic interventions tailored to Black men.
  • To identify barriers and facilitators impacting the effectiveness and sustainability of these interventions.

Main Methods:

  • Review of community-based, culturally tailored, and peer-led intervention models.
  • Application of implementation science frameworks: Consolidated Framework for Implementation Research (CFIR), Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM), and Framework for Reporting Adaptations and Modifications for Evidence-Based Interventions (FRAME-IS).

Main Results:

  • Successful interventions include community-based, culturally tailored health education, and peer-led models.
  • Persistent challenges include medical mistrust, underrepresentation in research, and systemic barriers limiting reach and sustainability.
  • Implementation science frameworks offer structured insights into optimizing interventions by addressing patient, provider, and system-level barriers.

Conclusions:

  • Culturally relevant adaptations, an inclusive healthcare workforce, and trusted community partnerships are key facilitators.
  • Future research must integrate equity-focused implementation strategies to improve adoption, engagement, and long-term sustainability of interventions for Black men.
Abstract

Keywords:
Black menCFIRCardiometabolic healthFRAME-ISHealth disparitiesImplementation scienceRE-AIM

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