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首页> 外文期刊>BMC Public Health >‘Listen and learn:’ participant input in program planning for a low-income urban population at cardiovascular risk
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‘Listen and learn:’ participant input in program planning for a low-income urban population at cardiovascular risk

机译：“倾听和学习：”节目规划的参与者投入，在心血管风险下的低收入城市人口

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Poverty increases the risk of cardiac disease, while diminishing the resources available to mitigate that risk. Available prevention programs often require resources that low-income residents of urban areas do not possess, e.g. membership fees, resources to purchase healthy foods, and safe places for physical activity. The aim of this study is to obtain participant input in order to understand the health-related goals, barriers, and strengths as part of planning a program to reduce cardiovascular risk. In a mixed methods study, we used written surveys and focus groups as part of planning an intervention specifically designed to meet the needs of lower income individuals. Based on prior research, we used Self-Determination Theory (SDT) and its core constructs of autonomy, competence, and relatedness as the theoretical framework for analysis. The study collected information on the perspectives of low-income urban residents on their risks of cardiovascular disease, their barriers to and supports for addressing health needs, and how they addressed barriers and utilized supports. Focus group transcripts were analyzed using standard qualitative methods including paired coding and development of themes from identified codes. Participants had health goals that aligned with accepted approaches to reducing their cardiovascular risks, however they lacked the resources to reach those goals. We found a lack of support for the three SDT core constructs. The barriers that participants reported suggested that these basic psychological needs were often thwarted by their environments. Substantial disparities in both access to health-promoting resources and in support for autonomy, competence, and relatedness must be addressed in order to design an effective intervention for a low-income population at cardiac risk.
机译：贫困增加了心脏病的风险，同时减少可用于减轻风险的资源。可用的预防计划通常需要资源，城市地区的低收入居民不拥有，例如，会员费，购买健康食品的资源，以及身体活动的安全场所。本研究的目的是获得参与者的投入，以了解与规划计划减少心血管风险的一部分的健康有关的目标，障碍和优势。在混合方法研究中，我们使用书面调查和焦点小组作为规划专门旨在满足较低收入人员需求的干预的一部分。基于现有研究，我们使用了自我确定理论（SDT）及其核心构建的自主权，能力和相关性作为分析的理论框架。该研究收集了有关低收入城市居民对心血管疾病风险，以及解决健康需求的障碍以及他们如何解决障碍和利用支持的障碍的信息。使用标准定性方法分析焦点组成绩单，包括来自所识别的代码的配对编码和主题的开发。与会者的健康目标与接受的方法保持一致，以减少其心血管风险，但他们缺乏达到这些目标的资源。我们发现对三个SDT核心构建体缺乏支持。参与者报告的障碍表明，他们的环境往往遭到这些基本的心理需求。必须解决对健康资源和支持自主权，能力和相关性的基本差异，以便在心脏风险下设计有效干预低收入人口。

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