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      Implementing health promotion activities using community-engaged approaches in Asian American faith-based organizations in New York City and New Jersey

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          Abstract

          Faith-based organizations (FBOs) (e.g., churches, mosques, and gurdwaras) can play a vital role in health promotion. The Racial and Ethnic Approaches to Community Health for Asian Americans (REACH FAR) Project is implementing a multi-level and evidence-based health promotion and hypertension (HTN) control program in faith-based organizations serving Asian American (AA) communities (Bangladeshi, Filipino, Korean, Asian Indian) across multiple denominations (Christian, Muslim, and Sikh) in New York/New Jersey (NY/NJ). This paper presents baseline results and describes the cultural adaptation and implementation process of the REACH FAR program across diverse FBOs and religious denominations serving AA subgroups. Working with 12 FBOs, informed by implementation research and guided by a cultural adaptation framework and community-engaged approaches, REACH FAR strategies included (1) implementing healthy food policies for communal meals and (2) delivering a culturally-linguistically adapted HTN management coaching program. Using the Ecological Validity Model (EVM), the program was culturally adapted across congregation and faith settings. Baseline measures include (i) Congregant surveys assessing social norms and diet ( n = 946), (ii) HTN participant program surveys ( n = 725), (iii) FBO environmental strategy checklists ( n = 13), and (iv) community partner in-depth interviews assessing project feasibility ( n = 5). We describe the adaptation process and baseline assessments of FBOs. In year 1, we reached 3790 (nutritional strategies) and 725 (HTN program) via AA FBO sites. Most AA FBOs lack nutrition policies and present prime opportunities for evidence-based multi-level interventions. REACH FAR presents a promising health promotion implementation program that may result in significant community reach.

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          Author and article information

          Contributors
          646-501-2743 , shilpa.patel@nyumc.org
          Journal
          Transl Behav Med
          Transl Behav Med
          Translational Behavioral Medicine
          Springer US (New York )
          1869-6716
          1613-9860
          25 May 2017
          September 2017
          : 7
          : 3
          : 444-466
          Affiliations
          [1 ] ISNI 0000 0004 1936 8753, GRID grid.137628.9, Department of Population Health, , NYU School of Medicine, ; 550 First Avenue, VZN, 8th Floor, New York, NY USA
          [2 ]Kalusugan Coalition, Inc., New York, NY USA
          [3 ]Korean Community Services of Metropolitan NY, Inc., New York, NY USA
          [4 ]UNITED SIKHS, New York, NY USA
          Article
          PMC5645289 PMC5645289 5645289 506
          10.1007/s13142-017-0506-0
          5645289
          28547738
          61329394-bf16-4323-82f5-cd7155e6ca74
          © Society of Behavioral Medicine 2017
          History
          Funding
          Funded by: FundRef http://dx.doi.org/10.13039/100000030, Centers for Disease Control and Prevention;
          Award ID: U58DP005621, U48DP005008
          Funded by: FundRef http://dx.doi.org/10.13039/100006545, National Institute on Minority Health and Health Disparities;
          Award ID: P60MD000538
          Categories
          Original Research
          Custom metadata
          © Society of Behavioral Medicine 2017

          Asian American,Implementation,Faith-based,Health promotion,Cultural adaptation

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