“You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement

Health-focused community engagement (CE) is a common intervention to combat existing healthcare inequity and its disproportionate impact on the health of underserved Black, Indigenous, and People of Color (BIPOC) communities. While health-focused CE may contribute to better health outcomes by estab...

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Main Authors: Autumn Tamlyn, Sarah Barnes, Yewon Na, Hope White, Matthew Spence, Benjamin Linas, Mari-Lynn Drainoni
Format: Article
Language:English
Published: The University of Alabama 2025-01-01
Series:Journal of Community Engagement and Scholarship
Subjects:
Online Access:https://account.jces.ua.edu/index.php/s-j-jces/article/view/553
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author Autumn Tamlyn
Sarah Barnes
Yewon Na
Hope White
Matthew Spence
Benjamin Linas
Mari-Lynn Drainoni
author_facet Autumn Tamlyn
Sarah Barnes
Yewon Na
Hope White
Matthew Spence
Benjamin Linas
Mari-Lynn Drainoni
author_sort Autumn Tamlyn
collection DOAJ
description Health-focused community engagement (CE) is a common intervention to combat existing healthcare inequity and its disproportionate impact on the health of underserved Black, Indigenous, and People of Color (BIPOC) communities. While health-focused CE may contribute to better health outcomes by establishing feelings of empowerment within the community, strengthening relationships, and increasing a community’s resiliency, the perspective of the implementers is often not considered. The current study aims to address this gap by understanding the experiences, beliefs, values, and assessments of health-focused CE staff. We completed qualitative interviews with individuals conducting health-focused CE and documented their participation in community events to examine the experiences, beliefs, values, and assessments of conducting health-focused CE in underserved communities. Between April and October, 2022, the study team collected data from 26 community events ranging from “very small” (~5 people) to “very large” (~4,000 people), making direct contact with approximately 34 people per event. Qualitative analysis identified three themes regarding the conduct of health-focused CE: 1) mirroring racial/ethnic diversity and language with community members is critical to building trustworthy relationships; 2) while seemingly inconsequential, structural and logistical components are key for building connections that lead to positive health-behavior changes; 3) implementers are driven by and view each meaningful interaction as a piece of the puzzle to create structural change. Evaluating the conduct of health-focused CE through implementor experiences, beliefs, values, and assessments increases the understanding of intervention processes and educates the field on the needs of underserved individuals without disrupting community relationships.
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spelling doaj-art-0c9a79cce0154167ad792a21c46610142025-01-15T15:30:06ZengThe University of AlabamaJournal of Community Engagement and Scholarship1944-12072837-80752025-01-0117110.54656/jces.v17i1.553“You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community EngagementAutumn Tamlyn0https://orcid.org/0000-0001-5619-8309Sarah Barnes1https://orcid.org/0009-0007-7339-8389Yewon Na2https://orcid.org/0009-0000-1996-9071Hope White3Matthew Spence4https://orcid.org/0009-0002-0768-0291Benjamin Linas5https://orcid.org/0000-0001-9574-7075Mari-Lynn Drainoni6https://orcid.org/0000-0001-7214-8037Boston Medical CenterBoston Medical CenterBoston Medical CenterBoston Medical CenterBoston Medical CenterBoston Medical Center, Boston University Chobanian & Avedisian School of Medicine, 3Boston University School of Public HealthBoston Medical Center, Boston University Chobanian & Avedisian School of Medicine, 3Boston University School of Public Health Health-focused community engagement (CE) is a common intervention to combat existing healthcare inequity and its disproportionate impact on the health of underserved Black, Indigenous, and People of Color (BIPOC) communities. While health-focused CE may contribute to better health outcomes by establishing feelings of empowerment within the community, strengthening relationships, and increasing a community’s resiliency, the perspective of the implementers is often not considered. The current study aims to address this gap by understanding the experiences, beliefs, values, and assessments of health-focused CE staff. We completed qualitative interviews with individuals conducting health-focused CE and documented their participation in community events to examine the experiences, beliefs, values, and assessments of conducting health-focused CE in underserved communities. Between April and October, 2022, the study team collected data from 26 community events ranging from “very small” (~5 people) to “very large” (~4,000 people), making direct contact with approximately 34 people per event. Qualitative analysis identified three themes regarding the conduct of health-focused CE: 1) mirroring racial/ethnic diversity and language with community members is critical to building trustworthy relationships; 2) while seemingly inconsequential, structural and logistical components are key for building connections that lead to positive health-behavior changes; 3) implementers are driven by and view each meaningful interaction as a piece of the puzzle to create structural change. Evaluating the conduct of health-focused CE through implementor experiences, beliefs, values, and assessments increases the understanding of intervention processes and educates the field on the needs of underserved individuals without disrupting community relationships. https://account.jces.ua.edu/index.php/s-j-jces/article/view/553community engagementevaluationtrusthealth inequity
spellingShingle Autumn Tamlyn
Sarah Barnes
Yewon Na
Hope White
Matthew Spence
Benjamin Linas
Mari-Lynn Drainoni
“You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
Journal of Community Engagement and Scholarship
community engagement
evaluation
trust
health inequity
title “You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
title_full “You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
title_fullStr “You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
title_full_unstemmed “You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
title_short “You're Building Trust, You're Building Rapport”: Contributions from Implementers of Health-Focused Community Engagement
title_sort ldquo you re building trust you re building rapport rdquo contributions from implementers of health focused community engagement
topic community engagement
evaluation
trust
health inequity
url https://account.jces.ua.edu/index.php/s-j-jces/article/view/553
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