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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

  • Original Research
  • Published:
Translational Behavioral Medicine

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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Acknowledgements

This publication is supported by grant numbers U58DP005621 and U48DP005008 from the Centers for Disease Control and Prevention (CDC), P60MD000538 from the National Institutes of Health (NIH) National Institute on Minority Health and Health Disparities, and UL1TR001445 from NCATS/NIH. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH and CDC. The authors thank the following organizations for their partnership, collaboration, and dedication: The Diabetes Research, Education, and Action for Minorities Coalition, Kalusugan Coalition Inc., Korean Community Service of Metropolitan NY Inc., UNITED SIKHS, the New York City Department of Health and Mental Hygiene, the New Jersey Department of Health, the New York State Department of Health Office of Minority Health, and the 12 faith-based organizations implementation sites.

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Authors and Affiliations

  1. Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, USA

    SC Kwon DrPH, MPH, S Patel MPH, C Choy MPH, J Zanowiak MA, C Rideout MPH, S Yi PhD, L Wyatt MPH, MD Taher MPH & NS Islam PhD

  2. Kalusugan Coalition, Inc., New York, NY, USA

    MJ Garcia-Dia DNP, RN

  3. Korean Community Services of Metropolitan NY, Inc., New York, NY, USA

    SS Kim MPH & TK Denholm MSEd

  4. UNITED SIKHS, New York, NY, USA

    R Kavathe PhD

Authors
  1. SC Kwon DrPH, MPH
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  2. S Patel MPH
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  3. C Choy MPH
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  4. J Zanowiak MA
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  5. C Rideout MPH
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  6. S Yi PhD
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  7. L Wyatt MPH
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  8. MD Taher MPH
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  9. MJ Garcia-Dia DNP, RN
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  10. SS Kim MPH
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  11. TK Denholm MSEd
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  12. R Kavathe PhD
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  13. NS Islam PhD
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Corresponding author

Correspondence to S Patel MPH.

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Statement on any previous reporting of data

Findings reported in this manuscript have not been previously published. This manuscript is not being simultaneously elsewhere.

Primary data

The authors have full control of all primary data and agree to allow the journal to review the data if needed.

Funding

This publication is supported by grant numbers U58DP005621 and U48DP005008 from the Centers for Disease Control and Prevention (CDC), P60MD000538 from the National Institutes of Health (NIH) National Institute on Minority Health and Health Disparities, and UL1TR001445 from NCATS/NIH. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH and CDC.

Conflict of interest

All authors declare they have no conflict of interest.

Statement on human rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee.

Statement on the welfare of animals

This manuscript does not contain any studies with animals performed by any of the authors.

Informed consent statement

Informed consent was obtained from all Keep on Track individual participants included in the study. Oral consent was obtained from individuals participating in the nutrition evaluation as no PHI was collected as part of the evaluation. All data presented in this manuscript is deidentified.

Helsinki or comparable standard statement

All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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All REACH FAR procedures and activities conducted with human participants were reviewed by the NYU School of Medicine IRB and approved as an expedited study

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Implications

Practice: Faith-based organizations, across religious denominations and congregation size and structures, can serve as key implementation sites for health promotion and disease prevention to reach underserved Asian American populations.

Policy: In general, Asian American-serving faith-based organizations lack organizational-level nutrition policies but are receptive to enacting such policies.

Research: There is a need to systematically adapt evidence-based programs for underserved communities using community-engaged approaches. Future research should identify key organizational-level factors of faith-based organizations to enhance and sustain successful uptake of health promotion strategies and programs.

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Kwon, S., Patel, S., Choy, C. et al. Implementing health promotion activities using community-engaged approaches in Asian American faith-based organizations in New York City and New Jersey. Behav. Med. Pract. Policy Res. 7, 444–466 (2017). https://doi.org/10.1007/s13142-017-0506-0

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