MOCHA Moving Forward: findings and lessons learned from implementing a community-based chronic disease prevention study with middle-aged black men.
Objectives: Black men in the U.S. experience disproportionately high rates of diabetes, cardiovascular disease, and prostate cancer - conditions closely linked to chronic stressors such as racial discrimination, economic precarity, and gender role strain. In response, the Men of Color Health Awarene...
| Publicado en: | Ethnicity & Health Vol. 30; no. 6; pp. 732 - 751 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186807398&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186807398 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13557858 EHH jtl: Ethnicity & Health issn: 13557858 maglogo: N pubinfo: dt: Aug2025 vid: 30 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186807398 186487131 186807398 186807398 10.1080/13557858.2025.2526752 186807398 ppf: 732 ppct: 19 formats: tig: atl: MOCHA Moving Forward: findings and lessons learned from implementing a community-based chronic disease prevention study with middle-aged black men. aug: au: Valdez, Luis A. Markham Jr, Jeffery Scott, Lamont Person, Sharina Meyer, Jerrold Robinson, Dean Buchanan, David R. affil: Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA sug: subj: African Americans Psychosocial Factors Health Promotion Methods Chronic Disease Prevention and Control Implementation Science Community Health Services Cultural Competence Narratives Program Evaluation Human Randomized Controlled Trials Random Assignment Adult Middle Age Aged Comparative Studies Focus Groups Stress, Psychological Single-Blind Studies Scales Descriptive Statistics Healthcare Disparities Health Services Accessibility T-Tests Pretest-Posttest Design Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Objectives: Black men in the U.S. experience disproportionately high rates of diabetes, cardiovascular disease, and prostate cancer - conditions closely linked to chronic stressors such as racial discrimination, economic precarity, and gender role strain. In response, the Men of Color Health Awareness (MOCHA) program was developed to promote the physical, mental, social, and spiritual well-being of men of color through culturally grounded discussions on structural violence, coping, and masculinity. This paper presents findings and key implementation lessons from the MOCHA Moving Forward study, which tested two intervention models: the original MOCHA program (MO) and MOCHA+, an enhanced version incorporating culturally adapted narrative dialogue. Design: This community-academic feasibility trial randomized 210 men aged 35–70 into MO or MOCHA+ groups. Both participated in a 10-week program focused on stress and chronic disease prevention. Results: Among participants who completed the program, statistically significant reductions were found in self-reported stress, BMI, anxiety, and depression in the MO group. When combining MO and MOCHA+ participants, reductions in stress and BMI remained significant. However, high attrition and loss to follow-up (final sample: 38) posed challenges to feasibility and scalability. Conclusion: Despite retention challenges, findings suggest MOCHA is a promising intervention for stress and chronic disease risk reduction among men of color. The significant outcomes observed among completers highlight the program's potential and provide critical insights for improving the feasibility of future community-based interventions. Future research should explore scalable adaptations and further refine MOCHA's culturally tailored content to better support structurally marginalized populations. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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