Table 3.

Selected quotations to illustrate facilitators by themes in focus groups that assessed barriers and facilitators of community screening for kidney disease

ThemeQuotations
Increased knowledge
 CKD education and testing from providersA lot of times, doctors won’t say anything unless they see something. But because of our culture, I think it’s something we need to learn more about. Doctors should be saying, “because you have these risk factors and because of your background, we need to be paying close attention to…” (FG31)
I think a lot more education needs to be provided [in our health departments and local health centers], so people can have more awareness (FG2 1)
[B]ut education is the key; we as a people, especially black Americans, take advantage of every opportunity for our lives, especially as we get older (FG1 5)
Culturally sensitive strategies
 Influence of church leadersIf health fairs are marketed from the pulpit, it will help tremendously, because one person a lot of people do trust and believe in is the minister (FG2 2)
 Positive peer pressureIf we ever do the job fair again, this is my thinking…we should form a group and call people and say, “look, we’re having a health fair, and this is something you may be interested in and you need to come and bring a friend with you” (FG1 3)
 Integration of small group sessionsIf we have a health fair, we should also have little seminars to discuss some certain areas which we need to address but more interactive type discussion, not just those boring ones (FG1 1)
When we had our health fair, our little sessions, that was a hit… (FG1 2)
 Increased participation from younger peopleHave someone who is really good and animated in getting the point across, especially to the young ones, because they think they are invincible (FG1 1)
Enhanced communication strategies
 Critical role of physicians as communicatorsDoctors really need to work…at enhancing their teams in their clinics and their hospitals…to reinforce and clarify with their patients and families (FG3 3)
The person that’s giving me my result, I would like for it to be a doctor or nurse practitioner (FG1 2)
My experiences have been that, if you have an actual health professional, we tend to trust a little more, and to get that commitment from an agency is crucial to the success of your health fair (FG1 4)
 Tailored mode of communicationWe have to use the form of advertisement that works…I’m old school, and I do believe that you need to call somebody up and talk to them and be more personal. I don’t always read emails or respond to texts in a timely manner (FG1 3)
We younger people like to text; we’re more text savvy, and I read my emails all day long, because they come through my phone (FG1 6)
[Information at screening events is best communicated by] actual talk; a talk with a video or power point, because I’m a visual and audio learner…younger generations are more interactive. Older generations prefer brochures and pamphlets (FG3 2)
 Communication of relevant statistics and information[P]ut out the statistics, because people are very visual. You see the numbers, oh there’s that many men, that many black Americans [affected] (FG1 8)
Sometimes you need people to be able to communicate to others and let them know what it is about these health disparities… (FG1 2)
[W]hen you do urine tests, indicate exactly what is being tested and mention that it won’t be shared with their employers (FG3 4)
Convenience
 TimingSaturdays [preferably]. And if you did it during the week, it would have to be in the evenings after work hours…if it’s after work, you have that “I’ve gotta get there pressure” (FG1 2)
 LocationThe church or community center would be more convenient (FG1 3)
So doing it the way that we did it here at the church, no work involved, will encourage more people to participate (FG1 2)
 Onsite benefits[O]ne [health fair] that I went to which I really enjoyed had a line dancing workshop with a lot of dances there (FG3 4)
We’re in a society now where people want to be entertained. So at our health fair, we had a bounce house for the kids. People want that as opposed to maybe finding out about their diagnosis or risk factors. It’s unfortunate, but that’s the way our culture is (FG3 10)
  • FG, focus group.