title: Building on the strengths of a Cambodian refugee community through community-based outreach.
abstract: Literature and practice are limited on strategies to reach elder Southeast Asian refugees by using their strengths and resilience. This article presents the Centers for Disease Control and Prevention-funded Cambodian Community Health 2010 Program in Lowell, Massachusetts, as a case example and provides refugee history, project background, community survey results about strengths and risks, literature on strengths-based approaches, outreach activities, and evaluation. The focus is elimination of health disparities in cardiovascular disease and diabetes. "Community conversations" and a daylong forum with community leaders were used to develop plans for outreach. A Cambodian Elders Council provided information and guidance used to refine the program. Key findings highlight involving elders in organizing events, avoiding reliance on literacy, integrating health promotion with socialization, using ties with Buddhist temples, developing transportation alternatives, and utilizing local Khmer-language media. Implications include applicability to other refugee communities with low literacy, high levels of trauma, limited English, and strong religious involvement.
authors.affiliation: Lowell Community Health Center and Cambodian Community Health 2010 (CCH 2010) program in Lowell, Massachusetts, USA.
authors.forename: Dorcas
authors.initials: D
authors.lastname: Grigg-Saito
authors.forename: Sheila
authors.initials: S
authors.lastname: Och
authors.forename: Sidney
authors.initials: S
authors.lastname: Liang
authors.forename: Robin
authors.initials: R
authors.lastname: Toof
authors.forename: Linda
authors.initials: L
authors.lastname: Silka
mesh_terms: D000328:Adult; D000368:Aged; D001213:Asian / Q000193:education*; D002160:Cambodia / Q000208:ethnology; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000517:prevention & control*; D018672:Community Health Planning / Q000379:methods*; D003256:Community Participation; D055812:Community-Based Participatory Research; D003159:Community-Institutional Relations; D003920:Diabetes Mellitus / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D006265:Health Care Coalitions; D054624:Health Status Disparities; D040361:Healthy People Programs / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D016730:Program Development; D015397:Program Evaluation; D012036:Refugees / Q000193:education*; D055815:Young Adult