Use of Rapid Qualitative Analysis to Support Collaborative Synergy Within a Community Coalition for Health Equity in Detroit.
Hayley S Thompson, Ten-Niah Kinney, Carrie Leach, Alexandra Sass, Ariel Washington, Rhonda Dailey, Elizabeth Towner, Alyssa Beavers, Rodlescia Sneed, Karen Solomon Edwards, Ijeoma Nnodim Opara, Arthur Hampton, Zachary Cichon, Afsana Rinky, Joneigh Khaldun
Author Information
Hayley S Thompson: Department of Oncology, Karmanos Cancer Institute, Wayne State University School of Medicine, Wayne State University, Detroit, Michigan, USA. ORCID
Ten-Niah Kinney: Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Carrie Leach: Institute of Gerontology, Center for Urban Responses to Environmental Stressors (CURES), Wayne State University, Detroit, Michigan, USA. ORCID
Alexandra Sass: Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Ariel Washington: Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Rhonda Dailey: Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Office of Community Engaged Research (OCEnR), Wayne State University, Detroit, Michigan, USA.
Elizabeth Towner: Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Alyssa Beavers: Department of Nutrition and Food Science, Wayne State University College of Liberal Arts and Sciences, Detroit, Michigan, USA.
Rodlescia Sneed: Department of Psychology, Wayne State University College of Liberal Arts and Sciences, Institute of Gerontology, Wayne State University, Detroit, Michigan, USA.
Karen Solomon Edwards: Detroit Community Health Equity Alliance (D-CHEA) Wayne State University Center for Health Equity and Community Engagement (CHECK-UP) , Detroit, Michigan, USA.
Ijeoma Nnodim Opara: Internal Medicine-Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA.
Arthur Hampton: Southeastern Michigan Health Association, Detroit, Michigan, USA.
Zachary Cichon: Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Afsana Rinky: Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Joneigh Khaldun: CVS Health®, Woonsocket, Rhode Island, USA.
Introduction: A community coalition is an effective strategy for addressing complex health challenges. A citywide coalition of community and academic experts was formed to address Detroit's persistent health disparities. To foster collaborative synergy, we explored hyperlocal perspectives on health equity by applying rapid qualitative analysis (RQA) as a time-efficient and rigorous approach. Methods: Twenty coalition members completed a key informant interview addressing five key areas: health equity meanings, Detroit's most pressing health problems, social ecological domains that influence health equity and outcomes, and strategies to achieve health equity. We used RQA to interpret interview data. Results: Participants were majority female, Black/African American, and over 60 years old. Participants defined health equity as equal access to opportunities for a healthy life and emphasized the importance of individual choice in pursuing those opportunities. As an indication of their awareness of social determinants of health, participants articulated connections between various social ecological factors and health outcomes. Discussion: This study highlights participants' recognition of both systemic factors and personal agency in achieving health equity, indicating their nuanced understanding of the complex interplay between social structures and individual health, which is crucial for community-driven multilevel health interventions. Furthermore, by fostering better communication and alignment, RQA is an efficient and effective method to enhance coalition synergy. Health Equity Implications: By facilitating a shared understanding of health equity and its determinants, RQA can help coalitions ensure inclusion and integration of diverse perspectives in intervention planning and delivery, particularly in urban settings facing similar challenges.
