Table 1.

Examples of RHCP initiatives.

Title	Description	Funding	Outcomes
Let's talk about TB	Background: High incidence of tuberculosis (TB) in Olmsted County, disproportionately affecting refugees Approach: Opened a community-wide dialogue around the issue; Described perceptions of TB and its prevention among recent immigrants and refugees	National Institute of Allergy and Infectious Diseases (R03), 2008–2011	Defined prevalence of TB and established an effective community-owned process for screening at an adult education center (1). Sustainably changed TB screening policy for at-risk populations (2).
Healthy immigrant families	Background: There is a steep accumulation of cardiovascular risk after immigration Approach: Community-derived family-focused culturally-appropriate intervention to improve dietary quality and physical activity among immigrant and refugee families (randomized trial)	National Heart, Lung, and Blood Institute (R01), 2011–2018	Improved dietary quality but not physical activity at 12 months (sustained at 24 months) (3, 4).
Healthy immigrant community	Background: There is a steep accumulation of cardiovascular risk after immigration Approach: Assess the efficacy of a social network-informed CBPR-derived health promotion intervention on measures of cardiovascular risk in two immigrant communities through this process: Social network analysis → intervention development → pilot test intervention → cluster randomized trial	National Institute on Minority Health and Health Disparities (P50, embedded R01-level project), 2021–2026	Social network analysis with Somali and Latinx communities completed (5, 6). Pilot of the intervention showed reduction of cardiovascular risk (7). Cluster randomized trial is underway.
Club fit	Background: Higher rates of overweight among children from low-income households Approach: Multi-component healthy eating and activity intervention (policy and practice) at a Boys & Girls Club	Mayo Clinic, 2014–2016	Improved motivation and confidence for healthful behaviors among at-risk youth (8).
Stories for change: diabetes	Background: Diabetes has been a RHCP community concern for many years and disparities are significant among Somali and Latinx groups Approach: Co-creation of a digital storytelling intervention for diabetes self-management	National Institute of Diabetes and Digestive and Kidney Diseases (R01), 2018–2023	Improved glycemic control among participants who viewed the digital storytelling intervention (9, 10). Randomized trial of efficacy is near completion.
Closing the gap: reduction of cancer prevention disparities	Background: People with limited English proficiency (LEP) receive fewer recommended preventive cancer screenings than English-speaking patients, leading to detection of disease at later stages and higher disease-related death than patients who speak English well Approach: RHCP-clinic collaboration to open community dialogue; develop and test clinic and community-based interventions	Mayo Clinic, 2018–2023	Pilot test of clinic-based intervention underway (11). Digital storytelling intervention developed with Latinx participants for colorectal, breast, and cervical cancer screening.
COVID-19 community-engaged crisis and emergency risk communication	Background: Data emerged around COVID-19 health disparities in early 2020. Credible COVID-19 messages were not reaching immigrant communities with limited English proficiency Approach: RHCP developed a community-engaged bidirectional risk communication framework to disseminate COVID-19 information and inform policy makers	Mayo Clinic, 2020–2022	Pilot and implementation studies have demonstrated feasibility, acceptability, reach, 18-month sustainability, scalability and perceived effectiveness of a bidirectional COVID-19 CERC intervention across multiple groups disproportionately affected by the pandemic (12, 13).