Process and outcome evaluation of the Louisville, Kentucky African American Male Empowerment Network (AMEN) Program

Background: In 2010, Louisville's Center for Health Equity (CHE) began an initiative to build a community of African American males empowered and equipped to achieve better quality of life and lead others to a better quality of life. The program consists of four core areas: health, spirituality, male empowerment and community involvement, and is based upon the Atlanta REACH for Wellness model. Methods: A cohort of 11 men began the program in May 2010, and six men finished in October 2011. Participants were selected from the Jefferson County Circuit Court Drug Court Program on a volunteer basis. A mixed methods evaluative approach was used to assess processes and outcomes. Participants received judicial support and incentives from the CHE. Evaluation of a second cohort of men begins February 15, 2011. Participants completed quantitative and qualitative surveys for eight sessions, assessing awareness of health-related topics. The second phase was assessed utilizing observation, a focus group, Photovoice presentations, and digital storytelling. Results: Highlights from the cohort of six graduates: 100% were screened by a physician, 100% utilized an anger management plan, 83% reported healthy eating behavior, and 100% engaged in social and political action. Focus group data reflected increased confidence, accountability, and community focus. The program needs stronger emphasis on cardiovascular and sexual health, and intimate partner violence, all critical issues for this population. Conclusion: AMEN is an innovative program that made a significant impact on participants; with small improvements it could be expanded in this and other communities of African American men.