Bringing scientific rigor to community-developed programs in Hong Kong

BMC Public Health (Impact Factor: 2.26). 12/2012; 12(1):1129. DOI: 10.1186/1471-2458-12-1129
Source: PubMed


This paper describes efforts to generate evidence for community-developed programs to enhance family relationships in the Chinese culture of Hong Kong, within the framework of community-based participatory research (CBPR).

The CBPR framework was applied to help maximize the development of the intervention and the public health impact of the studies, while enhancing the capabilities of the social service sector partners.

Four academic-community research teams explored the process of designing and implementing randomized controlled trials in the community. In addition to the expected cultural barriers between teams of academics and community practitioners, with their different outlooks, concerns and languages, the team navigated issues in utilizing the principles of CBPR unique to this Chinese culture. Eventually the team developed tools for adaptation, such as an emphasis on building the relationship while respecting role delineation and an iterative process of defining the non-negotiable parameters of research design while maintaining scientific rigor. Lessons learned include the risk of underemphasizing the size of the operational and skills shift between usual agency practices and research studies, the importance of minimizing non-negotiable parameters in implementing rigorous research designs in the community, and the need to view community capacity enhancement as a long term process.

The four pilot studies under the FAMILY Project demonstrated that nuanced design adaptations, such as wait list controls and shorter assessments, better served the needs of the community and led to the successful development and vigorous evaluation of a series of preventive, family-oriented interventions in the Chinese culture of Hong Kong.

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Available from: Sunita Mahtani Stewart, Aug 29, 2014
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    • "Even in Western samples, for whom many interventions have been developed, few studies move from the evidence-generation " research " stage into wide use (Schoenwald & Hoagwood, 2001), and a specific mandate for this study was the development of an intervention that was acceptable to and could enroll a wide section of the population rather than smaller groups of individuals at higher risk. Involvement of the community agencies from the concept development stage was an important strategy to maximize acceptability (see Stewart et al., 2012; Fabrizio et al., 2012 for more detail). We conducted focus groups with various stakeholder groups (parents, teachers, community social workers) regarding the needs of the community as well as characteristics of programs that would increase acceptability, even at the evidence-gathering stage. "
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