Assessing process and outcomes: evaluating community-based participatory research.
ABSTRACT The California Breast Cancer Research Program (CBCRP) Community Research Collaboration (CRC) Awards fund research projects conducted by partnerships between community members and academically trained research scientists.
We sought to determine the relationship, if any, between the collaborative process of conducting the CRC projects and reported outcomes.
Community and academic researchers from the first seven CRC full award projects were interviewed in one-on-one, standardized, semistructured telephone interviews. Twelve of thirteen eligible community partners and all nine eligible academic partners were interviewed (some teams had multiple community or academic partners). Interview questions covered four major types of outcomes (improved methodology [four items], benefited community [sixitems], benefited researchers [three items], or influenced health services and policy [five items]) and three major aspects of the partnership (collaboration among partners [three items], group dynamics [five items], and community involvement [two items]). Process and outcome scores for each team were compared using a scatter plot graph.
Teams were most effective at improving the quality of research methodology, providing benefits to the participating community agency, and answering questions important to the communities involved. Areas of difficulty for the teams included collaborative data analysis, power sharing, and managing the impact of turnover. Although the projects varied in the measures of the partnership process, the three teams that had the highest outcome scores also had the highest scores for the partnership process.
Although the relationship between process and outcomes is not necessarily causal, these results suggest an association worthy of further investigation.
SourceAvailable from: Tanya M HoracekJournal of the American Academy of Nutrition and Dietetics 09/2012; 112(9):A81. DOI:10.1016/j.jand.2012.06.288 · 2.44 Impact Factor
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ABSTRACT: Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.01/2009; 26(1).
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ABSTRACT: Success of community-based projects has been thought to hinge on the strength of partnerships between those involved in design and implementation. However, characteristics of successful partnerships have not been fully described, particularly in the context of community-based physical activity promotion. We sought to identify characteristics of successful partnerships from the perspective of project coordinators involved in a mini-grant program to promote physical activity among young people. Semistructured qualitative interviews were conducted with county coordinators (n = 19) of 20 North Carolina's "Eat Smart, Move More" Community Grants projects funded during 2010 through 2012. Emergent themes were coded; then, overarching themes in the coded data were identified and grouped with similar codes under thematic headings. On the basis of project coordinators' responses, each partnership was classified as strong, moderate, or weak. Three overarching themes characterized partnership relationships: continuity (history with partner and willingness to engage in a future partnership), community connectedness, and capacity (interest, enthusiasm, engagement, communication, and clarity of roles and responsibilities). Strong partnerships were those in which project coordinators indicated a positive working history with partners, experienced a high level of engagement from partners, had clearly defined roles and responsibilities of partners, and expressed a clear interest in working with their partners in the future. In community partnerships aimed at increasing physical activity among young people, the perspectives of project coordinators are vital to identifying the characteristics of strong, moderate, and weak partnerships. These perspectives will be useful for future community program development and will influence potential health outcomes.Preventing chronic disease 12/2013; 10:E208. DOI:10.5888/pcd10.130110 · 1.96 Impact Factor