Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Subject: search.filters.subject.Community-based participatory research

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Now showing 1 - 9 of 9
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    Sustaining Community-University Partnerships: Lessons learned from a participatory research project with elderly Chinese
    (2011) Dong, XinQi; Chang, E-Shien; Simon, Melissa; Wong, Esther
    Abstract available at publisher's web site.
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    Collaboration, Participation and Technology: The San Joaquin Valley Cumulative Health Impacts Project
    (2011) London, Jonathan K.; Zagofsky, Tara Mirel; Huang, Ganlin; Saklar, Jenny
    Abstract available at publisher's web site.
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    Evaluation of community-academic partnership functioning: center for the elimination of hepatitis B health disparities.
    (2011) Vandevanter, Nancy; Kwon, Simona; Sim, Shao-Chee; Chun, Kay; Trinh-Shevrin, Chau
    Background: Process evaluation of community-academic partnership function and fidelity to principles of community-based participatory research (CBPR) is essential to achievement of intermediate and long term partnership goals. Objectives: This article describes the evaluation of B Free CEED, a community-academic partnership created to address hepatitis health disparities in Asian American and Pacific Islander (API) communities. Methods: A mixed methods approach with an online survey and qualitative key informant interviews was conducted with all partnership members at baseline and follow-up, 18 months later. Results: Survey findings showed stability over time, with some consistent differences in community and academic perspectives. Academic members were somewhat more satisfied with the partnership functioning. Key informant interviews provided contextual data key to further defining partnership functioning. Conclusions: Conducting ongoing partnership evaluations is necessary to reassess and align processes and protocols to enhance partnership functioning and strengthen group cohesion.
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    A community-engaged approach to select geographic areas for interventions to reduce health disparities.
    (2011) Cromley, Ellen; Kleinman, Lawrence C; Ramos, Michelle A; Arniella, Guedy; Viswanathan, Nalini; Garel, Mischka; Horowitz, Carol R
    Background: While neighborhood-based approaches to eliminate health disparities are on the rise, there is little guidance on how researchers may engage with community partners to select geographic areas for interventions to reduce health disparities. We aimed to identify a small geographic area to target interventions to improve diabetes-related outcomes. Objectives: We describe lessons learned from a community-engaged approach to specify the geographic area of focus. Methods: A community-academic partnership of more than 20 organizations collaborated to develop and employ a 5-stage process to specify a target area for diabetes preventions and control activities. Lessons Learned: A coalition with local knowledge and ties to the community can develop criteria and direct a process leading to selection of a geographic area, increased research capacity, and strengthened relationships among partners. Conclusion: A participatory approach can be effective in defining a geographic area for targeting interventions to reduce health disparities.
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    Mini-Summit Health Proceedings
    (2011) Goodman, Melody; Stafford, Jewel
    The Center for Public Health and Health Policy Research (CPHHPR) hosted three Mini-Summits on Minority Health to respond to the unique public health challenges facing its region. The Mini-Summits were unique community forums designed to unite and mobilize diverse stakeholders to address and improve minority health outcomes through a comprehensive action plan. Participants identified health concerns; developed goals and recommended culturally appropriate region specific strategies. Summit findings were compiled into proceedings and disseminated to participants to ensure bidirectional communication. The key recommendations gleaned from the proceedings led to the formation of the Suffolk County Minority Health Action Coalition (SMHAC) and Community Alliance for Research Empowering Social change (CARES), an academic community based research network. This document may prove beneficial to those interested in developing an infrastructure for Community Based Participatory Research.
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    The GoodNEWS (Genes, Nutrition, Exercise, Wellness, and Spiritual Growth) Trial: A community-based participatory research (CBPR) trial with African-American church congregations for reducing cardiovascular disease risk factors — recruitment, measurement, and randomization
    (2011) DeHaven, Mark J.; Ramos-Roman, Maria A.; Gimpel, Nora; Carson, JoAnn; DeLemos, James; Pickens, Sue; Simmons, Chris; Powell-Wiley, Tiffany; Banks-Richard, Kamakki; Shuval, Kerem; Duval, Julie; Tong, Liyue; Hsieh, Natalie; Lee, Jenny J.
    Introduction Although cardiovascular diseases (CVD) are the leading cause of death among Americans, significant disparities persist in CVD prevalence, morbidity, and mortality based on race and ethnicity. However, few studies have examined risk factor reduction among the poor and ethnic minorities. Methods Community-based participatory research (CBPR) study using a cluster randomized design — African-American church congregations are the units of randomization and individuals within the congregations are the units of analysis. Outcome variables include dietary change (Diet History Questionnaire), level of physical activity (7-Day Physical Activity Recall), lipoprotein levels, blood pressure, fasting glucose, and hemoglobin A1c. Results Eighteen (18) church congregations were randomized to either a health maintenance intervention or a control condition. Complete data were obtained on 392 African-American individuals, 18 to 70 years of age, predominantly employed women with more than a high school diploma. Treatment and intervention groups were similar at baseline on saturated fat intake, metabolic equivalent of tasks (METS) per day, and other risk factors for CVD. Conclusions The GoodNEWS trial successfully recruited and evaluated CVD-related risk among African-American participants using a CBPR approach. Several logistical challenges resulted in extending the recruitment, preliminary training, and measurement periods. The challenges were overcome with the assistance of a local community consultant and a professional event planner. Our experience supports the need for incorporating non-traditional community-based staff into the design and operational plan of CBPR trials.
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    Planning and implementation of a participatory evaluation strategy: A viable approach in the evaluation of community-based participatory programs addressing cancer disparities
    (2009) Scarinci, Isabel C.; Johnson, Rhoda E.; Hardy, Claudia; Marron, John; Partridge, Edward E.
    Community-based participatory research (CBPR) has been posited as a promising methodology to address health concerns at the community level, including cancer disparities. However, the major criticism to this approach is the lack of scientific grounded evaluation methods to assess development and implementation of this type of research. This paper describes the process of development and implementation of a participatory evaluation framework within a CBPR program to reduce breast, cervical, and colorectal cancer disparities between African Americans and whites in Alabama and Mississippi as well as lessons learned. The participatory process involved community partners and academicians in a fluid process to identify common ground activities and outcomes. The logic model, a lay friendly approach, was used as the template and clearly outlined the steps to be taken in the evaluation process without sacrificing the rigorousness of the evaluation process. We have learned three major lessons in this process: (1) the importance of constant and open dialogue among partners; (2) flexibility to make changes in the evaluation plan and implementation; and (3) importance of evaluators playing the role of facilitators between the community and academicians. Despite the challenges, we offer a viable approach to evaluation of CBPR programs focusing on cancer disparities
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    Community-Based Organizational Capacity Building as a Strategy to Reduce Racial Health Disparities
    (2010) Griffith, Derek M.; Allen, Julie Ober; DeLoney, E. Hill; Robinson, Kevin; Lewis, E. Yvonne; Campbell, Bettina; Morrel-Samuels, Susan; Sparks, Arlene; Zimmerman, Marc A.; Reischl, Thomas
    One of the biggest challenges facing racial health disparities research is identifying how and where to implement effective, sustainable interventions. Community-based organizations (CBOs) and community-academic partnerships are frequently utilized as vehicles to conduct community health promotion interventions without attending to the viability and sustainability of CBOs or capacity inequities among partners. Utilizing organizational empowerment theory, this paper describes an intervention designed to increase the capacity of CBOs and community-academic partnerships to implement strategies to improve community health. The Capacity Building project illustrates how capacity building interventions can help to identify community health needs, promote community empowerment, and reduce health disparities.
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    Building and Maintaining Trust in a Community-Based Participatory Research Partnership
    (2008) Christopher, S.; Watts, V.; McCormick, A. K. H. G.; Young, S.
    Although intervention research is vital to eliminating health disparities, many groups with health disparities have had negative research experiences, leading to an understandable distrust of researchers and the research process. Community-based participatory research (CBPR) approaches seek to reverse this pattern by building trust between community members and researchers. We highlight strategies for building and maintaining trust from an American Indian CBPR project and focus on 2 levels of trust building and maintaining: (1) between university and community partners and (2) between the initial project team and the larger community. This article was cowritten by community and academic partners; by offering the voices of community partners, it provides a novel and distinctive contribution to the CBPR literature.