The 130th Annual Meeting of APHA

3102.0: Monday, November 11, 2002 - 11:15 AM

Abstract #50013

Nurses and Community-based participatory research: A perfect fit

Linda A. McCauley, PhD1, Marie Napolitano, PhD, FNP2, Juanita Santana, MBA3, Rachelle Mann-Gaytan3, William Lambert, PhD4, and Diane S. Rohlman4. (1) School of Nursing, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104, 215-898-3151, lmccaule@nursing.upenn.edu, (2) School of Nursing, Oregon Health Sciences University, 3181 Sam Jackson Park Rd, Mailcode: SN-5S, Portland, OR 97201, (3) Oregon Child Development Coalition, 9140 SW Pioneer Ct., St E., Wilsonville, OR 97070, (4) Center for Research on Occupational and Environmental Toxicology, Oregon Health & Sciences University, 3181 Sam Jackson Park Rd.L606, Portland, OR 97201

Interdisciplinary team approaches are needed to investigate the health effects associated with complex environmental exposures. This paper describes how nurses play a leadership role conducting an investigation that uses a community-based participatory research design to reduce pesticide exposure in minority families. A team consisting of nurses, neurobehavioralists, environmental hygienists, and community members are conducting a project aimed to:

1. Develop pathway models of organophosphate pesticide exposure for children residing near tree fruit orchards; 2. Follow migrant families longitudinally to investigate pesticide residue analysis, work practices, home characteristics and biological markers of exposure; 3. Evaluate neurobehavioral outcomes in children living in agricultural and non-agricultural communities; 4. Assess the effectiveness of accepted methods of intervention including health education and environmental exposure reduction on changing behavior and reducing pesticide exposure in the migrant agricultural community. 5. Strengthen and expand partnerships among migrant farmworker communities to increase the capacity of the community to address issues of environmental exposures and health.

The participatory design of the study involves the community in all stages of the research process. Information will be shared on how community members are trained to assist in data collection and analysis. As results from the study are generated, it is imperative that information be shared with the communities who have participated in the study in a culturally appropriate and interpretable manner. Strategies that have been used to translate complex data on biomarkers of environmental exposure into meaningful messages to migrant farmworkers will be discussed.

Learning Objectives: At the end of this session, participants will be able to

Keywords: Public Health Nursing, Environmental Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Environmental Health Research by Nurse Scientists:Breaking New Ground

The 130th Annual Meeting of APHA