241321 Banishing barriers in partnerships: Improving trust and knowledge of community-based participatory research

Tuesday, November 1, 2011: 10:45 AM

Ying-Ying Meng, Dr Ph , UCLA Center for Health Policy Research, Los Angeles, CA
Jazmin I. Zane, MSW , Center for Health Policy Research, University of California Los Angeles, Los Angeles, CA
Isela Gracian , Community Organizing, East LA Community Corporation, Los Angeles, CA
Jennifer Ponce , The Children's Clinic, Long Beach, CA
Elina Nasser, MPH , Center for Occupational and Environmental Health, UCLA, Los Angeles, CA
Peggy Toy, MA , Health DATA Program, UCLA Center for Health Policy Research, Los Angeles, CA
Steven Wallace, PhD , UCLA Center for Health Policy Research, Los Angeles, CA
BACKGROUND: Assessment of Local Environmental Risk Training (ALERT) to reduce health disparities is a training and education project designed to foster community-academic partnerships in addressing air-quality issues in two underserved communities in Los Angeles. The overall goal of the ALERT project is to build trust between researchers and communities through capacity building. PROGRAM DESCRIPTION: ALERT conducted two 4-day train-the-trainer (TTT) workshops for community representatives and one convening for researchers, in order to identify and remove barriers to partnerships between researchers and communities, as well as to increase knowledge of community-based participatory research (CBPR). Those workshops and convening also provided a means to increase contact and foster trusts between researchers and communities. RESULTS: The top three unique barriers reported by community representatives, with respect to research partnerships, were funding for staff time, lack of child care, and time commitment. For researchers, the top three unique barriers reported were the perception in academia that CBPR lacks methodological rigor and objectivity, lack of funding, and lack of institutional support. For the common barriers, community representatives were more likely than researchers to report “feelings of mistrust between community and researchers” and “power imbalance between community and researchers.” Community representatives reported significant increases in knowledge of CBPR and in trust measures after participating in the TTT course. CONCLUSIONS: Removing existing barriers to community-research partnerships is a vital component to improving CBPR. The TTT curriculum seems to be effective in increasing community participants' knowledge of CBPR and trusts towards researchers. Similar programs are needed for researchers.

Learning Areas:
Environmental health sciences
Public health or related research

Learning Objectives:
1. Identify unique barriers for community representatives and researchers with respect to forming partnerships 2. Compare common barriers for community representatives and researchers in regards to forming partnerships 3. Evaluate changes in trust, and community-based participatory research (CBPR) knowledge, among community representatives after contact with researchers and information obtained during the train-the-trainer course

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee the evaluation of this project. Research focuses on access to care and quality of care with a particular emphasis on racial/ethnic minorities and those who are chronically ill. I have led and published research on health insurance coverage, health service utilization among disadvantaged Asian and Pacific Islanders, and quality of care among HMO enrollees. Also, I have gained expertise in using hierarchical models, small area estimations, and Geographic Information Systems for health service research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.