244826 Healthy research partnerships promote healthy communities: Evaluating the process of community participation in lay health worker intervention research

Monday, October 31, 2011: 3:30 PM

Mary C. B. Nacionales, MPH, MBA, CHES , Research Department, Cancer Prevention Institute of California, Fremont, CA
Ngoc Bui-Tong, MHA , Santa Clara County Ambulatory and Community Health Services, San Jose, CA
Alene Pham , Research Department, Cancer Prevention Institute of California, Fremont, CA
Khanh Quoc Le, MD, MPH , Research Department, Cancer Prevention Institute of California, Fremont, CA
Gem Le, PhD, MHS , Cancer Prevention Institute of California, Fremont, CA
Tung T. Nguyen, MD , Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA
Susan Stewart, PhD , Division of Biostatistics, University of California-Davis, Davis, CA
Mai Tran, MPA , Research Department, Cancer Prevention Institute of California, Fremont, CA
Bang H. Nguyen, DrPH , Research Department, Cancer Prevention Institute of California, Fremont, CA
BACKGROUND: The “Live Healthy and Live Long Project” is a lay health worker (LHW) intervention research project designed to improve colorectal cancer screening, nutrition, and physical activities in Vietnamese Americans. This community participation evaluation examines the partnership between researchers and community to measure the extent that Community Based Participatory Research (CBPR) creates equitable research-community partnerships and community benefits. METHODS: Qualitative interviews and participant observations were used to evaluate community participation of organizational representatives, community leaders, and community members in research design, implementation, dissemination, and other phases of research. Ten qualitative interviews were conducted with community leaders, agency coordinators of community-based organizations providing LHW service, and researchers. Interview topics included participation context, expectations, partnership dynamics, benefits, challenges, and community impact. Participant observations focused on community participation at LHW trainings, educational sessions, meetings, and community health forums. RESULTS: Findings show the extent that CBPR principles were achieved throughout the research process. This current research-community partnership benefitted from the pre-existing relationships that researchers and community members built over ten years. These relationships also allowed for continuity in methodologies across projects. A challenge is that definitions of an equitable partnership is not fixed but contextually and culturally defined, such as how trust and power are negotiated. CONCLUSIONS: When measuring CBPR among underserved populations, such as Vietnamese Americans, there are short term and long term benefits. Short term benefits include trust-building and increased organizational capacity. The long-term benefits include infrastructure expansion, community capacity building, and future research-community projects.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Other professions or practice related to public health
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe community participation in a Community-Based Participatory Research project. 2. Assess methods of evaluating the process of community participation in a lay health worker intervention research project.

Keywords: Community Participation, Evaluation

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Not applicable

Qualified on the content I am responsible for because: Over 15 years experience in nonprofit and public health sectors in the areas of community health education and promotion, research, health communication, policy, advocacy, training, and administration. Interest in Nonprofit, Healthcare Management, and Corporate Social Responsibility. Certified health education specialist (CHES #8309). Embarked on a professional path that is committed to addressing the priorities of underserved populations and building community capacity. Works on social justice and human rights efforts as well as the promotion of health parity at community, regional, and national levels. Specialties include community health assessments; program development, planning, implementation and evaluation; strategic planning; coalition and partnership building; health policy/advocacy (e.g., local, state, federal); curriculum development, continuing education, and training (community, professional); leadership development and mentoring; analysis and forecasting; conference and event planning; fundraising and sustainability; government and foundation relations; contract management and compliance.
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.