261037 A multi-method approach for evaluating a model of and capturing variation in CBPR partnerships

Monday, October 29, 2012 : 9:30 AM - 9:45 AM

Nina Wallerstein, DrPH , Masters in Public Health Program, University of New Mexico, Albuquerque, NM
Bonnie Duran, DrPH , Indigenous Wellness Research Institute, Department of Health Services, School of Public Health, Seattle, WA
Malia Villegas, Ed.D , Policy Research Center, National Congress of American Indians, Washington, DC, DC
Andrew Sussman, PhD , UNM School of Medicine, Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM
Cynthia Pearson, PhD , Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA
Emily White Hat, JD , Policy Research Center, National Congress of American Indians, Washington, DC
Julie Lucero, MPH, PhD , UNM School of Medicine, Department of Family & Community Medicine, UNM Center for Participatory Research, Albuquerque, NM
John Oetzel, PhD , Department of Management Communicatoin, University of Waikato, Hamilton, New Zealand
Maya Magarati, PhD , Indigenous Wellness Research Institute, University of Washington School of Social Work, Seattle, WA
A comprehensive charting of CBPR practice is necessary to understand variation across contextual and partnering characteristics that may impact research decisions and health and social justice outcomes. Our partnered research team, from the National Congress of American Indians Policy Research Center and the Universities of New Mexico and Washington, have developed a logic model of CBPR, with other CBPR national experts, to explain how partnering contributes to health and CBPR outcomes. We will describe our current NIH multi-method study to evaluate the explanatory power of the logic model. We identified 315 2009 federally-funded CBPR health research partnerships for American Indian/Alaska Native, other ethnic minority, and vulnerable populations through an NIH Reporter database search, using a multi-method, staggered research design. We conducted in-depth case studies of six CBPR sites (using interviews, focus groups and short questionnaires) to probe similarities and differences across key model dimensions, such as historical, socio-cultural- contexts (including governance infrastructure); trust/mistrust; intervention or policy development; outcomes; and motivations/actions related to participation. We conducted an internet-based survey of up to 1,260 partners of the 315 partnerships, with surveys for Principal investigators, and up to three partners about their partnership experiences. We will present our mixed methods and some preliminary findings from our concurrent qualitative and quantitative analyses to generate overarching themes. Through our integration of multiple methods at multiple levels, we believe we have a sound, rigorous and innovative approach that will further the science of CBPR and contribute to the reduction of health disparities in underserved communities.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Program planning

Learning Objectives:
1. Describe the multi-method approach of case studies and internet surveys used to investigate a national study of CBPR partnerships based on a CBPR logic model of processes to outcomes and an exploration of the role of governance in partnerships. 2. List four qualitative and quantitative methods of the data collection. 3. Explain the analyses for the multiple methods. 4. Discuss how the multi-method approach provides an evaluation of the CBPR logic model and works to capture variation in CBPR partnerships. 5. Describe some preliminary findings about the promoters and barriers of CBPR in American Indian/Alaska Native and other underserved communities to showcase our triangulated analysis process.

Keywords: Participatory Research, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 30 years of experience with empowerment-based interventions and Community Based Participatory Research in adolescent and women's health, alcohol and substance abuse prevention, WHO healthy communities in the U.S. and Latin America, and tribal community capacity development. I co-edited the first major textbook on CBPR (2nd edition, 2008), and have written on methods, ethics, and outcomes of CBPR.
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.