Online Program

Examining the role of place and community-based participatory research (CBPR) in the development and implementation of health interventions for latinos: A qualitative systematic review

Monday, November 4, 2013 : 8:30 a.m. - 8:45 a.m.

Barbara Baquero, PhD, MPH, Community and Behavioral Health, University of Iowa, College of Public Health, Iowa City, IA
Carolyn Sleeth, B.S., Community and Behavioral Health, University of Iowa, College of Public Health, Iowa City, IA
Jason D. Daniel-Ulloa, PhD, MPH, College of Public Health, Community and Behavioral Health, University of Iowa, Iowa City, IA
Noe C. Crespo, PhD, MPH, MS, School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ
Scott Rhodes, PhD, MPH, CHES, Div of Public Health Sciences/Dept of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Addressing the health inequalities that Latinos suffer in the US requires expanding how we incorporate the social, cultural, and physical contexts in which individuals are live. This review explored the role of place (specifically, community-based settings) and evaluated the application of CBPR principles in the delivery of obesity related interventions among US Latinos.

We searched for interventions published within the past twenty years with keywords associated with health, Latinos, CBPR, and settings. Studies were included if the intervention targeted Latinos; a community-based setting was involved; and health behaviors included weight loss, physical activity, or diet. Data was abstracted using a standardized form, which included a scale to quantify CBPR principles applied.

A total of 149 studies were identified and 39 met the inclusion criteria. Of these, community-based settings included schools (n=16), CBOs (n=8) and private homes (n=4). Only 5 studies were conducted in rural areas. Most studies (n=18) included a combination of diet, physical activity, and weight loss behaviors. The average CBPR scale score was 2.6, with scores ranging from 0-8, higher scores implied more CBPR principles were applied.

There is need to explore settings where Latinos can be reached for health promotion interventions. Limited evidence is available for these interventions in rural areas where the Latino populations have recently grown (e.g., the US Southeast and Midwest). CBPR can assist in gaining entry, identifying community priorities and promising strategies, and ensuring interventions are grounded within the contexts of Latino communities to increase the success and sustainability of these interventions.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Describe the methodology use to conduct the systematic review Delineate the results of the review and Outline implications for public health practice and research with Latinos in the US.

Keyword(s): Latino Health, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the principal investigator of this study. I hold an MPH and PhD in Health Promotion and Health Behavior. My scientific interests focused on Latino health, addressing health inequalities through the development and implementation of community-based health interventions, in particular, obesity and chronic diseases prevention and control.
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.

Back to: 3021.0: The Scholarship of CBPR