Online Program

Research for improved health: Methods, methods and metrics of national study to evaluate community based participatory research partnerships to reduce health disparities

Tuesday, November 5, 2013 : 12:30 p.m. - 12:50 p.m.

Nina Wallerstein, DrPH, UNM School of Medicine, Department of Family & Community Medicine, UNM Master of Public Health and Center for Participatory Research, Albuquerque, NM
Bonnie Duran, DrPH, School of Public Health and Indigenous Wellness Research Institute SSW, Department of Health Services, Seattle, WA
Lorenda Belone, PhD, MPH, Health Education, University of New Mexico, NM
Julie Lucero, MPH, PhD, UNM School of Medicine, Department of Family & Community Medicine, UNM Center for Participatory Research, Albuquerque, NM
Magdalena Avila, BA, MS, DrPH, Department of Health, Exercise and Sports Science, Health Education, College of Education, University of New Mexico, Albuquerque, NM
Andrew Sussman, PhD, UNM School of Medicine, Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM
John Oetzel, PhD, Department of Management Communicatoin, University of Waikato, Hamilton, New Zealand
Cynthia Pearson, PhD, Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA
Maya Magarati, PhD, Indigenous Wellness Research Institute, University of Washington School of Social Work, Seattle, WA
Myra Parker, J.D, PhD, Center for the Study of Health and Risk Behavior, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
Emily White Hat, JD, Policy Research Center, National Congress of American Indians, Washington, DC
Malia Villegas, Ed.D, Policy Research Center, National Congress of American Indians, Washington, DC, DC
Michael Muhammad, PhD(c), Department of Sociology, RWJF Center for Health Policy, University of New Mexico, Albuquerque, NM
Belinda Vicuna, PhD candidate, Psychology Department, University of New Mexico
A comprehensive charting of CBPR has been conducted through an NIH-funded study (2009-2013) to identify variation nationally across CBPR characteristics of research contexts and partnership processes that impact research decisions and health and social justice outcomes. Our research team, from the National Congress of American Indians Policy Research Center and the Universities of New Mexico and Washington, has developed a CBPR Logic Model, with other CBPR national experts, to explain how partnering contributes to CBPR outcomes among American Indian/Alaska Native, other communities of color and vulnerable populations. This presentation describes the study purpose and specific aims: to identify CBPR diversity, test the explanatory power of the Model; probe similarities and differences across key model dimensions, i.e., historical-socio-cultural contexts, including governance, trust/mistrust; culturally-centered intervention or policy development; motivations related to participation; associations with outcomes; and promising practices. We will present the mixed-methods design, the universe of 294 federally-funded CBPR partnerships from the 2009 RePORTER; metrics and instruments for two quantitative internet instruments (for Principal Investigators and partners); and seven qualitative case studies (using focus groups, interview guides, and social network analyses); mixed-methods analysis strategies; and suggest preliminary findings. Implications for national and global CBPR partnership evaluation and reflection, measures and metrics toolkits, lessons learned, and promising practices will be drawn. This paper is proposed for a comprehensive panel, including: quantitative analysis findings; impact on governance, comparing tribal sovereignty with populations with more diffuse leadership; trust theory, mixed-methods measures and analyses; and comparison of two CBPR partnerships addressing structural racial inequities.

Learning Areas:

Diversity and culture
Other professions or practice related to public health
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the NIH-funded national cross-site CBPR study and its overall goals to use the CBPR Logic Model to evaluate CBPR partnering processes leading to health disparities outcomes. Describe the mixed-methods research design for data collection and analysis of seven case studies and internet surveys of close to 294 partnerships nationwide. List four qualitative and quantitative methods and instruments (with measures and metrics) for data collection and use by other partnerships. Identify preliminary findings and continued mixed methods analyses of promising and best partnering practices based on the findings to strengthen the gold standard of CBPR.

Keyword(s): Health Disparities, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-Principal Investigator of the national CBPR study, "Research for Improved Health," and lead the qualitative design for this study. I have been a CBPR researcher for over 20 years in substance abuse prevention, adolescent health, and CBPR processes and outcomes.
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.