Session

Community-Based Participatory Research in Action

Pluscedia Williams, BA, Healthy African American Families II, Los Angeles, CA

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Abstract

Student perspectives on community building through community-based learning

Alissa Leavitt, MPH, MCHES and Elaine Cole, PhD
Portland Community College, Portland, OR

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Background: Community-based learning (CBL) is considered one of the newer approaches to connecting academic study and community service. It has gained increasing value in academia because of its potential to enhance students' personal and professional development. At Portland Community College (PCC), CBL began as a grass-roots movement among faculty and staff who believed in the potential of education to transform students' lives and society. Now more than 100 PCC faculty from a variety of disciplines connect course learning objectives and reflection exercises with community involvement, thus allowing thousands of students to volunteer with community agencies, learn about social issues, and make a difference in their communities.

The purpose of this presentation is to explore, discuss and reflect on community-based learning as a form of civic education. This interactive workshop will highlight students’ perspective on learning, service, and collaboration with the on-campus learning garden and PCC sustainability initiatives. The garden provides experiential education and life-long learning opportunities for students, faculty, staff and community members. Presenters will share the teaching-and-learning activities they have developed, their work with faculty colleagues, student responses, and the challenges that have emerged.

Methods: Students completed a survey and provided feedback through informational interviews regarding their CBL experience.

Results: Preliminary responses are positive. Students' self-report of their experiences indicates that on-campus CBL opportunities promotes interdisciplinary academic achievement, leadership development, sustainable food systems and community building. Additional results will be provided.

Administer health education strategies, interventions and programs Advocacy for health and health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Program planning Public health or related education

Abstract

SNAP-Ed Educators combining direction nutrition education with community-based healthy food access partnerships: Lessons learned from two Minnesota counties

Laura Bohen, MPH
University of Minnesota Extension, Maplewood, MN

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Intro:

Following new USDA guidance, University of Minnesota-Extension SNAP-Ed Educators seek to increase healthy choices in the community by combining direct nutrition education with policy, systems and environmental (PSE) approaches. Two case-studies implemented in partnership with community-based agencies show promising results toward increasing food access and food skills for low-income participants.

Methods:

A partnership with Healthy Communities used Community Supported Agriculture (CSA) shares from a school garden to provide produce to a local food shelf.  Additionally, food shelf clients were provided with food skills education on how to make quick and healthy meals with the available produce. Another partnership with Choose Health had physicians refer low-income patients to a free CSA program combined with cooking classes in order to increase client consumption of produce.

Results:

Healthy Communities’ surveys indicated an increase in the amount of fruits and vegetables (F&V) taken home from the food shelf. Clients reported improved confidence in preparing and trying new F&V. Choose Health results showed that most participants (n=28) increased the amount of produce eaten each week, 29% decreased their blood pressure, and 71% indicated overall health as good or better post-intervention.

Conclusion:

SNAP-Ed Educators leveraged community-based partnerships to increase food access for low-income families in two counties. Increased food access was combined with nutrition education to help families build skills and increase consumption of produce. Initial results suggest that direct education, combined with PSE changes created through community-based partnerships, have the potential to lead to behavior changes and better health outcomes for low-income populations.

Administer health education strategies, interventions and programs Chronic disease management and prevention Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Systems thinking models (conceptual and theoretical models), applications related to public health

Abstract

Assessment of community organization in designing a dissemination plan for community based participatory research (CBPR) findings to the faith-based community: The cardiovascular health and needs assessment, Washington D.C

JaWanna Henry, MPH1, Kendrick Curry, PhD, MDiv2, Allan Johnson, PhD3, Twanda Johnson, ABA4, Michael McClurkin, BA4, Valerie Mitchell, BA5, Marlene Peters-Lawrence, RN5, Johnetta Saygbe, BS6, Alyssa Todaro-Brooks, BS4, Gwenyth R. Wallen, PhD, RN7, Leah Yingling, BS5 and Tiffany Powell-Wiley, MD, MPH4
(1)University of Maryland Baltimore, Baltimore, MD, (2)The Pennsylvania Avenue Baptist Church, Washington, DC, (3)Howard University, Washington, DC, (4)National Institutes of Health, Bethesda, MD, (5)National Heart Lung and Blood Institute, Bethesda, MD, (6)National Institutes of Health, Bethesda, (7)National Institutes of Health Clinical Center, Bethesa, MD

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

In CBPR, early data dissemination is important for increasing community capacity and creating project sustainability, as measured by improved health behaviors and outcomes. Less is known about methods for incorporating community organization, or the community’s information-sharing network, in designing a CBPR data dissemination plan.  In partnership with approximately 20 community-based organizations, we are completing a cardiovascular health and needs assessment in high-risk Washington D.C. neighborhoods through the faith-based community (NCT:NCT01927783) as a first step in developing a community-based intervention promoting behavioral change for improved cardiovascular health.  Group meetings for faith-based community leaders and members (N=24) are being held from February-March 2015. At these meetings, participants will complete a theory-based Community Organization survey.  This survey will assess current levels of empowerment, community capacity, and social capital as potential facilitators of assessment data dissemination. Meeting participants are also presented preliminary findings from the health assessment followed by an in-depth discussion with participants of recommendations for key stakeholders in the broader Washington D.C. community to whom we should present assessment findings. Outcomes for the study are comparisons of empowerment, community capacity, and social capital levels between the study participants’ faith-based organizations.  Another outcome is a preliminary dissemination plan informed by community organization measures and findings from the group discussions.  Utilizing measures of the core concepts of Community Organization Theory may serve as a paradigm for developing a CBPR-based data dissemination plan.  Data dissemination is fundamental for early engagement of key Washington D.C. community organizations in creating a CBPR-based intervention to improve cardiovascular health.  

Chronic disease management and prevention Communication and informatics Planning of health education strategies, interventions, and programs Program planning Public health or related research Social and behavioral sciences

Abstract

Expanding Participatory Governance: Using Town Halls to Engage Broader Community and Academic Voices in CEnR Program Planning

Jennifer Herd, MHLP1, Rebecca Ford-Paz, PhD2, Benjamin Rucker, MPH3, Amy Eisenstein, PhD2, Melissa Simon, MD, MPH4, Gina Curry, MPH MBA2 and Jen Brown, MPH2
(1)City of Chicago, Chicago, IL, (2)Northwestern University, Chicago, IL, (3)ARCC Steering Committee Member, Chicago, IL, (4)Northwestern University, Feinberg School of Medicine, Chicago, IL

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

There is increasing evidence about the positive impact of using collaborative community-engaged approaches to research. Similarly, efforts to build and sustain community-university infrastructure to promote community-engaged research (CEnR) are also improved by a collaborative approach. For this reason, the Alliance for Research in Chicagoland Communities (ARCC), in Northwestern University’s Center for Community Health, embraces a participatory governance model for achieving its mission to grow equitable and collaborative partnerships between Chicago communities and Northwestern for research that lead to measureable community health improvements. 

The ARCC steering committee (SC) of Chicagoland community and faith-based organizations, public agencies and Northwestern faculty has decision-making power in planning ARCC’s strategic directions, programs, and budgeting. The SC recognized early on that while only a limited number of community and academic partners can serve on the SC, ARCC serves a much larger set of current and potential partners. ARCC has hosted five annual open Town Halls to invite input from a broader group of community and academic voices on program priorities, activities and future directions. 

Each town hall agenda includes sharing ARCC activities/outcomes to date, showcasing an ARCC-supported partnership, and facilitating group discussions. Town halls are held diverse locations across Chicagoland and are led and facilitated by ARCC community and academic SC members. Town halls are well attended and input has led to changes in ARCC activities/directions. They’ve also successfully engaged Northwestern institutional leaders directly with a wide range of partners. Community and academic presenters will share town hall logistics, input impact, and strategies for replication.

Assessment of individual and community needs for health education Conduct evaluation related to programs, research, and other areas of practice Program planning Public health or related research

Abstract

Amplifying community access to physical activity in South Florida through public and private partnerships

Danny Elfenbein and Rooney Brodie, MPH
Baptist Health South Florida, Coral Gables, FL

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Objectives: Collaboration and policy between healthcare systems, municipalities and private enterprise can increase access to and participation in community physical activity programs. Through strategic partnerships and eliminating cost as a barrier, access to evidence-based, instructor led physical activity programs is amplified, supporting an identified community health need.

Methods: Over a three-year period, a healthcare system expanded access and community participation in physical activity programs through development of policy and partnerships.  The system’s recent Community Health Needs Assessment identified 68% of Miami-Dade residents were overweight or obese and 35% reported lack of physical activity or sedentary behavior (higher than the state average of 25%) with adults 65 and older demonstrating the highest rates of sedentary behavior.  To address existing barriers, the system implemented a plan to improve access to physical activity programs by converting fee-based programs to free while expanding partnerships with local municipalities and private partners.

Results: The strategy has expanded access by measure of participation and programs offered across the community.  In 2012, prior to policy changes, 49-weekly exercise programs drew 38,000 participants. Two years after the conversion, participation has grown to 74,000 with waitlists for most classes. In 2015, 112 weekly exercise programs are offered with participation expected to reach 145,000 community members. The change in strategy has expanded evidence-based exercise programs such as yoga and tai-chi targeted to older adults for healthy aging, balance, fall prevention and social health.  Partnerships with local community organizers created run clubs targeting young professionals of all skill levels to promote running in built environments, helping to diversify audiences.

Other professions or practice related to public health Program planning

Abstract

Truly Helpful Technical Assistance That Empowers Community Groups to Lead Health Research Projects

Ilima Kane, MA and Sarah Lampe, MPH
Colorado Foundation for Public Health and the Environment, Denver, CO

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

The Colorado Foundation for Public Health and the Environment (CFPHE) draws from experiences in managing two award programs (over 100 awardees) designed to empower community and academic groups to work collectively towards improving community and patient health care.  Training community groups and patient advocates to be effective leaders in translational research has unique challenges and requires a shift in focus from traditional training techniques. Effective technical assistance requires tailoring to each awardee in the beginning and gradually moving towards an understanding of common research practices and terminology. Managing budgets, negotiating the timelines of research and community, creating collective and agreed upon expectations for each stage of a project, and finding a partnership’s collective passion are common challenges patient advocates and community groups face when they begin to engage in research.  Providing a “training wheels” approach to technical assistance helps to provide a sense of safety in the work all while building skills and partnerships to support the work as it progresses and eventually becomes independent of any one particular funder. This presentation will highlight technical assistance techniques and tools, stories from awardees and examples of collaboration between funders and awardees to demonstrate a cooperative method of engaging patient advocates and community groups in the research process.

Administer health education strategies, interventions and programs

Abstract

Historical Purpose, Power, and Politics Behind the Concept of "Community Engagement"

Kent Key, PhD, MPH1, Leslie Paulson, MSW1, Adam Paberzs, MPH2, Meghan Airgood, BSci, CHES1, Kanchan Sehgal Lota, MPH3, Patricia Piechowski, MPH, MSW, MA1, Karen Calhoun, MA1, Ashley Tuomi, DHSc4, Nikita Buckhoy, LMSW5 and Donald Vereen Jr., M.D., M.P.H.6
(1)University of Michigan, Ann Arbor, MI, (2)Michigan Institute for Clinical & Health Research, Ann Arbor, MI, (3)Univeristy of Michigan, Ann Arbor, MI, (4)American Indian Health & Family Services of Southeast Michigan, Inc., Detroit, MI, (5)City Connect Detroit, Detroit, MI, (6)University of Michigan School of Public Health, Ann Arbor, MI

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Historically, the concept of “community engagement” in research has denoted involvement of groups that were recognized as underrepresented, underprivileged, and under-resourced groups. However, this concept is evolving. Presently, the scope and use of “community engagement”  by federal funders such as the National Institutes of Health, has become broader to be inclusive of organizations and groups typically embedded in professional institutional structures, thereby creating several  concerns for grassroots communities related to equitable partnerships, resource sharing, and the ability to influence and impact research. In other words, traditional “community” may now be forced to compete with broadly defined “communities”, which ultimately impacts the capacity to obtain resources and achieve financial stability. As Michigan’s Clinical Translational Science Award (CTSA),  Michigan Institute for Clinical and Health Research (MICHR) positions itself in responding toward a broadening definition of “community engagement” it is challenged to bridge the gap and promote bidirectional learning between the historically underserved “communities of identity” with “communities of institutions.” Institutions and researchers, academic or otherwise who are tasked with “engaging communities” both in responding to and securing funding opportunities, are challenged to consider the implications of responding to and defining this evolving concept. This session is designed to provide a platform for both community-and-academic-based stakeholders to dialogue around the evolving definition of community engagement and the implications for their partnerships. How can individuals and institutions, such as MICHR, foster equitable partnerships between historically underrepresented communities with historically privileged communities to move the dial on translational research and ultimately impact health.

Public health or related research

Abstract

Shifting the Power Dynamic in Community/Academic Research Through Community Advisory Boards

Jill Evans, MPH and Rhonda McClinton-Brown, MPH
Stanford University, Stanford, CA

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

Trends in funding for Community Based Participatory Research recognize the vital contribution of community members in guiding the research. The inclusion of a Community Advisory Board for academic/community research partnerships ensures the necessary leadership to inform research studies in the most culturally appropriate way. Through the development and implementation of an effective CAB, comprised of a diverse group of community members, the CAB is able to provide expertise and advice about the impact of research on the community for whom an intervention is intended.  The workshop will explore the essential role of Community Advisory Boards in community engaged research and the role that academic institutions can play in elevating the community voice through research partnerships.

Planning of health education strategies, interventions, and programs Public health or related research

Abstract

Using CPBR to explore breast cancer risk due to hair product usage among African American Women

Sabine Monice, MPH1, Laura Stiel, MA2, Bing Turner, MPH3, Eudora Mitchell, MA, Phyllis Clark, MBA, Dede Teteh, MPH, CHES, Paris Adkins-Jackson, MA, MPH5 and Susanne Montgomery, PhD, MPH, MS1
(1)Loma Linda University, Loma Linda, CA, (2)Loma Linda University, San Bernardino, CA, (3)Loma Linda University, (4)Asante Wellness, LLC, Compton, CA

2015 APHA Annual Meeting & Expo (Oct. 31 - Nov. 4, 2015)

African American (AA) women die more and younger of breast cancer (BC) than White women.  Research suggests a link between BC risk and the use of hair products containing endocrine disruptors. This has become a growing concern for AAs in the Inland Empire, partly because AAs use these products at higher rates than other racial groups.

Local community organizations collaborated with university researchers to explore whether the potential risk posed by hair product use was a community concern, and ways to address it. To prepare, we held several capacity-building events including IRB, qualitative data collection, and data-analyses training. Following CBPR principles, partners were involved in all phases of the study. Over 100 individuals participated in 52 interviews and focus groups triangulated by respondent type (women with and without BC, stylists, salon owners, male partners); data was analyzed using Grounded Theory and coded using QDA Miner.

While much concern exists, there are different levels of awareness in younger/older and lower income/higher income respondents. Hair stylists expressed special concerns for finance-limited clientele, who may improperly use products at home leading to higher exposure; some younger men worried about the attractiveness of alternative styles. Overall, respondents wanted more information, education, and guidance on solutions and alternatives.

Although more research is needed to better understand the hair product and BC risk relationship, this research reveals clear concern about the issue in the AA community. With concern about chemicals in beauty products mounting nationally, findings from this research could inform policies regulating hair products.

Diversity and culture Environmental health sciences Planning of health education strategies, interventions, and programs Program planning Public health or related education