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330713
Lessons Learned from a Community-Based Participatory Research Randomized Controlled Trial of Chinese American Household Pairs


Tuesday, November 3, 2015

Lei-Chun Fung, MPH, MSW, Health Education Department, Chinatown Public Health Center, San Francisco, CA
Debora A. Paterniti, PhD, Center for Healthcare Policy and Research, University of California, Davis Medical Center, Sacramento, CA
Janice Tsoh, PhD, Department of Psychiatry, UCSF, San Francisco, CA
Anne Saw, PhD, Department of Psychology, DePaul University, Chicago, IL
Chin-Shang Li, PhD, Department of Public Health Sciences, University of California, Davis, Davis, CA
Elisa Tong, MD, Division of General Internal Medicine, Department of Medicine, University of California, Davis, Sacramento, CA
Background:  Chinese American men smoke at high rates, which put household nonsmokers at risk.  These households may need education and support in adjusting to smokefree social norms.  The Chinatown Public Health Center (CPHC) in San Francisco is a long-trusted health resource for the Chinese community.  CPHC joined in community-academic partnership with the University of California, Davis (UCD) to develop and implement a smoke-free living intervention for Chinese adult households that included smoker and nonsmoker pairs.

Methods:   CPHC, a full partner in this project, collaborated with UCD to design the study and intervention materials.  CPHC led the recruitment strategy and implementation, and is currently assisting with data analyses and dissemination. 

Results:  CPHC recruited 205 Chinese household pairs (n=410):  75% spoke English “not too well/not at all”; most immigrated to the U.S. within the past 10 years. At 6 months, participant retention was 97.6%.  Lessons learned from study design included the importance of partnership communication, flexibility with determining priorities, and using a multidisciplinary team to create materials suitable for the community.  Recruitment success is attributed to direct CPHC staff outreach with community-based organizations (eg. English as a second language classes, community child care agencies, preschool sites) and Chinese media (newspapers, radio, and television).  Study implementation required CPHC staff flexibility in accommodating household work schedules, assisting participants with literacy issues on survey forms, and ensuring appropriate dedication of project resources for additional needs.

Conclusion:  The success of community-academic partner studies rests on the provision of appropriate resources for and contributions of community-based organizations.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the community partner’s role in an community-academic partnership for a randomized controlled trial targeting Chinese smokers and household nonsmokers Identify the lessons learned from the community partner’s perspective for study design, recruitment, and study implementation.

Keyword(s): Community-Based Research (CBPR), Asian Americans

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the community partner lead conducting this research. I am a health educator at the Chinatown Public Health Center.
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: 4186.0: Lessons learned from CBPR projects