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Community Based Participatory Research. Gail Coover, PhD gcoover@wisc.edu 608-265-8680 UWSMPH. Sent Monday…. Also, if you have specific questions/interests regarding CBPR, please e-mail them to Gail Coover <gcoover@wisc.edu> before the workshop.

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community based participatory research

Community Based Participatory Research

Gail Coover, PhD

gcoover@wisc.edu

608-265-8680

UWSMPH

sent monday
Sent Monday…

Also, if you have specific questions/interests regarding CBPR, please e-mail them to Gail Coover <gcoover@wisc.edu> before the workshop.

slide3
The Examining Community-Institutional Partnerships for Prevention Research Group, (2006).

Developing and Sustaining Community-Based Participatory Research Partnerships: A Skill Building Curriculum.

www.cbprcurriculum.info

community based participatory research4
Community-Based Participatory Research
  • What is CBPR?
  • Why is it useful?
  • What is knowledge, attitudes, skills are needed?
  • Where are resources for support?
slide5
CBPR
  • A paradigm, strategy, or approach
slide7
CBPR
  • Requires a collaborative relationship with the community:
    • Co-learning, Co-teaching, Co-service, Co-operation
in participatory action research
In participatory action research:
  • Community members partner with researchers to:
    • Define research questions
    • Design and implement research
    • Interpret, disseminate, and apply results
ideally
Ideally,
  • CBPR results in a lasting and sustainable change---social inequity is reduced.
    • Change occurs at collective/community level
why use cbpr
Why use CBPR?
  • Health Disparities
    • Persistent
    • Complex
    • Linkages to social-ecological factors
why cbpr
Why CBPR?
  • Communities make it a condition of their participation
slide15
Dilemma: You’ve partnered with an organization and have received funding to develop an intervention (exercise program) that will support healthy weight loss. Your proposal describes an RCT of the intervention. The organization refuses to continue unless all members have equal access to the program.
knowledge attitudes and skills
Knowledge, Attitudes, and Skills
  • Institutional Resources:
    • Wisconsin Partnership Program (partnership): http://www.wphf.med.wisc.edu
    • Morgridge Center for Public Service (learning): http://www.morgridge.wisc.edu
    • ICTR-CAP (research): http://www.uwictr.wisc.edu/node/102division
    • Center for the Study of Cultural Diversity in Healthcare (support): http://cdh.med.wisc.edu/
    • Courses (training)
      • 436-875 Special topics seminar in CBPR this fall
      • Certificate in Type II Translational Research Fall 2009
knowledge attitudes skills
Knowledge, Attitudes, Skills
  • Web Resources:
    • Community-Campus Partnerships for Health (CCPH): http://www.ccph.info
    • MapCruzin (Environmental Health): http://www.mapcruzin.com/
    • U.S. Department of Health and Human Services Agency for Healthcare Research and Quality: http://www.ahrq.gov
knowledge attitudes skills19
Knowledge, Attitudes, Skills
  • Community perspectives1
    • Dissatisfaction with the focus of research
    • Power imbalances
    • Lack of trust
    • Communication difficulties

1Sullivan et al., (2001). Researcher and Researched-Community Perspectives: Toward Bridging the Gap. Health Education & Behavior, 28, 130-149.

knowledge attitudes skills20
Knowledge, Attitudes, Skills
  • Successful Collaborations
    • Early involvement of communities
    • Power sharing
    • Mutual respect
    • Community benefit
    • Cultural sensitivity
relationship dynamics22
Relationship Dynamics
  • Difference necessarily means bias will be present2,3
    • Cognitive
    • Emotional

2Pettigrew & Tropp, (2006). A Meta-Analytic Test of Intergroup Contact Theory. JPSP, 90, 751-783.

3 Staggs, S. (2008). Intergroup Relations in Participatory Research. University of Illinois, Chicago.

some questions to ask
Some questions to ask
  • How do I know my community partners and I share the same goal?
  • How do I know we mean the same thing when we talk about our goals?
  • What are the different ways that my community partners can express their goals to me?
strategies to reduce bias
Strategies to Reduce Bias
  • Endorsement of the collaboration
some questions to ask27
Some questions to ask
  • Is my research partnership with the community supported and endorsed by my funder? My department? My program?
  • Is my community partner’s relationship with me endorsed by its board of directors? By other boards or agencies that the organization is networked with? By key public activists in the community?
strategies to reduce bias28
Strategies to Reduce Bias
  • Cooperative work on a shared task.
questions to ask
Questions to ask
  • Whose work is affected, assumed, or changed by this project?
  • What tasks can be shared and accomplished cooperatively (side by side)?
strategies to reduce bias30
Strategies to Reduce Bias
  • Create equity between all parties
questions to ask31
Questions to ask
  • What resources do I bring to the table?
  • What resources do my partners bring to the table?
  • What is are the hierarchical relationships between my community partners?
  • What are the hierarchies between me and my partners?
  • How are these hierarchies addressed, reinforced, or accommodated?
  • Who talks to whom about what parts of the project? Who defines roles? Who reports to whom?