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Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model.
Biomed Res Int. 2018; 2018:7281405.BR

Abstract

OBJECTIVES

A key challenge in evaluating the impact of community-based participatory research (CBPR) is identifying what mechanisms and pathways are critical for health equity outcomes. Our purpose is to provide an empirical test of the CBPR conceptual model to address this challenge.

METHODS

A three-stage quantitative survey was completed: (1) 294 US CBPR projects with US federal funding were identified; (2) 200 principal investigators completed a questionnaire about project-level details; and (3) 450 community or academic partners and principal investigators completed a questionnaire about perceived contextual, process, and outcome variables. Seven in-depth qualitative case studies were conducted to explore elements of the model not captured in the survey; one is presented due to space limitations.

RESULTS

We demonstrated support for multiple mechanisms illustrated by the conceptual model using a latent structural equation model. Significant pathways were identified, showing the positive association of context with partnership structures and dynamics. Partnership structures and dynamics showed similar associations with partnership synergy and community involvement in research; both of these had positive associations with intermediate community changes and distal health outcomes. The case study complemented and extended understandings of the mechanisms of how partnerships can improve community conditions.

CONCLUSIONS

The CBPR conceptual model is well suited to explain key relational and structural pathways for impact on health equity outcomes.

Links

PMC Free PDF

Authors+Show Affiliations

Oetzel JG
University of Waikato, Hamilton 3240, New Zealand.
Wallerstein N
University of New Mexico, Albuquerque, NM 87131, USA.
Duran B
University of Washington, Seattle, WA 98195, USA.
Sanchez-Youngman S
University of New Mexico, Albuquerque, NM 87131, USA.
Nguyen T
University of California San Francisco, San Francisco, CA 94115, USA.
Woo K
NICOS Chinese Health Coalition, 1208 Mason St., San Francisco, CA 94108, USA.
Wang J
California Institute of Integral Studies, 1453 Mission St., San Francisco, CA 94103, USA.
Schulz A
University of Michigan, Ann Arbor, MI 48109, USA.
Keawe'aimoku Kaholokula J
University of Hawaii, Honolulu, HI 96822, USA.
Israel B
University of Michigan, Ann Arbor, MI 48109, USA.
Alegria M
Massachusetts General Hospital and Harvard University, Boston, MA 02114, USA.

MeSH

Community-Based Participatory ResearchCooperative BehaviorHumansModels, TheoreticalQualitative ResearchSurveys and QuestionnairesUniversities

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29854784

Citation

Oetzel, John G., et al. "Impact of Participatory Health Research: a Test of the Community-Based Participatory Research Conceptual Model." BioMed Research International, vol. 2018, 2018, p. 7281405.
Oetzel JG, Wallerstein N, Duran B, et al. Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model. Biomed Res Int. 2018;2018:7281405.
Oetzel, J. G., Wallerstein, N., Duran, B., Sanchez-Youngman, S., Nguyen, T., Woo, K., Wang, J., Schulz, A., Keawe'aimoku Kaholokula, J., Israel, B., & Alegria, M. (2018). Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model. BioMed Research International, 2018, 7281405. https://doi.org/10.1155/2018/7281405
Oetzel JG, et al. Impact of Participatory Health Research: a Test of the Community-Based Participatory Research Conceptual Model. Biomed Res Int. 2018;2018:7281405. PubMed PMID: 29854784.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model. AU - Oetzel,John G, AU - Wallerstein,Nina, AU - Duran,Bonnie, AU - Sanchez-Youngman,Shannon, AU - Nguyen,Tung, AU - Woo,Kent, AU - Wang,Jun, AU - Schulz,Amy, AU - Keawe'aimoku Kaholokula,Joseph, AU - Israel,Barbara, AU - Alegria,Margarita, Y1 - 2018/04/24/ PY - 2017/09/12/received PY - 2018/03/21/accepted PY - 2018/6/2/entrez PY - 2018/6/2/pubmed PY - 2018/10/3/medline SP - 7281405 EP - 7281405 JF - BioMed research international JO - Biomed Res Int VL - 2018 N2 - OBJECTIVES: A key challenge in evaluating the impact of community-based participatory research (CBPR) is identifying what mechanisms and pathways are critical for health equity outcomes. Our purpose is to provide an empirical test of the CBPR conceptual model to address this challenge. METHODS: A three-stage quantitative survey was completed: (1) 294 US CBPR projects with US federal funding were identified; (2) 200 principal investigators completed a questionnaire about project-level details; and (3) 450 community or academic partners and principal investigators completed a questionnaire about perceived contextual, process, and outcome variables. Seven in-depth qualitative case studies were conducted to explore elements of the model not captured in the survey; one is presented due to space limitations. RESULTS: We demonstrated support for multiple mechanisms illustrated by the conceptual model using a latent structural equation model. Significant pathways were identified, showing the positive association of context with partnership structures and dynamics. Partnership structures and dynamics showed similar associations with partnership synergy and community involvement in research; both of these had positive associations with intermediate community changes and distal health outcomes. The case study complemented and extended understandings of the mechanisms of how partnerships can improve community conditions. CONCLUSIONS: The CBPR conceptual model is well suited to explain key relational and structural pathways for impact on health equity outcomes. SN - 2314-6141 UR - https://www.unboundmedicine.com/medline/citation/29854784/Impact_of_Participatory_Health_Research:_A_Test_of_the_Community_Based_Participatory_Research_Conceptual_Model_ DB - PRIME DP - Unbound Medicine ER -