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A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships.
Eval Program Plann. 2018 10; 70:25-34.EP

Abstract

Community-based participatory research (CBPR) approaches present strong opportunities to promote health equity by improving health within low-income communities and communities of color. CBPR principles and evaluation frameworks highlight an emphasis on equitable group dynamics (e.g., shared leadership and power, participatory decision-making, two-way open communication) that promote both equitable processes within partnerships and health equity in the communities with whom they engage. The development of an evaluation framework that describes the manner in which equitable group dynamics promote intermediate and long-term equity outcomes can aid partners in assessing their ability to work together effectively and improve health equity in the broader community. CBPR principles align with health equity evaluation guidelines recently developed for Health Impact Assessments (HIAs), which emphasize meaningful engagement of communities in decision-making processes that influence their health. In this paper, we propose a synergistic framework integrating contributions from CBPR and HIA evaluation frameworks in order to guide efforts to evaluate partnership effectiveness in addressing health inequities. We suggest specific indicators that might be used to assess partnership effectiveness in addressing health equity and discuss implications for evaluation of partnership approaches to address health equity.

Authors+Show Affiliations

Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. Electronic address: melaward@umich.edu.28221 SPH I, Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. Electronic address: ajschulz@umich.edu.2794 SPH I, Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. Electronic address: ilanais@umich.edu.Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, M(48109-2029, USA).Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. Electronic address: smarten@umich.edu.Southwest Detroit Environmental Vision, 2555 Clarke Ave, Detroit, MI 48209, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29894902

Citation

Ward, Melanie, et al. "A Conceptual Framework for Evaluating Health Equity Promotion Within Community-based Participatory Research Partnerships." Evaluation and Program Planning, vol. 70, 2018, pp. 25-34.
Ward M, Schulz AJ, Israel BA, et al. A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Eval Program Plann. 2018;70:25-34.
Ward, M., Schulz, A. J., Israel, B. A., Rice, K., Martenies, S. E., & Markarian, E. (2018). A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Evaluation and Program Planning, 70, 25-34. https://doi.org/10.1016/j.evalprogplan.2018.04.014
Ward M, et al. A Conceptual Framework for Evaluating Health Equity Promotion Within Community-based Participatory Research Partnerships. Eval Program Plann. 2018;70:25-34. PubMed PMID: 29894902.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. AU - Ward,Melanie, AU - Schulz,Amy J, AU - Israel,Barbara A, AU - Rice,Kristina, AU - Martenies,Sheena E, AU - Markarian,Evan, Y1 - 2018/04/30/ PY - 2017/09/19/received PY - 2018/03/07/revised PY - 2018/04/29/accepted PY - 2018/6/13/pubmed PY - 2019/3/13/medline PY - 2018/6/13/entrez KW - Community-based participatory research KW - Community-based research KW - Community-engaged research KW - Equity promotion KW - Evaluation KW - Framework KW - Health disparities KW - Health equity KW - Health impact assessment KW - Health promotion KW - Participatory evaluation KW - Participatory research KW - Social determinants of health SP - 25 EP - 34 JF - Evaluation and program planning JO - Eval Program Plann VL - 70 N2 - Community-based participatory research (CBPR) approaches present strong opportunities to promote health equity by improving health within low-income communities and communities of color. CBPR principles and evaluation frameworks highlight an emphasis on equitable group dynamics (e.g., shared leadership and power, participatory decision-making, two-way open communication) that promote both equitable processes within partnerships and health equity in the communities with whom they engage. The development of an evaluation framework that describes the manner in which equitable group dynamics promote intermediate and long-term equity outcomes can aid partners in assessing their ability to work together effectively and improve health equity in the broader community. CBPR principles align with health equity evaluation guidelines recently developed for Health Impact Assessments (HIAs), which emphasize meaningful engagement of communities in decision-making processes that influence their health. In this paper, we propose a synergistic framework integrating contributions from CBPR and HIA evaluation frameworks in order to guide efforts to evaluate partnership effectiveness in addressing health inequities. We suggest specific indicators that might be used to assess partnership effectiveness in addressing health equity and discuss implications for evaluation of partnership approaches to address health equity. SN - 1873-7870 UR - https://www.unboundmedicine.com/medline/citation/29894902/A_conceptual_framework_for_evaluating_health_equity_promotion_within_community_based_participatory_research_partnerships_ DB - PRIME DP - Unbound Medicine ER -