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Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships.
Int J Equity Health. 2022 05 02; 21(1):59.IJ

Abstract

BACKGROUND

Community-Based Participatory Research (CBPR) is often used to address health inequities due to structural racism. However, much of the existing literature emphasizes relationships and synergy rather than structural components of CBPR. This study introduces and tests new theoretical mechanisms of the CBPR Conceptual Model to address this limitation.

METHODS

Three-stage online cross-sectional survey administered from 2016 to 2018 with 165 community-engaged research projects identified through federal databases or training grants. Participants (N = 453) were principal investigators and project team members (both academic and community partners) who provided project-level details and perceived contexts, processes, and outcomes. Data were analyzed through structural equation modeling and fuzzy-set qualitative comparison analysis.

RESULTS

Commitment to Collective Empowerment was a key mediating variable between context and intervention activities. Synergy and Community Engagement in Research Actions were mediating variables between context/partnership process and outcomes. Collective Empowerment was most strongly aligned with Synergy, while higher levels of Structural Governance and lower levels of Relationships were most consistent with higher Community Engagement in Research Actions.

CONCLUSIONS

The CBPR Conceptual Model identifies key theoretical mechanisms for explaining health equity and health outcomes in community-academic partnerships. The scholarly literature's preoccupation with synergy and relationships overlooks two promising practices-Structural Governance and Collective Empowerment-that interact from contexts through mechanisms to influence outcomes. These results also expand expectations beyond a "one size fits all" for reliably producing positive outcomes.

Authors+Show Affiliations

University of Waikato, Waikato Management School, Hamilton, New Zealand. john.oetzel@waikato.ac.nz.University of New Mexico, College of Nursing, Albuquerque, USA.Department of Psychiatric and Behavioral Sciences, University of Washington, Seven Directions: A Center for Indigneous Public Health, Center for the Study of Health and Risk Behaviors, School of Medicine, Seattle, USA.University of New Mexico, College of Nursing, Albuquerque, USA.University of New Mexico, Center for Participatory Research, Albuquerque, USA.University of Washington, School of Medicine, Seattle, USA.National Indian Child Welfare Association, Portland, USA.Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA.University of New Mexico, Center for Participatory Research, Albuquerque, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

35501798

Citation

Oetzel, John G., et al. "Exploring Theoretical Mechanisms of Community-engaged Research: a Multilevel Cross-sectional National Study of Structural and Relational Practices in Community-academic Partnerships." International Journal for Equity in Health, vol. 21, no. 1, 2022, p. 59.
Oetzel JG, Boursaw B, Magarati M, et al. Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships. Int J Equity Health. 2022;21(1):59.
Oetzel, J. G., Boursaw, B., Magarati, M., Dickson, E., Sanchez-Youngman, S., Morales, L., Kastelic, S., Eder, M. M., & Wallerstein, N. (2022). Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships. International Journal for Equity in Health, 21(1), 59. https://doi.org/10.1186/s12939-022-01663-y
Oetzel JG, et al. Exploring Theoretical Mechanisms of Community-engaged Research: a Multilevel Cross-sectional National Study of Structural and Relational Practices in Community-academic Partnerships. Int J Equity Health. 2022 05 2;21(1):59. PubMed PMID: 35501798.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships. AU - Oetzel,John G, AU - Boursaw,Blake, AU - Magarati,Maya, AU - Dickson,Elizabeth, AU - Sanchez-Youngman,Shannon, AU - Morales,Leo, AU - Kastelic,Sarah, AU - Eder,Milton Mickey, AU - Wallerstein,Nina, Y1 - 2022/05/02/ PY - 2021/10/25/received PY - 2022/04/17/accepted PY - 2022/5/3/entrez PY - 2022/5/4/pubmed PY - 2022/5/6/medline KW - CBPR conceptual model KW - Collective empowerment KW - Community-based participatory research (CBPR) KW - Community-engaged research KW - Participatory health research SP - 59 EP - 59 JF - International journal for equity in health JO - Int J Equity Health VL - 21 IS - 1 N2 - BACKGROUND: Community-Based Participatory Research (CBPR) is often used to address health inequities due to structural racism. However, much of the existing literature emphasizes relationships and synergy rather than structural components of CBPR. This study introduces and tests new theoretical mechanisms of the CBPR Conceptual Model to address this limitation. METHODS: Three-stage online cross-sectional survey administered from 2016 to 2018 with 165 community-engaged research projects identified through federal databases or training grants. Participants (N = 453) were principal investigators and project team members (both academic and community partners) who provided project-level details and perceived contexts, processes, and outcomes. Data were analyzed through structural equation modeling and fuzzy-set qualitative comparison analysis. RESULTS: Commitment to Collective Empowerment was a key mediating variable between context and intervention activities. Synergy and Community Engagement in Research Actions were mediating variables between context/partnership process and outcomes. Collective Empowerment was most strongly aligned with Synergy, while higher levels of Structural Governance and lower levels of Relationships were most consistent with higher Community Engagement in Research Actions. CONCLUSIONS: The CBPR Conceptual Model identifies key theoretical mechanisms for explaining health equity and health outcomes in community-academic partnerships. The scholarly literature's preoccupation with synergy and relationships overlooks two promising practices-Structural Governance and Collective Empowerment-that interact from contexts through mechanisms to influence outcomes. These results also expand expectations beyond a "one size fits all" for reliably producing positive outcomes. SN - 1475-9276 UR - https://www.unboundmedicine.com/medline/citation/35501798/Exploring_theoretical_mechanisms_of_community_engaged_research:_a_multilevel_cross_sectional_national_study_of_structural_and_relational_practices_in_community_academic_partnerships_ DB - PRIME DP - Unbound Medicine ER -