So La Hmo Partnership for Health and Wellness

So. La. Hmo Partnership for Health and Wellness: CBPAR Definitions April 13, 2018

A CBPAR Definition � “CBPR is a partnership approach to research that � equitably involves all participants � in all aspects of the research process � where each person shares their expertise � in order to enhance knowledge and � to develop interventions that will benefit the whole community. ” -Barbara Israel et al 1998 Israel A et al. Review of Community-Based Research: Assessing Partnership Approaches to Improve Public Health. Annual Review of Public Health. 1998 19: 173 -202. --

Barbara Israel- Key Principles � � � � � Recognizes community as a unit of identity Begins with, builds on community strengths & resources Facilitates collaborative, equitable partnership throughout - an empowering and power-sharing process Promotes co-learning and capacity building Integrates and creates a balance between knowledge generation and action for mutual benefit of all partners Emphasizes local relevance of public health problems… that attend to multiple determinants of health & disease. Involves systems development through cyclical/ iterative Involves all partners in the dissemination process as coauthors and presenters Involves long-term process & commitment from all partners

Another Definition � CBPAR is NOT a research project. � “It is a social change project of which the research is one piece. � As such, it has three goals: ◦ Learn relevant knowledge/ skills, ◦ Develop relationships of solidarity, ◦ Engage in action that wins victories and builds self-sufficiency. Doing research is not, in itself, a goal. � Research is only a method to achieve these broader goals. ” � ----Randy Stoecker, 2003 Stoecker R. ‘Are Academicians Irrelevant? ’ Approaches and roles for scholars in community based participatory research. In Minkler M, Wallerstein N. editors. Community Based participatory Research for Health. San Francisco: Jossey-Bass; 2003: 98 -112 (with quote on page 102). Stoecker R. Research Methods for Community Change: A project-based approach. Thousand Oaks, CA: Sage. 2005.

The Spectrum of Researcher Driven Participatory • Researchers select research topics, questions, & methods • Communities & researchers decide about topics, questions, & methods • Power and decision making are in researchers’ hands • Power and decision making are shared equally • Researchers are the experts • Communities/ researchers are experts and colearners • Primary goal is knowledge production for its own sake • Primary goals are improved health, empowerment & capacity building

Degrees of Community Engagement in Research No community engagement Secondary data analysis, or basic science Community placed research Recruitment from community organization Collaboration with community, but researcher driven Community sponsor on researcher defined project CBPR or CBPAR Community involved in all aspects of research

References: CBPAR � � � North American Primary Care Research Group: Responsible Research with Community Policy Statement. www. napcrg. org/responsibileresearch. pdf Community-Campus Partnerships for Health http: //depts. washington. edu/ccph/commbas. html Israel BA, Eng E, Schulz A, Parker E, ed. Methods for Community. Based Participatory Research for Health. 2 nd ed. : John Wiley & Sons; 2013. Minkler M, Wallerstein, N, eds. Community-Based Participatory Research for Health: From Process to Outcomes. 2 nd ed. San Francisco, CA: John Wiley & Sons; 2008. Minkler, M, ed. Community Organizing and Community Building for Health and Welfare. 3 rd edition. US: Rutgers Press; 2012. Stoecker R. Research Methods for Community Change: A projectbased approach. Thousand Oaks, CA: Sage. 2005