Visioning with CBPR Model Developed over a long

Visioning with CBPR Model • Developed over a long process: 2006 – 2017 • Comprehensive and Dynamic • Key Question: – How can we together as partners improve equity processes and outcomes? • To assess research links and pathways between promising practices and outcomes • Validated by community partnerships and by two national surveys of 379 federally-funded partnerships • Developed in consultation with Think Tank Funding: NIMHD Pilot (2006 -2009) Research for Improved Health NARCH Funding: (2009 -2013) I. H. S. /NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHD Engage for Equity: Advancing Community Engaged Partnerships (2015 -2020) National Institute of Nursing Research

Visioning with the CBPR Conceptual Model Outcomes Intermediate • • • Policy Environment Sustained Partnership Empowerment Shared Power Relations in Research Cultural Reinforcement Individual/Agency Capacity Research Productivity Long-term Community Transformation Social Justice Health / Health Equity Outcomes Intermediate System & Capacity Outcomes • Policy Environment: University and Community Changes • Sustainable Partnerships and Projects • Empowerment – Multi-Level • Shared Power Relations in Research / Knowledge Democracy • Cultural Reinforcement / Revitalization • Growth in Individual Partner & Agencies Capacities • Research Productivity: Research Outcomes, Papers, Grant Applications & Awards Long-Term Outomes: Social Justice • Community / Social Transformation: Policies & Conditions • Improved Health / Health Equity

CBPR Conceptual Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Social & Structural Political & Policy Health Issue Importance Capacity & Readiness Collaboration Trust & Mistrust Contexts • Social-Structural: Social-Economic Status, Place, History, Environment, Community Safety, Institutional Racism, Culture • Role of Education and Research Institutions • Political & Policy: National / Local Governance / Stewardship / Approvals of Research; Policy & Funding Trends • Health Issue: Perceived Severity • Collaboration: Historic Trust/ Mistrust between Partners • Capacity: Community History of Organizing / Academic Capacity / Partnership Capacity

CBPR Conceptual Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Partnership Processes Contexts Social & Structural Individual Characteristics Political & Policy Relationships Partnership Structures Health Issue Importance Agency CBOs Funders Capacity & Readiness Academic Community Collaboration Trust & Mistrust Government Health Care Partnership Processes Partnership Structures: • Relationships: • • • Diversity: Who is involved Complexity Formal Agreements Control of Resources % Dollars to Community CBPR Principles Partnership Values Bridging Social Capital Time in Partnership Individual Characteristics: • • • Motivation to Participate Cultural Identities/Humility Personal Beliefs/Values Spirituality Reputation of P. I. • • • Safety / Respect / Trust Influence / Voice Flexibility Dialogue & Listening/ Mutual Learning Conflict Management Leadership Collective Reflection/ Reflexivity Resource Management Participatory Decision- making Task Roles Recognized Commitment to Culture. Centeredness

CBPR Conceptual Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Social & Structural Political & Policy Partnership Processes Individual Characteristics Relationships Partnership Structures Health Issue Importance Agency CBOs Intervention & Research Processes Outputs Integrate Community Knowledge Culture. Centered Interventions Empowering Processes Partnership Synergy Community Involved in Research Appropriate Research Design Funders Capacity & Readiness Collaboration Trust & Mistrust Community Government Academic Health Care Intervention & Research • Processes that honor community an dcultural knowledge and voice, fit local settings, and use both academic & community language lead to Culture-Centered Interventions • Empowering Co-Learning Processes lead to Partnership Synergy • Community Members Involved in Research Activities leads to Research/Evaluation Designs that Reflect Community Priorities • Bidirectional Translation, Implementation & Dissemination

CBPR Conceptual Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Social & Structural Political & Policy Partnership Processes Individual Characteristics Relationships Partnership Structures Health Issue Importance Agency CBOs Intervention & Research Processes Outputs Integrate Community Knowledge Cultural. Centered Interventions Empowering Processes Partnership Synergy Community Involved in Research Appropriate Research Design Funders Capacity & Readiness Collaboration Trust & Mistrust Community Government Academic Health Care Outcomes Intermediate • • • • • Policy Environment Sustained Partnership • • • Community Transformation Social Justice Health // Health Equity Sustained Partnership Empowerment Shared Power Relations in Research Cultural Reinforcement Individual/Agency Capacity Research Productivity Long-term Outcomes System & Capacity Outcomes • Policy Environment: University & Community Changes • Sustainable Partnerships and Projects • Empowerment – Multi-Level • Shared Power Relations in Research / Knowledge Democracy • Cultural Reinforcement/Revitalization • Growth in Individual Partner & Agencies Capacities • Research Productivity: Research Outcomes, Papers, Grant Applications & Awards Long-Term Outcomes: Social Justice • Community / Social Transformation: Policies and Conditions • Improved Health / Health Equity

Australia: Oral Health Partnership http: //child-health. mspgh. unimelb. edu. au/research_areas/oral_health/teeth_tales

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CBPR Institute, UNM, 2016 9

CBPR Conceptual Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Outcomes Partnership Outcomes: Shared Power Implementation Practice Outcomes at the District Level (School District Leaders/Administrators) Implementation Practice Outcomes at School Level (High School Leaders/Administrators) Curriculum Pedagogy and Products Teacher (capacity/empowerment /skills) Student Engagement/YPAR Model (Youth Participatory Action Research) Intermediate: Implementation • Teachers • Curriculum Pedagogy and Products • School Practices and Administrators • District Practices, Administrators, Policies • Policy and Community Environment • Sustained Partnership • Shared Power Relations in Research • Connection to National Networks Long-term • Social Justice • Education and Health Equity • Student Outcomes

Template for Re-Creating Your Own CBPR Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Social & Structural Partnership Processes Individual Characteristics Political & Policy Partnership Structures Education Issue Importance Capacity & Readiness Relationships Intervention & Research Processes Outcomes Intermediate Outputs Integrate Community Knowledge Empowering Processes Community Involved in Research Collaboration Trust & Mistrust Long-term Visual from amoshealth. org 2017 Contexts • Social-Structural Partnership Processes Partnership Structures: Relationships Intervention & Research Outcomes Intermediate System & Capacity Outcomes • Political & Policy • Health Issue • Collaboration • Capacity Individual Characteristics: Long-Term Outcomes: Social Justice and Health

Thanks to Partners See http: //cpr. unm. edu/research-projects/cbpr-project/index. html