Transcript Slide 1

Evaluation/Reflection Focus Group Guide Slides:
Community Based Participatory Research
Conceptual Model
April, 2012
CBPR Conceptual Logic Model: Source
Adapted from: Wallerstein , Oetzel, Duran, Tafoya, Belone, Rae, “What Predicts Outcomes in CBPR,” in CBPR for Health From Process to
Outcomes, Minkler & Wallerstein (eds). San Francisco, Jossey-Bass, 2008); and Wallerstein & Duran, CBPR contributions to intervention
research: The intersection of science and practice to improve health equity, Am. J. Public Health; S1, 2010: 100, S40-S46.
1
Slide 1: Complete CBPR Conceptual Model
Contexts
Socio-Economic, Cultural,
Geography & Environment
National & Local
Policies/Trends/Governance
Historic Collaboration:
Trust & Mistrust
Group Dynamics
Equitable Partnerships
University Capacity
& Readiness
Fits with Community
Explanatory Models
Community
Members
Structural
Dynamics
Community Capacity
& Readiness
Relational
Dynamics
Individual
Dynamics
Intervention/
Research Design
CBO’s
Appropriate Research
Design
Attends to
Translation/Implementation
University
Outcomes
System & Capacity
Changes:
Policies/Practices
Sustained Interventions
Changes in Power Relations
Cultural Renewal
Improved Health
& Disparities:
Social Justice
Health Issue Importance
2
Slide 2: CBPR Minimal Research Model
Contexts
Group Dynamics
Equitable Partnerships
Intervention/
Research Design
Outcomes
Structural
Dynamics
Relational
Dynamics
Individual
Dynamics
3
Slide 3: Contexts
Contexts
Socio-Economic, Cultural,
Geography & Environment
National & Local
Policies/Trends/Governance
Historic Collaboration:
Trust & Mistrust
Community Capacity
& Readiness
University Capacity
& Readiness
Health Issue Importance
4
Slide 4: Group Dynamics
Group Dynamics
Equitable Partnerships
Community
Members
Structural
Dynamics
Relational
Dynamics
CBO’s
Individual
Dynamics
University
5
Slide 5: Intervention/Research
Intervention/
Research Design
Fits with Community
Explanatory Models
Appropriate Research
Design
Attends to
Translation/Implementation
6
Slide 6: Outcomes
Outcomes
System & Capacity
Changes:
Policies/Practices
Sustained Interventions
Changes in Power Relations
Cultural Renewal
Improved Health
& Disparities:
Social Justice
7
Contexts
Socio-Economic, Cultural,
Geography & Environment
National & Local
Policies/Trends/Governance
CBPR Conceptual Logic Model
Adapted from: Wallerstein , Oetzel, Duran, Tafoya, Belone, Rae, “What Predicts Outcomes in CBPR,” in CBPR for Health From Process
to Outcomes, Minkler & Wallerstein (eds). San Francisco, Jossey-Bass, 2008); and Wallerstein & Duran, CBPR contributions to
intervention research: The intersection of science and practice to improve health equity, Am. J. Public Health; S1, 2010: 100, S40-S46.
Group Dynamics &
Equitable Partnerships
Intervention
& Research
Outcomes
System & Capacity Changes
Historic Collaboration:
Trust & Mistrust
Community Capacity
& Readiness
University Capacity
& Readiness
Community
Structural
Dynamics
Individual
Dynamics
Agencies
Fits Local /Cultural Beliefs,
Norms & Practices
Reflects Reciprocal Learning
Relational
Dynamics
CBO’s
Appropriate
Research Design
University
Policies/Practices
Sustained Interventions
Changes in Power
Relations
Cultural Renewal
Improved Health
Disparities
Social Justice
Health Issue Importance
Contexts
•Social-economic, cultural,
geographic, political-historical,
environmental factors
•Policies/Trends: National/local
governance & political climate
•Historic degree of collaboration &
trust between university &
community
•Community: capacity, readiness &
experience
•University: capacity, readiness &
reputation
•Perceived severity of health issues
Group Dynamics
Relational Dynamics:
Structural Dynamics:
• Diversity
• Safety
• Complexity
• Dialogue, listening & mutual
• Formal Agreements
learning
• Real power/resource sharing
• Leadership & stewardship
• Alignment with CBPR principles • Influence & power dynamics
• Length of time in partnership
• Flexibility
• Self & collective reflection
Individual Dynamics:
• Participatory decision• Core values
making & negotiation
• Motivations for participating
• Integration of local beliefs to
• Personal relationships
group process
• Cultural identities/humility
• Bridge people on research team • Task roles & communication
• Individual beliefs, spirituality & meaning
• Community reputation of PI
Intervention
•Intervention adapted or
created within local culture
•Intervention informed by
local settings &
organizations
•Shared learning between
academic & community
knowledge
•Research & evaluation
design reflects partnership
input
•Bidirectional translation,
implementation &
dissemination
Outcomes
CBPR System & Capacity Changes:
• Changes in policies /practices
-In universities & communities
• Culturally-based & sustainable
interventions
• Changes in power relations
• Empowerment:
-Community voices heard
-Capacities of advisory councils
-Critical thinking
• Cultural revitalization & renewal
Health Outcomes:
8
• Transformed social /econ conditions
• Reduced health disparities