Transcript Intercultural Communication and Teamwork in Healthcare

Community Based
Participatory Research
Gail Coover, PhD
[email protected]
608-265-8680
UWSMPH
Sent Monday…
Also, if you have specific questions/interests
regarding CBPR, please e-mail them to
Gail Coover <[email protected]> before
the workshop.
The Examining Community-Institutional
Partnerships for Prevention Research
Group, (2006).
Developing and Sustaining CommunityBased Participatory Research
Partnerships: A Skill Building Curriculum.
www.cbprcurriculum.info
Community-Based Participatory
Research
 What
is CBPR?
 Why is it useful?
 What is knowledge, attitudes, skills are
needed?
 Where are resources for support?
CBPR
 A paradigm,
strategy, or approach
CBPR
 Requires
a collaborative relationship with
the community:

Co-learning, Co-teaching, Co-service, Cooperation
In participatory action research:
 Community
members partner with
researchers to:
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Define research questions
Design and implement research
Interpret, disseminate, and apply results
Ideally,
 CBPR
results in a lasting and sustainable
change---social inequity is reduced.

Change occurs at collective/community level
Why use CBPR?
 Health
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
Disparities
Persistent
Complex
Linkages to social-ecological factors
“Diabetes Be-aWare”
Where does an intervention fit?
Intrapersonal
Interpersonal
Organizational
Community
Ideological
Why CBPR?
 Communities
participation
make it a condition of their
Dilemma: You’ve partnered with an
organization and have received funding to
develop an intervention (exercise
program) that will support healthy weight
loss. Your proposal describes an RCT of
the intervention. The organization refuses
to continue unless all members have equal
access to the program.
Knowledge, Attitudes, and Skills

Institutional Resources:

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Wisconsin Partnership Program (partnership):
http://www.wphf.med.wisc.edu
Morgridge Center for Public Service (learning):
http://www.morgridge.wisc.edu
ICTR-CAP (research):
http://www.uwictr.wisc.edu/node/102division
Center for the Study of Cultural Diversity in
Healthcare (support): http://cdh.med.wisc.edu/
Courses (training)
• 436-875 Special topics seminar in CBPR this fall
• Certificate in Type II Translational Research Fall 2009
Knowledge, Attitudes, Skills
 Web
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Resources:
Community-Campus Partnerships for Health
(CCPH): http://www.ccph.info
MapCruzin (Environmental Health):
http://www.mapcruzin.com/
U.S. Department of Health and Human
Services Agency for Healthcare Research and
Quality: http://www.ahrq.gov
Knowledge, Attitudes, Skills

Community perspectives1
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1
Dissatisfaction with the focus of research
Power imbalances
Lack of trust
Communication difficulties
Sullivan et al., (2001). Researcher and Researched-Community
Perspectives: Toward Bridging the Gap. Health Education & Behavior,
28, 130-149.
Knowledge, Attitudes, Skills
 Successful

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Collaborations
Early involvement of communities
Power sharing
Mutual respect
Community benefit
Cultural sensitivity
Relationship Dynamics
Relationship Dynamics

Difference necessarily means bias will be
present2,3


2
Cognitive
Emotional
Pettigrew & Tropp, (2006). A Meta-Analytic Test of Intergroup Contact
Theory. JPSP, 90, 751-783.
3 Staggs, S. (2008). Intergroup Relations in Participatory Research.
University of Illinois, Chicago.
Necessary Conditions to
Reduce/Eliminate Bias

Shared Goal
Social Ecological Perspective
Intrapersonal
Interpersonal
Organizational
Community
Ideological
Some questions to ask
 How
do I know my community partners
and I share the same goal?
 How do I know we mean the same thing
when we talk about our goals?
 What are the different ways that my
community partners can express their
goals to me?
Strategies to Reduce Bias

Endorsement of the
collaboration
Some questions to ask
 Is
my research partnership with the
community supported and endorsed by my
funder? My department? My program?
 Is my community partner’s relationship
with me endorsed by its board of
directors? By other boards or agencies
that the organization is networked with?
By key public activists in the community?
Strategies to Reduce Bias

Cooperative work on
a shared task.
Questions to ask
 Whose
work is affected, assumed, or
changed by this project?
 What tasks can be shared and
accomplished cooperatively (side by
side)?
Strategies to Reduce Bias

Create equity between all parties
Questions to ask
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What resources do I bring to the table?
What resources do my partners bring to the table?
What is are the hierarchical relationships between my
community partners?
What are the hierarchies between me and my partners?
How are these hierarchies addressed, reinforced, or
accommodated?
Who talks to whom about what parts of the project? Who
defines roles? Who reports to whom?
Thank you!