Transcript Overview of Community-Based Participatory Research and

Community-Based Participatory Research
(CBPR)
A Non-Traditional Research Method
Today, I’d like to discuss…
 CBPR
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Rationale
Definition
Underlying principals
Challenges & Benefits
 Application to a study
 “Statewide Assessment of Sexuality Education in Florida’s
Public Schools”
How are academic researchers perceived?
Rational for conducting research differently…
Increasing research evidence that:
Poor health outcomes are associated with social &
physical environment stressors
Skills, strengths & resources exist within communities &
among members that can address stressors
Rational for conducting research differently…
Historically, communities involved in research
have:
Rarely directly benefited from research findings
At times, been harmed by research process &
dissemination of findings
Often been denied influence over the research process
Rational for conducting research differently…
This has resulted in:
Distrust of, & reluctance to participate in research
Interventions that are not as effective as possible
Calls for more comprehensive & participatory
approaches to research & practice
Community-Based Participatory Research (CBPR)
Research that takes a partnership approach
All partners:
Participate in each aspect of research process
Contribute their own expertise
Share responsibility & ownership
Goal:
Enhance understanding & capacity to address priority issues
Apply new understanding & capacity to develop & implement
interventions tailored to community context & needs
Israel, Schulz, Parker, & Becker, 1998
Community-Based
vs.
Community-Placed
Community
Participation
Can be health-enhancing in & of itself*
Basic tenet of empowerment
Improves quality of intervention design &
implementation
Requires professional/researcher to give up
some control
*Eng, et al.
Arnstein’s Ladder of Citizen Participation
8) Citizen Participation
7) Delegated Power
6) Partnership
Degrees of Citizen
Power
5) Placation
4) Consultation
Degrees of
Tokenism
3) Informing
2) Therapy
1) Manipulation
Nonparticipation
Arnstein, SR (1969) AIP Journal, 216-224
Principles of CBPR
Recognizes community as unit of identity
Begins with & builds on community’s strengths/resources
Facilitates collaborative, equitable partnership in all phases
of research
Promotes co-learning & capacity building among partners
Integrates & creates a balance between knowledge
generation & action for mutual benefit of all partners
Schulz, et al., 1998
Principles of CBPR
Emphasizes & addresses community priorities – at
multiple socio-ecological levels
Involves systems development through a cyclical &
iterative process
Involves a long-term process & commitment
Disseminates findings to & by all partners & community
Schulz, et al., 1998
Challenges of using a CBPR approach
Very time consuming - for all partners
Trust among partners is fragile
Who to include in partnership – to ensure representation?
Including partners in all ‘day-to-day’ decision making
Dissemination of findings in timely, useful way
Risk of ‘taking a stand’ for social change
Israel, et al., 1998; Lopez, 2005
Benefits of using a CBPR approach:
Contributions to communities & science
Enhances relevance & use of data
Enhances intervention design & implementation
Increases quality & validity of research/findings
Has potential to translate research findings to guide
development of further interventions & policy change
Israel, et al., 1998
Benefits of using a CBPR approach:
Contributions to communities & science
Provides resources for communities involved
Joins partners with diverse expertise
Increases trust & bridges cultural gaps among partners
Interventions, & knowledge gained directly benefit the
community
Israel, et al., 1998