Power Dynamics in Community-Based Participatory Research: A Multiple-Case Study Analysis of Partnering Contexts, Histories, and Practices
Power Dynamics in Community-Based Participatory Research: A Multiple-Case Study Analysis of Partnering Contexts, Histories, and Practices
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DOI：
10.1177/1090198119852998
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发表时间：
2019-10-01
影响因子：
4.2
通讯作者：
Duran, Bonnie
中科院分区：
文献类型：
--
作者：
Wallerstein, Nina;Muhammad, Michael;Duran, Bonnie
以社区为基础的参与性研究长期致力于公平和正义原则，数十年的研究显示了社区成员分享权力和参与性参与对实现健康、社区能力、政策和社会正义成果的附加值。然而，缺乏的是明确阐述权力如何在伙伴关系做法中运作以及这些做法对成果的影响。美国国立卫生研究院资助的改善健康研究（2009-2013年）调查了200个伙伴关系，然后进行了7个深入的案例研究，以更好地了解哪些伙伴关系的做法可以最好地建立在社区组织历史的基础上，以解决不平等问题。各种各样的案例研究涉及多个族裔-种族和其他边缘化人口、健康问题以及城市和农村地区和区域。对定性结果的交叉分析侧重于压迫性和解放性权力形式如何在伙伴关系中运作，以应对社区内的压迫性条件或解放性宣传历史。权力的分析是在基于社区的参与性研究概念模型的四个领域中进行的，从环境如何塑造伙伴关系过程，以影响短期干预和研究产出，并有助于成果。伙伴关系如何利用和解决其独特的背景和历史的异同，与结构和关系的做法，有意解决权力关系。这些结果表明，社区成员如何从他们的韧性和优势，打击不公正和压迫的历史，利用伙伴关系的原则和做法，对多层次的成果，荣誉社区知识和领导，并寻求共享的权力，政策和社区转型的变化，从而促进健康公平。
Community-based participatory research has a long-term commitment to principles of equity and justice with decades of research showcasing the added value of power-sharing and participatory involvement of community members for achieving health, community capacity, policy, and social justice outcomes. Missing, however, has been a clear articulation of how power operates within partnership practices and the impact of these practices on outcomes. The National Institutes of Health-funded Research for Improved Health study (2009-2013), having surveyed 200 partnerships, then conducted seven in-depth case studies to better understand which partnership practices can best build from community histories of organizing to address inequities. The diverse case studies represented multiple ethnic-racial and other marginalized populations, health issues, and urban and rural areas and regions. Cross-cutting analyses of the qualitative results focus on how oppressive and emancipatory forms of power operate within partnerships in response to oppressive conditions or emancipatory histories of advocacy within communities. The analysis of power was conducted within each of the four domains of the community-based participatory research conceptual model, starting from how contexts shape partnering processes to impact short-term intervention and research outputs, and contribute to outcomes. Similarities and differences in how partnerships leveraged and addressed their unique contexts and histories are presented, with both structural and relational practices that intentionally addressed power relations. These results demonstrate how community members draw from their resilience and strengths to combat histories of injustice and oppression, using partnership principles and practices toward multilevel outcomes that honor community knowledge and leadership, and seek shared power, policy, and community transformation changes, thereby advancing health equity.