Personal Outcomes in Community-based Participatory Research Partnerships: A Cross-site Mixed Methods Study.

Personal Outcomes in Community-based Participatory Research Partnerships: A Cross-site Mixed Methods Study.
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DOI:
10.1002/ajcp.12446
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发表时间:
2020-12
影响因子:
3.1
通讯作者:
Wallerstein N
Wallerstein N
中科院分区:
心理学2区
文献类型:
--
作者:
Rodríguez Espinosa P;Sussman A;Pearson CR;Oetzel JG;Wallerstein N

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以社区为基础的参与性研究(CBPR)已被不同人群接受,以解决其社区内的健康不平等问题。CBPR已被证明能产生良好的健康结果,但人们对直接参与CBPR伙伴关系所产生的个人结果(例如,个人成长和能力)知之甚少。我们对CBPR伙伴关系的流程和实践与个人成果进行了实证检验。我们假设,更高水平的协作方法和对CBPR原则和实践的遵守将与个人成果相关。基于一项名为《改善健康的研究》的全国性跨站点CBPR研究,我们使用了来自全面社区参与调查(N=450)的混合方法数据和7个深入的案例研究来探索假设的关系。我们的多变量混合效应模型揭示了各种合作实践的重要性。关系动态成为关键预测因素,包括以下因素:伙伴关系中的尊重、伙伴间决策中的发言权和影响力,以及管理。定性调查结果突出了伙伴关系内外的个人、伙伴关系和社区层面的影响。我们的发现对CBPR最佳实践有影响,并突出了个人成果对伙伴关系的可持续性、长期成果和健康公平研究的潜在作用。
Community-based participatory research (CBPR) has been embraced by diverse populations to address health inequities within their communities. CBPR has been shown to produce favorable health outcomes, but little is known about personal outcomes (e.g., individual growth and capacities) resulting from the direct involvement in a CBPR partnership. We empirically examine which CBPR partnerships’ processes and practices are associated with personal outcomes. We hypothesize that higher levels of collaborative approaches and adherence to CBPR principles and practices would be associated with personal outcomes. Based on a national, cross-site CBPR study, Research for Improved Health, we utilized mixed method data from a comprehensive community-engagement survey (N=450) and seven in-depth case studies to explore the hypothesized relationships. Our multivariate mixed effects model revealed the importance of various partnering practices. Relationship dynamics emerged as key predictors including the following: respect in the partnership, voice and influence in decision-making among partners, and stewardship. Qualitative findings highlighted individual, partnership and community level impacts, within and beyond the partnership. Our findings have implications for CBPR best practices and highlight the potential role of personal outcomes for partnerships’ sustainability, long-term outcomes, and health equity research.
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