Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model.
Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model.
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DOI：
10.1155/2018/7281405
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发表时间：
2018
影响因子：
--
通讯作者：
Alegria M
中科院分区：
文献类型：
--
作者：
Oetzel JG;Wallerstein N;Duran B;Sanchez-Youngman S;Nguyen T;Woo K;Wang J;Schulz A;Keawe'aimoku Kaholokula J;Israel B;Alegria M
评估社区参与性研究影响的一个关键挑战是确定哪些机制和途径对卫生公平结果至关重要。我们的目的是对CBPR概念模型进行实证检验，以应对这一挑战。完成了三个阶段的定量调查：(1)确定了294个美国联邦资助的美国CBPR项目；(2) 200名主要研究人员完成了一份关于项目层面细节的调查问卷；(3) 450名社区或学术合作伙伴和主要研究者完成了关于感知情境、过程和结果变量的问卷调查。进行了七个深入的定性案例研究，以探索调查中未捕获的模型元素；一个是由于篇幅限制而提出的。我们使用潜在结构方程模型证明了对概念模型所说明的多种机制的支持。我们发现了重要的途径，表明情境与伙伴关系结构和动态呈正相关。伙伴关系结构和动态与伙伴关系协同作用和社区参与研究显示出类似的关联；这两者都与中期社区变化和远端健康结果呈正相关。案例研究补充和扩展了对伙伴关系如何改善社区条件的机制的理解。CBPR概念模型非常适合解释影响卫生公平结果的关键关系和结构途径。
A key challenge in evaluating the impact of community-based participatory research (CBPR) is identifying what mechanisms and pathways are critical for health equity outcomes. Our purpose is to provide an empirical test of the CBPR conceptual model to address this challenge. A three-stage quantitative survey was completed: (1) 294 US CBPR projects with US federal funding were identified; (2) 200 principal investigators completed a questionnaire about project-level details; and (3) 450 community or academic partners and principal investigators completed a questionnaire about perceived contextual, process, and outcome variables. Seven in-depth qualitative case studies were conducted to explore elements of the model not captured in the survey; one is presented due to space limitations. We demonstrated support for multiple mechanisms illustrated by the conceptual model using a latent structural equation model. Significant pathways were identified, showing the positive association of context with partnership structures and dynamics. Partnership structures and dynamics showed similar associations with partnership synergy and community involvement in research; both of these had positive associations with intermediate community changes and distal health outcomes. The case study complemented and extended understandings of the mechanisms of how partnerships can improve community conditions. The CBPR conceptual model is well suited to explain key relational and structural pathways for impact on health equity outcomes.
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影响因子：
4.5
作者：
O'Mara-Eves A;Brunton G;Oliver S;Kavanagh J;Jamal F;Thomas J
通讯作者：
Thomas J
影响因子：
1.5
作者：
Ka'opua, Lana Sue I.;Park, Soon H.;Braun, Kathryn L.
通讯作者：
Braun, Kathryn L.
影响因子：
3.2
作者：
Belone L;Lucero JE;Duran B;Tafoya G;Baker EA;Chan D;Chang C;Greene-Moton E;Kelley MA;Wallerstein N
通讯作者：
Wallerstein N
DOI：
10.4278/ajhp.130731-quan-398
发表时间：
2015-05
期刊：
American journal of health promotion : AJHP
影响因子：
--
作者：
Oetzel JG;Zhou C;Duran B;Pearson C;Magarati M;Lucero J;Wallerstein N;Villegas M
通讯作者：
Villegas M
DOI：
10.1097/acm.0b013e3182441680
发表时间：
2012-03
期刊：
Academic medicine : journal of the Association of American Medical Colleges
影响因子：
--
作者：
Michener L;Cook J;Ahmed SM;Yonas MA;Coyne-Beasley T;Aguilar-Gaxiola S
通讯作者：
Aguilar-Gaxiola S