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Biomed Res Int. 2018 Apr 24;2018:7281405. doi: 10.1155/2018/7281405. eCollection 2018.

Impact of Participatory Health Research: A Test of the Community-Based Participatory Research Conceptual Model.

Author information

1
University of Waikato, Hamilton 3240, New Zealand.
2
University of New Mexico, Albuquerque, NM 87131, USA.
3
University of Washington, Seattle, WA 98195, USA.
4
University of California San Francisco, San Francisco, CA 94115, USA.
5
NICOS Chinese Health Coalition, 1208 Mason St., San Francisco, CA 94108, USA.
6
California Institute of Integral Studies, 1453 Mission St., San Francisco, CA 94103, USA.
7
University of Michigan, Ann Arbor, MI 48109, USA.
8
University of Hawaii, Honolulu, HI 96822, USA.
9
Massachusetts General Hospital and Harvard University, Boston, MA 02114, USA.

Abstract

Objectives:

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.

Methods:

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.

Results:

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.

Conclusions:

The CBPR conceptual model is well suited to explain key relational and structural pathways for impact on health equity outcomes.

PMID:
29854784
PMCID:
PMC5941804
DOI:
10.1155/2018/7281405
[Indexed for MEDLINE]
Free PMC Article

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