ommunity based participatory research (cbpr) model

Community Based Participatory Research (CBPR) Model:Nina Wallerstein, DrPHProfessor, Public Health

Director, Center for Participatory ResearchCollege of Population Health

University of New Mexico

CBPR Conceptual Model• Developed over a long process: 2006 – 2016• Key Question:

• What is the added value of partnering for improved health outcomes and health equity?

• Useful for assessing the links and pathways between promising practices and outcomes

• Validated by community partnerships and by national survey of 200 federally-funded partnerships (450 partners)

• Developed in consultation with Think TankFunding:

NIMHD Pilot (2006-2009)

Research for Improved Health NARCH Funding: (2009-2013)I.H.S./NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHD

Engage for Equity: Advancing Community Engaged Partnerships (2015-20200National Institute of Nursing Research

Visual from amoshealth.org 2016

CBPR Conceptual Model

Partnership

Structures

RelationshipsIndividual

Characteristics

Health Care

Agency

Government

Intervention

& Research Outcomes

Long-term

Intermediate

• Policy Environment

• Sustained Partnership

• Empowerment

• Shared Power Relations

in Research

• Cultural Reinforcement

• Individual Partner /

Agency Capacities

Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010

Community

CBOs

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

• Community

Transformation

• Social Justice

• Health / Health Equity

Health

Issue

Importance

Funders

Integrate

Cultural

Knowledge

Cultural-

Centered

Interventions

Co-LearningPartnership

Synergy

Appropriate

Research

Design

Community

Involved in

Research

Academic

Partnership Processes

Processes Outputs

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Health

Issue

Importance

Context

Social-Economic Status,

Place, History,

Environment, Community

Safety, Institutional

Racism, Culture, Role of

Education and Research

Institutions

National/ Local

Governance/Approvals

of Research; Policy &

Funding Trends

Community/Academic,

Partnership Capacity

Perceived Severity by

Partners

Historic Trust /

Mistrust between

Partners


Partnership

Structures


Characteristics

Health Care

Agency

Government

Community

CBO

s

Funders Academic

•Motivation to

Participate

•Cultural Identities /

Humility

•Personal Beliefs

/Values

•Spirituality

•Reputation of P.I.

How we interact

•Safety: Respect for

Community

Voice/Trust

•Flexibility

•Dialogue, Listening &

Mutual Learning

•Conflict Management

•Leadership/Influence

•Power

Shared/Stewardship

•Self & Collective

Reflection

•Participatory Decision-

making

•Resource

Management

•Task Roles/Group

Communication•Formal Agreements

•Partnership Values

•Bridging Social

Capital

•Time in Partnership

•Diversity: Who is involved

•Complexity

•Shared Resources

•% Dollars to Community

•Aligned CBPR Principles

Intervention & Research

Integrate

Cultural

Knowledge

Cultural-

Centered

Interventions


Synergy

Appropriate

Research

Design

Community

Involved in

Research

Processes Outputs

Co-Learning Processes lead to

Partnership Synergy & Trust

Cultural Processes that honor cultural

knowledge, local settings and

organizations; and use both academic &

community language lead to culturally-

centered Interventions

Community Members Involved in Research

Activities leads to Research/Evaluation

Design that Reflects Community Priorities

Bidirectional Translation,

Implementation & Dissemination

Outcomes

Long-term

Intermediate

•Policy Environment

•Sustained Partnership

•Empowerment

•Shared Power Relations in

Research

•Cultural Reinforcement

•Individual Partner / Agency

Capacities

•Community Transformation

•Social Justice

•Health / Health Equity

Policies / Programs / Conditions

Both in Universities & Communities

Sustained Partnership and Interventions

Multi-Level

Knowledge Democracy, Productivity

Measures, i.e. Papers, Grant Applications &

Awards with Partners

Revitalization

Growth

Partnership Structures:

• Diversity: Who is involved

• Complexity

• Formal Agreements

• Shared Resources

• % Dollars to Community

• Aligned CBPR Principles

• Partnership Values

• Bridging Social Capital

• Time in Partnership

• Social-Structural: Social-Economic

Status, Place, History,

Environment, Community Safety,

Institutional Racism, Culture, Role

of Education and Research

Institutions

• Political Policy: National/ Local

Governance/Approvals of

Research; Policy & Funding

Trends

• Health Issue: Perceived Severity

by Partners

• Collaboration: Historic

Trust/Mistrust between Partners

• Capacity: Community/ Academic,


Partnership DynamicsContexts OutcomesIntervention &

ResearchRelationships: How we interact

• Safety: Respect for

Community Voice/Trust

• Flexibility

• Dialogue, Listening & Mutual

Learning

• Conflict Management

• Leadership/Influence

• Power Shared/Stewardship

• Self & Collective Reflection

• Participatory Decision-

making

• Resource Management

• Task Roles/Group

Communication

Individual Characteristics:

• Motivation to Participate

• Cultural Identities/Humility

• Personal Beliefs/Values

• Spirituality

• Reputation of P.I.

• Cultural Processes that honor

cultural knowledge, local settings

and organizations; and use both

academic & community language

lead to culturally-centered

Interventions

• Co-Learning Processes lead to


• Community Members Involved in

Research Activities leads to

Research/Evaluation Design that

Reflects Community Priorities

• Bidirectional Translation,


Intermediate System & Capacity Outcomes

• Policy Environment Changes: both in Universities

& Communities

• Sustainable Partnerships and Interventions

• Empowerment – Multi-Level

• Equalized Power Relations in Research

• Productivity Measures, i.e. Papers, Grant

Applications & Awards with Partners

• Cultural Reinforcement/Revitalization

• Growth in Individuals & Agencies Capacities

• Knowledge Democracy

Long-Term Outcomes: Social Justice

• Community Transformation: Policies / Programs /

Conditions

• Improved Health / Health Equity



Partnership

Structures


Characteristics

Health Care

Agency

Government

Intervention

& Research Outcomes

Long-term

Intermediate



• Empowerment


in Research



Agency Capacities


Community

CBOs

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

• Community

Transformation

• Social Justice


Health

Issue

Importance

Funders

Integrate

Cultural

Knowledge

Cultural-

Centered

Interventions


Synergy

Appropriate

Research

Design

Community

Involved in

Research

Academic


Processes Outputs





• \





Partnership

Structures


Characteristics

Health Care

Agency

Government

Intervention

& Research Outcomes

Long-term

Intermediate



• Empowerment


in Research



Agency Capacities


Community

CBOs

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

• Community

Transformation

• Social Justice


Health

Issue

Importance

Funders

Integrate

Cultural

Knowledge

Cultural-

Centered

Interventions


Synergy

Appropriate

Research

Design

Community

Involved in

Research

Academic


Processes Outputs


• Diversity: Who is involved

• Complexity

• Formal Agreements

• Shared Resources

• % Dollars to Community

• Aligned CBPR Principles

• Partnership Values

• Bridging Social Capital

• Time in Partnership

• Social-Structural: Social-Economic

Status, Place, History,

Environment, Community Safety,

Institutional Racism, Culture, Role

of Education and Research

Institutions

• Political Policy: National/ Local

Governance/Approvals of

Research; Policy & Funding

Trends

• Health Issue: Perceived Severity

by Partners

• Collaboration: Historic

Trust/Mistrust between Partners

• Capacity: Community/ Academic,




• Safety: Respect for

Community Voice/Trust

• Flexibility

• Dialogue, Listening & Mutual

Learning

• Conflict Management

• Leadership/Influence

• Power Shared/Stewardship

• Self & Collective Reflection

• Participatory Decision-

making

• Resource Management

• Task Roles/Group

Communication


• Motivation to Participate

• Cultural Identities/Humility

• Personal Beliefs/Values

• Spirituality

• Reputation of P.I.

• Cultural Processes that honor

cultural knowledge, local settings

and organizations; and use both

academic & community language

lead to culturally-centered

Interventions

• Co-Learning Processes lead to


• Community Members Involved in

Research Activities leads to

Research/Evaluation Design that

Reflects Community Priorities

• Bidirectional Translation,



• Policy Environment Changes: both in Universities

& Communities

• Sustainable Partnerships and Interventions

• Empowerment – Multi-Level

• Equalized Power Relations in Research

• Productivity Measures, i.e. Papers, Grant

Applications & Awards

• Cultural Reinforcement/Revitalization

• Growth in Individuals & Agencies Capacities

• Knowledge Democracy


• Community Transformation: Policies / Programs /

Conditions

• Improved Health / Health Equity



Partnership

Structures


Characteristics

Health Care

Agency

Government

Intervention

& Research Outcomes

Long-term

Intermediate



• Empowerment

• Equal Power Relations

in Research



Agency Capacities


Community

CBOs

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

• Community

Transformation

• Social Justice


Health

Issue

Importance

Funders

Integrate

Cultural

Knowledge

Cultural-

Centered

Interventions


Synergy

Appropriate

Research

Design

Community

Involved in

Research

Academic


Processes Outputs

ommunity based participatory research (cbpr) model

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