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You J, Ganann R, Wilson M, Carusone SC, MacNeil M, Whitmore C, Dafel A, Dhamanaskar R, Ling E, Dingman L, Falbo AT, Kirk M, Luyckx J, Petrie P, Weldon D, Boothe K, Abelson J. Public Engagement in Health Policy-Making for Older Adults: A Systematic Search and Scoping Review. Health Expect 2024; 27:e70008. [PMID: 39188109 PMCID: PMC11347750 DOI: 10.1111/hex.70008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 05/29/2024] [Accepted: 08/12/2024] [Indexed: 08/28/2024] Open
Abstract
INTRODUCTION As the world's population ages, there has been increasing attention to developing health policies to support older adults. Engaging older adults in policy-making is one way to ensure that policy decisions align with their needs and priorities. However, ageist stereotypes often underestimate older adults' ability to participate in such initiatives. This scoping review aims to describe the characteristics and impacts of public engagement initiatives designed to help inform health policy-making for older adults. METHODS A systematic search of peer-reviewed and grey literature (English only) describing public engagement initiatives in health policy-making for older adults was conducted using six electronic databases, Google and the Participedia website. No geographical, methodological or time restrictions were applied to the search. Eligibility criteria were purposefully broad to capture a wide array of relevant engagement initiatives. The outcomes of interest included participants, engagement methods and reported impacts. RESULTS This review included 38 papers. The majority of public engagement initiatives were funded or initiated by governments or government agencies as a formal activity to address policy issues, compared to initiatives without a clear link to a specific policy-making process (e.g., research projects). While most initiatives engaged older adults as target participants, there was limited reporting on efforts to achieve participant diversity. Consultation-type engagement activities were most prevalent, compared to deliberative and collaborative approaches. Impacts of public engagement were frequently reported without formal evaluations. Notably, a few articles reported negative impacts of such initiatives. CONCLUSION This review describes how public engagement practices have been conducted to help inform health policy-making for older adults and the documented impacts. The findings can assist policymakers, government staff, researchers and seniors' advocates in supporting the design and execution of public engagement initiatives in this policy sector. PATIENT OR PUBLIC CONTRIBUTION Older adult partners from the McMaster University Collaborative for Health and Aging provided strategic advice throughout the key phases of this review, including developing a review protocol, data charting and synthesis and interpreting and presenting the review findings. This collaborative partnership was an essential aspect of this review, enhancing its relevance and meaningfulness for older adults.
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Affiliation(s)
- Jeonghwa You
- Department of Health Research Methods, Evidence and Impact (HEI)McMaster UniversityHamiltonCanada
| | | | - Michael Wilson
- Department of Health Research Methods, Evidence and ImpactMcMaster UniversityHamiltonCanada
- McMaster Health ForumHamiltonCanada
| | - Soo Chan Carusone
- Department of Health Research Methods, Evidence and Impact (HEI)McMaster UniversityHamiltonCanada
- McMaster Collaborative for Health and AgingHamiltonCanada
| | | | | | - Andrea Dafel
- Department of Health Research Methods, Evidence and Impact (HEI)McMaster UniversityHamiltonCanada
| | - Roma Dhamanaskar
- Department of Health Research Methods, Evidence and Impact (HEI)McMaster UniversityHamiltonCanada
| | - Eugenia Ling
- School of NursingMcMaster UniversityHamiltonCanada
| | - Lance Dingman
- McMaster Collaborative for Health and AgingHamiltonCanada
| | - A. Tina Falbo
- McMaster Collaborative for Health and AgingHamiltonCanada
| | - Michael Kirk
- McMaster Collaborative for Health and AgingHamiltonCanada
| | - Joyce Luyckx
- McMaster Collaborative for Health and AgingHamiltonCanada
| | | | - Donna Weldon
- McMaster Collaborative for Health and AgingHamiltonCanada
| | - Katherine Boothe
- Department of Political ScienceMcMaster UniversityHamiltonCanada
- Centre for Health Economics and Policy Analysis (CHEPA)McMaster UniversityHamiltonCanada
| | - Julia Abelson
- Department of Health Research Methods, Evidence and Impact (HEI)McMaster UniversityHamiltonCanada
- Centre for Health Economics and Policy Analysis (CHEPA)McMaster UniversityHamiltonCanada
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Lee FN, Balcazar F, Hsieh K, Sposato Bonfiglio B, Parker Harris S, Feldner HA. Factors impacting community living outcomes among former long-term nursing home residents using the interdependence-Human Activity Assistive Technology (i-HAAT) model. Assist Technol 2024:1-10. [PMID: 38602498 DOI: 10.1080/10400435.2024.2322722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2024] [Indexed: 04/12/2024] Open
Abstract
Despite an increased application of social theory in assistive technology (AT) outcomes research, there continues to be a gap in integrating AT conceptual models in research design, data analysis, and results interpretation. This paper merged two preexisting AT models, the Human Activity Assistive Technology model (HAAT) and the interdependence frame for AT into a novel framework, the interdependence-HAAT model (i-HAAT). This model was used to examine the outcomes of former long-term nursing home residents using AT. The model was also used as a framework to facilitate quantitative variable identification and categorization, emphasize the interconnectivity between domain variables, and explore the infrastructural supports necessary for the successful community reintegration of deinstitutionalized AT users. Meaningful integration of theory into practice is the essential next step in generating socially responsive research that addresses AT consumer needs and moves the field forward.
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Affiliation(s)
- Fani N Lee
- Department of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA
| | - Fabricio Balcazar
- Department of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA
| | - Kelly Hsieh
- Department of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA
| | - Brenda Sposato Bonfiglio
- Department of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA
| | - Sarah Parker Harris
- Department of Disability and Human Development, University of Illinois Chicago, Chicago, Illinois, USA
| | - Heather A Feldner
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
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Halvorsrud K, Kucharska J, Adlington K, Rüdell K, Brown Hajdukova E, Nazroo J, Haarmans M, Rhodes J, Bhui K. Identifying evidence of effectiveness in the co-creation of research: a systematic review and meta-analysis of the international healthcare literature. J Public Health (Oxf) 2021; 43:197-208. [PMID: 31608396 PMCID: PMC8042368 DOI: 10.1093/pubmed/fdz126] [Citation(s) in RCA: 70] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 09/03/2019] [Accepted: 09/17/2019] [Indexed: 12/15/2022] Open
Abstract
Background To investigate and address the evidence gap on the effectiveness of co-creation/production in international health research. Methods An initial systematic search of previous reviews published by 22 July 2017 in Medline, Embase, PsycINFO, Scopus and Web of Science. We extracted reported aims, elements and outcomes of co-creation/production from 50 reviews; however, reviews rarely tested effectiveness against intended outcomes. We therefore checked the reference lists in 13 included systematic reviews that cited quantitative studies involving the public/patients in the design and/or implementation of research projects to conduct meta-analyses on their effectiveness using standardized mean difference (SMD). Results Twenty-six primary studies were included, showing moderate positive effects for community functions (SMD = 0.56, 95%CI = 0.29–0.84, n = 11) and small positive effects for physical health (SMD = 0.25, 95%CI = 0.07–0.42, n = 9), health-promoting behaviour (SMD = 0.14, 95%CI = 0.03–0.26, n = 11), self-efficacy (SMD = 0.34, 95%CI = 0.01–0.67, n = 3) and health service access/receipt (SMD = 0.36, 95%CI = 0.21–0.52, n = 12). Non-academic stakeholders that co-created more than one research stage showed significantly favourable mental health outcomes. However, co-creation was rarely extended to later stages (evaluation/dissemination), with few studies specifically with ethnic minority groups. Conclusions The co-creation of research may improve several health-related outcomes and public health more broadly, but research is lacking on its longer term effects.
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Affiliation(s)
- Kristoffer Halvorsrud
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Justyna Kucharska
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.,Westminster University, 115 New Cavendich Street, London, W1W 6UW, UK
| | - Katherine Adlington
- East London NHS Foundation Trust, City and Hackney Centre for Mental Health, Homerton Row, London, E9 6SR, UK
| | - Katja Rüdell
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - Eva Brown Hajdukova
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
| | - James Nazroo
- Sociology, School of Social Sciences, University of Manchester, Humanities, Bridgeford Street, Oxford Road, Manchester, M13 9PL, UK
| | - Maria Haarmans
- Sociology, School of Social Sciences, University of Manchester, Humanities, Bridgeford Street, Oxford Road, Manchester, M13 9PL, UK
| | - James Rhodes
- Sociology, School of Social Sciences, University of Manchester, Humanities, Bridgeford Street, Oxford Road, Manchester, M13 9PL, UK
| | - Kamaldeep Bhui
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK
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Jones KE, Ben-David S, Hole R. Are individuals with intellectual and developmental disabilities included in research? A review of the literature. ACTA ACUST UNITED AC 2019. [DOI: 10.1080/23297018.2019.1627571] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Katherine Elisabeth Jones
- Canadian Institute for Inclusion and Citizenship, School of Social Work, University of British Columbia, Kelowna, British Columbia, Canada
| | - Shelly Ben-David
- Canadian Institute for Inclusion and Citizenship, School of Social Work, University of British Columbia, Kelowna, British Columbia, Canada
| | - Rachelle Hole
- Canadian Institute for Inclusion and Citizenship, School of Social Work, University of British Columbia, Kelowna, British Columbia, Canada
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Haywood C, Martinez G, Pyatak EA, Carandang K. Engaging Patient Stakeholders in Planning, Implementing, and Disseminating Occupational Therapy Research. Am J Occup Ther 2019; 73:7301090010p1-7301090010p9. [DOI: 10.5014/ajot.2019.731001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Patients1 are experts on their own lives and the ways in which an illness, injury, or disability affects their health, activity, and quality of life. With its longstanding foundations in participatory action research, patient engagement has been gaining momentum across health care and related research. This momentum is supported by investments from several key research and federal policy–related organizations, including the Patient-Centered Outcomes Research Institute, National Institutes of Health, and Agency for Healthcare Research and Quality. Occupational therapy practitioners are uniquely positioned to champion patient collaborations. In this article, we discuss ways in which patient perspectives can be embraced in occupational therapy research, and we share insights from a research planning collaborative with adolescents and young adults that was led by occupational therapy researchers.
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Affiliation(s)
- Carol Haywood
- Carol Haywood, PhD, OTR/L, is Postdoctoral Fellow in Health Services and Outcomes Research, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. At the time of this work, she was a PhD Candidate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
| | - Gabriela Martinez
- Gabriela Martinez, BA, is Patient Research Partner, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
| | - Elizabeth A. Pyatak
- Elizabeth A. Pyatak, PhD, OTR/L, CDE, is Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
| | - Kristine Carandang
- Kristine Carandang, PhD, OTR/L, was PhD Candidate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, at the time of this work
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Friedman C, Feldner HA. Physical Therapy Services for People With Intellectual and Developmental Disabilities: The Role of Medicaid Home- and Community-Based Service Waivers. Phys Ther 2018; 98:844-854. [PMID: 30010974 DOI: 10.1093/ptj/pzy082] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Accepted: 04/08/2018] [Indexed: 11/14/2022]
Abstract
BACKGROUND Care and support for people with intellectual and developmental disabilities (IDD) in natural community contexts are increasing. Many people with IDD use physical therapy services to support their community participation. Medicaid Home- and Community-Based Services (HCBS) 1915(c) waivers are the largest providers of long-term services and supports for people with IDD. However, little is known about physical therapy provision under this program. OBJECTIVE The aim of this study was to compare the operational definitions of physical therapy service under the HCBS 1915(c) waiver system and to describe projected physical therapy service utilization, spending, and reimbursement for people with IDD across states. DESIGN This was a cross-sectional, descriptive study. METHODS This study analyzed fiscal year 2015 HCBS IDD waivers from across the nation (N = 111), focusing on physical therapy utilization (total projected spending, total participants, reimbursement rates, and average annual service provision per participant). Service definitions were also analyzed to determine trends across waivers. RESULTS Fifty-one waivers (45.9%) provided 61 different types of physical therapy services in fiscal year 2015. States utilized waivers to provide long-term remedial care rather than the acute short-term physical therapy. HCBS waiver physical therapy services were often provided in participants' homes and communities to expand physical therapy access and secure the benefits of providing physical therapy services in natural environments. Although most states have adopted similar definitions of physical therapy service, procedures and services vary. LIMITATIONS Medicaid HCBS waivers are state projections made to the federal government rather than actual utilization data. CONCLUSIONS Physical therapy service definitions, projected service utilization, spending, and reimbursement for people with IDD who use Medicaid HCBS waivers vary greatly between states. Physical therapy may be utilized less than expected given the reported benefits for people with IDD.
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Affiliation(s)
- Carli Friedman
- The Council on Quality and Leadership, Towson, MD 21204 (USA)
| | - Heather A Feldner
- Departments of Mechanical Engineering and Rehabilitation Medicine, University of Washington, Seattle, Washington
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Iezzoni LI, Chang Y, Matulewicz H, Heaphy D, Warsett KS, Donelan K. Health plan enrollees with disability informing primary care practices and providers about their quality of care: A randomized trial. Disabil Health J 2018; 11:537-544. [PMID: 30054227 DOI: 10.1016/j.dhjo.2018.05.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 05/14/2018] [Accepted: 05/31/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND In October 2013, Massachusetts initiated the One Care demonstration, which enrolls beneficiaries ages 21 to 64 dually-eligible for Medicare and Medicaid. Local disability advocates argued that persons with disability should assess their own One Care quality. OBJECTIVES To test the comparative effectiveness for improving patient-reported health care experiences of two informational interventions in a 12-month period: (1) "YESHealth: Your Experience, Speak up for better health care," in which disability advocates developed brief topical surveys and gathered information from One Care enrollees with significant physical disability or serious mental illness; and (2) the Persons with Disability Quality Survey (PDQ-S), developed collaboratively with persons with disability. METHODS This cluster randomized controlled trial randomly assigned 27 primary care practices with ≥50 One Care members to three study arms differing by information provided to practice directors and primary care providers (PCPs): (1) quarterly YESHealth reports plus results from baseline administration of PDQ-S to 720 enrollees before YESHealth implementation; (2) PDQ-S results only; and (3) no study information. We administered PDQ-S again one year later and used difference-in-differences analyses of results across the two years to assess intervention outcomes. RESULTS Disability advocates conducting YESHealth reported substantial difficulties contacting practices and engaging PCPs. With few exceptions, no differences were found across the three study arms in enrollee-reported outcomes. CONCLUSIONS Providing consumer-designed and generated quality information to PCPs had no measurable effect on enrollees' perceptions of One Care quality. Barriers to PCPs engaging with disability advocates could have contributed to YESHealth's failure to improve care.
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Affiliation(s)
- Lisa I Iezzoni
- Mongan Institute Health Policy Center, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114, United States; Department of Medicine, Harvard Medical School, United States.
| | - Yuchiao Chang
- Department of Medicine, Harvard Medical School, United States; Division of General Internal Medicine, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114, United States.
| | - Holly Matulewicz
- Mathematica Policy Research, 955 Massachusetts Ave, Room 801, Cambridge, MA 02139, United States.
| | - Dennis Heaphy
- Disability Policy Consortium, 11 Dartmouth Street, Room 301, Malden, MA 02148, United States.
| | - Kimberley S Warsett
- Disability Policy Consortium, 11 Dartmouth Street, Room 301, Malden, MA 02148, United States.
| | - Karen Donelan
- Mongan Institute Health Policy Center, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114, United States; Department of Medicine, Harvard Medical School, United States.
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Iezzoni LI, Heaphy D, Warsett KS, Marsella SA. Description of YESHealth: A consumer-directed intervention in a randomized trial of methods to improve quality of care for persons with disability. Disabil Health J 2018; 11:545-554. [PMID: 29983376 DOI: 10.1016/j.dhjo.2018.06.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 06/25/2018] [Accepted: 06/27/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Persons leading their own evaluations of care quality offers the promise of generating maximally meaningful information to ensure person-centered care. OBJECTIVES To describe an intervention where persons with disability engage other persons with disability, develop their own metrics to assess their care, and provide these care evaluations directly to primary care practitioners, with the goal of improving care. The context was a research study involving One Care, a Massachusetts demonstration program with capitated reimbursement for individuals ages 18-64 dually eligible for Medicare and Medicaid. METHODS Individuals with serious mental illness or significant physical disability designed and implemented "YESHealth: Your Experience, Speak up for better health care." To solicit and communicate with YESHealth members, they mailed postcards announcing YESHealth to potential participants, created a website, sponsored a Facebook group, and staffed telephones in English and Spanish. YESHealth also involved reaching out to numerous disability advocacy organizations, developing and conducting short quarterly surveys about quality concerns they identified, and reporting survey results to YESHealth members and their primary care practitioners. RESULTS Over 12 months, YESHealth staff visited 60 community organizations to recruit participants. Recruiting participants was challenging and ultimately required offering monetary compensation. Participants preferred telephone to online communication. Efforts to engage targeted primary care practitioners had very limited success. CONCLUSIONS Despite these challenges, YESHealth represents a unique model for consumers' voices to try to affect change in care delivery. A randomized trial has evaluated whether the YESHealth intervention affected care quality for One Care members with disability.
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Affiliation(s)
- Lisa I Iezzoni
- Mongan Institute Health Policy Center, Massachusetts General Hospital, United States; Department of Medicine, Harvard Medical School, Boston, MA, United States.
| | - Dennis Heaphy
- Disability Policy Consortium, Malden, MA, United States
| | | | - Sarah A Marsella
- Mongan Institute Health Policy Center, Massachusetts General Hospital, United States
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Devia C, Baker EA, Sanchez-Youngman S, Barnidge E, Golub M, Motton F, Muhammad M, Ruddock C, Vicuña B, Wallerstein N. Advancing system and policy changes for social and racial justice: comparing a Rural and Urban Community-Based Participatory Research Partnership in the U.S. Int J Equity Health 2017; 16:17. [PMID: 28219386 PMCID: PMC5319156 DOI: 10.1186/s12939-016-0509-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Accepted: 12/28/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The paper examines the role of community-based participatory research (CBPR) within the context of social justice literature and practice. METHODS Two CBPR case studies addressing health inequities related to Type 2 Diabetes and Cardiovascular disease were selected from a national cross-site study assessing effective academic-community research partnerships. One CBPR partnership works with African Americans in rural Pemiscot County, Missouri and the other CBPR partnership works with African American and Latinos in urban South Bronx, New York City. Data collection included semi-structured key informant interviews and focus groups. Analysis focused on partnerships' context/history and their use of multiple justice-oriented strategies to achieve systemic and policy changes in order to address social determinants of health in their communities. RESULTS Community context and history shaped each partnership's strategies to address social determinants. Four social justice approaches (identity/recognition, procedural, distributive, and structural justice) used by both partnerships were identified. These social justice approaches were employed to address underlying causes of inequitable distribution of resources and power structures, while remaining within a scientific research framework. CONCLUSION CBPR can bridge the role of science with civic engagement and political participation, empowering community members to become political agents who integrate evidence into their social justice organizing strategies.
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Affiliation(s)
- Carlos Devia
- Bronx Health REACH, Institute for Family Health, New York, USA
- School of Public Health and Health Policy, City University of New York, New York, USA
| | - Elizabeth A. Baker
- College for Public Health and Social Justice, Saint Louis University, St. Louis, USA
| | | | - Ellen Barnidge
- College for Public Health and Social Justice, Saint Louis University, St. Louis, USA
| | - Maxine Golub
- Bronx Health REACH, Institute for Family Health, New York, USA
| | - Freda Motton
- Men on the Move, Saint Louis University, College for Public Health and Social Justice, St. Louis, USA
| | | | | | - Belinda Vicuña
- Department of Political Science, University of New Mexico, Albuquerque, USA
| | - Nina Wallerstein
- Center for Participatory Research, University of New Mexico, Albuquerque, USA
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Meza R, Drahota A, Spurgeon E. Community-Academic Partnership Participation. Community Ment Health J 2016; 52:793-8. [PMID: 25976376 PMCID: PMC4653088 DOI: 10.1007/s10597-015-9890-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 05/07/2015] [Indexed: 10/23/2022]
Abstract
Community-academic partnerships (CAPs) improve the research process, outcomes, and yield benefits for the community and researchers. This exploratory study examined factors important in community stakeholders' decision to participate in CAPs. Autism spectrum disorder (ASD) community stakeholders, previously contacted to participate in a CAP (n = 18), completed the 15-item Decision to Participate Questionnaire (DPQ). The DPQ assessed reasons for participating or declining participation in the ASD CAP. CAP participants rated networking with other providers, fit of collaboration with agency philosophy, and opportunity for future training/consultations as factors more important in their decision to participate in the ASD CAP than nonparticipants. Nonparticipants reported the number of requests to participate in research as more important in their decision to decline participation than participants. Findings reveal important factors in community stakeholders' decision to participate in CAPs that may provide guidance on increasing community engagement in CAPs and help close the science-to-service gap.
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Affiliation(s)
- Rosemary Meza
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA.
| | - Amy Drahota
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA
| | - Emily Spurgeon
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA
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Mirza M, Luna R, Mathews B, Hasnain R, Hebert E, Niebauer A, Mishra UD. Barriers to healthcare access among refugees with disabilities and chronic health conditions resettled in the US Midwest. J Immigr Minor Health 2016; 16:733-42. [PMID: 24052476 DOI: 10.1007/s10903-013-9906-5] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Chronic conditions and related functional disabilities are highly prevalent among resettled refugees in the United States. There is a need to explore this population's access to appropriate healthcare services in order to identify service disparities and improve interventions. Using a community-based participatory research approach, semi-structured interviews were conducted with key informants to identify healthcare access barriers affecting disabled and chronically ill refugees. Eighteen participants were interviewed, revealing three main barriers: (1) inadequate health insurance, (2) language and communication barriers, and (3) a complex maze of service systems. These barriers were found to operate at systems, provider, and individual levels. Broad-based policy and practice interventions are required to address barriers including: an expanded pool of medical interpreters, peer navigators, innovative health information technologies, and greater collaboration and information-sharing between service systems. Further research is needed to monitor the impact the Affordable Care Act on service access of refugees with disabilities and chronic conditions.
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Affiliation(s)
- Mansha Mirza
- Department of Occupational Therapy, College of Applied Health Science, University of Illinois at Chicago, 1919 W. Taylor St, Chicago, IL, 60612, USA,
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Drahota A, Meza RD, Brikho B, Naaf M, Estabillo JA, Gomez ED, Vejnoska SF, Dufek S, Stahmer AC, Aarons GA. Community-Academic Partnerships: A Systematic Review of the State of the Literature and Recommendations for Future Research. Milbank Q 2016; 94:163-214. [PMID: 26994713 PMCID: PMC4941973 DOI: 10.1111/1468-0009.12184] [Citation(s) in RCA: 195] [Impact Index Per Article: 24.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
POLICY POINTS Communities, funding agencies, and institutions are increasingly involving community stakeholders as partners in research, to provide firsthand knowledge and insight. Based on our systematic review of major literature databases, we recommend using a single term, community-academic partnership (CAP), and a conceptual definition to unite multiple research disciplines and strengthen the field. Interpersonal and operational factors that facilitate or hinder the collaborative process have been consistently identified, including "trust among partners" and "respect among partners" (facilitating interpersonal factors) and "excessive time commitment" (hindering operational factor). Once CAP processes and characteristics are better understood, the effectiveness of collaborative partner involvement can be tested. CONTEXT Communities, funding agencies, and institutions are increasingly involving community stakeholders as partners in research. Community stakeholders can provide firsthand knowledge and insight, thereby increasing research relevance and feasibility. Despite the greater emphasis and use of community-academic partnerships (CAP) across multiple disciplines, definitions of partnerships and methodologies vary greatly, and no systematic reviews consolidating this literature have been published. The purpose of this article, then, is to facilitate the continued growth of this field by examining the characteristics of CAPs and the current state of the science, identifying the facilitating and hindering influences on the collaborative process, and developing a common term and conceptual definition for use across disciplines. METHODS Our systematic search of 6 major literature databases generated 1,332 unique articles, 50 of which met our criteria for inclusion and provided data on 54 unique CAPs. We then analyzed studies to describe CAP characteristics and to identify the terms and methods used, as well as the common influences on the CAP process and distal outcomes. FINDINGS CAP research spans disciplines, involves a variety of community stakeholders, and focuses on a large range of study topics. CAP research articles, however, rarely report characteristics such as membership numbers or duration. Most studies involved case studies using qualitative methods to collect data on the collaborative process. Although various terms were used to describe collaborative partnerships, few studies provided conceptual definitions. Twenty-three facilitating and hindering factors influencing the CAP collaboration process emerged from the literature. Outcomes from the CAPs most often included developing or refining tangible products. CONCLUSIONS Based on our systematic review, we recommend using a single term, community-academic partnership, as well as a conceptual definition to unite multiple research disciplines. In addition, CAP characteristics and methods should be reported more systematically to advance the field (eg, to develop CAP evaluation tools). We have identified the most common influences that facilitate and hinder CAPs, which in turn should guide their development and sustainment.
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Affiliation(s)
- Amy Drahota
- San Diego State University
- Child and Adolescent Services Research Center
| | - Rosemary D Meza
- Child and Adolescent Services Research Center
- University of Washington, Seattle
| | - Brigitte Brikho
- San Diego State University
- Child and Adolescent Services Research Center
| | | | | | - Emily D Gomez
- San Diego State University
- Child and Adolescent Services Research Center
| | - Sarah F Vejnoska
- Child and Adolescent Services Research Center
- University of California, San Diego
| | | | - Aubyn C Stahmer
- Child and Adolescent Services Research Center
- University of California, Davis, MIND Institute
| | - Gregory A Aarons
- Child and Adolescent Services Research Center
- University of California, San Diego
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13
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Hammel J, Magasi S, Mirza MP, Fischer H, Preissner K, Peterson E, Suarez-Balcazar Y. A Scholarship of Practice Revisited: Creating Community-Engaged Occupational Therapy Practitioners, Educators, and Scholars. Occup Ther Health Care 2015; 29:352-369. [PMID: 26270148 DOI: 10.3109/07380577.2015.1051690] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Trends in policy, practice, and research point to the need for a community-engaged Scholarship of Practice (SOP) model that can be used to inform the development of occupational therapy practitioners, educators, and researchers. This article describes a community-engaged SOP model, the evidence justifying the need for such a model, and strategies to effectively create community-engaged practitioners, educators and career scientists within occupational therapy. We highlight several examples of community-based participatory research to further inform this model, and in turn, translate this knowledge back to communities for action and systems change that can affect the lives of people with disabilities and the communities in which they seek to live and participate long term.
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Affiliation(s)
- Joy Hammel
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Susan Magasi
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Mansha Parven Mirza
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Heidi Fischer
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Katharine Preissner
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Elizabeth Peterson
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
| | - Yolanda Suarez-Balcazar
- a Department of Occupational Therapy, PhD Programs in Disability Studies & Rehabilitation Sciences , University of Illinois at Chicago , Chicago, IL, USA
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14
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Lee D, Hammel J, Wilson T. A community living management program for people with disabilities who have moved out of nursing homes: a pilot study. Disabil Rehabil 2015; 38:754-760. [DOI: 10.3109/09638288.2015.1060266] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Suarez-Balcazar Y, Hammel J. Scholarship of Practice: Scholars, Practitioners, and Communities Working Together to Promote Participation and Health. Introduction. Occup Ther Health Care 2015; 29:347-351. [PMID: 26458232 DOI: 10.3109/07380577.2015.1055529] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Yolanda Suarez-Balcazar
- a Department of Occupational Therapy, University of Illinois at Chicago , Chicago , IL , USA
| | - Joy Hammel
- a Department of Occupational Therapy, University of Illinois at Chicago , Chicago , IL , USA
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16
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Cacari-Stone L, Wallerstein N, Garcia AP, Minkler M. The promise of community-based participatory research for health equity: a conceptual model for bridging evidence with policy. Am J Public Health 2014; 104:1615-23. [PMID: 25033119 PMCID: PMC4151933 DOI: 10.2105/ajph.2014.301961] [Citation(s) in RCA: 165] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2014] [Indexed: 11/04/2022]
Abstract
Insufficient attention has been paid to how research can be leveraged to promote health policy or how locality-based research strategies, in particular community-based participatory research (CBPR), influences health policy to eliminate racial and ethnic health inequities. To address this gap, we highlighted the efforts of 2 CBPR partnerships in California to explore how these initiatives made substantial contributions to policymaking for health equity. We presented a new conceptual model and 2 case studies to illustrate the connections among CBPR contexts and processes, policymaking processes and strategies, and outcomes. We extended the critical role of civic engagement by those communities that were most burdened by health inequities by focusing on their political participation as research brokers in bridging evidence and policymaking.
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Affiliation(s)
- Lisa Cacari-Stone
- Lisa Cacari-Stone and Nina Wallerstein are with the Public Health Program, Department of Family and Community Medicine, RWJF Center for Health Policy, University of New Mexico, Albuquerque. Analilia P. Garcia is with the Santa Clara County Public Health Department, Assessment, Planning & Health Policy Division, San Jose, CA. Meredith Minkler is with the School of Public Health, University of California, Berkeley
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17
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Magasi S. Negotiating the social service systems: a vital yet frequently invisible occupation. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2014; 32:S25-33. [PMID: 24650786 DOI: 10.3928/15394492-20110906-03] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Accepted: 03/01/2011] [Indexed: 11/20/2022]
Abstract
Independent living and community participation are long-term rehabilitation goals. Disability scholars and activists have highlighted that access to social services is vital to the ability of people with disabilities to live and participate in the community as full and equal citizens. The field of occupational therapy has paid relatively little attention to how people with disabilities negotiate these systems. This article examines the vital but often invisible occupation of negotiating the social service systems using data from a 16-month ethnographic study of women with disabilities who were transitioning to independent living. Findings revealed that material, social, and attitudinal barriers in the service delivery systems restricted the women's access to resources and forced them to be highly resourceful to find, secure, and manage the social services they needed to maintain independent living. Theoretical and clinical implications for occupational therapy are discussed.
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18
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Walker A, Bezyak J, Gilbert E, Trice A. A Needs Assessment to Develop Community Partnerships. AMERICAN JOURNAL OF HEALTH EDUCATION 2011. [DOI: 10.1080/19325037.2011.10599197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Ashley Walker
- a Department of Health and Kinesiology , Georgia Southern University , Statesboro , GA , 30460
| | - Jill Bezyak
- b School of Human Sciences , University of Northern Colorado , Greeley , CO , 80639
| | - Elizabeth Gilbert
- c School of Human Sciences , University of Northern Colorado , Greeley , CO , 80639
| | - April Trice
- d School of Human Sciences , University of Northern Colorado , Greeley , CO , 80639
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Hassouneh D, Alcala-Moss A, McNeff E. Practical strategies for promoting full inclusion of individuals with disabilities in community-based participatory intervention research. Res Nurs Health 2011; 34:253-65. [PMID: 21472736 DOI: 10.1002/nur.20434] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2011] [Indexed: 11/09/2022]
Abstract
Community-based participatory research (CBPR) with disability communities is directed toward facilitating full inclusion of individuals with disabilities and disability community organizations in all aspects of the research process. Within the CBPR framework, academic-disability community partners may value and wish to use experimental designs to test interventions. Being aware of and proactively addressing barriers and challenges to inclusion in the areas of human resources, training, productivity, accommodation, and inadequate funding for disability community organizations are critical for success. Some of the strategies discussed in this article for addressing these challenges include creating redundant systems, providing benefits counseling and individualized payment options for employment, designing trainings to be disability friendly, and carefully considering selection of partners in light of available community resources.
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Affiliation(s)
- Dena Hassouneh
- Oregon Health & Science University, School of Nursing, Portland, OR 97239-2941, USA
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