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Brush BL, Lee SYD, Gabrysiak A, Jensen M, Wilson-Powers E, Coombe CM, Paul Chandanabhumma P, Valerio M, Israel BA, Lachance L. A CBPR-Enhanced Delphi Method: The Measurement Approaches to Partnership Success Case Study. Health Educ Behav 2024; 51:212-217. [PMID: 35189738 PMCID: PMC10040148 DOI: 10.1177/10901981221076400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
As part of a 5-year study to develop and validate an instrument for measuring success in long-standing community-based participatory research (CBPR) partnerships, we utilized the Delphi method with a panel of 16 community and academic CBPR experts to assess face and content validity of the instrument's broad concepts of success and measurement items. In addition to incorporating quantitative and qualitative feedback from two online surveys, we included a 2-day face-to-face meeting with the Expert Panel to invite open discussion and diversity of opinion in line with the CBPR principles framing and guiding the study. The face-to-face meeting allowed experts to review the survey data (with maintained anonymity), convey their perspectives, and offer interpretations that were untapped in the online surveys. Using a CBPR approach facilitated a synergistic process that moved above and beyond the consensus achieved in the initial Delphi rounds, to enhance the Delphi technique and the development of items in the instrument.
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Affiliation(s)
| | | | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Chris M. Coombe
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Melissa Valerio
- University of Texas Health Science Center School of Public Health, Houston, TX
| | | | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI
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Lachance L, Brush BL, Mentz G, Lee SYD, Chandanabhumma PP, Coombe CM, DeMajo R, Gabrysiak A, Jensen M, Reyes AG, Rowe Z, Schulz AJ, Wilson-Powers E, Israel BA. Validation of the Measurement Approaches to Partnership Success (MAPS) Questionnaire. Health Educ Behav 2024; 51:218-228. [PMID: 38083870 DOI: 10.1177/10901981231213352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
Conceptualizing and testing factors that contribute to the success of community-academic partnerships are critical to understanding their contributions to the health and well-being of communities. Most measures to date focus on factors that contribute to the development of new partnerships, and only a few have been adequately tested and validated. Methods. The Measurement Approaches to Partnership Success (MAPS) study followed a community-based participatory research (CBPR) approach and a multiphase process that included the construction and pilot testing of a questionnaire, and a national survey to validate the psychometric properties of the questionnaire in long-standing CBPR partnerships (existing ≥ six years). All members within partnerships were recruited to complete the survey (55 partnerships with 563 partners). We used confirmatory factor analysis (CFA), Cronbach's alpha statistics, and a pairwise correlations approach to assess discriminant and convergent validity, and assessed internal consistency, and test-retest reliability. Results. All MAPS Questionnaire dimensions demonstrated strong validity and reliability and demonstrated agreement over time. Conclusion. The MAPS Questionnaire includes seven dimensions and 81 items related to the MAPS conceptual model and provides a scientific, in-depth measurement tool that allows long-standing CBPR partnerships to evaluate their work toward achieving health equity.
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Affiliation(s)
- Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Graciela Mentz
- University of Michigan School of Public Health, Ann Arbor, MI, USA
- University of Michigan School of Medicine, Department of Anesthesia, Ann Arbor, MI USA
| | | | | | - Chris M Coombe
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Ricardo DeMajo
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Angela G Reyes
- Detroit Hispanic Development Corporation, Detroit, MI, USA
| | | | - Amy J Schulz
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Barbara A Israel
- University of Michigan School of Public Health, Ann Arbor, MI, USA
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Wilson-Powers E, Jensen M, Gabrysiak A, Brush BL, Coombe CM, Israel B, Lee SYD, Richmond A, Lachance L. Using a CBPR Approach to Guide Successful Recruitment for an Online Questionnaire: The Measurement Approaches to Partnership Success (MAPS) Case Study. Health Promot Pract 2023:15248399231211532. [PMID: 37981755 DOI: 10.1177/15248399231211532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
The Measurement Approaches to Partnership Success (MAPS) study team effectively used a community-based participatory research (CBPR) approach to recruit 55 long-standing CBPR partnerships to participate in an online questionnaire to assess factors associated with partnership success. Our recruitment was guided by interconnected values of collaboration, transparency, and relationship-building to maintain fidelity to CBPR principles throughout the process. We operationalized these values into a series of strategies to recruit partnerships and sustain their involvement, including establishing primary points of contact, offering incentives for completion, personalizing recruitment materials, and practicing flexibility in our approach. We aim to inform public health researchers on the strategies that enabled our team to achieve 100% of our study recruitment goal, with the intent that our recommendations can be applied by others to enhance their recruitment efforts and reach their data collection goals for future public health research.
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Affiliation(s)
| | - Megan Jensen
- University of Michigan, School of Public Health, Ann Arbor, USA
| | - Adena Gabrysiak
- University of Michigan, School of Public Health, Ann Arbor, USA
| | | | - Chris M Coombe
- University of Michigan, School of Public Health, Ann Arbor, USA
| | - Barbara Israel
- University of Michigan, School of Public Health, Ann Arbor, USA
| | | | - Al Richmond
- Community-Campus Partnerships for Health, Raleigh, NC, USA
| | - Laurie Lachance
- University of Michigan, School of Public Health, Ann Arbor, USA
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Coombe CM, Simbeni S, Neal A, Allen AJ, Gray C, Guzman JR, Lichtenstein RL, Marsh EE, Piechowski P, Reyes AG, Rowe Z, Weinert J, Israel BA. Erratum: Building the foundation for equitable and inclusive research: Seed grant programs to facilitate development of diverse CBPR community-academic research partnerships - CORRIGENDUM. J Clin Transl Sci 2023; 7:e216. [PMID: 37900354 PMCID: PMC10603386 DOI: 10.1017/cts.2023.636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2023] Open
Abstract
[This corrects the article DOI: 10.1017/cts.2022.495.].
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Brush BL, Israel B, Coombe CM, Lee SYD, Jensen M, Wilson-Powers E, Gabrysiak A, Chandanabhumma PP, Baker E, Jones M, Lachance L. The Measurement Approaches to Partnership Success (MAPS) Questionnaire and Facilitation Guide: A Validated Measure of CBPR Partnership Success. Health Promot Pract 2023:15248399231206088. [PMID: 37846092 DOI: 10.1177/15248399231206088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2023]
Abstract
Partnerships that effectively engage in certain key structural and process functions are more likely to meet their research goals and contribute to longer-term health equity outcomes. Ongoing evaluation of partnerships' level of achievement of these key functions, along with their fidelity to the guiding principles of community-based participatory research (CBPR), is therefore essential to understand how they can achieve desired partnership outcomes. This article describes the validated Measurement Approaches to Partnership Success (MAPS) Questionnaire and the use of an accompanying Facilitation Guide in helping members of CBPR partnerships evaluate their partnership's state of development and interpret findings to improve its structure, processes, and outcomes. We describe the conceptual framework guiding the development of the MAPS Questionnaire and its 81-item across seven key outcome dimensions, along with 28 items measuring precursor characteristics of CBPR partnership outcomes. The Facilitation Guide provides general guidelines for sharing, interpreting, and applying results within partnerships using a participatory process, definitions and items for each dimension, an example of presenting summary means, and dimension-specific reflective questions for discussion. We offer recommendations for practical uses of the MAPS Questionnaire and Facilitation Guide. Whether used as a comprehensive tool or by dimension, the MAPS Questionnaire is conceptually sound and empirically validated for evaluating how CBPR partnerships can achieve long-standing success. CBPR partnerships at any stage of development will find the MAPS Questionnaire and Facilitation Guide useful in measuring and interpreting indicators of partnership success, sharing results, and improving their ability to contribute to achieving health equity goals.
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Affiliation(s)
- Barbara L Brush
- University of Michigan School of Nursing, Ann Arbor, MI, USA
| | - Barbara Israel
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Chris M Coombe
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | | | - Marita Jones
- Healthy Native Communities Partnership, Inc., Shiprock, NM, USA
| | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI, USA
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Chandanabhumma PP, Gabrysiak A, Brush BL, Coombe CM, Eng E, Jensen M, Lachance L, Shepard P, Wallerstein NB, Israel BA. Cultivating an Ecosystem: A Qualitative Exploration of Sustainability in Long-Standing Community-Based Participatory Research Partnerships. Prog Community Health Partnersh 2023; 17:e5. [PMID: 37934431 PMCID: PMC10651163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
Background: While sustainability is crucial to the success of community-based participatory research (CBPR) partnerships, there is a lack of conceptual clarity on what defines sustainability and what characterizes sustainability-promoting practices in long-standing (in existence ≥ 6 years) CBPR partnerships. Objectives: The aim of this article is to explore the definition of sustainability, as well as practices that influence sustainability from the perspectives of academic and community experts in long-standing CBPR partnerships. Methods: This qualitative analysis is part of Measurement Approaches to Partnership Success (MAPS), a participatory mixed methods validity study that examined “success” and its contributing factors in long-standing CBPR partnerships. Thematic analysis of 21 semi-structured interviews was conducted, including 10 academic and 11 community experts of long-standing CBPR partnerships. Results: The key defining components of sustainability we identified include: distinguishing between sustaining the work of the partnership and ongoing relationships among partners; working towards a common goal over time; and enduring changes that impact the partnership. We further identified strengthening and capacity building practices at multiple levels of the partnership that served to promote the sustainability of the partnership’s work and of ongoing relationships among partners. Conclusions: Sustainability can be understood as supporting an ecosystem that surrounds the beneficial relationships between academic and community partners. Ongoing evaluation and application of practices that promote the sustainability of partnership activities and relationships may strengthen the long-term effectiveness of CBPR partnerships in advancing health equity.
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Affiliation(s)
| | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Chris M. Coombe
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Eugenia Eng
- University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
| | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Nina B. Wallerstein
- Center for Participatory Research, College of Population Health, University of New Mexico, Albuquerque, NM
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Chandanabhumma PP, Gabrysiak A, Brush BL, Coombe CM, Eng E, Jensen M, Lachance L, Shepard P, Wallerstein NB, Israel BA. Cultivating an ecosystem: A qualitative exploration of sustainability in long-standing community-based participatory research (CBPR) partnerships. Prog Community Health Partnersh 2023; 17:e5. [PMID: 38062914 PMCID: PMC10651163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Background While sustainability is crucial to the success of community-based participatory research (CBPR) partnerships, there is a lack of conceptual clarity on what defines sustainability and what characterizes sustainability-promoting practices in long-standing (in existence ≥ 6 years) CBPR partnerships. Objectives The aim of this article is to explore the definition of sustainability, as well as practices that influence sustainability from the perspectives of academic and community experts in long-standing CBPR partnerships. Methods This qualitative analysis is part of Measurement Approaches to Partnership Success (MAPS), a participatory mixed methods validity study that examined "success" and its contributing factors in long-standing CBPR partnerships. Thematic analysis of 21 semi-structured interviews was conducted, including 10 academic and 11 community experts of long-standing CBPR partnerships. Results The key defining components of sustainability we identified include: distinguishing between sustaining the work of the partnership and ongoing relationships among partners; working towards a common goal over time; and enduring changes that impact the partnership. We further identified strengthening and capacity building practices at multiple levels of the partnership that served to promote the sustainability of the partnership's work and of ongoing relationships among partners. Conclusions Sustainability can be understood as supporting an ecosystem that surrounds the beneficial relationships between academic and community partners. Ongoing evaluation and application of practices that promote the sustainability of partnership activities and relationships may strengthen the long-term effectiveness of CBPR partnerships in advancing health equity.
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Affiliation(s)
| | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Chris M. Coombe
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Eugenia Eng
- University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
| | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Nina B. Wallerstein
- Center for Participatory Research, College of Population Health, University of New Mexico, Albuquerque, NM
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Chandanabhumma PP, Gabrysiak A, Brush BL, Coombe CM, Eng E, Jensen M, Lachance L, Shepard P, Wallerstein NB, Israel BA. Cultivating an Ecosystem: A Qualitative Exploration of Sustainability in Long-Standing Community-Based Participatory Research Partnerships. Prog Community Health Partnersh 2023; 17:393-404. [PMID: 37934438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
BACKGROUND While sustainability is crucial to the success of community-based participatory research (CBPR) partnerships, there is a lack of conceptual clarity on what defines sustainability and what characterizes sustainability-promoting practices in long-standing (in existence 6 years or longer) CBPR partnerships. OBJECTIVES The aim of this article is to explore the definition of sustainability, as well as practices that influence sustainability from the perspectives of academic and community experts in long-standing CBPR partnerships. METHODS This qualitative analysis is part of Measurement Approaches to Partnership Success, a participatory mixed methods validity study that examined "success" and its contributing factors in long-standing CBPR partnerships. Thematic analysis of 21 semistructured interviews was conducted, including 10 academic and 11 community experts of long-standing CBPR partnerships. RESULTS The key defining components of sustainability we identified include: distinguishing between sustaining the work of the partnership and ongoing relationships among partners; working towards a common goal over time; and enduring changes that impact the partnership. We further identified strengthening and capacity building practices at multiple levels of the partnership that served to promote the sustainability of the partnership's work and of ongoing relationships among partners. CONCLUSIONS Sustainability can be understood as supporting an ecosystem that surrounds the beneficial relationships between academic and community partners. Ongoing evaluation and application of practices that promote the sustainability of partnership activities and relationships may strengthen the long-term effectiveness of CBPR partnerships in advancing health equity.
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Chandanabhumma PP, Gabrysiak A, Brush BL, Coombe CM, Eng E, Jensen M, Lachance L, Shepard P, Wallerstein NB, Israel BA. Cultivating an Ecosystem: A Qualitative Exploration of Sustainability in Long-Standing Community-Based Participatory Research Partnerships. Prog Community Health Partnersh 2023; 17:e5. [PMID: 38682363 PMCID: PMC10651163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2024]
Abstract
Background: While sustainability is crucial to the success of community-based participatory research (CBPR) partnerships, there is a lack of conceptual clarity on what defines sustainability and what characterizes sustainability-promoting practices in long-standing (in existence ≥ 6 years) CBPR partnerships. Objectives: The aim of this article is to explore the definition of sustainability, as well as practices that influence sustainability from the perspectives of academic and community experts in long-standing CBPR partnerships. Methods: This qualitative analysis is part of Measurement Approaches to Partnership Success (MAPS), a participatory mixed methods validity study that examined “success” and its contributing factors in long-standing CBPR partnerships. Thematic analysis of 21 semi-structured interviews was conducted, including 10 academic and 11 community experts of long-standing CBPR partnerships. Results: The key defining components of sustainability we identified include: distinguishing between sustaining the work of the partnership and ongoing relationships among partners; working towards a common goal over time; and enduring changes that impact the partnership. We further identified strengthening and capacity building practices at multiple levels of the partnership that served to promote the sustainability of the partnership’s work and of ongoing relationships among partners. Conclusions: Sustainability can be understood as supporting an ecosystem that surrounds the beneficial relationships between academic and community partners. Ongoing evaluation and application of practices that promote the sustainability of partnership activities and relationships may strengthen the long-term effectiveness of CBPR partnerships in advancing health equity.
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Affiliation(s)
| | - Adena Gabrysiak
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Chris M. Coombe
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Eugenia Eng
- University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC
| | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Nina B. Wallerstein
- Center for Participatory Research, College of Population Health, University of New Mexico, Albuquerque, NM
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Coombe CM, Simbeni S, Neal A, Allen AJ, Gray C, Guzman JR, Lichtenstein RL, Marsh EE, Piechowski P, Reyes AG, Rowe Z, Weinert J, Israel BA. Building the foundation for equitable and inclusive research: Seed grant programs to facilitate development of diverse CBPR community-academic research partnerships. J Clin Transl Sci 2022; 7:e2. [PMID: 36755548 PMCID: PMC9879886 DOI: 10.1017/cts.2022.495] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 10/20/2022] [Accepted: 10/29/2022] [Indexed: 11/25/2022] Open
Abstract
Introduction The effectiveness of community-based participatory research (CBPR) partnerships to address health inequities is well documented. CBPR integrates knowledge and perspectives of diverse communities throughout the research process, following principles that emphasize trust, power sharing, co-learning, and mutual benefits. However, institutions and funders seldom provide the time and resources needed for the critical stage of equitable partnership formation and development. Methods Since 2011, the Detroit Urban Research Center, collaborating with other entities, has promoted the development of new community-academic research partnerships through two grant programs that combine seed funding with capacity building support from community and academic instructors/mentors experienced in CBPR. Process and outcomes were evaluated using mixed methods. Results From 2011 to 2021, 50 partnerships received grants ranging from $2,500 to $30,000, totaling $605,000. Outcomes included equitable partnership infrastructure and processes, innovative pilot research, translation of findings to interventions and policy change, dissemination to multiple audiences, new proposals and projects, and sustained community-academic research partnerships. All partnerships continued beyond the program; over half secured additional funding. Conclusions Keys to success included participation as community-academic teams, dedicated time for partnership/relationship development, workshops to develop equity-based skills, relationships, and projects, expert community-academic instructor guidance, and connection to additional resources. Findings demonstrate that small amounts of seed funding for newly forming community-academic partnerships, paired with capacity building support, can provide essential time and resources needed to develop diverse, inclusive, equity-focused CBPR partnerships. Building such support into funding initiatives and through academic institutions can enhance impact and sustainability of translational research toward advancing health equity.
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Affiliation(s)
- Chris M. Coombe
- School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Sophia Simbeni
- School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Aaron Neal
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | | | - Carol Gray
- Michigan Social Health Interventions to Eliminate Disparities (MSHIELD), University of Michigan, Ann Arbor, MI, USA
| | | | | | - Erica E. Marsh
- Michigan Institute for Clinical & Health Research (MICHR), University of Michigan, Ann Arbor, MI, USA
| | - Patricia Piechowski
- Michigan Institute for Clinical & Health Research (MICHR), University of Michigan, Ann Arbor, MI, USA
| | | | | | - Julia Weinert
- Poverty Solutions, University of Michigan, Ann Arbor, MI, USA
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Lachance L, Coombe CM, Brush BL, Lee SYD, Jensen M, Taffe B, Bhardwaj P, Muhammad M, Wilson-Powers E, Rowe Z, Caldwell CH, Israel BA. Understanding the Benefit-Cost Relationship in Long-standing Community-based Participatory Research (CBPR) Partnerships: Findings from the Measurement Approaches to Partnership Success (MAPS) Study. J Appl Behav Sci 2022; 58:513-536. [PMID: 36016649 PMCID: PMC9398184 DOI: 10.1177/0021886320972193] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/03/2023]
Abstract
As part of the Measurement Approaches to Partnership Success (MAPS) study, we investigated the relationship between benefits and costs of participation in long-standing community-based participatory research (CBPR) partnerships using social exchange theory as a theoretical framework. Three major findings were identified: (1) the concept of benefits and costs operating as a ratio, where individual benefits must outweigh costs for participation, applies to early stages of CBPR partnership formation; (2) as CBPR partnerships develop, the benefits and costs of participation include each other's needs and the needs of the group as a whole; and (3) there is a shift in the relationship of benefits and costs over time in long-standing CBPR partnerships, in which partners no longer think in terms of costs but rather investments that contribute to mutual benefits.
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Affiliation(s)
- Laurie Lachance
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Chris M Coombe
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Barbara L Brush
- University of Michigan School of Nursing, Department of Systems, Populations and Leadership, 426 North Ingalls Building; Ann Arbor, MI 48109-2003, USA
| | - Shoou-Yih Daniel Lee
- University of Michigan School of Public Health, Department of Health Management & Policy, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Megan Jensen
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Brianna Taffe
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Prachi Bhardwaj
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Michael Muhammad
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Eliza Wilson-Powers
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
| | - Zachary Rowe
- Friends of Parkside, 5000 Conner Street; Detroit, MI 48213, USA
| | - Cleopatra H Caldwell
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029. USA
| | - Barbara A Israel
- University of Michigan School of Public Health, Department of Health Behavior & Health Education, 1415 Washington Heights; Ann Arbor, MI 48109-2029, USA
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Israel BA, Lachance L, Coombe CM, Lee SYD, Jensen M, Wilson-Powers E, Mentz G, Muhammad M, Rowe Z, Reyes AG, Brush BL. Measurement Approaches to Partnership Success: Theory and Methods for Measuring Success in Long-Standing Community-Based Participatory Research Partnerships. Prog Community Health Partnersh 2021; 14:129-140. [PMID: 32280130 DOI: 10.1353/cpr.2020.0015] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Numerous conceptual frameworks have been developed to understand how community-based participatory research (CBPR) partnerships function, and multiple measurement approaches have been designed to evaluate them. However, most measures are not validated, and have focused on new partnerships. To define and assess the meaning of success in long-standing CBPR partnerships, we are conducting a CBPR study, Measurement Approaches to Partnership Success (MAPS). In this article we describe the theoretical underpinnings and methodological approaches used. OBJECTIVES The objectives of this study are to 1) develop a questionnaire to evaluate success in long-standing CBPR partnerships, 2) test the psychometric qualities of the questionnaire, 3) assess the relationships between key variables and refine the questionnaire and theoretical model, and 4) develop mechanisms and a feedback tool to apply partnership evaluation findings. METHODS Methodological approaches have included: engaged a community-academic national Expert Panel; conducted key informant interviews with Expert Panel; conducted a scoping literature review; conducted a Delphi process with the Expert Panel; and revised the measurement instrument. Additional methods include: conduct cognitive interviews and pilot testing; revise and test final version of the questionnaire with long-standing CBPR partnerships; examine the reliability and validity; analyze the relationship among variables in the framework; revise the framework; and develop a feedback mechanism for sharing partnership evaluation results. CONCLUSIONS Through the application of a theoretical model and multiple methodological approaches, the MAPS study will result in a validated measurement instrument and will develop procedures for effectively feeding back evaluation findings in order to strengthen authentic partnerships to achieve health equity.
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Coombe CM, Chandanabhumma PP, Bhardwaj P, Brush BL, Greene-Moton E, Jensen M, Lachance L, Lee SD, Meisenheimer M, Minkler M, Muhammad M, Reyes AG, Rowe Z, Wilson-Powers E, Israel BA. A Participatory, Mixed Methods Approach to Define and Measure Partnership Synergy in Long-standing Equity-focused CBPR Partnerships. Am J Community Psychol 2020; 66:427-438. [PMID: 32744781 PMCID: PMC7772255 DOI: 10.1002/ajcp.12447] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Abstract
Understanding what contributes to success of community-based participatory research (CBPR) partnerships is essential to ensuring their effectiveness in addressing health disparities and health inequities. Synergy, the concept of accomplishing more together than separately, is central to partnership effectiveness. However, synergy specific to long-standing, equity-focused CBPR partnerships has not been closely examined. To address this, we defined and developed measures of partnership synergy as one dimension of a participatory mixed methods study, Measurement Approaches to Partnership Success (MAPS), to develop a validated instrument to measure success in long-standing CBPR partnerships. Framed by a conceptual model and scoping literature review, we conducted in-depth interviews with a national panel of academic and community experts in CBPR and equity to develop partnership synergy measures. Items were refined through an iterative process, including a three-stage Delphi process, comparison with existing measures, cognitive interviews, and pilot testing. Seven questionnaire items were developed to measure synergy arising from equitable partnerships bringing together diverse partners across power differences to promote equity. Defining and measuring synergy in the context of long-standing partnership success is central to understanding the role of synergy in collaborative approaches to research and action and can strengthen CBPR partnerships to promote healthy communities and advance health equity.
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Affiliation(s)
- Chris M. Coombe
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | - Prachi Bhardwaj
- University of Michigan School of Public Health, Ann Arbor, MI
| | | | | | - Megan Jensen
- University of Michigan School of Public Health, Ann Arbor, MI
| | - Laurie Lachance
- University of Michigan School of Public Health, Ann Arbor, MI
| | - S.Y. Daniel Lee
- University of Michigan School of Public Health, Ann Arbor, MI
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14
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Coombe CM, Schulz AJ, Brakefield-Caldwell W, Gray C, Guzman JR, Kieffer EC, Lewis T, Reyes AG, Rowe Z, Israel BA. Applying Experiential Action Learning Pedagogy to an Intensive Course to Enhance Capacity to Conduct Community-Based Participatory Research. ACTA ACUST UNITED AC 2019; 6:168-182. [PMID: 34350338 DOI: 10.1177/2373379919885975] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Community-based participatory research (CBPR) is widely recognized as an effective approach to understand and address health inequities. Opportunities for public health practitioners and researchers to engage jointly with community partners in intensive colearning processes can build capacity for CBPR. Using active learning approaches that engage diverse partners can enhance partnership development, competence, and equity. Examination of such pedagogical approaches can strengthen understanding of their contributions to the effectiveness of CBPR capacity-building programs. This article describes a weeklong intensive course carried out by the Detroit Urban Research Center as the foundation for a yearlong training program to build the capacity of community-academic partnership teams to engage in CBPR in their own communities. The in-person CBPR course was developed and implemented by expert academic and community instructors and used an experiential action learning model that integrated CBPR principles and processes. We describe the course content and application of our collaborative, experiential action learning model to course design; present results from participant evaluation of course effectiveness, CBPR competence, and equitable partnership development; and examine the contributions of the pedagogical approach to outcomes central to successful CBPR. The participatory, formative course evaluation used multiple methods that included closed- and open-ended questionnaires to assess instructional effectiveness, participant competence on 12 core components of CBPR, and course impact on partner relationships. Evaluation findings suggest that an experiential action learning approach with attention to colearning, collaboration among diverse instructors and participants, and an environment that fosters and models equitable and trusting relationships can be effective in building CBPR capacity.
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Affiliation(s)
| | | | | | - Carol Gray
- University of Michigan, Ann Arbor, MI, USA
| | - J Ricardo Guzman
- Community Health and Social Services Center, Inc., Detroit, MI, USA
| | | | - Toby Lewis
- University of Michigan, Ann Arbor, MI, USA
| | - Angela G Reyes
- Detroit Hispanic Development Corporation, Detroit, MI, USA
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15
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Ziegler TB, Coombe CM, Rowe ZE, Clark SJ, Gronlund CJ, Lee M, Palacios A, Larsen LS, Reames TG, Schott J, Williams GO, O'Neill MS. Shifting from "Community-Placed" to "Community-Based" Research to Advance Health Equity: A Case Study of the Heatwaves, Housing, and Health: Increasing Climate Resiliency in Detroit (HHH) Partnership. Int J Environ Res Public Health 2019; 16:E3310. [PMID: 31505766 PMCID: PMC6765799 DOI: 10.3390/ijerph16183310] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 08/29/2019] [Accepted: 09/04/2019] [Indexed: 11/28/2022]
Abstract
Extreme summertime heat is a significant public health threat that disproportionately impacts vulnerable urban populations. Research on health impacts of climate change (including increasing intensity, duration, and frequency of hot weather) is sometimes designed and implemented without the involvement of the communities being studied, i.e., "community-placed" not "community-based." We describe how the Heatwaves, Housing, and Health: Increasing Climate Resiliency in Detroit (HHH) partnership engaged relevant communities by integrating a community-based participatory research (CBPR) approach into an existing, academic-designed research project through a steering committee of community and academic partners. Using a case study approach, we analyze program documentation, partnership evaluation questionnaires, and HHH steering committee meeting notes. We describe the CBPR process by which we successfully collected research data in Detroit during summer 2016, engaged in collaborative analysis of data, and shared results with Detroit residents. Evaluations of the partnership over 2 years show community involvement in research; enhanced capacities; success in securing new grant funding; and ways that CBPR strengthened the validity, relevance, and translation of research. Engaging communities as equal partners using CBPR, even after a study is underway, can strengthen research to understand and address the impacts of extreme heat on health and equity in urban communities.
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Affiliation(s)
- Todd B Ziegler
- School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Chris M Coombe
- School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
| | | | - Sarah J Clark
- Southwest Detroit Environmental Vision, Detroit, MI 48209, USA.
| | - Carina J Gronlund
- Institute for Social Research, University of Michigan, Ann Arbor, MI 48109, USA.
| | | | - Angelina Palacios
- Southwest Detroit Environmental Vision, Detroit, MI 48209, USA.
- College of Literature, Science, and the Arts, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Larissa S Larsen
- Taubman College of Architecture and Planning, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Tony G Reames
- School for Environment & Sustainability, University of Michigan, Ann Arbor, MI 48109, USA.
| | | | - Guy O Williams
- Detroiters Working for Environmental Justice, Detroit, MI 48201, USA.
| | - Marie S O'Neill
- School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
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16
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Coombe CM, Schulz AJ, Guluma L, Allen AJ, Gray C, Brakefield-Caldwell W, Guzman JR, Lewis TC, Reyes AG, Rowe Z, Pappas LA, Israel BA. Enhancing Capacity of Community-Academic Partnerships to Achieve Health Equity: Results From the CBPR Partnership Academy. Health Promot Pract 2018; 21:552-563. [PMID: 30596283 DOI: 10.1177/1524839918818830] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Community-based participatory research (CBPR) is an equitable partnership approach that links academic researchers, community organizations, and public health practitioners to work together to understand and address health inequities. Although numerous educational materials on CBPR exist, few training programs develop the skills and knowledge needed to establish effective, equitable partnerships. Furthermore, there are few professional development opportunities for academic researchers, practitioners, and community members to obtain these competencies in an experiential co-learning process. In response, the Detroit Community-Academic Urban Research Center developed the CBPR Partnership Academy, an innovative, yearlong capacity-building program facilitated by experienced community and academic partners, involving an intensive short course, partnership development, grant proposal preparation and funding, mentoring, online learning forums, and networking. Three diverse cohorts (36 teams) from 18 states and 2 tribal nations have participated. We describe the rationale and components of the training program and present results from the first two cohorts. Evaluation results suggest enhanced competence and efficacy in conducting CBPR. Outcomes include partnerships established, grant proposals submitted and funded, workshops and research conducted, and findings disseminated. A community-academic partner-based, integrated, applied program can be effective for professional development and establishing innovative linkages between academics and practitioners aimed at achieving health equity.
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Affiliation(s)
| | | | | | | | - Carol Gray
- University of Michigan, Ann Arbor, MI, USA
| | | | | | | | - Angela G Reyes
- Detroit Hispanic Development Corporation, Detroit, MI, USA
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17
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Koman PD, Hogan KA, Sampson N, Mandell R, Coombe CM, Tetteh MM, Hill-Ashford YR, Wilkins D, Zlatnik MG, Loch-Caruso R, Schulz AJ, Woodruff TJ. Examining Joint Effects of Air Pollution Exposure and Social Determinants of Health in Defining "At-Risk" Populations Under the Clean Air Act: Susceptibility of Pregnant Women to Hypertensive Disorders of Pregnancy. World Med Health Policy 2018; 10:7-54. [PMID: 30197817 PMCID: PMC6126379 DOI: 10.1002/wmh3.257] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Pregnant women are uniquely susceptible to adverse effects of air pollution exposure due to vulnerabilities and health consequences during pregnancy (e.g., hypertensive disorders of pregnancy [HDP]) compared to the general population. Because the Clean Air Act (CAA) creates a duty to protect at-risk groups, the regulatory assessment of at-risk populations has both policy and scientific foundations. Previously, pregnant women have not been specially protected in establishing the margin of safety for the ozone and particulate matter (PM) standards. Due to physiological changes, pregnant women can be at greater risk of adverse effects of air pollution and should be considered an at-risk population. Women with preexisting conditions, women experiencing poverty, and groups that suffer systematic discrimination may be particularly susceptible to cardiac effects of air pollutants during pregnancy. We rigorously reviewed 11 studies of over 1.3 million pregnant women in the United States to characterize the relationship between ozone or PM exposure and HDP. Findings were generally mixed, with a few studies reporting a joint association between ozone or PM and social determinants or pre-existing chronic health conditions related to HDP. Adequate evidence associates exposure to PM with an adverse effect of HDP among pregnant women not evident among non-gravid populations.
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Affiliation(s)
- Patricia D Koman
- University of Michigan School of Public Health, Environmental Health Sciences Department in Ann Arbor, Michigan
| | - Kelly A Hogan
- University of Michigan School of Public Health, Environmental Health Sciences Department in Ann Arbor, Michigan, and presently a research fellow in the Department of Biochemistry and Molecular Biology and the Robert and Arlene Kogod Center on Aging at Mayo Clinic, Rochester, Minnesota
| | - Natalie Sampson
- University of Michigan-Dearborn, Department of Health & Human Services in Dearborn, Michigan
| | - Rebecca Mandell
- Arbor Research Collaborative for Health in Ann Arbor, Michigan
| | - Chris M Coombe
- University of Michigan School of Public Health, Department of Health Behavior & Health Education in Ann Arbor, Michigan
| | - Myra M Tetteh
- University of Michigan School of Public Health, Department of Health Behavior & Health Education in Ann Arbor, Michigan
| | | | | | - Marya G Zlatnik
- University of California San Francisco, Department of Obstetrics, Gynecology and Reproductive Sciences in San Francisco, California
| | - Rita Loch-Caruso
- University of Michigan School of Public Health, Environmental Health Sciences Department and director of the Michigan Center on Lifestage Environmental Exposures and Disease and director of the Environmental Toxicology and Epidemiology Program in Ann Arbor, Michigan
| | - Amy J Schulz
- Department of Health Behavior and Health Education, associate director for the Center for Research on Ethnicity, Culture and Health, and co-lead for the Community Engagement Core for the Michigan Center on Lifestage Environmental Exposures and Disease at the University of Michigan School of Public Health
| | - Tracey J Woodruff
- University of California, San Francisco in the Department of Obstetrics, Gynecology, and Reproductive Sciences and Philip R. Lee Institute for Health Policy Studies and the director of the Program on Reproductive Health and the Environment in San Francisco, California
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18
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Coombe CM. Strengthening Community Capacity in Detroit to Influence Policy Change for Health Equity. Michigan Journal of Community Service Learning 2017. [DOI: 10.3998/mjcsloa.3239521.0023.208] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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19
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Schulz AJ, Israel BA, Coombe CM, Gaines C, Reyes AG, Rowe Z, Sand S, Strong LL, Weir S. A community-based participatory planning process and multilevel intervention design: toward eliminating cardiovascular health inequities. Health Promot Pract 2011; 12:900-11. [PMID: 21873580 PMCID: PMC3212629 DOI: 10.1177/1524839909359156] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The elimination of persistent health inequities requires the engagement of multiple perspectives, resources, and skills. Community-based participatory research (CBPR) is one approach to developing action strategies that promote health equity by addressing contextual as well as individual-level factors, and that can contribute to addressing more fundamental factors linked to health inequity. Yet many questions remain about how to implement participatory processes that engage local insights and expertise, are informed by the existing public health knowledge base, and build support across multiple sectors to implement solutions. This article describes a CBPR approach used to conduct a community assessment and action planning process, culminating in development of a multilevel intervention to address inequalities in cardiovascular disease in Detroit, Michigan. The authors consider implications for future efforts to engage communities in developing strategies toward eliminating health inequities.
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Affiliation(s)
- Amy J. Schulz
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Rm. 2822, Ann Arbor, MI; 734-647-0221; FAX 734-763-7379;
| | - Barbara A. Israel
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Rm. 2822, Ann Arbor, MI; 734-647-0221; FAX 734-763-7379;
| | - Chris M. Coombe
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Rm. 2822, Ann Arbor, MI; 734-647-0221; FAX 734-763-7379;
| | | | | | | | - Sharon Sand
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Rm. 2822, Ann Arbor, MI; 734-647-0221; FAX 734-763-7379;
| | - Larkin L. Strong
- Department of Epidemiology, University of Texas M.D. Anderson Cancer Center, Houston, TX
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20
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Israel BA, Coombe CM, Cheezum RR, Schulz AJ, McGranaghan RJ, Lichtenstein R, Reyes AG, Clement J, Burris A. Community-based participatory research: a capacity-building approach for policy advocacy aimed at eliminating health disparities. Am J Public Health 2010; 100:2094-102. [PMID: 20864728 DOI: 10.2105/ajph.2009.170506] [Citation(s) in RCA: 408] [Impact Index Per Article: 29.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
There have been increasing calls for community-academic partnerships to enhance the capacity of partners to engage in policy advocacy aimed at eliminating health disparities. Community-based participatory research (CBPR) is a partnership approach that can facilitate capacity building and policy change through equitable engagement of diverse partners. Toward this end, the Detroit Community-Academic Urban Research Center, a long-standing CBPR partnership, has conducted a policy training project. We describe CBPR and its relevance to health disparities; the interface between CBPR, policy advocacy, and health disparities; the rationale for capacity building to foster policy advocacy; and the process and outcomes of our policy advocacy training. We discuss lessons learned and implications for CBPR and policy advocacy to eliminate health disparities.
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Affiliation(s)
- Barbara A Israel
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
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