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Community Based Participatory Research
Dr. Isabelita Samaniego

factors associated with acute respiratory tract infection


COMMUNITY BASED PARTICIPATORY REASEARCH
 Conducted by and for those most directly affected by the RESEARCH PROCESS
issue, condition, situation or intervention being studied  Relies on interviews, experience, knowledge of the
and evaluated community
 A collaborative approach to research that equitably  Understanding of the issues or interventions from the
involved all partners in the research process and community (rather than on academic skills or
recognizes the unique strengths that each brings understanding of statistics)

REASONS FOR USING CBPR UNDERSTANDING THE IDEOLOGICAL BACKGROUND AND


 Yields better and more nearly complete and accurate POLITICAL NATURE OF CBPR
information from the community  Community members and scientists must share an
 Involves the community in research makes a positive ideology about the importance of community participation
outcome that meets community needs in society and in problem solving
 Action research trains researchers who can turn their skills  CBPR is a political process and a political statement
to other problems  CBPR must deal with advocacy and policy
 Involvement changes people’s perceptions of themselves  Willingness of academic researchers to engage in
and of what they can do advocacy and policy enhances credibility in the community
and builds trust
OVERALL BENEFITS OF CBPR
 Enhances data quality and quantity, by establishing trust DOCUMENTATION, DISSEMINATION, AND
 Moves beyond categorical approaches COMMUNICATION OF CBPR RESULT
 Improves research definition and direction  Results published for the community must be
 Enhances translation and sustainability of findings disseminated in appropriate venues (local newspapers,
 Improves the community’s health, education, and newsletters, circulars) and in appropriate languages for
economics by sharing knowledge obtain from projects community members
 It provides feedback to community participants, and
Who should be involved in CBPR? acknowledges their time and efforts
 People most affected by the issue or intervention under  Dissemination and communication of CBPR results are
study important avenues for influencing policy
 Other members of the affected population
 Decision makers GAPS AND PROBLEMS
 Academe  with an interest in the issue or intervention in  Developing culturally appropriate health education
question materials and process is important for improving general
 Health, human service, and public agency staff and health in a community, but health education alone cannot
volunteers cure social injustice or health disparities
 Community members at large
INSTITUTIONALIZATION OF THIS RESEARCH PARADIGM
When should you employ CBPR?  Schools of public health and state and local public health
 You need an entry to the community or group from whom departments must be convinced that CBPR is beneficial to
the information is being gathered their meeting of their primary missions  educating
 You’re concerned with buy-in and support from the public health professionals and improving public
community health
 You want to have an effect on and empower the  Relationships built between a school or department and a
community researchers community during one project will provide the basis of
 You want to set the stage for long-term social change future projects and cooperation during emergencies

THE PROCESS BUILDING AND CONTINUING RELATIONSHIPS


 The formation and ongoing maintenance of community  Develop trust among and within community members and
relationships organizations (person-person)
 Developing a focus and defining research problems  Develop trust among organizations  community must
 Understanding the ideological background and political learn to trust the academic institution and vice versa
nature of CBPR  Involving the student  biggest foundation
 Documenting and communicating CBPR results. Problems
in the CBPR process and gaps in our understanding of the HOW TO INSTITUTE AND CARRY OUT CBPR?
CBPR process must also be addressed
 Recruit a community research team
 Orient and train the research team
COMMUNITY RELATIONSHIP  The team determines the questions for the research
 Understanding the community infrastructure  The team plans and structures the research
o Different groups in the community  As a team, carry out the plan
o Community leaders, and the resources and skills  The team prepares and presents a report and
available in the community recommendations on its work
o Delineates how other communities share social  Must take, or try to bring about, appropriate action
space with a specific community  Evaluate the process
o Community survey  community diagnosis   Must provide an opportunity for team members to reflect
current status of the community on and discuss their learning and the effects of the
experience of being involved in the process
DEVELOPING A RESEARCH FOCUS AND DEFINING  Maintain gains in the research by keeping team members
RESEARCH PROBLEMS involved
 The research focus/problem must reflect real issues of
community members (ex: factors associated with the AREAS OF CONCERN
occurrence of bronchial asthma in a certain barangay)  THE ENVIRONMENT
 Research questions initiated by community members are o Contamination by the dumping of toxic waste
automatically of interest to that community (ex: effect of  MEDICAL / HEALTH ISSUES
diesel fumes on the lungs; effect of smoking on the lungs;

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CBPR

o Collecting information about health practices,


taking an epidemic, or mapping the occurrence of
a particular condition
 POLITICAL AND ECONOMIC ISSUES
o To catch corrupt politicians or corporations, trace
campaign contributions

EVALUATION AS A STRATEGY FOR DOCUMENTING THE


STRENGTHS OF CBPR
 What are these effects of community-based partnerships?
 How do CBPR partnerships achieve these effects?
 What kind of evaluation is most helpful in enabling us to
assess these effects?

WHAT ARE THE EFFECTS OF CBPR?


 Greater usage of research findings by community groups
and individuals who are most at risk for compromised
environmental health
 Maintenance over long periods of time of ongoing
research and application collaboration
 Shifts in the ways in which departments of public health
engage in education and outreach with their local
communities
 Redirect the training of environmental health scientists so
that collaborative approaches to carrying out research are
more fully understood

SCENARIOS
 Academic or other researchers devise and construct a
study, and employ community people as data collectors
and/or analysts
 A problem or issue is identified by a researcher or other
entity (a human service organization, for instance), and
community people are recruited to engage in research on
it and develop a solution
 A community based organization or other group gathers
community people to define and work on a community
issue of their choosing, or to evaluate a community
intervention aimed at them or people similar to them
 A problem is identified by a community member or group,
others who are affected and concerned gather around to
help, and the resulting group sets out to research and
solve the problems on its own.

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