visioning with cbpr model · visioning with cbpr model •developed over a long process: 2006...
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Visioning with CBPR Model• Developed over a long process: 2006 –present• Comprehensive and Dynamic• Key Question:
– How can we together as partners improve equity processes and outcomes?
• To assess research links and pathways between promising practices and outcomes
• Validated by community partnerships and by two national surveys of 379 federally-funded partnerships
• Developed in consultation with Think TankFunding:
NIMHD Pilot (2006-2009) Research for Improved Health NARCH Funding: (2009-2013)
I.H.S./NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHDEngage for Equity: Advancing Community Engaged Partnerships (2015-2020)
National Institute of Nursing Research
Core Domains of CBPR Model
ContextPartnershi
pInterventio
n/Researc
h
Outcome
s
Outcomes
Long-term
Intermediate
• Policy Environment
• Sustained Partnership
• Empowerment
• Shared Power Relations
in Research
• Cultural Reinforcement
• Individual/Agency
Capacity
• Research Productivity
• Community
Transformation
• Social Justice
• Health / Health Equity
Outcomes
Intermediate System & Capacity Outcomes
• Policy Environment: University and
Community Changes
• Sustainable Partnerships and Projects
• Empowerment – Multi-Level
• Shared Power Relations in Research /
Knowledge Democracy
• Cultural Reinforcement / Revitalization
• Growth in Individual Partner & Agencies
Capacities
• Research Productivity: Research
Outcomes, Papers, Grant Applications &
Awards
Long-Term Outomes: Social Justice
• Community / Social Transformation:
Policies & Conditions
• Improved Health / Health Equity
Visioning with the CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Start with Outcomes: What are the results you want to achieve?
Choose your time period: In the next year? five years? ten years?
CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
• Social-Structural: Social-Economic
Status, Place, History, Environment,
Community Safety, Institutional
Racism, Culture
• Role of Education and Research
Institutions
• Political & Policy: National / Local
Governance / Stewardship /
Approvals of Research; Policy &
Funding Trends
• Health Issue: Perceived Severity
• Collaboration: Historic Trust/
Mistrust between Partners
• Capacity: Community History of
Organizing / Academic Capacity /
Partnership Capacity
Contexts
Contexts
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Political
&
Policy
Social
&
Structural
Health
Issue
Importance
CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Contexts
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Political
&
Policy
Social
&
Structural
Health
Issue
Importance
Partnership
Structures
RelationshipsIndividual
Characteristics
Health Care
Agency
Government
Community
CBOs
Funders
Partnership Processes
Academic
Partnership Structures:• Diversity: Who is involved
• Complexity
• Formal Agreements
• Control of Resources
• % Dollars to Community
• CBPR Principles
• Partnership Values
• Bridging Social Capital
• Time in Partnership
Partnership Processes• Relationships:• Safety / Respect / Trust
• Influence / Voice
• Flexibility
• Dialogue & Listening/ Mutual
Learning
• Conflict Management
• Leadership
• Collective Reflection/
Reflexivity
• Resource Management
• Participatory Decision- making
• Task Roles Recognized
Commitment to Collective
Empowerment
Individual
Characteristics:• Motivation to Participate
• Cultural Identities/Humility
• Personal Beliefs/Values
• Spirituality
• Reputation of P.I.
CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html
Intervention & Research
• Processes that honor community
and cultural knowledge and voice, fit
local settings, and use both
academic & community language
lead to Culture-Centered
Interventions
• Empowering Co-Learning Processes
lead to Partnership Synergy
• Community Members Involved in
Research Activities leads to
Research/Evaluation Designs that
Reflect Community Priorities
• Bidirectional Translation,
Implementation & Dissemination
Contexts
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Political
&
Policy
Social
&
Structural
Health
Issue
Importance
Partnership
Structures
RelationshipsIndividual
Characteristics
Health Care
Agency
Government
Community
CBOs
Funders
Partnership Processes
Academic
Intervention
& Research
Integrate
Community
Knowledge
Culture-
Centered
Interventions
Empowering
ProcessesPartnership
Synergy
Appropriate
Research
Design
Community
Involved in
Research
Processes Outputs
CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html
Outcomes
Outcomes
Long-term
Intermediate
• Policy Environment
• Sustained Partnership
• Empowerment
• Shared Power Relations
in Research
• Cultural Reinforcement
• Individual/Agency
Capacity
• Research Productivity
• Community
Transformation
• Social Justice
• Health / Health Equity
Outcomes
Long-term
Intermediate
• Policy Environment
• Sustained Partnership
• Empowerment
• Shared Power Relations
in Research
• Cultural Reinforcement
• Individual/Agency
Capacity
• Research Productivity
• Community
Transformation
• Social Justice
• Health / Health Equity
Outcomes
Long-term
Intermediate
• Policy Environment
• Sustained Partnership
• Empowerment
• Shared Power Relations
in Research
• Cultural Reinforcement
• Individual/Agency
Capacity
• Research Productivity
• Community
Transformation
• Social Justice
• Health / Health Equity
Contexts
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Political
&
Policy
Social
&
Structural
Health
Issue
Importance
Partnership
Structures
RelationshipsIndividual
Characteristics
Health Care
Agency
Government
Community
CBOs
Funders
Partnership Processes
Academic
Intervention
& Research
Integrate
Community
Knowledge
Cultural-
Centered
Interventions
Empowering
ProcessesPartnership
Synergy
Appropriate
Research
Design
Community
Involved in
Research
Processes Outputs
System & Capacity Outcomes
• Policy Environment: University &
Community Changes
• Sustainable Partnerships and Projects
• Empowerment – Multi-Level
• Shared Power Relations in Research /
Knowledge Democracy
• Cultural Reinforcement/Revitalization
• Growth in Individual Partner &
Agencies Capacities
• Research Productivity: Research
Outcomes, Papers, Grant Applications
& Awards
Long-Term Outcomes: Social Justice
• Community / Social Transformation:
Policies and Conditions
• Improved Health / Health Equity
Australia: Oral Health Partnership
http://child-health.mspgh.unimelb.edu.au/research_areas/oral_health/teeth_tales
5/21/2018 B. Duran 10CBPR Institute, UNM, 2016
11CBPR Institute, UNM, 2016
Cartagena, 2017
Summer Course, University of Sao Paulo, 2018
CBPR Conceptual ModelFocus on Multi-Level Outcomes: Implementation Study of Ethnic Studies Curriculum
Partnership between Albuquerque Public Schools and University of New Mexico, 2017
Outcomes
Long-term
Intermediate: Implementation
• Teachers
•Curriculum Pedagogy and Products
•School Practices and Administrators
•District Practices, Administrators,
Policies
•Policy and Community Environment
•Sustained Partnership
•Shared Power Relations in Research
•Connection to National Networks
•Social Justice
•Education and Health Equity
•Student Outcomes
Partnership Outcomes: Shared Power
Implementation Practice Outcomes at the District Level
(School District Leaders/Administrators)
Implementation Practice Outcomes at School Level
(High School Leaders/Administrators)
Curriculum Pedagogy and Products
Teacher (capacity/empowermen
t/skills)
Student Engagement/YPAR
Model (Youth Participatory Action
Research)
Partnership Structures:• Social-Structural
• Political & Policy
• Health Issue
• Collaboration
• Capacity
Partnership ProcessesContexts OutcomesIntervention &
ResearchRelationships
Individual Characteristics:
Intermediate System & Capacity Outcomes
Long-Term Outcomes: Social Justice and Health
Visual from Amos Health 2017
Partnership
Structures
RelationshipsIndividual
Characteristics
Intervention
& Research Outcomes
Long-term
Intermediate
Contexts
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Political
&
Policy
Social
&
Structural
Education
Issue
Importance
Integrate
Community
Knowledge
Empowering
Processes
Community
Involved in
Research
Partnership Processes
Processes Outputs
Template for Re-Creating Your Own CBPR ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html
Thanks to Partners
See http://cpr.unm.edu/research-projects/cbpr-project/index.html