Parker Edith A, Israel Barbara A, Williams Melina, Brakefield-Caldwell Wilma, Lewis Toby C, Robins Thomas, Ramirez Erminia, Rowe Zachary, Keeler Gerald
Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109-2029, USA.
J Gen Intern Med. 2003 Jul;18(7):558-67. doi: 10.1046/j.1525-1497.2003.20322.x.
Community Action Against Asthma (CAAA) is a community-based participatory research (CBPR) project that assesses the effects of outdoor and indoor air quality on exacerbation of asthma in children, and tests household- and neighborhood-level interventions to reduce exposure to environmental asthma triggers. Representatives of community-based organizations, academia, an integrated health system, and the local health department work in partnership on CAAA's Steering Committee (SC) to design and implement the project.
To conduct a process evaluation of the CAAA community-academic partnership.
In-depth interviews containing open-ended questions were conducted with SC members. Analysis included established methods for qualitative data, including focused coding and constant comparison methods.
Community setting in Detroit, Michigan.
Twenty-three members of the CAAA SC.
Common themes identified by SC members relating to the partnership's ability to achieve project goals and the successes and challenges facing the partnership itself.
Identified partnership accomplishments included: successful implementation of a complex project, identification of children with previously undiagnosed asthma, and diverse participation and community influence in SC decisions. Challenges included ensuring all partners' influence in decision-making, the need to adjust to "a different way of doing things" in CBPR, constraints and costs of doing CBPR felt by all partners, ongoing need for communication and maintaining trust, and balancing the needs of science and the community through intervention.
CBPR can enhance and facilitate basic research, but care must be given to trust issues, governance issues, organizational culture, and costs of participation for all organizations involved.
社区抗哮喘行动（CAAA）是一个基于社区的参与性研究（CBPR）项目，旨在评估室外和室内空气质量对儿童哮喘加重的影响，并测试家庭和社区层面的干预措施以减少接触环境性哮喘诱发因素。社区组织、学术界、综合医疗系统和当地卫生部门的代表在CAAA指导委员会（SC）中合作，共同设计和实施该项目。
对CAAA社区-学术伙伴关系进行过程评估。
对指导委员会成员进行了包含开放式问题的深入访谈。分析采用了定性数据的既定方法，包括聚焦编码和持续比较法。
密歇根州底特律的社区环境。
CAAA指导委员会的23名成员。
指导委员会成员确定的与伙伴关系实现项目目标的能力以及伙伴关系本身面临的成功与挑战相关的共同主题。
确定的伙伴关系成就包括：成功实施一个复杂项目、识别出先前未被诊断出哮喘的儿童，以及在指导委员会决策中有多样化的参与和社区影响力。挑战包括确保所有伙伴在决策中的影响力、需要适应社区参与性研究中“不同的做事方式”、所有伙伴感受到的社区参与性研究的限制和成本、持续的沟通和维持信任的需求，以及通过干预平衡科学和社区的需求。
社区参与性研究可以加强和促进基础研究，但必须关注信任问题、治理问题、组织文化以及所有参与组织的参与成本。
