Department of Family Medicine, Carolinas HealthCare System, 2001 Vail Avenue, Charlotte, NC 28207 USA.
Implement Sci. 2011 Apr 11;6:38. doi: 10.1186/1748-5908-6-38.
The Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care providers. The aims of this project are: to use key principles of community-based participatory research (CBPR) within a practice-based research network (PBRN) to identify a single disease or condition that negatively affects the Charlotte Hispanic community; to develop a community-based intervention that positively impacts the chosen condition and improves overall community health; and to disseminate findings to all stakeholders.
METHODS/DESIGN: This project is designed as CBPR. The CBPR process creates new social networks and connections between participants that can potentially alter patterns of healthcare utilization and other health-related behaviors. The first step is the development of equitable partnerships between community representatives, providers, and researchers. This process is central to the CBPR process and will occur at three levels -- community members trained as researchers and outreach workers, a community advisory board (CAB), and a community forum. Qualitative data on health issues facing the community -- and possible solutions -- will be collected at all three levels through focus groups, key informant interviews and surveys. The CAB will meet monthly to guide the project and oversee data collection, data analysis, participant recruitment, implementation of the community forum, and intervention deployment. The selection of the health condition and framework for the intervention will occur at the level of a community-wide forum. Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.
夏洛特-梅克伦堡地区拥有全国发展最快的西班牙裔社区之一。该人群在健康结果方面存在差异，并且获得医疗保健服务的能力下降。该市拥有一个成熟的以实践为基础的研究网络（PBRN），其中包括社区代表、卫生服务研究人员和初级保健提供者。该项目的目标是：在实践为基础的研究网络（PBRN）中使用社区参与式研究（CBPR）的关键原则，确定一个对夏洛特西班牙裔社区产生负面影响的单一疾病或状况；制定对选定条件产生积极影响并改善整体社区健康的基于社区的干预措施；并将研究结果传播给所有利益相关者。
方法/设计：本项目设计为 CBPR。CBPR 过程在参与者之间建立新的社会网络和联系，这可能会改变医疗保健利用和其他与健康相关的行为模式。第一步是在社区代表、提供者和研究人员之间建立公平的伙伴关系。这一过程是 CBPR 过程的核心，将在三个层面上进行——接受培训的社区成员作为研究人员和外展工作者、社区咨询委员会（CAB）和社区论坛。通过焦点小组、关键知情者访谈和调查，在所有三个层面上收集社区面临的健康问题和可能的解决方案的定性数据。CAB 将每月开会，指导项目并监督数据收集、数据分析、参与者招募、社区论坛的实施和干预措施的部署。健康状况的选择和干预框架将在社区范围内的论坛层面进行。使用参与者制定的指标以及地理空间建模来衡量研究结果。研究完成后，将：确定 CBPR 过程设计干预措施的可行性；展示地理模型监测 CBPR 衍生干预措施的可行性；并进一步建立在 PBRN 内实施 CBPR 框架的实施机制。
