Malone Ruth E, McGruder Carol, Froelicher Erika Sivarajan, Yerger Valerie B
Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94118, USA.
Health Promot Pract. 2013 Mar;14(2):205-12. doi: 10.1177/1524839912443242. Epub 2012 Jul 5.
Calls for public health practices, including research, to better integrate social theories of power, agency, and social change suggest that increased reflexivity about both the process and outcomes of community engagement is warranted. Yet few community-based participatory research (CBPR) projects specifically report nonresearch outcomes of such projects. The authors analyzed "secondary outcomes" of Protecting the 'Hood Against Tobacco (PHAT), a CBPR project conducted in San Francisco, California.
Interpretive analysis of quasi-ethnographic project documentation, including meeting minutes, field notes, retrospective observations, and interviews.
PHAT participation created "ripple effects," encouraging healthier behaviors and public health promotion among community research partners, prompting academics to confront power asymmetries and recognize community knowledge, and widening social networks.
CBPR benefits both communities and researchers beyond the findings of the research itself. More systematically capturing these effects, perhaps through wider use of ethnographic approaches, could help enhance understanding of CBPR's true contributions.
要求包括研究在内的公共卫生实践更好地整合权力、能动性和社会变革的社会理论，这表明有必要对社区参与的过程和结果进行更多反思。然而，很少有基于社区的参与性研究（CBPR）项目专门报告此类项目的非研究成果。作者分析了在加利福尼亚州旧金山开展的一个CBPR项目“保护社区免受烟草危害（PHAT）”的“次要成果”。
对准民族志项目文档进行解释性分析，包括会议记录、实地记录、回顾性观察和访谈。
参与PHAT项目产生了“连锁反应”，鼓励社区研究伙伴采取更健康的行为并促进公共卫生，促使学者们正视权力不对称问题并认可社区知识，还扩大了社会网络。
CBPR不仅在研究本身的结果方面使社区和研究人员受益。或许通过更广泛地使用民族志方法，更系统地捕捉这些影响，有助于增进对CBPR真正贡献的理解。
