Salimi Yahya, Shahandeh Khandan, Malekafzali Hossein, Loori Nina, Kheiltash Azita, Jamshidi Ensiyeh, Frouzan Ameneh S, Majdzadeh Reza
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2012 Jun;3(6):386-93.
Community-based participatory research (CBPR) has been applied by health researchers and practitioners to address health disparities and community empowerment for health promotion. Despite the growing popularity of CBPR projects, there has been little effort to synthesize the literature to evaluate CBPR projects. The present review attempts to identify appropriate elements that may contribute to the successful or unsuccessful interventions.
A systematic review was undertaken using evidence identified through searching electronic databases, web sites, and reference list checks. Predefined inclusion and exclusion criteria were assessed by reviewers. Levels of evidence, accounting for methodologic quality, were assessed for 3 types of CBPR approaches, including interventional, observational, and qualitative research design as well as CBPR elements through separate abstraction forms. Each included study was appraised with 2 quality grades, one for the elements of CBPR and one for research design.
Of 14,222 identified articles, 403 included in the abstract review. Of these, 70 CBPR studies, that 56 intervention studies had different designs, and finally 8 studies met the inclusion criteria. The findings show that collaboration among community partners, researchers, and organizations led to community-level action to improve the health and wellbeing and to minimize health disparities. It enhanced the capacity of the community in terms of research and leadership skills. The result provided examples of effective CBPR that took place in a variety of communities. However, little has been written about the organizational capacities required to make these efforts successful.
Some evidences were found for potentially effective strategies to increase the participant's levels of CBPR activities. Interventions that included community involvement have the potential to make important differences to levels of activities and should be promoted.
基于社区的参与性研究（CBPR）已被健康研究人员和从业者用于解决健康差距问题，并增强社区促进健康的能力。尽管CBPR项目越来越受欢迎，但很少有人努力综合文献来评估CBPR项目。本综述试图确定可能有助于干预成功或失败的适当要素。
通过搜索电子数据库、网站和检查参考文献列表来识别证据，进行系统综述。评审人员评估预定义的纳入和排除标准。通过单独的摘要形式，对三种CBPR方法（包括干预性、观察性和定性研究设计）以及CBPR要素的证据水平进行评估，同时考虑方法学质量。每项纳入研究都用两个质量等级进行评估，一个用于CBPR要素，一个用于研究设计。
在14222篇已识别的文章中，403篇纳入摘要评审。其中，70项CBPR研究，56项干预研究有不同设计，最终8项研究符合纳入标准。研究结果表明，社区伙伴、研究人员和组织之间的合作促成了社区层面的行动，以改善健康和福祉，并尽量减少健康差距。它在研究和领导技能方面提高了社区的能力。结果提供了在各种社区中开展的有效CBPR的实例。然而，关于使这些努力取得成功所需的组织能力，几乎没有相关论述。
发现了一些关于提高参与者CBPR活动水平的潜在有效策略的证据。包括社区参与的干预措施有可能对活动水平产生重大影响，应予以推广。
