Salsberg Jon, Macridis Soultana, Garcia Bengoechea Enrique, Macaulay Ann C, Moore Spencer
Department of Family Medicine, McGill University, Montreal, Canada.
Kahnawake Schools Diabetes Prevention Project (KSDPP), Kahnawake, Canada.
Fam Pract. 2017 Jun 1;34(3):305-312. doi: 10.1093/fampra/cmx006.
. Community based participatory research (CBPR) is often initiated by academic researchers, yet relies on meaningful community engagement and ownership to have lasting impact. Little is understood about how ownership shifts from academic to community partners.
. We examined a CBPR project over its life course and asked: what does the evolution of ownership look like from project initiation by an academic (non-community) champion (T1); to maturation-when the intervention is ready to be deployed (T2); to independence-the time when the original champion steps aside (T3); and finally, to its maintenance-when the community has had an opportunity to function independently of the original academic champion (T4)?
. Using sociometric (whole network) social network analysis, knowledge leadership was measured using 'in-degree centrality'. Stakeholder network structure was measured using 'centralisation' and 'core-periphery analysis'. Friedman rank sum test was used to measure change in actor roles over time from T1 to T4.
. Project stakeholder roles were observed to shift significantly (P < 0.005) from initiation (T1) to project maintenance (T4). Community stakeholders emerged into positions of knowledge leadership, while the roles of academic partners diminished in importance. The overall stakeholder network demonstrated a structural shift towards a core of densely interacting community stakeholders.
. This was the first study to use Social network analysis to document a shift in ownership from academic to community partners, indicating community self-determination over the research process. Further analysis of qualitative data will determine which participatory actions or strategies were responsible for this observed change.
基于社区的参与性研究（CBPR）通常由学术研究人员发起，但要产生持久影响则依赖于社区有意义的参与和自主掌控。对于所有权如何从学术伙伴转移到社区伙伴，人们了解甚少。
我们在一个CBPR项目的整个生命周期内进行了考察，并提出以下问题：从学术（非社区）倡导者发起项目（T1）；到干预准备部署时的成熟阶段（T2）；再到原始倡导者退出的独立阶段（T3）；最后到社区有机会独立于原始学术倡导者运作的维持阶段（T4），所有权的演变情况是怎样的？
使用社会计量学（全网络）社会网络分析，通过“入度中心性”来衡量知识领导力。使用“中心性”和“核心-边缘分析”来衡量利益相关者网络结构。采用弗里德曼秩和检验来衡量从T1到T4期间参与者角色随时间的变化。
观察到项目利益相关者的角色从项目启动（T1）到项目维持（T4）发生了显著变化（P < 0.005）。社区利益相关者逐渐占据知识领导地位，而学术伙伴的角色重要性则有所下降。整体利益相关者网络呈现出向紧密互动的社区利益相关者核心的结构转变。
这是第一项使用社会网络分析记录所有权从学术伙伴向社区伙伴转移的研究，表明社区在研究过程中的自我决定权。对定性数据的进一步分析将确定哪些参与行动或策略导致了这种观察到的变化。
