Zoellner Jamie, Hill Jennie L, Brock Donna, Barlow Morgan L, Alexander Ramine, Brito Fabiana, Price Bryan, Jones Corliss L, Marshall Ruby, Estabrooks Paul A
1 Virginia Tech, Blacksburg, VA, USA.
2 University of Nebraska Medical Center, Omaha, NE, USA.
Health Promot Pract. 2017 Nov;18(6):833-853. doi: 10.1177/1524839916689550. Epub 2017 Feb 13.
Using a community-based participatory research and systems-based approach, the purpose of this community case study is to describe the planning process and first-year experiences of community-academic advisory board (CAB) partners involved with the development of an evidence-based childhood obesity treatment program in a medically underserved region.
Regional community partners ( n = 9; Pittsylvania/Danville Health District, Children's Healthcare Center, Danville Parks & Recreation, and Danville Boys & Girls Club) and academic partners ( n = 9) met monthly to select and adapt an evidence-based childhood obesity program, develop evaluation and recruitment protocols, and plan for program implementation. In the first 3 months, members developed a mixed-methods capacity evaluation, administered at 3 and 11 months following the first CAB meeting.
Most capacity dimensions were rated highly and demonstrated no significant change over time. However, perceptions of trust approached a significant increase ( p = .055), the ability to resolve conflicts significantly increased ( p = .018), and participation and influ-ence perceptions significantly decreased ( p = .001). Qualitative analysis elucidated members' experiences and key facilitator and barrier themes emerged.
Similarities and differences between community and academic members' experiences allowed synthesis of best practices and lessons learned. The methodological framework and best practices can inform the capacity development for new community-academic collaborations.
采用基于社区参与式研究和基于系统的方法,本社区案例研究旨在描述参与在医疗服务不足地区开展循证儿童肥胖治疗项目的社区-学术咨询委员会(CAB)合作伙伴的规划过程和第一年的经历。
地区社区合作伙伴(n = 9;皮特西瓦尼亚/丹维尔健康区、儿童医疗中心、丹维尔公园与娱乐部门以及丹维尔男孩女孩俱乐部)和学术合作伙伴(n = 9)每月会面,以选择并调整一个循证儿童肥胖项目,制定评估和招募方案,并为项目实施做规划。在最初的3个月里,成员们制定了一个混合方法的能力评估,在第一次CAB会议后的3个月和11个月进行。
大多数能力维度的评分很高,且随着时间推移没有显著变化。然而,信任度的认知接近显著增加(p = 0.055),解决冲突的能力显著提高(p = 0.018),参与度和影响力的认知显著下降(p = 0.001)。定性分析阐明了成员们的经历,并出现了关键的促进因素和障碍主题。
社区和学术成员经历之间的异同使得能够综合最佳实践和经验教训。该方法框架和最佳实践可为新的社区-学术合作的能力发展提供参考。