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A community based participatory approach to improving health in a Hispanic population.

Dulin MF, Tapp H, Smith HA, Urquieta de Hernandez B, Furuseth OJ - Implement Sci (2011)

Bottom Line: This population has experienced disparities in health outcomes and diminished ability to access healthcare services.The first step is the development of equitable partnerships between community representatives, providers, and researchers.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Carolinas HealthCare System, 2001 Vail Avenue, Charlotte, NC 28207 USA.

ABSTRACT

Background: 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.

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Related in: MedlinePlus

Flow diagram of data collection and processing plan for community needs assessment.
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Related In: Results  -  Collection

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Figure 3: Flow diagram of data collection and processing plan for community needs assessment.

Mentions: The community needs assessment will be directed by the CAB as outlined in Figure 3. This assessment will start with reviewing healthcare data, including the most frequent diagnoses from the ED and primary care clinics for Hispanic patients as well as the results from the baseline key informant interviews, focus groups, and community survey (see Table 1). The CAB will compare these data with the health department data and BRFSS data indicating disparities for the Hispanic community. The CAB and research team will then use these data to develop additional scripts for key informant interviews and focus groups and/or surveys if needed. Data will be coded and analyzed by the research team and made available to the CAB. During this meeting, these data will be used by the board to design the community forum. The product from this meeting will be: a list of health issues facing the community; a list of community resources; a list of potential participants for the community forum; a request for additional data collection; and preliminary guidelines for creation of the intervention.


A community based participatory approach to improving health in a Hispanic population.

Dulin MF, Tapp H, Smith HA, Urquieta de Hernandez B, Furuseth OJ - Implement Sci (2011)

Flow diagram of data collection and processing plan for community needs assessment.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094257&req=5

Figure 3: Flow diagram of data collection and processing plan for community needs assessment.
Mentions: The community needs assessment will be directed by the CAB as outlined in Figure 3. This assessment will start with reviewing healthcare data, including the most frequent diagnoses from the ED and primary care clinics for Hispanic patients as well as the results from the baseline key informant interviews, focus groups, and community survey (see Table 1). The CAB will compare these data with the health department data and BRFSS data indicating disparities for the Hispanic community. The CAB and research team will then use these data to develop additional scripts for key informant interviews and focus groups and/or surveys if needed. Data will be coded and analyzed by the research team and made available to the CAB. During this meeting, these data will be used by the board to design the community forum. The product from this meeting will be: a list of health issues facing the community; a list of community resources; a list of potential participants for the community forum; a request for additional data collection; and preliminary guidelines for creation of the intervention.

Bottom Line: This population has experienced disparities in health outcomes and diminished ability to access healthcare services.The first step is the development of equitable partnerships between community representatives, providers, and researchers.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine, Carolinas HealthCare System, 2001 Vail Avenue, Charlotte, NC 28207 USA.

ABSTRACT

Background: 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.

Show MeSH
Related in: MedlinePlus