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Is Community-Based Participatory Research Possible?

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The Pillars of Community-Based Participatory Research

Notwithstanding the plethora of principles, CBPR rests on two main pillars. The first is ethical and responds to a history of exploitation of communities—especially minority and low-income communities—in the name of research. The most notorious U.S. example is the Tuskegee Syphilis Study,9 but the residents of many communities can recall university researchers who came to conduct interviews or take samples and then vanished.5 The academics presumably published, won grants, and were promoted,

The Challenges

Adherence to the complete CBPR model—equitable community participation in every phase of the research project—presents a number of serious challenges. The first is defining the community. It may be difficult to recruit a sufficient number of participants for a research project from a small geographically defined community. On the other hand, a large community that is not defined by geography (for instance, “the African-American community”) may be too diffuse to enter into a meaningful

Conclusion

Gaining a perfect or near-perfect score on the various sets of principles and criteria may be, if not impossible, certainly difficult. However, they represent targets or goals to pursue and their pursuit has had a salubrious effect on the way in which research is conducted in communities and on the research initiatives that are undertaken. With regard to the two pillars on which the CBPR approach rests, there are few hard data on the extent to which CBPR has led to community empowerment or

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References (26)

  • A. Cornwall et al.

    What is participatory research?

    Soc Sci Med

    (1995)
  • J. Hatch et al.

    Community research; partnership in black communities

    Am J Prev Med

    (1993)
  • NCMHD Community-Based Participatory Research (CBPR) Initiative in Reducing and Eliminating Health Disparities: Intervention Research Phase (R24)

  • Community Networks Program (CNP)Centers for Reducing Cancer Disparities through Outreach, Research and Training (U54)

  • B.A. Israel et al.

    Review of community-based research: assessing partnership approaches to improve public health

    Annu Rev Public Health

    (1998)
  • M. Viswanathan et al.

    Community-based participatory research: assessing the evidence

    (2004)
  • L.W. Green et al.

    Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities?

    Am J Public Health

    (2001)
  • L.W. Green et al.

    Guidelines and categories for classifying participatory research projects in health promotion

  • Community–campus partnerships for health: principles of good community–campus partnerships

  • S.M. Ahmed et al.

    Community engagement in research: frameworks for education and peer review

    Am J Public Health

    (2010)
  • V.N. Gamble

    Under the shadow of Tuskegee: African Americans and health care

    Am J Public Health

    (1997)
  • P. Freire

    Pedagogy of the oppressed

    (2007)
  • L.B. Rubin

    Maximum feasible participation: the origins, implications, and present status

    Ann Am Acad Pol Soc Sci

    (1969)
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