Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

The Methodology of Community-Based Participatory Research

지역사회 기반 참여연구 방법론

  • Jung, Min-Soo (Graduate School of Public Health, Seoul National University) ;
  • Jung, Yoo-Kyung (Graduate School of Public Health, Seoul National University) ;
  • Jang, Sa-Rang (Graduate School of Public Health, Seoul National University) ;
  • Cho, Byong-Hee (Graduate School of Public Health, Seoul National University)
  • 정민수 (서울대학교 보건대학원) ;
  • 정유경 (서울대학교 보건대학원) ;
  • 장사랑 (서울대학교 보건대학원) ;
  • 조병희 (서울대학교 보건대학원)
  • Published : 2008.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: Community-Based Participatory Research (CBPR) is a kind of health promotion approach to increase social cohesion and sense of community, which has built the collaborated partnership in all phases. This has the co-ownership of research objectives and knowledges produced by residents, and the outcome was taken to enhance community empowerment. This study performed to embody CBPR, which had regulated collective health status approached by social epidemiology. Methods: Reference review had been exercised focused on CBPR books and papers published since 1990. Our interests were aimed at its paradigm and methodological issues. Particularly, we problematized its feasibility in the social and behavioral foundations of pubic health. Results: According to the review, CBPR shared critical understanding and decision-making related to their community development including health status. Therefore, it was strength-based approach in spite of scientific dichotomy. CBPR created social cohesion and community empowerment with all participants, because it sublated contradiction between subjectivism and objectivism. Conclusions: The success of CBPR needs what we so called trust, democracy, collaboration, devotion, and consensus of equity. Despite these factors, CBPR may be a methodological transition to prepare some intervention of health inequality. This is because it does emphasize a mixture of theory and praxis to manage vulnerable people in community.

Keywords

References

  1. 김대희. 건강증진의 개념에 관한 고찰. 한국보건교육학회지 1994;11(2):1-17
  2. 김정희. 건강도시에 대한 비판적 고찰: 열린 담론을 기대하며. 보건과 사회과학 2007;21: 137-156
  3. 이명순. 건강증진사업을 위한 지역사회 참여와 연대 구축. 한국보건교육.건강증진학회 '05 국민건강증진법제정 10주년 국제학술대회, 2005. pp. 231-252
  4. 이은희. 지역주민 건강증진을 위한 민간단체의 역할. 한국보건교육.건강증진학회 제30회 학술대회지, 2005. p. 113
  5. 이주열, 서옥석. 지역사회 역량 강화를 위한 건강증진 활동. 한국보건교육.건강증진학회 학술대회지, 2005. p. 112
  6. 이주열. 보건소 건강증진 사업의 과거와 미래. 한국보건교육.건강증진학회지 2007;24(2): 135-148
  7. 정민수, 조병희, 이성천. 지역사회 자발적 결사체의 연결망과 지역사회 역량. 보건행정학회지 2007;17(4):54-81 https://doi.org/10.4332/KJHPA.2007.17.4.054
  8. Hoshi T. 일본 건강증진사업의 지역사회 자원과의 연대 구축 사례: 건강도시사업을 위한 지역사회 파트너쉽 형성 사례. 한국보건교육건강증진학회 '05 국민건강증진법제정 10주년 국제학술대회, 2005. pp. 197-230
  9. Altman DG. Sustaining interventions in community systems: on the relationship between researchers and communities. Health Psychology 1995;14(6):526-536 https://doi.org/10.1037/0278-6133.14.6.526
  10. Angell KL 등 Psychological intervention for rural women with breast cancer. Journal of General Internal Medicine 2003; 18(7):499-507 https://doi.org/10.1046/j.1525-1497.2003.20316.x
  11. Becker AB, Israel BA, Allen A. Strategies and techniques for effective group process in community-based participatory research partnerships. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005
  12. Becker AB 등 Predictors of perceived control among African American women in Detroit: exploring empowerment as a multilevel construct. Health Education and Behavior 2002;29(6):699-715 https://doi.org/10.1177/109019802237939
  13. Berger PL, Neuhaus RJ. To empower people: the role of mediating structures in public policy. Washington, DC: American Enterprise Institute for Public Policy Research, 1997
  14. Brennan PF, Schneider SJ, Tornquist E. editors. Information networks for community health. New York: Springer, 2001
  15. Bronfenbrenner U. The ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press, 1990
  16. Chavez V, Duran BM, Baker QE, Avila MM, Wallerstein N. The dance of race and privilege in community based participatory research. In: Minkler M, Wallerstein N. editors. Community- based participatory research for health. San Francisco, CA: Jossey-Bass, 2003. pp. 81-97
  17. Christopher S, Burhansstipanov L, Knows His Gun-McCormick A. Using a community- based participatory research approach to develop an interviewer training manual with members of the Apsaalooke Nation. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005
  18. Coreil J, Bryant CA, Henderson JN. Social and behavioral foundations of public health. Thousand Oaks, CA: Sage, 2001
  19. Cornwall A, Jewkes R. What is participatory research? Social Science and Medicine 1995;41:1667-1676 https://doi.org/10.1016/0277-9536(95)00127-S
  20. Cornwall A. Towards participatory practice: participatory rural appraisal and the participatory process. In: deKoning K, Martin M. editors. Participatory research in health: Issues and experiences. London, UK: Zed Books, 1996
  21. deKoning K, Martin M. editors. Participatory research in health: Issues and experiences. London, UK: Zed Books, 1996
  22. Eisinger A, Senturia K. Doing community- driven research: A description of seattle partners for healthy communities. Journal of Urban Health 2001;78(3): 519-534 https://doi.org/10.1093/jurban/78.3.519
  23. Eng E et al. Insiders and outsiders assess who is "the community": Participant observation, key informant interview, focus group interview, and community forum. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005
  24. Farquhar S, Wing S. Methodological and ethical considerations in community- driven environmental justice research: two case studies from rural North Carolina. In: Minkler M, Wallerstein N. editors. Community-based participatory research for health. San Francisco, CA: Jossey-Bass: 2003. pp. 221-241
  25. Fisher PA, Ball TJ. Tribal participatory research: mechanisms of a collaborative model. American Journal of Community Psychology 2003;32(3-4):207-216 https://doi.org/10.1023/B:AJCP.0000004742.39858.c5
  26. Flaskerud JH, Nyamathi AM, Uman GC. Longitudinal effects of an HIV testing and counseling programme for low- income Latina women. Ethnicity and Health 1997;21(1-2):89-103
  27. Flaskerud JH, Nyamathi AM. Collaborative inquiry with low-income Latina women. Journal of Healthcare for the Poor and Underserved 2000;11(3):326-342 https://doi.org/10.1353/hpu.2010.0738
  28. Freimuth VS, Quinn SC, Thomas SB, Cole G, Zook E, Duncan T. African Americans' views on research and the Tuskegee Syphilis Study. Social Science and Medicine 2001;52(5):797-808 https://doi.org/10.1016/S0277-9536(00)00178-7
  29. Freire P. Pedagogy of the oppressed. New York: Seabury Press, 1970
  30. Freire P. Education for critical consciouness. New York: Continuum, 1973
  31. Freudenberg H. Case history for the center for urban epidemiologic studies in New York city. Journal of Urban Health 2001;78(3):508-518 https://doi.org/10.1093/jurban/78.3.508
  32. Gamble VN. The Tuskegee syphilis study and women's health. Journal of the American Medical Women's Association 1997;52(4):195-196
  33. Gaventa J. Participatory action research in North America. Convergence 1981;14: 30-42
  34. Gaventa J. The powerful, the powerless, and the experts: knowledge struggles in an information age. In: Park P, Brydon-Miller M, Hall BL, Jackson T. editors. Voices of change: Participatory research in the United States and Canada. Westport, CT: Bergin and Garvey, 1993
  35. Green LW, Mercer SL. Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities? American Journal of Public Health 2001;91(12):1926-1929 https://doi.org/10.2105/AJPH.91.12.1926
  36. Green LW et al. Background on participatory research. In: Murphy D, Scammell M, Sclove R. editors. Doing community- based participatory research: A reader. Amherst, MA: Loka Institute, 1997
  37. Green LW et al. Study of participatory research in health promotion. Vancouver: University of British Columbia, Royal Society of Canada, 1995
  38. Habermas J. Theory and practice. Biertel J(Trans). London, UK: Beacon Press, 1988
  39. Hall B. From margins to center? The development and purpose of participatory research. The American Sociologist 1992;23(4):15-28 https://doi.org/10.1007/BF02691928
  40. Hatch J, Moss N, Saran A, Presley-Cantrell L, Mallory C. Community research: partnership in black communities. American Journal of Preventive Medicine 1993;9(6 Suppl):27-31
  41. Institute of Medicine. Improving health in the community: A role for performance monitoring. Washington, DC: Institute of Medicine/National Academy Press, 1997
  42. Israel BA, Schurman SJ. Social support, control, and the stress process. In: Glanz K, Lewis FM, Rimer BK. Health behavior and health education: Theory, research and practice. San Francisco, CA: Jossey-Bass, 1990
  43. Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health 1998;19:173-202 https://doi.org/10.1146/annurev.publhealth.19.1.173
  44. Israel BA et al. The Detroit Community- Academic Urban Research Center: Development, implementation and evaluation. Journal of Public Health Management and Practice 2001;7(5):1-19
  45. Israel BA et al. The relationship between social support, stress, and health among women on Detroit's East Side. Health Education and Behavior 2002;29(3): 342-360 https://doi.org/10.1177/109019810202900306
  46. Israel BA et al. Critical issues in developing and following community-based participatory research principles. In: Minkler M Wallerstein N. Community- based participatory research for health. San Francisco, CA: Jossey-Bass: 2003. pp. 56-73
  47. Israel BA, Eng E, Schulz AJ, Parker EA. Introduction. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey- Bass, 2005a
  48. Israel BA, Lantz PM, McGranaghan R, Kerr D, and Guzman JR. Documentation and evaluation of community-based participatory research partnerships: The use of in-depth interviews and closed-ended questionnaires. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005b
  49. James SA. Addressing the public health needs of a diverse America. Annual Minority Health Conference. Ann Arbor, MI: Michigan University Press, 1994
  50. Jason LA, Keys CB, Suarez-Balcazar Y, Taylor RR, Davis MI. editors. Participatory community research: theories and methods in action. Washington, DC: American Psychological Association, 2004
  51. Johnson DW and Johnson FP. Joining together: group theory and group skills. 8th ed. Boston, MA: Allyn and Bacon, 2003
  52. Keeler GJ et al. Assessment of personal and community-level exposures to particulate matter among children with asthma in Detroit, Michigan, as part of Community Action Against Asthma (CAAA). Environmental Health Perspectives 2002;110(Suppl 2):173-181 https://doi.org/10.1289/ehp.02110s2173
  53. Kieffer EC et al. The application of focus group methdologies to community-based participatory research. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005
  54. King JA. Making sense of participatory evaluation practice. New Directions for Evaluation 1998;80:57-67
  55. King JA, Lonnquist M. A review of writing on action research: 1944-present. Minneapolis, MN: Center for Applied Research and Educational Improvement, 1992
  56. Kretzman JP, McKnight JL. Building communities from the inside out: A path toward finding and mobilizing a community's assets. Chicago, IL: ACTA Publications, 1993
  57. Krieger JW, Castorina JS, Walls ML, Weaver MR, Ciske S. Increasing influenza and pneumococcal immunization rates: a randomized controlled study of a senior center-based intervention. American Journal of Preventive Medicine 2000;18 (2):123-131 https://doi.org/10.1016/S0749-3797(99)00134-8
  58. Krieger JW, Allen C, Roberts J, Ross LC, Takaro TK. What's with the wheezing: methods used by the Seattle-King County Healthy Homes Project to assess exposure to indoor asthma triggers. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2005
  59. Labonte, R. Community, community development, and the forming of authentic partnerships: Some critical reflections. In: Minkler M. editors. Community organizing and community building for health. New Brunswick, NJ: Rutgers University Press, 1997
  60. Lantz PM et al. Implementing women's cancer screening programs in American Indian and Alaska Native populations. Health Care for Women International 2003;24(8):674-696 https://doi.org/10.1080/07399330390227481
  61. Lasker RD, Weiss ES. Broadening participation in community problem solving: A multidisciplinary model to support collaborative practice and research. Journal of Urban Health 2003;80(1):14-47 https://doi.org/10.1093/jurban/jtg014
  62. Lasker RD, Weiss ES, Miller R. Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. The Milbank Quarterly 2001;79(2):179-205 https://doi.org/10.1111/1468-0009.00203
  63. McKnight JL. Politicizing health care. In: Conrad P, Kern R. editors. The sociology of health and illness: critical perspectives. 4th ed. New York: St. Martin's Press, 1994
  64. McQuiston C, Parrado EA, Olmos JC, Bustillo AM. Community-based participatory research and ethnography: the perfect union. In: Israel BA, Eng E, Schulz AJ, Parker E. editors. Methods in community-based participatory research for health. San Francisco, CA: Jossey- Bass, 2005
  65. Metzler MM et al. Addressing urban health in Detroit, New York City, and Seattle through community-based participatory research partnerships. American Journal of Public Health 2003;93(5):803-811 https://doi.org/10.2105/AJPH.93.5.803
  66. Minkler M. Ethical challenges for the "outside" researcher in community- based participatory research. Health Education and Behavior 2004;31(6): 684-697 https://doi.org/10.1177/1090198104269566
  67. Minkler M. Wallerstein N. editors. Community based participatory research for health. San Francisco, CA: Jossey-Bass, 2003
  68. Minkler M, Blackwell AG, Thompson M, Tamir H. Community-based participatory research: implications for public health funding. American Journal of Public Health 2003;93(8):1210-1213 https://doi.org/10.2105/AJPH.93.8.1210
  69. Minkler M, Wallerstein N. Community-based participatory research for health. San Francisco, CA: Jossey-Bass, 2003
  70. Mittelmark MB, Hunt MK, Heath GW, Schmid TL. Realistic outcomes: Lessons from community-based research and demonstration programs for the prevention of cardiovascular diseases. Journal of Public Health Policy 1993; 14(4):437-462 https://doi.org/10.2307/3342877
  71. Mullings L et al. Qualitative methodologies and community participation in examining reproductive experiences: The Harlem Birth Right Project. Maternal and Child Health Journal 2001;5(2):85-93 https://doi.org/10.1023/A:1011397031640
  72. Nyden PW, Wiewel W. Collaborative research: Harnessing the tensions between researcher and practitioner. American Sociologist 1992;24(4):43-55
  73. Oakes JM. The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology. Social Science and Medicine 2004; 58(10):1929-1952 https://doi.org/10.1016/j.socscimed.2003.08.004
  74. O'Fallon LR, Dearry A. Community-based participatory research as a tool to advance environmental health sciences. Environmental Health Perspectives 2002;110(Suppl 2):155-159 https://doi.org/10.1289/ehp.02110s2155
  75. Park P. What is participatory research? A theorectial and methodological perspective. In: Park P, Brydon-Miller M, Hall BL, Jackson T. editors. Voices of change: Participatory research in the United States and Canada. Westport, CT: Bergin and Garvey, 1993
  76. Parker EA et al. Community action against asthma: Examining the partnership process of a community-based participatory research project. Journal of General Internal Medicine 2003;18(7): 558-567 https://doi.org/10.1046/j.1525-1497.2003.20322.x
  77. Quinn Patton M. Utilization-focused evaluation: The new century text. Thousand Oakes, CA: Sage Publications, 1997
  78. Schulz AJ, Israel BA, Selig SM, Bayer IS. Development and implementation of principles for community-based research in public health. In: MacNair RH. editors. Research strategies for community practice. New York: Haworth Press, 1998
  79. Stringer ET. Action research: A handbook for practitioners. Thousand Oaks, CA: Sage, 1996
  80. Susser M. The tribulations of trials: Intervention in communities. American Journal of Public Health 1995;85(2): 156-158 https://doi.org/10.2105/AJPH.85.2.156
  81. Tandon R. Participatory evaluation and research: main concepts and issues. In: Fernandes W, Tandon R. editors. Participatory research and evaluation. New Delhi, India: Indian Social Institute, 1981