Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Using Community-Based Participatory Research(CBPR) for Health Promotion

건강증진을 위한 지역사회 기반 참여연구의 적용 방안

  • Yoo, Seung-Hyun (Seoul National University Graduate School of Public Health / Seoul National University Institute of Health and Environment)
  • 유승현 (서울대학교 보건대학원 / 서울대학교 보건환경연구소)
  • Published : 2009.03.30
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Abstract

Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.

Keywords

References

  1. 강대선. 지역사회복지 자산화를 위한 지역사회역량의 분포특성 및 접근방향 - 제주도 대상. 대한국토·도시계획학회지 국토계획 2007; 42(4): 221-232
  2. 강대선, 류기형. 지역사회복지계획의 기반조성을 위한 지역사회응집력과 지역사회참여의 관계에 관한 연구. 한국사회복지학 2007; 59(1): 27-53
  3. 안양희. 지역사회역량구축과 지역사회간호. 한국보건간호학회지 2007; 21(1): 102-109
  4. 정민수, 조병희. 지역사회역량이 주민 건강수준에 미치는 영향: 2006년 서울시 도봉구 주민 건강행태조사를 중심으로. 보건과 사회과학 2007; 22: 153-182
  5. 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
  6. 정민수, 정유경, 장사랑, 조병희. 지역사회 기반 참여연구 방법론. 보건교육·건강증진학회지 2008; 25(1): 83-104
  7. 홍현미라. 미국의 지역사회자본 구축정책 사례와 한국에 주는 시사점. 사회복지정책 2006; 25: 107-131
  8. Baker TA, Wang CC. Photovoice: Use of a participatory action research method to explore the chronic pain experience in older adults. Qualitative Health Research 2006; 16(10): 1405-1413 https://doi.org/10.1177/1049732306294118
  9. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. 2006. Planning health promotion programs: An intervention mapping approach. 2nd ed. San Francisco, CA: Jossey-Bass, 2006
  10. Becker AD, Israel BA, Allen AJ III. Strategies and techniques for effective group process in CBPR partnerships. In Israel BA, Eng E, Schulz AJ, Parker EA. (Eds.) Methods in Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass, 2005. pp. 52-72
  11. Basch CE, Sliepcevich EM, Gold RS, Duncan DF, Kolbe LJ. Avoiding type III errors in health education program evaluation: A case study. Health Education Quarterly 1985; 12(3): 315-331
  12. Buchanan BR, Miller FG, Wallerstein NB. Ethical issues in community-based participatory research: Balancing rigorous research with community participation in community intervention studies. Progress in Community Health Partnerships: Research, Education, and Action 2007; 1(2): 153-160 https://doi.org/10.1353/cpr.2007.0006
  13. Castleden H, Garvin T, Huu-ay-aht First Nation. Modifying Photovoice for community-based participatory research. Social Science & Medicine 2008; 66: 1393-1405 https://doi.org/10.1016/j.socscimed.2007.11.030
  14. Community Health Scholars Program. Goals and competencies. Ann Arbor, MI: University of Michigan School of Public Health [cited November 25, 2008]. Available from http://www.sph.umich.edu/chsp/program/index.shtml
  15. Cook WK. Integrating research and action: A systematic review of community-based participatory research to address health disparities in environmental and occupational health in the USA. Journal of Epidemiology and Community Health 2008; 62: 668-676 https://doi.org/10.1136/jech.2007.067645
  16. Faridi Z, Grunbaum JA, Gray BS, Franks A, Simoes E. Community-Based Participatory Research: Necessary next steps. Preventing Chronic Disease [serial online] 2007 Jul; 4(3). [cited on November 25, 2008]. Available from http://www.cdc.gov/pcd/issues/2007/jul/06_0182.htm
  17. Goodman RM. Bridging the gap in effective program implementation: From concept to application. Journal of Community Psychology 2000; 28(3): 309-321 https://doi.org/10.1002/(SICI)1520-6629(200005)28:3<309::AID-JCOP6>3.0.CO;2-O
  18. Green LW, Geroge MA, Daniel M et al. Guidelines for participatory research in health promotion. In Minkler M, Wallerstein N. (Eds.) Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass, 2003. pp. 419-428
  19. Ioannidis JA. Materializing research promises: Opportunities, priorities, and conflicts in translational medicine. Journal of Translational Medicine 2004; 2(1): 5. Available from http://www.translational-medicine.com/content/2/1/5
  20. Israel BA, Schulz JAJ, Parker EA. Becker AB, Allen AJ III, Guzman JR. Critical issues in developing and following community-based participatory research principles. In Minkler M, Wallerstein N. (Eds). Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass, 2003. pp. 56-73
  21. Israel BA, Krieger J, Vlahov D, Ciske S, Foley M, Fortin P, Guzman R, Lichtenstein R, McGranaghan R, Palermo A, Tang G. Challenges and facilitating factors in sustaining community-based participatory research partnerships: Lessons learned from the Detroit, New York City and Seattle Urban Research Centers. Journal of Urban Health 2006; 83(6): 1022-1040 https://doi.org/10.1007/s11524-006-9110-1
  22. Kone A, Sullivan M, Senturia K, Chrisman N, Ciske S, Krieger J. Improving collaboration between researchers and communities. Public Health Reports 2000; 115: 243-248 https://doi.org/10.1093/phr/115.2.243
  23. Lasker RD, Weiss ES, Miller R. Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. The Milbank Quarterly 2003; 79(2): 179-205
  24. Leung MW, Yen IH, Minkler M. Community-based participatory research: A promising approach for increasing epidemiology's relevance in the 21st century. International Journal of Epidemiology 2004; 33(3): 499-506 https://doi.org/10.1093/ije/dyh010
  25. Lopez ED, Eng E, Robinson N, Wang CC. Photovoice as a community-based participatory research method: A case study with African American breast cancer survivors in rural eastern North Carolina. In Israel BA, Eng E, Schulz AJ, Parker EA. (Eds). Methods in Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass, 2005. pp. 326-348
  26. McIntyre A. Through the eyes of women: Photovoice and participatory research as tools for reimagining place. Gender, Place and Culture 2003; 10(1): 47-66 https://doi.org/10.1080/0966369032000052658
  27. Merzel C & D'Afflitti J. Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health 2003; 93(4): 557-574 https://doi.org/10.2105/AJPH.93.4.557
  28. Minkler M. Community-based research partnerships: Challenges and opportunities. Journal of Urban Health 2005; 82(2suppl2):ii3-ii12. https://doi.org/10.1093/jurban/jti034
  29. Minkler M, Blackwell AG, Thompson M, Tamir H. Communitybased 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
  30. Minkler M & Pies C. Ethical issues and practical dilemmas in community organization and community participation. In Minker M. Community organizing and community building for health. 2nd ed. New Brunswick, NJ: Rutgers University Press. pp. 116-133
  31. Nam EW, Engelhardt K. Health promotion capacity mapping: the Korean situation. Health Promotion International 2007. [Advance Access published March 6, 2007. doi:10.1093/heapro/dam004]
  32. National Institutes of Health. Community-Based Prevention/ Intervention Research in EHS. NIH Guide 1996; 25(39). [cited on November 25, 2008]. Available from:http://grants.nih.gov/grants/guide/rfa-files/RFA-ES-96-008.ht ml
  33. National Institutes of Health. Funding opportunity announcement: Community Based Participatory Research at NIMH (R21). 2006. [cited on December 4, 2008]. Available from: http://grants.nih.gov/grants/guide/pa-files/PAR-07-004.html
  34. National Institutes of Health(NIH). Funding opportunity announcement: Community participation research targeting the medically underserved (R01). 2008. [cited on December 4, 2008]. Available from: http://grants.nih.gov/grants/guide/pa-files/PAR-08-075.html
  35. Nyswander D. Education for health: Some principles and their application. Health Education Monograph 1956; 14: 56-70
  36. Pazoki R, Nabipour I, Seyednezami N, Imami SR. Effects of a community-based healthy heart program on increasing healthy women's physical activity: A randomized controlled trials guided by community-based participatory research (CBPR). BMC Public Health 2007; 7: 216. Publiched online as doi:10.1186/1471-2458-216. Available from: http://www.biomedcentral.com/1471-2458/7/216
  37. Plumb M, Collins N, Cordeiro JN, Kavanaugh-Lynch M. Assessing process and outcomes: Evaluating community-based participatory research. Progress in Community Health Partnerships: Research, Education, and Action 2008; 2(2): 87-97 https://doi.org/10.1353/cpr.0.0020
  38. Prevention Research Center. Program strategic plan: Mission, vision, and goal statements, 2006a. [cited on November 26, 2008]. Available from: http://www.cdc.gov/prc/about-prc-program/strategic-planningmission- vision-goal-statements.htm
  39. Prevention Research Center. Policy statement for Core Research Projects. 2006b. [cited on November 26, 2008]. Available from: http://www.cdc.gov/prc/about-prc-program/program-policy.htm
  40. Prevention Research Center. Description of the logic model for the Prevention Research Centers (PRC) Program. 2008. [cited on November 26, 2008]. Available from: http://www.cdc.gov/prc/program-evaluation/logicmodel.htm
  41. Rogers EM. Diffusion of Innovation (4th ed.). New York: Free Press, 1995
  42. Rousso ST, Fawcett SB. A review of collaborative partnerships as a strategy for improving community health. Annual Review of Public Health 2000; 2: 369-402
  43. Strack RW, Magill C, McDonagh K. Engaging youth through photovoice. Health Promotion Practice 2004; 5(1): 49-58 https://doi.org/10.1177/1524839903258015
  44. Streng JM, Rhodes SD, Ayala GX, Eng E, Arceo R, Phipps S. Realidad Latina: Latino adolescents, their school, and a university use photovoice to examine and address the influence of immigration. Journal for Interprofessional Care 2004; 18(4): 403-415 https://doi.org/10.1080/13561820400011701
  45. Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, Rhodes S, Samuel-Hodge C, Maty S, Lux, L, Webb L, Sutton SF, Swinson T, Jackman A, Whitener L. Community-Based Participatory Research: Assessing the Evidence. Evidence Report/Technology Assessment No. 99 (Prepared by RTI-University of North Carolina. Evidence-based Practice Center under Contract No. 290-02-0016). AHRQ Publication 04-E022-2. Rockville, MD: Agency for Healthcare Research and Quality. July 2004
  46. Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promotion Practice 2006; 7(3): 312-323 https://doi.org/10.1177/1524839906289376
  47. Wang CC. Photovoice: A participatory action research strategy applied to women's health. Journal of Women's Health 1999; 8(2): 185-192 https://doi.org/10.1089/jwh.1999.8.185
  48. Wang CC. Using photovoice as a participatory assessment and issue selection tool: A case study with the homeless in Ann Arbor. In Minkler M, Wallerstein N. (Eds). Community-Based Participatory Research for Health. San Francisco, CA: Jossey-Bass 2003. pp. 179-196
  49. Wang CC, Burris MA. Empowerment through photo novella: Portraits of participation. Health Education Quarterly 1994; 21(2): 171-186
  50. Wang CC, Burris MA. Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education & Behavior 1997; 24(3): 369-387 https://doi.org/10.1177/109019819702400309
  51. Wang CC, Morrel-Samuels S, Hutchison P. Bell L, Pestronk RM. Flint Photovoice: Community building among youths, adults, and policymakers. American Journal of Public Health 2004; 94(6): 911-913 https://doi.org/10.2105/AJPH.94.6.911
  52. Yoo S. Community-based participatory approaches and a social ecological model for school-based sex education. Journal of Korean Society for School Health Education 2006; 7: 19-32
  53. Yoo S, Weed NE, Lempa ML, Mbondo M, Shada RE, Goodman RM. Collaborative community empowerment: An illustration of a six-step process. Health Promotion Practice 2004; 5(3): 256-265 https://doi.org/10.1177/1524839903257363
  54. Yoo S, Butler J, Elias TI. The functioning of small groups that address community health issues: The Blue Ribbon Health Panel experience. A manuscript under review. 2008a
  55. Yoo S, Butler J, Elias TI, Goodman RM. The 6-step model for community empowerment: Revisited in public housing communities for low-income senior citizens. Health Promotion Practice 2008b. [published OnlineFirst on April 14, 2008 as doi:10.1177/1524839907307884]