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J Urban Health. Jun 2005; 82(Suppl 2): ii3–ii12.
PMCID: PMC3456439
Community-based research partnerships: Challenges and opportunities
Meredith Minklercorresponding author
School of Public Health, University of California, Berkeley, 9420-7360 Berkeley, California CA
Meredith Minkler, mink/at/berkeley.edu.
corresponding authorCorresponding author.
Abstract
The complexity of many urban health problems often makes them ill suited to traditional research approaches and interventions. The resultant frustration, together with community calls for genuine partnership in the research process, has highlighted the importance of an alternative paradigm. Community-based participatory research (CBPR) is presented as a promising collaborative approach that combines systematic inquiry, participation, and action to address urban health problems. Following a brief review of its basic tenets and historical roots, key ways in which CBPR adds value to urban health research are introduced and illustrated. Case study examples from diverse international settings are used to illustrate some of the difficult ethical challenges that may arise in the course of CBPR partnership approaches. The concepts of partnership synergy and cultural humility, together with protocols such as Green et al.’s guidelines for appraising CBPR projects, are highlighted as useful tools for urban health researchers seeking to apply this collaborative approach and to deal effectively with the difficult ethical challenges it can present.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
1. Minkler M, Wallerstein N. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003.
2. Green LW, Mercer SL. Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities? Am J Public Health. 2001;91:1926–1929. doi: 10.2105/AJPH.91.12.1926. [PubMed] [Cross Ref]
3. Hall BL. From margins to center: the development and purpose of participatory action research. Am Sociol. 1992;23:15–28.
4. Green LW, George A, Daniel M, et al. Study of Participatory Research in Health Promotion. Ottawa, Ontario: Royal Society of Canada; 1995.
5. Community Health Scholars Program. The Community Health Scholars Program: Stories of Impact. Ann Arbor, MI; 2002.
6. Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202. doi: 10.1146/annurev.publhealth.19.1.173. [PubMed] [Cross Ref]
7. Lewin K. Action research and minority problems. J Soc Issues. 1946;2:34–46. doi: 10.1111/j.1540-4560.1946.tb02295.x. [Cross Ref]
8. Brown LD, Tandon R. Ideology and political economy in inquiry: action research and participatory research. J Appl Behav Sci. 1983;19:277–294. doi: 10.1177/002188638301900306. [Cross Ref]
9. Freire P. Pedagogy of the Oppressed. New York, NY: Seabury Press; 1970.
10. Fals-Borda O. The application of participatory action-research in Latin America. Int Sociol. 1987;2:329–347.
11. Maguire P. Doing Participatory Research: A Feminist Approach. Amherst, MA: Center for International Education; 1987.
12. Duran E, Duran B. Native American Postcolonial Psychology. Albany, NY: State University of New York Press; 1995.
13. McTaggart R. Sixteen tenets of participatory action research. In: Wadsworth Y, editor. Everyday Evaluation on the Run. Sydney, Australia: Allen & Unwin; 1997. pp. 79–79.
14. Lasker RD, Weiss ES, Miller R. Partnership synergy: a practical framework for studying and strengthening the collaborative advantage. Milbank Q. 2001;79:179–205. doi: 10.1111/1468-0009.00203. [PubMed] [Cross Ref]
15. Tervalon M, Murray-Garcia J. Cultural humility vs. cultural competence: a critical distinction in defining physician training outcomes in medical education. J Health Care Poor Underserved. 1998;9:117–125. [PubMed]
16. Cornwall A, Jewkes R. What is participatory research? Soc Sci Med. 1995;41:1667–1676. doi: 10.1016/0277-9536(95)00127-S. [PubMed] [Cross Ref]
17. Gebbie K, Rosenstock L, Hernandez LM. Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century. Washington, DC: Institute of Medicine; 2002.
18. O’Fallon LR, Dearry A. Community-based participatory research as a tool to advance environmental health sciences. Environ Health Perspect. 2002;110:155–159. [PMC free article] [PubMed]
19. Loh P, Sugerman-Brozan J. Environmental justice organizing for environmental health: case study on asthma and diesel exhaust in Roxbury, Massachusetts. Environ Health Perspect. 2002;584:110–124.
20. Travers R, Flicker S. Ethical issues in community based research. In: Urban Health Community-Based Research Series Workshop. Wellesley, MA; 2004.
21. Bell C. One HEART (Health Education and Research in Tibet) Community Based Participatory Research on Top of the World. Berkeley: University of California; 2004.
22. Roe KM, Minkler M, Saunders FF. Combining research, advocacy and education: the methods of the Grandparent Caregiving Study. Health Educ Q. 1995;22:458–475. [PubMed]
23. Shah R. A Retrospective Analysis of an HIV Prevention Program for Men in Gujarat, India. Berkeley: University of California; 2004.
24. Thompson SJ. Participatory epidemiology: methods of the Living With Diabetes Project. Intl Q Community Health Educ. 2000;19:3–18. doi: 10.2190/EX3H-DFA7-4HX2-TELH. [Cross Ref]
25. Lee P, Krause N, Goetchius C. Pafticipatory action research with hotel room cleaners: from collaborative study to the bargaining table. In: Minkler M, Wallerstein N, editors. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003. pp. 390–404.
26. Minkler M. Ethical challenges for the “outside” researcher in community based participatory research. Health Educ Behav. 2004;31:684–701. doi: 10.1177/1090198104269566. [PubMed] [Cross Ref]
27. Fadem P, Minkler M, Perry M, et al. Ethical challenges in community based participatory research: a case study from the San Francisco Bay Area disability community. In: Minkler M, Wallerstein N, et al., editors. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003.
28. Reason P. Participation in Human Inquiry. London, UK: Sage; 1994.
29. Mosavel M, Simon C, van Stade D, Buchbinder M. Community Based Participatory Research (CBPR) in South Africa: Engaging Multiple Constituents to Shape the Research Question. Unpublished manuscript; 2004. [PMC free article]
30. Yoshihama M, Carr ES. Community participation reconsidered: feminist participatory action research with Hmong women. J Community Pract. 2002;10:85–103. doi: 10.1300/J125v10n04_06. [Cross Ref]
31. Ugalde A. Ideological dimensions of community participation in Latin American health programs. Soc Sci Med. 1985;21:41–53. doi: 10.1016/0277-9536(85)90286-2. [PubMed] [Cross Ref]
32. Wallerstein N. Power between evaluator and community: research relationships within New Mexico’s healthier communities. Soc Sci Med. 1999;49:39–53. doi: 10.1016/S0277-9536(99)00073-8. [PubMed] [Cross Ref]
33. Cram F. Rangahau Maori: Tona tika, tona pono: The validity and integrity of Maori research. In: Tolich M, editor. Research Ethics in Aotearoa New Zealand. Longman, Auckland: Pearson Education; 2001. pp. 35–52.
34. Anderson I. Ethics and health research in Aborlginal communities. In: Daly J, editor. Ethical Intersections: Health Research, Methods and Researcher Responsibility. St. Leonards, New South Wales: Allen & Unwin; 1996. pp. 153–165.
35. Minkler M, Wallerstein N, editors. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003. Thirteen policy principles for advancing collaborative activity among and between tribal communities and surrounding jurisdictions; pp. 436–436.
36. Stuart CA. Care and concern: an ethical journey in participatory action research. Can J Couns. 1998;32:298–314.
37. Diaz M, Simmons R. When is research participatory? Reflections on a Reproductive Health Project in Brazil. J Womens Health. 1999;8:175–184. doi: 10.1089/jwh.1999.8.175. [PubMed] [Cross Ref]
38. Chataway CJ. Examination of the constraints of mutual inquiry in a participatory action research project. J Soc Issues. 1997;53:747–765. doi: 10.1111/0022-4537.00047. [Cross Ref]
39. Green LW, George MA, Daniel M, et al. Guidelines for participatory research in health promotion. In: Minkler M, Wallerstein N, et al., editors. Community Based Participatory Research for Health. San Francisco, CA: Jossey-Bass; 2003. pp. 419–419.
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