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Applying community based participatory research principles to the dissemination of a school based health promotion intervention in American Indian communities

Eric F. Chrisp, MA1, Camila X. Romero, MD1, Leslie Cunningham-Sabo, PhD, RD1, Elverna Bennett, BA1, Marjorie Werito, MPH, CHES2, Karen P. Arviso, BS2, Teresa Tenorio, BA1, Eli Bigthumb2, Rethania S. Yazzie2, and Sally M. Davis, PhD1. (1) Center for Health Promotion and Disease Prevention, University of New Mexico, MSC 11 6145 1 University Blvd. NE, 2703 Frontier RIB 1st floor, Albuquerque, NM 87131, 505-272-4462, EChrisp@salud.unm.edu, (2) Division of Community and Preventive Health, Crownpoint Healthcare Facility, P.O. Box 358, Crownpoint, NM 87313

Background: Participatory Action for Healthy Lifestyles (PAHL) is a three year prospective study that established partnerships with communities to develop a participatory model for dissemination of Pathways—an evidence-based nutrition and physical activity intervention for American Indian elementary schoolchildren. PAHL retrospectively applied Community Based Participatory Research (CBPR) principles as an evaluation tool to assess the project. Methods: Principles delineated by Israel et al. (1998) formed the basis for a series of reflective meetings among university and community based partners from PAHL to systematically review the history of the PAHL project in light of the eight CBPR principles. The discussions centered on a series of tables detailing roles and actions of the partners related to specific aspects of the CBPR principals such as “Builds on strengths and resources within the community.” QSR N6 software furthered the analysis through key word searches of the 350 document PAHL data base. Results: Long standing relationships among individuals and institutions facilitated a stronger commitment to participation and achieving results. Interventions were tailored to expressed community needs, thereby increasing likelihood of adoption of the intervention. The university also employed a community member who served as a liaison between researchers and community members. Conclusions: The process engaged by PAHL partners highlights the need for established relationships, sharing responsibilities and open lines of communication between communities and researchers. This example of the application of CBPR principles to a health promotion intervention will provide useful strategies for those bridging the gap between science and practice.

Learning Objectives:

Keywords: Community-Based Partnership, Sustainability

Related Web page: hsc.unm.edu/pathways/

Presenting author's disclosure statement:

Not Answered

Addressing Health Issues Among Vulnerable Populations

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA