Evidence map›Paper›PMID 35501798›Full record

ArticleInternational journal for equity in health2022

Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships.

John G Oetzel, Blake Boursaw, Maya Magarati, Elizabeth Dickson, Shannon Sanchez-Youngman, Leo Morales, Sarah Kastelic, Milton Mickey Eder, Nina Wallerstein

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

John G OetzelUniversity of Waikato, Waikato Management School, Hamilton, New Zealand. john.oetzel@waikato.ac.nz.ORCID 0000-0003-3188-776X
Blake BoursawUniversity of New Mexico, College of Nursing, Albuquerque, USA.
Maya MagaratiDepartment of Psychiatric and Behavioral Sciences, University of Washington, Seven Directions: A Center for Indigneous Public Health, Center for the Study of Health and Risk Behaviors, School of Medicine, Seattle, USA.
Elizabeth DicksonUniversity of New Mexico, College of Nursing, Albuquerque, USA.
Shannon Sanchez-YoungmanUniversity of New Mexico, Center for Participatory Research, Albuquerque, USA.
Leo MoralesUniversity of Washington, School of Medicine, Seattle, USA.
Sarah KastelicNational Indian Child Welfare Association, Portland, USA.
Milton Mickey EderDepartment of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA.
Nina WallersteinUniversity of New Mexico, Center for Participatory Research, Albuquerque, USA.
University of New Mexico · USUniversity of Washington · USUniversity of Minnesota · USUniversity of Waikato · NZ

Funding

Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral HealthU54MD004811 · NIMHD · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CACARI STONE, LISA MARIE, CRUZ, THERESA · 2017 to 2022
$8.7M
Enhancing CBPR Practice through Provision of Expert Information SkillsR01NR015241 · NINR · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI WALLERSTEIN, NINA B · 2015 to 2019
$2.7M
NINR NIH HHS R01 NR015241
6 · The paper itself

Abstract

backgroundCommunity-Based Participatory Research (CBPR) is often used to address health inequities due to structural racism. However, much of the existing literature emphasizes relationships and synergy rather than structural components of CBPR. This study introduces and tests new theoretical mechanisms of the CBPR Conceptual Model to address this limitation.

methodsThree-stage online cross-sectional survey administered from 2016 to 2018 with 165 community-engaged research projects identified through federal databases or training grants. Participants (N = 453) were principal investigators and project team members (both academic and community partners) who provided project-level details and perceived contexts, processes, and outcomes. Data were analyzed through structural equation modeling and fuzzy-set qualitative comparison analysis.

resultsCommitment to Collective Empowerment was a key mediating variable between context and intervention activities. Synergy and Community Engagement in Research Actions were mediating variables between context/partnership process and outcomes. Collective Empowerment was most strongly aligned with Synergy, while higher levels of Structural Governance and lower levels of Relationships were most consistent with higher Community Engagement in Research Actions.

conclusionsThe CBPR Conceptual Model identifies key theoretical mechanisms for explaining health equity and health outcomes in community-academic partnerships. The scholarly literature's preoccupation with synergy and relationships overlooks two promising practices-Structural Governance and Collective Empowerment-that interact from contexts through mechanisms to influence outcomes. These results also expand expectations beyond a "one size fits all" for reliably producing positive outcomes.

Indexed as

Community-Institutional RelationsHealth EquityCommunity-Based Participatory ResearchCross-Sectional StudiesHumansOrganizationsCBPR conceptual modelCollective empowermentCommunity-based participatory research (CBPR)Community-engaged researchParticipatory health research

Identifiers

PMID35501798
PMCPMC9063068
OpenAlexW4225279007

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.