pubhlth 244 - week 6: community engagement in research

trust in u.s. institutions

• most u.s. adults reported that they trust 9 institutions to serve everyone in their local community fairly

• however, from 2021 to 2024, trust has declined for all excel local schools

**note**

decline in trust in public entities

community trust in health care

• African Americans, Latinos, and other marginalized groups have long history of receiving inferior quality of health care (Smedley et
  al., 2003)

• “Most racial and ethnic health care inequities have persisted, and
  some have worsened.”(Benjamin et al, 2024)

• “Failure to invest in promising solutions, ....

• Especially solutions that engage communities and are integrated into
  community settings.”

community engagement

• process of working collaboratively w/ & through groups of people affiliated by geographic proximity, special interest, or similar situations to address issues affecting the well-being of those people (cdc)

• a collaborative process where organizations work w/ groups of people who share a common interest or situation to address issues & improve well-being (nih)

community engagement in research

active partnership b/w stakeholders & researchers in production of new healthcare knowledge & evidence

community-based participatory research (cbpr) conceptual model principles

• community capacity

• empowerment & critical consciousness

• partnership & relevance

• health equity

community capacity

development of knowledge, skills, commitment, structures, systems, & leadership to enable effective health promotion

empowerment & critical consciousness

promotoin of co-learning & intergrating knowledge w/ action

partnership & relevance

facilitation of equitable involvement of all partners in practice & research

health equity

addressing inequitable conditions that create disparities

weaving an islander network for cancer awareness research & training (WINCART)

• community network program funded by the NCI CRCHD to reduce disparities among pacific islanders in southern california through:

  • disparities research

  • community education

  • student training

nih community networks program centers

• increase knowledge, access, & use of beneficial biomedical/behavioral procedures in cancer health disparities

• develop & perform evidence-based cancer health disparities intervention research

hallmarks of WINCART studies

• community-based participatory research

• collaborative planning between interested community groups & university researchers, usually through community advisory boards

• all projects approved through WINCART-wide steering committee

• selected projects approved through community IRB at special services for groups

• report-back to WINCART steering committee & advisory boards

• academic & community dissemination