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Challenges to Successful CBPR: Competencies in Developing Community Partnerships

Challenges to Successful CBPR: Competencies in Developing Community Partnerships. Cleopatra Howard Caldwell, Ph.D. Department of Health Behavior & Health Education School of Public Health University of Michigan. Overview of Challenges to Successful Partnerships. Developing Partnerships

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Challenges to Successful CBPR: Competencies in Developing Community Partnerships

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  1. Challenges to Successful CBPR: Competencies in Developing Community Partnerships Cleopatra Howard Caldwell, Ph.D. Department of Health Behavior & Health Education School of Public Health University of Michigan

  2. Overview of Challenges toSuccessful Partnerships • Developing Partnerships • Establishing Respect and Trust • Negotiating Goals and Objectives • Effective Communication • Shared Decision-Making Strategies

  3. Developing CBPR Partnerships • Identifying Partners • Understanding Dominant and Subordinate Relationships -- Power and Privilege -- Reframing Relationships • Determining Timeframes for Developing Partnerships

  4. Establishing Respect and Trust • Understanding the Historical Basis of Mistrust • Identifying Strategies for Building Trust and Respect • Removing Obstacles to Establishing and Sustaining Trust

  5. Negotiating Goals & Objectives • Articulating Individual Partner Project Goals and Objectives • Developing Integrated Project Goals and Objectives • Assessing and Reassessing Project Outcomes

  6. Effective Communication • Developing a Shared Vocabulary • Learning to Hear and Respond to Different Viewpoints • Speaking as a Collective

  7. Shared Decision-Making Strategies • Assessing Approaches to Collaborative Decision-Making • Selecting a Collaborative Decision-Making Strategy • An Example from the Flint Fathers and Sons Evaluation Project

  8. The Collaborative Model1 The Fathers and Sons Project followed three primary stages in developing its collaborative research partnership. These three stages are: • Dependence – academic partners emerge as the leaders at this stage; danger of not benefiting from expertise of all partners. • Independence – charge each partner with the responsibility of ensuring that their group’s perspective is not lost to the larger group; written documents using non-technical language to communicate ideas are developed at this stage. • Interdependence – incorporation of the points of view of other groups in the partnership to reflect the whole. Final vision is reflective of the total partnership. 1From Caldwell, C.H., Zimmerman, M.A., Isichei, P.A.C. (2001). Forging collaborative partnerships to enhance family health: An assessment of strengths and challenges in conducting community-based research. Journal of Public Health Management and Practice: 7, 1-9.

  9. General Project Decision-Making Process Initial Discussions As A Steering Committee Separate Discussions among Each Partner Written Contributions From the Perspective of Each Partner Integration of Final Decisions into Document

  10. Additional Challenges • IRB Issues • Capacity-Building for the Research Enterprise • Evaluating Partnerships • Sustaining Partnerships • Funding Issues

  11. Conclusion “In the end, when you succeed at CBPR, the benefits far outweigh the challenges to become opportunities to improve the public’s health.” The CBPR Panel Members

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