Culture-centeredness in community-based participatory research: contributions to health education intervention research

Nina Wallerstein¹, John G Oetzel², Bonnie Duran³, Maya Magarati⁴, Cynthia Pearson⁵, Lorenda Belone⁶, Joyce Davis⁷, Lori DeWindt⁸, Sarah Kastelic⁹, Julie Lucero¹⁰, Charmaine Ruddock¹¹, Erika Sutter¹², Mohan J Dutta¹³

Affiliations

¹ Center for Participatory Research, College of Population Health, University of New Mexico, MSC09 5060, 1 University of New Mexico, Albuquerque, NM, USA.
² Waikato Management School, Private Bag 3105, University of Waikato, Hamilton 3240, New Zealand.
³ School of Social Work & Public Health, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE Room 211D, Seattle, WA, USA.
⁴ School of Social Work, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE, Seattle, WA, USA.
⁵ Indigenous Wellness Research Institute, University of Washington, Seattle, WA, USA.
⁶ College of Education, University of New Mexico, MSC04 2610, 1 University of New Mexico, Albuquerque, NM, USA.
⁷ Joyce Davis Associates, 4 Horizon Road Suite 1419, Fort Lee, NJ, USA.
⁸ National Center for Deaf Health Research, University of Rochester Medical Center, CU 420708, 265 Crittenden Blvd., Rochester, NY, USA.
⁹ National Indian Child Welfare Association, 5100 SW Macadm Avenue, Suite 300, Portland, OR, USA.
¹⁰ School of Community Health Sciences, Lombardi Recreation Center, University of Nevada, Room 203, 1664 North Virginia Street, Reno, NV, USA.
¹¹ Institute for Family Health, Bronx Health REACH, 16 East 16th Street, New York, NY, USA.
¹² Rochester Prevention Research Center, National Center for Deaf Health Research, University of Rochester, CPU 420708, 265 Crittenden Blvd., Rochester, NY, USA.
¹³ Center for Culture-Centered Approach to Research & Evaluation (CARE), Te Pou Aro Korero; School of Communication, Journalism, and Marketing, Massey University, Private Bag, Palmerston North, New Zealand.

PMID: 31237937
PMCID: PMC6646947
DOI: 10.1093/her/cyz021

Culture-centeredness in community-based participatory research: contributions to health education intervention research

Nina Wallerstein et al. Health Educ Res. 2019.

. 2019 Aug 1;34(4):372-388.

doi: 10.1093/her/cyz021.

Authors

Affiliations

¹ Center for Participatory Research, College of Population Health, University of New Mexico, MSC09 5060, 1 University of New Mexico, Albuquerque, NM, USA.
² Waikato Management School, Private Bag 3105, University of Waikato, Hamilton 3240, New Zealand.
³ School of Social Work & Public Health, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE Room 211D, Seattle, WA, USA.
⁴ School of Social Work, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE, Seattle, WA, USA.
⁵ Indigenous Wellness Research Institute, University of Washington, Seattle, WA, USA.
⁶ College of Education, University of New Mexico, MSC04 2610, 1 University of New Mexico, Albuquerque, NM, USA.
⁷ Joyce Davis Associates, 4 Horizon Road Suite 1419, Fort Lee, NJ, USA.
⁸ National Center for Deaf Health Research, University of Rochester Medical Center, CU 420708, 265 Crittenden Blvd., Rochester, NY, USA.
⁹ National Indian Child Welfare Association, 5100 SW Macadm Avenue, Suite 300, Portland, OR, USA.
¹⁰ School of Community Health Sciences, Lombardi Recreation Center, University of Nevada, Room 203, 1664 North Virginia Street, Reno, NV, USA.
¹¹ Institute for Family Health, Bronx Health REACH, 16 East 16th Street, New York, NY, USA.
¹² Rochester Prevention Research Center, National Center for Deaf Health Research, University of Rochester, CPU 420708, 265 Crittenden Blvd., Rochester, NY, USA.
¹³ Center for Culture-Centered Approach to Research & Evaluation (CARE), Te Pou Aro Korero; School of Communication, Journalism, and Marketing, Massey University, Private Bag, Palmerston North, New Zealand.

PMID: 31237937
PMCID: PMC6646947
DOI: 10.1093/her/cyz021

Abstract

Health education research emphasizes the importance of cultural understanding and fit to achieve meaningful psycho-social research outcomes, community responsiveness and external validity to enhance health equity. However, many interventions address cultural fit through cultural competence and sensitivity approaches that are often superficial. The purpose of this study was to better situate culture within health education by operationalizing and testing new measures of the deeply grounded culture-centered approach (CCA) within the context of community-based participatory research (CBPR). A nation-wide mixed method sample of 200 CBPR partnerships included a survey questionnaire and in-depth case studies. The questionnaire enabled the development of a CCA scale using concepts of community voice/agency, reflexivity and structural transformation. Higher-order confirmatory factor analysis demonstrated factorial validity of the scale. Correlations supported convergent validity with positive associations between the CCA and partnership processes and capacity and health outcomes. Qualitative data from two CBPR case studies provided complementary socio-cultural historic background and cultural knowledge, grounding health education interventions and research design in specific contexts and communities. The CCA scale and case study analysis demonstrate key tools that community-academic research partnerships can use to assess deeper levels of culture centeredness for health education research.

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References

1. Wallerstein N, Duran B, Oetzel J. et al. (eds). Community-Based Participatory Research for Health: Advancing Social and Health Equity. San Francisco, CA: Jossey-Bass, 2018.
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Culture-centeredness in community-based participatory research: contributions to health education intervention research

Affiliations

Culture-centeredness in community-based participatory research: contributions to health education intervention research

Authors

Affiliations

Abstract

Figures

References

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MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources