Community Based Participatory Research
(CBPR) Model:
Nina Wallerstein, DrPH
Professor, Public Health
Director, Center for Participatory Research
College of Population Health
University of New Mexico
CBPR Conceptual Model
• Developed over a long process: 2006 – 2016
• Key Question:
• What is the added value of partnering for improved
health outcomes and health equity?
• Useful for assessing the links and pathways between
promising practices and outcomes
• Validated by community partnerships and by national
survey of 200 federally-funded partnerships (450
partners)
• Developed in consultation with Think Tank
Funding:
NIMHD Pilot (2006-2009)
Research for Improved Health NARCH Funding: (2009-2013)
I.H.S./NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHD
Engage for Equity: Advancing Community Engaged Partnerships (2015-20200
National Institute of Nursing Research
CBPR Conceptual Model
Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Contexts
Social
&
Structural
Political
&
Policy
Partnership Processes
Individual
Characteristics
Relationships
Partnership
Structures
Health
Issue
Importance
CBOs
Agency
Intervention
& Research
Processes
Outputs
Integrate
Cultural
Knowledge
CulturalCentered
Interventions
Co-Learning
Partnership
Synergy
Outcomes
Intermediate
•
•
•
•
•
•
Funders
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Community
Government
Policy Environment
Sustained Partnership
Empowerment
Shared Power Relations
in Research
Cultural Reinforcement
Individual Partner /
Agency Capacities
Long-term
Academic
Health Care
Community
Involved in
Research
Appropriate
Research
Design
•
•
•
Community
Transformation
Social Justice
Health / Health Equity
Visual from amoshealth.org 2016
Context
Social-Economic Status,
Place, History,
Environment, Community
Safety, Institutional
Racism, Culture, Role of
Education and Research
Institutions
Community/Academic,
Partnership Capacity
Social
&
Structural
Political
&
Policy
Health
Issue
Importance
Capacity
&
Readiness
National/ Local
Governance/Approvals
of Research; Policy &
Funding Trends
Perceived Severity by
Partners
Collaboration
Trust &
Mistrust
Historic Trust /
Mistrust between
Partners
Partnership Processes
•Motivation to
Participate
•Cultural Identities /
Humility
•Personal Beliefs
/Values
•Spirituality
•Reputation of P.I.
How we interact
•Safety: Respect for
Individual
Community
Relationships
Characteristics
Voice/Trust
•Flexibility
•Dialogue, Listening &
Mutual Learning
Partnership
•Conflict Management
Structures
•Leadership/Influence
•Power
CBO
Shared/Stewardship
Agency
s
•Self & Collective
Academic
Funders
Reflection
Community
•Participatory Decisionmaking
Government
Health Care
•Resource
Management
•Diversity: Who is involved •Formal Agreements •Task Roles/Group
Communication
•Complexity
•Partnership Values
•Shared Resources
•Bridging Social
•% Dollars to Community
Capital
•Aligned CBPR Principles •Time in Partnership
Intervention & Research
Processes
Outputs
Integrate
Cultural
Knowledge
CulturalCentered
Interventions
Co-Learning
Partnership
Synergy
Co-Learning Processes lead to
Partnership Synergy & Trust
Community
Involved in
Research
Appropriate
Research
Design
Community Members Involved in Research
Activities leads to Research/Evaluation
Design that Reflects Community Priorities
Cultural Processes that honor cultural
knowledge, local settings and
organizations; and use both academic &
community language lead to culturallycentered Interventions
Bidirectional Translation,
Implementation & Dissemination
Outcomes
Intermediate
• Policy Environment
• Sustained Partnership
• Empowerment
• Shared Power Relations in
Research
• Cultural Reinforcement
• Individual Partner / Agency
Capacities
Both in Universities & Communities
Sustained Partnership and Interventions
Multi-Level
Knowledge Democracy, Productivity
Measures, i.e. Papers, Grant Applications &
Awards with Partners
Revitalization
Growth
Long-term
• Community Transformation
• Social Justice
• Health / Health Equity
Policies / Programs / Conditions
CBPR Conceptual Model
Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Contexts
Social
&
Structural
Political
&
Policy
Partnership Processes
Individual
Characteristics
Relationships
Partnership
Structures
Health
Issue
Importance
CBOs
Agency
Intervention
& Research
Outcomes
Intermediate
Processes
Outputs
Integrate
Cultural
Knowledge
CulturalCentered
Interventions
Co-Learning
Partnership
Synergy
•
•
•
•
•
•
Funders
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Community
Government
Policy Environment
Sustained Partnership
Empowerment
Shared Power Relations
in Research
Cultural Reinforcement
Individual Partner /
Agency Capacities
Long-term
Academic
Health Care
Community
Involved in
Research
Appropriate
Research
Design
•
•
•
Community
Transformation
Social Justice
Health / Health Equity
Visual from amoshealth.org 2016
Contexts
•
•
•
•
•
Partnership Dynamics
Relationships: How we interact
Social-Structural: Social-Economic Partnership Structures:
• Safety: Respect for
Status, Place, History,
• Diversity: Who is involved
Community Voice/Trust
Environment, Community Safety,
• Complexity
• Flexibility
Institutional Racism, Culture, Role
• Formal Agreements
• Dialogue, Listening & Mutual
of Education and Research
• Shared Resources
Learning
Institutions
• % Dollars to Community
• Conflict Management
Political Policy: National/ Local
• Aligned CBPR Principles
• Leadership/Influence
Governance/Approvals of
• Partnership Values
• Power Shared/Stewardship
Research; Policy & Funding
• Bridging Social Capital
• Self & Collective Reflection
Trends
• Time in Partnership
• Participatory DecisionHealth Issue: Perceived Severity
Individual Characteristics:
making
by Partners
• Motivation to Participate
• Resource Management
Collaboration: Historic
• Cultural Identities/Humility
• Task Roles/Group
Trust/Mistrust between Partners
• Personal Beliefs/Values
Communication
Capacity: Community/ Academic,
• Spirituality
Partnership Capacity
• Reputation of P.I.
Intervention &
Research
• Cultural Processes that honor
cultural knowledge, local settings
and organizations; and use both
academic & community language
lead to culturally-centered
Interventions
• Co-Learning Processes lead to
Partnership Synergy & Trust
• Community Members Involved in
Research Activities leads to
Research/Evaluation Design that
Reflects Community Priorities
• Bidirectional Translation,
Implementation & Dissemination
Outcomes
Intermediate System & Capacity Outcomes
• Policy Environment Changes: both in Universities
& Communities
• Sustainable Partnerships and Interventions
• Empowerment – Multi-Level
• Equalized Power Relations in Research
• Productivity Measures, i.e. Papers, Grant
Applications & Awards with Partners
• Cultural Reinforcement/Revitalization
• Growth in Individuals & Agencies Capacities
• Knowledge Democracy
Long-Term Outcomes: Social Justice
• Community Transformation: Policies / Programs /
Conditions
• Improved Health / Health Equity
CBPR Conceptual Model
Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Contexts
Social
&
Structural
Partnership Processes
Individual
Characteristics
Political
&
Policy
Relationships
Partnership
Structures
Health
Issue
Importance
CBOs
Agency
Intervention
& Research
Outcomes
Intermediate
Processes
Outputs
Integrate
Cultural
Knowledge
CulturalCentered
Interventions
Co-Learning
Partnership
Synergy
•
•
•
•
•
•
Funders
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Community
Sustained Partnership
Empowerment
Shared Power Relations
in Research
Cultural Reinforcement
Individual Partner /
Agency Capacities
Long-term
Academic
Government
Policy Environment
Health Care
Community
Involved in
Research
Appropriate
Research
Design
•
•
•
Community
Transformation
Social Justice
Health / Health Equity
Visual from amoshealth.org 2016
Contexts
Partnership Dynamics
Partnership Structures:
Relationships: How we interact
Intervention &
Research
Outcomes
Intermediate System & Capacity Outcomes
Long-Term Outcomes: Social Justice
Individual Characteristics:
• \
CBPR Conceptual Model
Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010
Contexts
Social
&
Structural
Political
&
Policy
Partnership Processes
Individual
Characteristics
Relationships
Partnership
Structures
Health
Issue
Importance
CBOs
Agency
Intervention
& Research
Outcomes
Intermediate
Processes
Outputs
Integrate
Cultural
Knowledge
CulturalCentered
Interventions
Co-Learning
Partnership
Synergy
•
•
•
•
•
•
Funders
Capacity
&
Readiness
Collaboration
Trust &
Mistrust
Community
Government
Policy Environment
Sustained Partnership
Empowerment
Equal Power Relations
in Research
Cultural Reinforcement
Individual Partner /
Agency Capacities
Long-term
Academic
Community
Involved in
Research
Appropriate
Research
Design
Health Care
•
•
•
Community
Transformation
Social Justice
Health / Health Equity
Visual from amoshealth.org 2016
Contexts
•
•
•
•
•
Partnership Dynamics
Relationships: How we interact
Social-Structural: Social-Economic Partnership Structures:
• Safety: Respect for
Status, Place, History,
• Diversity: Who is involved
Community Voice/Trust
Environment, Community Safety,
• Complexity
• Flexibility
Institutional Racism, Culture, Role
• Formal Agreements
• Dialogue, Listening & Mutual
of Education and Research
• Shared Resources
Learning
Institutions
• % Dollars to Community
• Conflict Management
Political Policy: National/ Local
• Aligned CBPR Principles
• Leadership/Influence
Governance/Approvals of
• Partnership Values
• Power Shared/Stewardship
Research; Policy & Funding
• Bridging Social Capital
• Self & Collective Reflection
Trends
• Time in Partnership
• Participatory DecisionHealth Issue: Perceived Severity
Individual Characteristics:
making
by Partners
• Motivation to Participate
• Resource Management
Collaboration: Historic
• Cultural Identities/Humility
• Task Roles/Group
Trust/Mistrust between Partners
• Personal Beliefs/Values
Communication
Capacity: Community/ Academic,
• Spirituality
Partnership Capacity
• Reputation of P.I.
Intervention &
Research
• Cultural Processes that honor
cultural knowledge, local settings
and organizations; and use both
academic & community language
lead to culturally-centered
Interventions
• Co-Learning Processes lead to
Partnership Synergy & Trust
• Community Members Involved in
Research Activities leads to
Research/Evaluation Design that
Reflects Community Priorities
• Bidirectional Translation,
Implementation & Dissemination
Outcomes
Intermediate System & Capacity Outcomes
• Policy Environment Changes: both in Universities
& Communities
• Sustainable Partnerships and Interventions
• Empowerment – Multi-Level
• Equalized Power Relations in Research
• Productivity Measures, i.e. Papers, Grant
Applications & Awards
• Cultural Reinforcement/Revitalization
• Growth in Individuals & Agencies Capacities
• Knowledge Democracy
Long-Term Outcomes: Social Justice
• Community Transformation: Policies / Programs /
Conditions
• Improved Health / Health Equity