Community-based Participatory Research Approach Research Articles

Developing relevant assessments of community-engaged research partnerships: A community-based participatory approach to evaluating clinical and health research study teams.

In 2017, the Michigan Institute for Clinical and Health Research (MICHR) and community partners in Flint, Michigan collaborated to launch a research funding program and evaluate the dynamics of those research partnerships receiving funding. While validated assessments for community-engaged research (CEnR) partnerships were available, the study team found none sufficiently relevant to conducting CEnR in the context of the work. MICHR faculty and staff along with community partners living and working in Flint used a community-based participatory research (CBPR) approach to develop and administer a locally relevant assessment of CEnR partnerships that were active in Flint in 2019 and 2021. Surveys were administered each year to over a dozen partnerships funded by MICHR to evaluate how community and academic partners assessed the dynamics and impact of their study teams over time. The results suggest that partners believed that their partnerships were engaging and highly impactful. Although many substantive differences between community and academic partners' perceptions over time were identified, the most notable regarded the financial management of the partnerships. This work contributes to the field of translational science by evaluating how the financial management of community-engaged health research partnerships in a locally relevant context of Flint can be associated with these teams' scientific productivity and impact with national implications for CEnR. This work presents evaluation methods which can be used by clinical and translational research centers that strive to implement and measure their use of CBPR approaches.

Using a community-based participatory research (CBPR) approach to explore economic empowerment for youth with disabilities in rural Uganda

This paper presents findings from a community-based participatory study exploring the lived experiences and key livelihood changes post-intervention of a vocational skills training for young people with disabilities in rural Uganda. Twenty-four youth with disabilities (13 female, 11 male) who had previously taken the vocational training were trained to become peer researchers and conducted 72 in-depth interviews with a more recent cohort of youth with disabilities. Findings were gathered into core themes of capacity building, security and interaction. They showed that training in a skill is an important part of the economic empowerment journey for youth with disabilities in rural Uganda. Beyond this, transition from training to work, marketing, proving competence, managing chronic pain whilst working and probable risk are also areas that need guidance and support. Renewed hope for better livelihood prospects was mixed with a degree of uncertainty. Some were unprepared for the complexities around community respect and had also not considered that their financial situation may get worse before it gets better, as part of the risk of self-employment.

Need of community-based palliative care in rural India and factors that influence its sustainability: a comprehensive exploration using qualitative methodology in rural Puducherry, India.

The existing palliative care services in India are concentrated in urban areas, attached to tertiary care hospitals. This poses issues relating to access and equity for people in rural locations and with low socioeconomic status. A Community-Based Palliative Care (CBPC) service named Sanjeevan has been initiated in Puducherry, a union territory of India to provide physical, social, psychological, and emotional support to incurably ill people, including older adults living in rural areas. To understand the social mechanisms that underpin the implementation of CBPC in rural parts of India and the challenges to its sustainability. Qualitative research using focus group discussions (FGDs) and key informant interviews (KIIs). Community-based participatory research (CBPR) approach was used in this study, and descriptive analysis was done. Through CBPR it was possible to document and interpret local knowledge on the community concerns and assets along with the experiences of the community members. Purposive sampling was used to identify vocal participants involved in patient care and areas of the Sanjeevan program such as financial management, administration, and community mobilization. Seven KIIs and four FGDs were conducted, with 7-8 participants in each. The analysis indicated the need for a CBPC and the factors enabling its establishment. The findings revealed capacity building, resources for palliative care services, and the existing social structure of the community being the main challenges that need to be overcome for better penetration of CBPC services into society. Demand generation through sensitization and administration of services based on the need and regular follow-up remains the key strategies for the sustainability of the program. The CBPC program like 'Sanjeevan' adopted in the rural area of Puducherry can be cited as an example and can be replicated in other rural settings with similar sociocultural characteristics to support people living with end-stage diseases.

Evaluating the online delivery of an autistic-led programme to support newly diagnosed or identified autistic adults.

Exploring Being Autistic is an autistic-led group-based programme providing psychoeducation and peer support to newly identified/diagnosed autistic adults. In 2020, due to social distancing measures implemented following the coronavirus pandemic, Exploring Being Autistic was adapted for online delivery. Here, we aimed to replicate previous research into the in-person delivery of Exploring Being Autistic, to determine whether similar results were obtained when the programme was delivered online. Further, we aimed to identify the unique opportunities and challenges that online delivery afforded. We used a community-based participatory research (CBPR) approach, whereby the autistic developer and facilitator of Exploring Being Autistic worked collaboratively with a team of academic researchers throughout the research process. Together, we evaluated two iterations of the online Exploring Being Autistic programme, involving 16 attendees. Attendees completed questionnaires before, during and after the programme. Attendees were also invited to participate in two post-programme (group or individual) interviews: one following the completion of the programme (time one) and another 6-8 months later (time two). Attendees were included in the research if they completed at least one questionnaire or interview. Data were analysed qualitatively, using reflexive thematic analysis. Experiences of participating in the programme tended to be positive. Participants appreciated the autistic-led nature of the programme, found unity in the diversity of the group, and developed a positive and practical outlook as a result of the programme. Further analyses of our data revealed mixed views regarding the online delivery of the programme. Opportunities of online delivery were noted, such as this mode of participation reducing cognitive load, enabling the programme to be accessible to more participants, and fostering meaningful social connections among participants. However, technology and practical issues were felt to cause barriers, and some human aspects of participation were felt to be 'lost in translation' (e.g., in breakout groups). The online delivery of the Exploring Being Autistic programme yielded similar results to previous, in-person evaluations of the programme. While we identified positive aspects of online delivery, this mode did not entirely suit everyone's needs. From the current findings, we can make several recommendations to develop online support for autistic people. First, flexibility is key. To make support accessible and inclusive to a broad range of autistic people, the option for attendees to engage in-person, online or in hybrid formats should be considered. Second, if delivering support online, the use of breakout rooms should be carefully considered. While participants appreciated the opportunity to meet different people, some participants found the unpredictability and lack of scaffolding associated with breakout rooms challenging. To mitigate these challenges, groups could be pre-determined and shared with the attendees in advance (although consideration should be given to how the groups 'fit' together, and whether groupings should be changed at set intervals). Gentle warnings should also be given to those in breakout rooms, to alert them of the need to re-join the main group. Finally, support with technological aspects relating to engagement should be prioritised.

Voices and challenges of marginalized and vulnerable groups in urban informal settlements in Nairobi, Kenya: building on a spectrum of community-based participatory research approaches.

Urbanization is rapidly increasing across Africa, including in Nairobi, Kenya. Many people, recent migrants and long-term residents, live within dense and dynamic urban informal settlements. These contexts are fluid and heterogeneous, and deepening the understanding of how vulnerabilities and marginalization are experienced is important to inform pointed action, service delivery and policy priorities. The aim of this paper is to explore vulnerabilities and marginalization within Korogocho and Viwandani informal settlements in Nairobi and generate lessons on the value of a spectrum of community based participatory research approaches for understanding health and well-being needs and pinpointing appropriate interventions. In the exploratory stages of our ARISE consortium research, we worked with co-researchers to use the following methods: social mapping, governance diaries, and photo voice. Social mapping (including the use of Focus Group Discussions) identified key vulnerable groups: marginalized and precarious child heads of households (CHHs), Persons with disability who face multiple discrimination and health challenges, and often isolated older adults; and their priority needs, including health, education, water and sanitation. The governance diaries generated an understanding of the perceptions of the particularly vulnerable and marginalized informal settlement residents regarding the various people and institutions with the power to influence health and wellbeing; while photo voice highlighted the lived experiences of vulnerability and marginality. Understanding and responding to fluid and intersecting marginalities and vulnerabilities within growing urban informal settlements is particularly critical to achieving inclusive urbanization, where no one is left behind, a theme central to the Sustainable Development Goals and Kenya's Vision 2030.

Impacts of Climate Change on Youth’s Place Attachment: A Case Study of Tasiilaq, East Greenland

This article examines the impacts of climate change on youth’s place attachment and highlights the pressing need to understand its implications for urban space utilization in the rapidly changing Arctic. The study employs an expanded place attachment theory, considers the influencing factor of climate change, and adopts a decolonization of science as well as a community-based participatory research approach to investigate Tasiilaq youth’s perspectives on their attachment to public spaces. The findings show that place attachment for these youth is shaped by the fulfillment of functional and emotional needs, encompassing social interaction, physical activity, and reflective purposes. The study concludes that climate change affects the place attachment of these youth in a multifaceted manner influenced by a complex interplay of factors. Results also reveal potentially positive and negative effects of climate change on place attachment, mediated by the youth’s functional and emotional needs and availability of alternative places.

Community-Based Participatory Research Approach to Qualitatively Examining Menstrual Health Experiences in Philadelphia, PA.

Context: Menstruation is a highly stigmatized topic across social, familial, and medical communities . Some people who menstruate experience severe symptoms, such as excessive bleeding or debilitating cramps. Roughly half of the world's population will menstruate at some point in their lives, thus destigmatized management of menses is critical. Objective: Qualitatively understand the lived menstrual health experiences among cis-gendered women ages 18-45 living in Philadelphia. Specifically, menstrual management tactics, commonly used resources and education, and additional desired supports. Study Design and Analysis: Qualitative community-based participatory research (CBPR) with No More Secrets (NMS), a Philadelphia-based grassroots sexuality awareness organization and menstrual health and wellness hub that provides free menstrual products and workshops. Interview recordings transcribed and analyzed using Key Words in Context approach. Written summaries and analytic memos of emergent themes prepared. Setting: Philadelphia, PA. Population Studied: Participants were recruited from NMS's Philadelphia catchment population using convenience sampling (N=20). Eligible participants included cis-gendered women, ages 18-45, who received a menstrual hygiene bag from NMS in the last two years Instrument: Interviews conducted in Fall 2020 via telephone (~30-35 minutes). Each followed a semi-structured question guide with probes based on a thorough literature review and NMS' prior community work. Participants received a $5 Walmart gift card and a three-month menstrual hygiene supply bag upon interview completion. Interview questions asked about menstrual health experiences, communication, and worries and concerns. Outcome Measures: N/A Results: Four themes emerged: (1) cycle characteristics; (2) cycle management; (3) resources used to understand and cope with menses, and (4) suggested future resources. Overall, participants spoke about menses as a generally negative experience, asked for more comprehensive, verified, trustworthy sources of information, and greater access to menstrual management supplies. Conclusions: Participants described vastly different experiences, biases, and needs regarding their menstrual periods. It is vital for providers to recognize that even though menstruation is a common physiologic process, every individual has different experiences. Further efforts to normalize and destigmatize menstruation, especially in health care settings is crucial.

HOW NOT TO DO COMMUNITY-BASED PARTICIPATORY RESEARCH: MEDIA CAMPAIGN FOR SOCIAL CHANGE IN PAKISTAN’S TRIBAL DISTRICTS

This paper analyzes “Pakhto Voices” project run by Public Engagement Policy Lab., a U.K.-based non-governmental organization, in the light of Community Based Participatory Research (CBPR) principles and approaches. The main purpose of the project is to reduce health disparities among the people of the then Federally Administered Tribal Areas (FATA—now called Tribal Districts or Merged Districts) of Pakistan through a “community-based research project.” According to World Health Organization (WHO), Pakistan is one of the three remaining polio-endemic countries in the world, along with Afghanistan and Nigeria. More than half of the polio cases emerged from the Tribal Districts where people from Pakhtun ethnic group reside. The formative research design of the project employed a fusion of unobtrusive and obtrusive quantitative, qualitative and ethnographic methods. The formative research design had three components: Content Analysis; Citizen Consultation, and SMS data gathering program. In this paper, we argue that the “Pakhto Voices” project does not adhere to the principles of CBPR. The authors challenge the concept of “cultural competence” used during the creation of messages and interaction with the community in this program and argue that showing “cultural humility” could have improved the outcomes of the project. The paper is divided into 6 sections: 1) Introduction to the problem; 2) Health Disparities in TRIBAL AREAS; 3) Pakhto Voices Project 4) CBPR Approaches 5) Discussion 6) Conclusion.

Relevance of industry stakeholder partnership in the production of skilled electrical engineering trade graduates

This paper explores the relevance of the industry stakeholder in the production of skilled electrical installation and maintenance technical college (TC) graduates in Port Harcourt, Nigeria. One research question was set in the study: What is the relevance of stakeholder partnerships in the production of skilled Electrical Installation and Maintenance Trade (EIMT) Graduates? A qualitative exploratory case study involving a Community-Based Participatory Action Research (CBPAR) approach was used to purposively select ten participants. The data were generated through individual interviews and focus group discussions and were analysed thematically. Experiential learning theory was employed as a theoretical framework in the study. The study's findings revealed the emergence of the following themes: development of willingness to learn, exposure/development of new relevant trade-related skills, exposure/development of practical skills, challenges of the technical college programme, and innovative teaching. From these findings, the study concludes that the industry stakeholder is necessary for producing skilled EIMT graduates in line with the objectives of the TC programme in Nigeria. Thus, the study contributes to the body of existing knowledge on the Technical College programme and within the field of Technical and Vocational Education and Training (TVET) on the relevance of industry stakeholder partnership in the production of skilled EIMT. Recommendations were also made based on the conclusion.

Making moves: involved fathers experiences of Vancouver’s Downtown Eastside family walking program

ABSTRACT The relationship between physical activity and fatherhood in communities in which people experience marginalisation is not well understood in qualitative research. This is particularly the case in the Downtown Eastside (DTES) of Vancouver, Canada, where there are few services to meet the unique needs of fathers. To address these gaps, we developed Make a Move (MaM): A six-week family walking group pilot program for mothers, fathers, and their children who were living or accessing services in DTES. Informed by a community-based participatory research approach and intersectional poststructuralism, we conducted semi-structured interviews with nine fathers pre- and post-program to understand how their lived experiences as involved fathers in DTES shaped their participation in MAM. Our analysis revealed the ways that the men challenged dominant discourses related to masculinity, physical activity, and fathering, especially within the context of occupying marginalised and subordinate masculinities.

Levels and sources of adolescents' sexual knowledge in traditional societies: A cross-sectional study.

Gender rules, patriarchy, and cultural taboos on sexual issues in traditional societies may compel adolescents to seek sexual information from informal and inadequate sources. The aim of this cross-sectional study was to determine whether the level and sources of sexual knowledge differed by gender in the traditional community comprising Palestinian-Israeli high school students. Guided by the Human Ecological Systems Model and informed by a community-based participatory research approach, a convenience sample of high school students (n= 558) was recruited. Although findings indicated that both boys and girls had low levels of sexual knowledge, the areas of knowledge deficits varied by gender. The model demonstrated good fit for boys but not for girls. Post hoc analyses indicated that girls obtained sexual knowledge solely from close family members, while boys obtained sexual knowledge from multiple sources. Very few students of either gender obtained sexual knowledge from doctors or nurses, but with community input on cultural issues, nurses can play a pivotal role in creating comprehensive, school-based sex education for adolescents living in traditional societies.

A KNOWLEDGE USERS' PERSPECTIVE; CONSTRUCTING MEANINGFUL PARTNERSHIPS AT THE IMPLEMENTATION SCIENCE PROJECT

Abstract Objective United Way of British Columbia (UWBC) mission is to strengthen community capacity to address social issues for British Columbians. We use the Community-based Seniors’ Services (CBSS) sector framework to promote healthy aging within the community. Our mission in Population Health is to keep older adults active, connected, and engaged. Assistive technology is very relevant to connect and support older adults. Over the past few years, the development of innovative assistive technologies (ATs) has gained significant momentum and is viewed as an important potential contributor to enhancing healthy ageing and living in place. Methods This project uses a Community-Based Participatory Action Research approach focusing on broader stakeholder engagement to enlist with a large array of knowledge users in participatory, collaborative action research processes. As a knowledge-user for this project, we have participated in monthly advisory committee and expert panel meetings and have participated on key team discussions. Results We have actively facilitated the development of effective and meaningful partnerships between the academic research community and UWBC and its partner organizations. This partnership has strengthened the capacity for implementation research and the potential for improved outcomes vis-à-vis our healthy ageing mandate in BC. Conclusions The UWBC will benefit from the outcomes from this study. We aim to disseminate the research results across our vast network of community organizations through the Collaborative Online Resources Education (CORE) initiative. Additionally, through our work with policymakers, we will support the equitable deployment of ATs to older adults and their caregivers in BC.

THE IMPLEMENTATION PROCESS OF AN INTERGENERATIONAL COMMUNITY RESEARCH PROJECT: A NARRATIVE REVIEW

Abstract Food for a Long Life (FFLL) was a five-year USDA Children, Youth and Families at Risk intergenerational community research project that sought to increase healthy food consumption, knowledge, and access among preschoolers and older adults living in food insecure communities of Ohio and Virginia. Using the community-based participatory action research approach, community stakeholders jointly participated in all stages of the project to co-create context-specific programming to address needs within their communities with the goal of promoting program sustainability beyond the grant funding period. This presentation will provide a narrative review to explore the implementation process of FFLL by comparing initial project expectations to reality using the community-based participatory research conceptual model (Wallerstein et al., 2008; Wallerstein et al., 2018). By exploring project barriers such as COVID-19, facilitators such as flexible partner relationships, and strategies including promoting early buy-in, we provide an in-depth discussion of project successes and lessons learned.

UTILIZING BOOT CAMP TRANSLATION TO ENCOURAGE HISPANIC/LATINX PARTICIPATION IN ALZHEIMER’S RESEARCH

Abstract Hispanic/Latinx (H/L) individuals are 50% more likely to develop Alzheimer’s disease (AD), relative to non-Hispanic whites. Despite higher prevalence rates and earlier age of onset, H/L individuals are underrepresented in aging and AD research. The Engaging Communities of Hispanics for Aging Research (ECHAR) Network is an interdisciplinary, multi-site project that aims to address these disparities. ECHAR uses Boot Camp Translation (BCT), a community-based participatory research (CBPR) approach that partners research faculty and medical experts with community stakeholders to translate medical jargon into action-based, locally-relevant messages. Researchers at University of Nevada, Las Vegas recruited 14 community members to participate in an AD-specific BCT. The process was completed between June 2021 through January 2022 to identify: 1) key messages, 2) target audience(s), and 3) dissemination strategies. BCT members identified three messages to reflect community concerns and highlight values: 1) “Amar es saber” (“To love is to know”), which acknowledges the importance of family and addresses cultural norms that may discourage disease conversations; 2) “The community cares. Let’s talk.”; and 3) "Podemos afrontar el Alzheimer juntos." (”We can face Alzheimer’s disease together.”). Target audiences include younger and middle-age adults who may be or become caregivers and local non-profit and community organizations. Members identified social media, community education events, community influencers, and educational products as dissemination strategies. BCT is an effective tool for engaging local communities and exploring Hispanic/Latinx beliefs and attitudes toward AD. It leverages community member expertise to create meaningful, tailored, and culturally-relevant messages that address health disparities and encourage action.

Centering Indigenous knowledge in suicide prevention: a critical scoping review

BackgroundIndigenous peoples of Canada, United States, Australia, and New Zealand experience disproportionately high rates of suicide as a result of the collective and shared trauma experienced with colonization and ongoing marginalization. Dominant, Western approaches to suicide prevention—typically involving individual-level efforts for behavioural change via mental health professional intervention—by themselves have largely failed at addressing suicide in Indigenous populations, possibly due to cultural misalignment with Indigenous paradigms. Consequently, many Indigenous communities, organizations and governments have been undertaking more cultural and community-based approaches to suicide prevention. To provide a foundation for future research and inform prevention efforts in this context, this critical scoping review summarizes how Indigenous approaches have been integrated in suicide prevention initiatives targeting Indigenous populations.MethodsA systematic search guided by a community-based participatory research (CBPR) approach was conducted in twelve electronic bibliographic databases for academic literature and six databases for grey literature to identify relevant articles. the reference lists of articles that were selected via the search strategy were hand-searched in order to include any further articles that may have been missed. Articles were screened and assessed for eligibility. From eligible articles, data including authors, year of publication, type of publication, objectives of the study, country, target population, type of suicide prevention strategy, description of suicide prevention strategy, and main outcomes of the study were extracted. A thematic analysis approach guided by Métis knowledge and practices was also applied to synthesize and summarize the findings.ResultsFifty-six academic articles and 16 articles from the grey literature were examined. Four overarching and intersecting thematic areas emerged out of analysis of the academic and grey literature: (1) engaging culture and strengthening connectedness; (2) integrating Indigenous knowledge; (3) Indigenous self-determination; and (4) employing decolonial approaches.ConclusionsFindings demonstrate how centering Indigenous knowledge and approaches within suicide prevention positively contribute to suicide-related outcomes. Initiatives built upon comprehensive community engagement processes and which incorporate Indigenous culture, knowledge, and decolonizing methods have been shown to have substantial impact on suicide-related outcomes at the individual- and community-level. Indigenous approaches to suicide prevention are diverse, drawing on local culture, knowledge, need and priorities.

Community-Based Participatory Research: Partnering with College Students to Develop a Tailored, Wellness-Focused Intervention for University Campuses

College students face unique challenges with leading healthful lifestyles. Using a community-based participatory research approach, college student research partners at two land-grant universities collected data and developed a tailored intervention to improve the well-being of college students. To inform the design of the program, college students were trained to conduct a needs assessment that included a campus-wide survey on the health behaviors of college students, environmental audits of health policies and food pantries on campus, and stakeholder interviews with campus health professionals. Outcomes of the needs assessment data highlighted university students ranked their health as "good" but nutrition health as "fair/poor." Low or very low food security was self-reported by 36.9% of participants and had an overall diet quality score of 47.6 ± 10.1 out of 100. Health professional interview data indicated campuses provide healthful resources to students, but students are not aware those resources exist. Utilizing the needs assessment data previously mentioned, the nominal group technique was then used for student research partners to collaboratively determine the best intervention approaches and develop a wellness program. Student partners identified (1) education, (2) sharing of campus resources, and (3) incentives as important areas of intervention. Using the data collected, the student research partners developed a program titled, The College Cooking Connection, to address health-related quality of life in college students. Using a community-based participatory research approach to program planning, educators and researchers have a greater likelihood of addressing the current needs of the population they are targeting and developing a successful intervention to meet those health concerns. This study aims to partner with young adult university students to understand the college environment and allow the target community to be involved with the development of intervention programs for their campus.

Experiences and Perspectives of Patients Treated with Methadone on Mental Health Aspect of Lifestyle: A Qualitative Study

Background: Drug abuse and its consequences place a considerable social and economic burden on society. Drug abuse has increased in Iran and reached three times the global average, indicating the need to develop innovative strategies to cope with this phenomenon. Objectives: Following a community-based participatory research approach, the aim was to identify the lived experience of drug users regarding the psychological aspect of their lifestyle. Methods: Narrative inquiry and phenomenological design were applied as the research framework. The use of in-depth interviews and field notes guided the data collection and analysis. A total of 26 in-depth interviews were conducted with people who suffered from drug use (7 females and 19 males) in 2021. Interviews ranging from 70 to 90 minutes and conducted in a quiet, private location chosen by the researcher. All interviews were audio-taped and transcribed, and analyzed using Colaizzi's method. Data analysis was administered using MAXQDA version 2020. Results: Most of the participants were educated Diploma and above. The participants' age ranged from 25 to 53 years old. The analysis revealed four themes, and 11 sub-themes emerged. The themes were as follows: (1) negative emotions; (2) poor psychological capital; (3) poor support; and (4) psychological well-being. Conclusions: The most important problems of people with substance use, in the psychological dimension of lifestyle, include experiencing negative emotions, weak psychological capital, weak social support, unhealthy psychological well-being such as negative self-acceptance, reduced positive relations, not having a purposeful life, and inability to control environmental pressures. Hopefully, this study can help health policymakers develop more effective strategies against drug use.

Results From La Vida Buena (The Good Life): A Quasi-Experimental Intervention of a Community Health Worker-Led Family-Based Childhood Obesity Program for Latino Children 5-8 Years of Age on the U.S.-Mexico Border.

To evaluate the effectiveness of the 8-week, community health worker (CHW)-led La Vida Buena childhood obesity program among Latino children 5 to 8 years old in a rural county along the U.S.-Mexico border. This quasi-experimental study used a community-based participatory research approach to compare the effectiveness of the La Vida Buena (The Good Life) curriculum as compared with a single educational session. We took anthropomorphic measures and administered parent-reported nutrition and physical activity surveys at baseline, 3 months, and 6 months. The study took place between 2017 and 2020 in Santa Cruz County, Arizona. Change in body mass index (BMI) z-score was negligible for both groups. The parent-reported behavior indicated a shift toward healthier family behaviors and environment in the intervention group. This study adds to the growing literature of CHW-led childhood obesity interventions. The engagement of the CHWs in all aspects of the intervention helped to facilitate important behavior changes. Future interventions should emphasize health and wellness rather than BMI z-score and include community, socioeconomic, and systems-level interventions to promote healthy environments.

System-Level Changes to Better Support Women Survivors of Intimate Partner Violence and Traumatic Brain Injury

<h3>Research Objectives</h3> Traumatic brain injury (TBI) occurring during intimate partner violence (IPV) is a largely unrecognized but significant public health crisis. One in 3 women will experience IPV in their lifetime, up to 75% of whom will sustain a TBI as a result. Our main objectives were to: (1) Identify key needs, facilitators, and barriers to care for women survivors of IPV presenting with TBI (2) Cocreate ideas for resources and principles for identification, clinical care, and support for healthcare practitioners who treat women exposed to IPV and TBI. <h3>Design</h3> Data were gathered through small group breakout sessions using semi-structured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders contributed to the analysis and knowledge translation through member-checking activities. <h3>Setting</h3> The study took place in the community using a community-based participatory research approach, and was conducted through 2 half-day virtual meetings. <h3>Participants</h3> We engaged 30 stakeholders drawn from a national IPV-TBI Knowledge-to-Practice (K2P) Network including diverse women survivors, service providers, researchers, and decision makers. <h3>Interventions</h3> N/A. <h3>Main Outcome Measures</h3> N/A. <h3>Results</h3> Three main systems-level themes arose during these discussions: (1) the need for trauma-informed, anti-racist, and equitable health and social care systems; (2) the need for cross-pollination of knowledge between disciplines; and (3) the need for systems-level support for integrated and coordinated care. This presentation will explore these needs and will provide recommendations and suggestions for paths forward. <h3>Conclusions</h3> The findings of this project enhance understanding of system-level needs among women survivors and provide a template for a national agenda for IPV-TBI research and practice. <h3>Author(s) Disclosures</h3> The authors declare no conflicts of interest.

Building and Sustaining Community Partnerships: An Organizational Network Analysis in a Low-resource Neighborhood.

Launched in 2012, the Claremont Healthy Village Initiative (CHVI) is a partnership focused on fostering community collaboration, addressing the social determinants of health, and reducing health disparities. Partners include local community centers, schools, after-school programs, health care providers, a health insurer, city agencies, tenant associations, resident leaders, elected officials, and other stakeholders. To understand the development and value of collaboration within the CHVI from the perspective of multiple partners. Using a community-based participatory research approach, we worked collaboratively with the CHVI leaders, we used paper-and web-based surveys grounded in social network theory were administered in 2017 and 2018. Questions focused on relationships between organizations that are part of the coalition. Our analysis included responses from organizations that participated in the survey at both points in time. Network measures such as density, degree centrality, and node characteristics were used to understand information sharing, referral, and collaboration among the participating organizations. Additional data included stake-holder interviews. Coalition partners increased connectedness with one another over the course of the study, with significantly greater density of relationship and bi-directional partnerships in the follow-up survey. Of the three types of interactions, referrals showed a trend for highest density change. Trust levels were highest among organizations with a local physical presence. Social network analysis provided visual and quantitative information that helped reinforce relationships and identify opportunities to improve connectedness and collaboration among diverse community partners, helping to support the coalition's goals and objectives.