Community Engagement Process Research Articles

Developing translational products for adapting evidence-based physical activity interventions in rural communities

The development and distribution of educational materials is a key strategy to support the implementation of evidence-based interventions (EBIs). Rural communities have higher rates of physical inactivity and face higher burden of many diseases that increased physical activity can prevent. To support the translation of a developed physical activity intervention for adults in micropolitan communities (10,000-50,000 people), called Active XXXX, the University of XXXX Prevention Research Center for Rural Health (PRC-RH) created a toolkit and supplemental resources designed to guide implementers through the implementation of the intervention. Through a community-engaged process, the PRC-RH underwent three phases of review and evaluation of the developed products. The first phase involved the Community Advisory Board from the pilot intervention, the second involved the PRC-RH State Advisory Board and public health practitioners from across the state, and the third involved micropolitan leaders and micropolitan health department staff. The feedback received through these three phases resulted in changes to the developed products to improve usability, readability, and clarity. The feedback also resulted in the development of additional materials to further support the implementation of the intervention. The success the PRC-RH experienced in the review process can be attributed to the strong, established partnerships with practitioners across the state who represented a variety of community roles and organizations. The developed materials can be used to improve physical activity rates in rural and micropolitan communities, in turn reducing chronic diseases and improving the quality of life for rural residents.

Front Matter

Buletin Pengabdian: Bulletin of Community Services (Bull. Community. Serv.) is a scientific journal that publishes articles on research related to community engagement practices and processes, carried out by academia, government, private sector, and industry. These manuscripts can originate from community service activities ("PENGMAS"), the student study service (Kuliah Kerja Nyata or KKN), technical guidance, models or concepts, agriculture extension, rural development and agriculture economics studies, and or other implementations to increase community participation in development and community empowerment.Buletin Pengabdian is a peer-review process journal that has been registered and indexed by ISSN 2775-958X (print) and 2807-3975 (online), Directory of Open Access Journal (DOAJ), CAB Abstracts, EBSCO, Google Scholar, Dimensions, Member of Crossref (DOI), WorldCat, Garuda, Oulu University Library, and other scientific databases.Bull Community Serv is published by the Institute for Research and Community Services (LPPM) Universitas Syiah Kuala (USK). This journal is published through a peer-reviewed process by experts from various institutions and various fields of science.

Using a Community-Engaged Survey to Describe Prison Environments and Measure the Mental Health Status of Correctional Staff and Incarcerated Individuals

The United States has the highest incarceration rate in the world. Incarceration is associated with significant negative mental health implications for both the corrections staff who work in prisons and the individuals incarcerated in them. Despite their scale and impacts, prisons are one of the country’s least transparent and most understudied public institutions. Where research on prisons does exist, it is often focused on either the corrections staff population or the incarcerated population. Moreover, the perspectives of those most directly affected, incarcerated populations and correctional staff are rarely included in the process. In this study, we sought to focus on understanding the entire prison ecosystem, measuring the mental health status of corrections staff and incarcerated individuals, and describing potential interrelated factors in the prison environment that may affect these outcomes. We used a community-engaged process to develop a prison survey to measure the prison environment in a pilot facility in rural Vermont, incorporating the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Mental Health 2a instrument to measure the mental health status of the corrections staff and incarcerated individuals. Focus groups and interviews were conducted to inform survey development and understand factors affecting the mental health of these populations. Surveys were administered at three time points.

Data Integration to Support Child Care Business Sustainability: Iowa’s Child Care Connect

Working parents need access to childcare, and the unprecedented COVID-19 pandemic highlighted critical gaps in data system capacities to meet this need. This was particularly acute in the US where many child care providers closed their doors permanently because they could not sustain their business. The state of Iowa estimates losses over $930 million per year to businesses and individuals due to a lack of childcare. Childcare businesses are not sustainable if they cannot fill slots and be consistently paid for care – and families need to be able to find care when they need it to fill those slots. Iowa is addressing this gap by developing a real-time, integrated data solution that includes historically disparate data systems to better identify childcare supply and demand. Through intensive community engagement processes including leadership from state agencies, the development team created a system that includes multiple technology solutions for real-time data sharing; a secure cloud-based system for storage, integration, and analysis; and two public-facing applications that allow data to be aggregated and shared for strategic decision-making as well as used by families to identify available care when and where they need it. This presentation will discuss challenges in cross-sector data linkage with a focus on child care providers, families, and population demand. It will include an overview of the development process, governance structure, and analytic uses of the system. Highlights include identification of real-time vacancies by age group, geography, quality rating, and in relation to estimated potential demand using additional integrated data resources.

Operationalizing Racism as a Public Health Crisis: Moving Beyond the Rhetoric!

It is well documented that systemic racism and social injustice result in health inequities for communities of color, including premature death. To date, more than 260 municipalities across the United States have declared racism as a public health crisis. In January 2021, the Nation’s Health, a monthly American Public Health Association newsletter, acknowledged Genesee County, Michigan, as one of the communities leading the work in operationalizing these declarations. This research highlights community engagement and participatory processes, models, and tools used to operationalize racism as a public health crisis in Genesee County. A participatory approach grounded in community-based participatory research (CBPR) methods was used to operationalize Genesee County’s resolution declaring racism a public health crisis. To ensure our efforts centered community voices, experiences, and priorities, our methodology consisted of: 1) hosting community dialogues focused on systemic racism; 2) the novel application of a committee composition matrix to develop a geographically and socially diverse Community Action Council to serve as the decision-making body for our strategic plan to identify and address systemic racism within Genesee County; 3) the development of a draft county-wide strategic plan; and 4) focus groups to review and provide feedback on the drafted strategic plan. CBPR provides guidance for effective community engagement and ensures that community voices are centered when identifying effective responses to systemic racism. CBPR principles also foster co-ownership of solutions, increasing trust, transparency, and accountability between researchers, community members, and other stakeholders.

Facilitating climate adaptation: The resilience adaptation feasibility tool (RAFT) framework

ABSTRACT There is a disconnect between the urgency of responding to the threats posed by climate change and the existing resources, technical capacity, and political will necessary to engage in resilience planning and climate action. A variety of frameworks for bridging these gaps exist, but few have emerged through an iterative process of piloting and refining strategies to bridge these gaps on the ground. The Resilience Adaptation Feasibility Tool (RAFT) framework builds upon decades of experience designing and implementing community engagement processes and offers an alternate model for advancing resilience and climate adaptation planning that leverages social learning to build consensus around shared values and community priorities. This paper documents the RAFT process, situates it within the context of climate adaptation planning research, and articulates its specific strengths as a flexible and portable model for engaging the public in preparing for climate change impacts.

Community Participation in Conservation and Development: A Case of Sikles Village in Annapurna Region

Conservation of nature and biodiversity, together with livelihood maintenance and socioeconomic advancement of the local community, has always been a contested issue. This paper attempts to analyze the nature and extent of community participation in the conservation and development programs in Sikles Village of the Annapurna Conservation Area Project (ACAP) region and assess role of such community participation in the livelihood of the local people. The research used a mixed method. The primary data were collected through a household survey and interviews. The samples were selected from five clusters of Sikles Village. In total, 83 households were chosen as samples for the survey. In addition, interviews were also taken with selected representatives of the Conservation Area Management Committee (CAMC) and villagers. The conservation and development programs launched by ACAP in Sikles Village are carried out with the participation of the local people. The CAMC facilitates the process of community participation and it is compatible with the indigenous practices of the local community. However, the participation of the community is mostly at the implementation stage. The research shows that the decisive role is still limited to the village elites present in the CAMC and the experts of ACAP. Moreover, the formation of CAMC is exclusionary from caste/ethnicity and gender perspective. The people whose livelihood strategies are agriculture and animal husbandry are benefited from the conservation initiatives of ACAP.

Research ethics preparedness during outbreaks and public health emergencies: Focus on community engagement

Research represents an essential component of the response to infectious disease outbreaks and to other public health emergencies, whether they are localised, of international concern, or global. Research conducted in such contexts also comes with particular ethics challenges, the awareness of which has significantly grown following the Ebola outbreak in West Africa, the Zika outbreak in Latin America and the COVID-19 pandemic. These challenges include the need for implementing meaningful community engagement with the researched communities, not just to build unidirectional trust towards the research team, but to achieve a genuine and mutually respectful partnership before, during and after the research. Here, we describe the real-life experience of 10 well-established research clinics in Nairobi, where a successful experience of community engagement linking prevention and care to research was interrupted during the COVID19 pandemic. We contrast this experience with the concept and processes of community engagement as described in selected scientific manuscripts and guidelines, to formulate some conclusions and recommendations. We contend that more action is needed, from research ethics committees and other key-research stakeholders, to align policies and practices with ethics guidance and with evidence-based recommendations from the academic literature, to achieve meaningful community engagement during emergency research, irrespective of the scale and location of an outbreak or public health crisis. Failure to do so, will aggravate the (postcolonial) asymmetries of power in global health and local systems.

Mapping Ecosystems: Building an Understanding of an Urban Network of Supports and Resources for Black and Latino/a Students

Urban minoritized students often face a multitude of systemic challenges that play out in their statistical outcomes. Still, they are also surrounded by cultural, family, and community resources, supports, and funds of knowledge. In this manuscript, we present a methodology for a community-engaged process to urban educational ecosystems as a first step in promoting systems change. We describe the need consider systems, and then discuss our work in mapping the ecosystem of supports for Black and Latino/a students in Milwaukee. Our aim is to present an adaptable model for other scholars and findings from our own engagement with the process.

Power and participation: A systematic review of marine protected area engagement through participatory science Methods

Marine Protected Areas (MPAs) are a critical part of the marine resource management community’s toolbox in seeking a sustainable and vibrant global ocean system. The processes of community engagement with MPAs, however, are rooted in pre-existing power dynamics inherent in environmental governance systems and influenced by historical contexts of colonialism. Marine governance has historically operated in a top-down manner, imposing exclusionary forms of conservation on local communities without affording them equitable power in the process. Meaningful engagement of community members in MPAs has been suggested as one of the key enabling conditions that drive successful marine protection. Specifically, participatory science methods have the potential to engage local communities, elevate local voices and expertise, and strengthen both local communities and scientific learning. This systematic scoping review assesses the peer-reviewed literature to understand the quality and nature of participatory science methods that have been used to engage communities in MPAs. The review highlights that, while participatory science methods are not uncommon in MPAs, they seldom challenge existing power dynamics. The results of this review show that power in MPA processes related to participatory science is generally retained by conventional researchers and MPA managers. Based on these findings, the authors provide recommendations to marine resource management researchers and practitioners to help the ocean governance community support greater power sharing with local communities through equitable and locally appropriate participatory science methods.

Environmental Justice and Resource Extraction: Analyzing the Social Dynamics of Mining Projects

Environmental justice issues are increasingly prevalent in resource extraction industries, particularly in the context of mining projects. This study aims to investigate the social dynamics surrounding mining activities and their implications for environmental justice. Using a qualitative approach, including literature review and library research, this research explores the multifaceted aspects of environmental justice in the context of mining projects. The primary objective is to identify the underlying social factors that contribute to environmental injustices in resource extraction activities. The study examines various dimensions of environmental justice, including access to information, public participation, and distributive fairness. Furthermore, it investigates the differential impacts of mining projects on vulnerable and marginalized communities, as well as the challenges they face in seeking redress and equitable treatment. By analyzing case studies and scholarly literature, this research provides insights into the complex social dynamics shaping environmental justice outcomes in resource extraction contexts. The findings highlight the importance of effective governance mechanisms, regulatory frameworks, and community engagement processes in addressing environmental justice concerns and promoting sustainable resource management practices. Moreover, the study underscores the need for interdisciplinary approaches and collaboration among stakeholders to ensure equitable outcomes and mitigate the adverse social and environmental impacts of mining activities.

Promoting COVID-19 Vaccine Confidence and Access among Youth Experiencing Homelessness: Community-Engaged Public Health Practice

Abstract: Background: Youth experiencing homelessness (YEH) face a wide range of complex barriers to COVID-19 vaccine confidence and access. Objectives: Describe our process for engaging a cross-sector team centering equity and youth voice; outline our intervention strategies to enhance COVID-19 vaccine confidence and access among YEH; and discuss lessons learned through this community-engaged process. Methods: We engaged partners from across sectors, including youth-serving agencies, healthcare organizations, public health organizations, and YEH. We used focus groups, key informant interviews, and other community engagement strategies to develop and implement a series of interventions aimed to increase COVID-19 vaccine confidence and access among YEH. Results: We identified youths' key concerns about vaccine confidence and access. To address these concerns, we implemented four community-driven interventions: youth-friendly messaging, health events, vaccine aftercare kits, and staff training. Conclusions: This community-engaged project highlighted the value of cross-sector partnership and consistent youth engagement in addressing vaccine confidence among YEH.

A collaboration team to build social service partnerships within a safety-net health system

BackgroundTo facilitate safety-net healthcare system partnerships with community social service providers, the Los Angeles County Department of Health Services (LAC DHS) created a new collaboration team to spur cross-agency social and medical referral networks and engage communities affected by health disparities as part of a Sect. 1115 Medicaid waiver in Los Angeles County entitled Whole Person Care-Los Angeles (WPC-LA).MethodsThis observational research reviews three years of collaboration team implementation (2018–2020) through Medicaid-reportable engagement reports, a collaboration team qualitative survey on challenges, facilitators, and recommendations for community engagement. Member reflections for survey findings were conducted with the collaboration team and LAC DHS WPC-LA leadership.ResultsCollaboration team Medicaid engagement reports (n = 144) reported > 2,700 events, reaching > 70,000 individuals through cross-agency and community-partnered meetings. The collaboration team survey (n = 9) and member reflection sessions portrayed engagement processes through outreach, service assessments, and facilitation of service partnerships. The collaboration team facilitated community engagement processes through countywide workgroups on justice-system diversion and African American infant and maternal health. Recommendations for future safety net health system engagement processes included assessing health system readiness for community engagement and identifying strategies to build mutually beneficial social service partnerships.ConclusionsA dedicated collaboration team allowed for bi-directional knowledge exchange between county services, populations with lived experience, and social services, identifying service gaps and recommendations. Engagement with communities affected by health disparities resulted in health system policy recommendations and changes.

Our Journey to Encourage Makerspaces in Small Rural Libraries with the Help from the Library Innovation Studios Project

ABSTRACT Follow our journey to encourage permanent makerspaces in rural communities by providing 35 libraries a temporary makerspace. Paired with support and marketing tools, the communities garnered local support and an awareness of makerspace benefits. The Library Innovation Studios project proved valuable in broadening library services. Learn about the multi-faceted project – the makerspace kits, sustainability strategies employed, partner/library responsibilities, and the opportunity to make improvements as cycles progressed. We blended community engagement processes, trainings, user-friendly instructions, and supplied materials to promote immediate making. Other facets included local and statewide events and on-going networking tools – an e-mail group and a makerspace database.

Assessing the influence of technological innovations and community-based facilities management on the safety and security of universities. A case study of an open campus

PurposeSafety and security (S&S) are critical concerns in South Africa, especially in Cape Town, one of the country’s most crime-ridden cities. The University of Cape Town (UCT), situated on a large, open campus, has experienced increased malefaction. Facilities management (FM) services at universities bear the primary responsibility for providing S&S to their communities. To comprehensively understand and address the community’s demands regarding S&S, the current study was conducted to investigate the challenges specific to open universities. This study aims to determine whether implementing community-based FM (CbFM) principles and using technological innovations could offer a more effective and sustainable solution.Design/methodology/approachThe study adopted interpretivist overarching case study methodology, which is ontologically based. A mixed-method approach was used to incorporate the strengths and limitations of the weaknesses of both methods. The data collection took the form of an online survey of the university community and semi-structured interviews with university executive management to obtain data from the single case study of UCT. Descriptive statistics were used to analyze the quantitative data, and thematic analysis was used to identify emergent themes from the qualitative data.FindingsThe study presents an overall view of the provision of S&S at UCT, the unique challenges faced by management and the main S&S issues affecting the community. Moreover, the study reveals that UCT has implemented community participation processes in the past with limited success. This is because the strategies implemented constitute a narrow perspective of community participation. Therefore, a much smarter and more inclusive perspective using technological innovation is required for successful community participation to occur and to be successfully used in providing S&S toward achieving future-proofing facilities.Originality/valueThis research has demonstrated the influence of CbFM and innovative technologies on the S&S of the open campus. Hence, future-proof facilities can be achieved when FM actively engages university communities in managing campuses through technological innovation.

The role of community engagement toward ensuring healthy lives: a case study of COVID-19 management in two Ghanaian municipalities.

Community engagement is one of the important requirements for strengthening health delivery in communities in a bid to achieve sustainable development goal 3, target 3.3 (SDG 3.3). The World Health Organization has strongly encouraged the use the five levels of community engagement, which are informing, consulting, planning, collaborating, and empowering communities in order to build resilience and to enable them contribute to the fight against diseases and for the uptake of health interventions. This study sought to explore and describe from the view of government institutions in Ghana how they engaged communities in COVID- 19 management and vaccine acceptance and how the communities within two municipalities also perceived the engagement process as well as the lessons that can be learned in engaging communities to deal with other health challenges and interventions toward the attainment of SDG 3 target 3.3. This case study qualitative research project employed in-depth interviews among 36 respondents composed of government officials (the Ghana Health Service (GHS), the Information Services Department (ISD), the National Commission on Civic Education (NCCE) and two Municipal Assemblies), and community leaders and 10 focus group discussions among 87 men and women most of whom were natives and some migrants in two administrative municipalities in Ghana. Data were collected from June to September 2021. Audio interviews were transcribed and uploaded to Nvivo 12 to support triangulation, coding, and thematic analysis. Ethical approval was obtained from the University of Health and Allied Sciences' Research Ethics Committee and all COVID-19 restrictions were observed. The findings revealed that all the four government institutions educated and informed the communities within their municipalities on COVID-19 management and vaccine acceptance. However, the Ghana Health Service was the most effective in the engagement spectrum of the other four; consulting, involving, collaborating, and empowering communities in the process of COVID-19 management and vaccine acceptance. The GHS achieved that through its CHPS program, which ensured a decentralized health service provision system with multiple programs and leveraging on its multiple programs to reach out to the communities. Government institutions such as the NCCE and the ISD faced challenges such as limited funding and support from the government to be able to carry out their tasks. Additionally, they were not involved with the communities prior to the pandemic and for that matter, they did not have access to community systems such as committees, and existing groups to facilitate the engagement process. Using communities to support Ghana's attainment of the SDG 3 target 3.3 is possible; however, the government needs to provide funds and resources to the institutions responsible to enable them to carry out community engagement effectively. Also, promoting decentralization among institutions can strengthen community engagement processes. It is important that state institutions continue to strategize to empower communities in order to promote their participation in healthcare interventions and in the fight against infectious diseases in Ghana.

Progressing from Science Communication to Engagement: Community Voices on Water Quality and Access in Makhanda

The EU’s Responsible Research and Innovation framework advocates for engagement between communities and scientists, creating opportunities for scientific research and processes to be informed and shaped by community voices. To date, few examples in the literature explore this in practice. Hence, key questions remain as to the role that communities play in this framework and the nature of and extent to which community voices and localised perspectives inform research and innovation. This paper explores how a collaborative community engagement process, facilitated at the outset, could meaningfully inform the establishment of a water quality testing facility. In Makhanda, a water-scarce region of South Africa, focus group discussions as well as site visits/observations integrated community and researcher knowledges to shape the community-engaged water testing facility. This study details how the daily assessment of water by the community provided valuable insights to the researchers on the nature and extent of factors affecting water quality and informed the sites and timing of water testing in subsequent scientific measurements of the same. Furthermore, it opened pathways to sustained, longer-term engagement between scientists and communities around water quality, highlighting the need for a multi-stakeholder focus to support community agency around access to safe water.

Youth engagement and social innovation in health in low-and-middle-income countries: Analysis of a global youth crowdsourcing open call.

Social innovation in health is a ground-up, community-engaged process that draws on the diverse strengths of local individuals to drive social change and health improvement. Social innovation may be particularly useful in low and middle-income countries to ensure effective and sustainable health solutions. The purpose of this study is to describe the findings of a global youth (18-35 years old) crowdsourcing open call on social innovations, and to identify the levels of engagement in such innovations. We organized a global crowdsourcing open call (Go Youth!) to identify and recognize youth social innovations in health and adopted both quantitative and qualitative approaches to analyze our data. For quantitative analyses, we described the socio-demographic characteristics of youth who submitted innovations. For qualitative analyses, we adopted a deductive-inductive analytic approach utilizing an adapted Hart's Ladder as a conceptual framework for our thematic analysis of participants' submissions, which comprised four levels of youth engagement: none, minimal, moderate, and substantial. The open call received 99 eligible submissions. Most participants were 23 years of age or older (90.7%), resided in LMICs (98.0%), male (64.3%), and had a bachelor's or higher degree (72.4%). Most of the submissions were written in English (93.9%), located in Africa (69.7%), and had prior implementation (60.2%). A total of 39 innovations had substantial youth engagement and qualitative data suggested that youth leadership and peer mentorship of other youth in the community were important aspects of engagement. LMIC youth developed and implemented social innovations that had evidence of impact or effectiveness in their communities, illustrating how social innovation approaches may be feasible in LMICs. More efforts should be made to identify and empower youth in these settings to spark change.

An unclosed loop: Perspectives of community engagement in infectious disease clinical trials in sub-Saharan Africa.

Community engagement (CE) is pertinent to ethically and scientifically rigorous infectious disease clinical trials in sub-Saharan Africa (SSA). However, there are critiques that CE is not properly embedded in research processes and that there is uncertainty about what CE entails. The aim of this study was to gain an understanding of CE in infectious disease clinical trials in SSA, specifically factors affecting CE and existing strategies for engaging with communities. Semi-structured telephone interviews were conducted with 20 community and clinical trial (CT) stakeholders who worked in SSA. The audio-recorded interviews were transcribed verbatim and analysed inductively using thematic analysis. Themes are as follows: 1) Communities are abandoned research-entities-a disconnect between scientific teams and communities was observed and knowledge translation was not prioritised at the community-level. 2) Us and them: community engagement teams vs investigators-CE teams expressed that researchers did not account for CE processes and often did not involve CE staff in their planning, and felt that their roles were not valued. 3) Ethical considerations: concerns and gaps-there were concerns that procedures were not standardised and that ethics processes were not adhered to. 4) Opportunities for improved CE practices-training needs were expressed, including for standardised practices, ethics, and for developing a holistic understanding of collaborating with communities. CE role players require intensive training to ensure ethical CE and that communities are treated with dignity. This includes 1) using collaborative strategies involving research and CE staff, 2) protocol-adherence that recognises CE as pertinent, 3) viewing communities as complex and building relationships that are sustainable, and 4) ensuring that knowledge translation is considered at a community-level. Further research is necessary to investigate potential training programmes that integrate these elements.

Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study.

Elevating Voices, Addressing Depression, Toxic Stress and Equity (EleVATE) is a group prenatal care (GC) model designed to improve pregnancy outcomes and promote health equity for Black birthing people. This article outlines the foundational community-engaged process to develop EleVATE GC and pilot study results. We used community-based participatory research principles and the Ferguson Commission Report to guide creation of EleVATE GC. The intervention, designed by and for Black birthing people, centers trauma-informed care, antiracism, and integrates behavioral health strategies into group prenatal care to address unmet mental health needs. Using a convenience sample of patients seeking care at one of three safety-net health care sites, we compared preterm birth, small for gestational age, depression scores, and other pregnancy outcomes between patients in individual care (IC), CenteringPregnancy™ (CP), and EleVATE GC. Forty-eight patients enrolled in the study (n=11 IC; n=14 CP; n=23 EleVATE GC) and 86% self-identified as Black. Patients participating in group prenatal care (EleVATE GC or CP) were significantly less likely to experience a preterm birth <34 weeks. Rates of small for gestational age, preterm birth <37 weeks, depression scores, and other pregnancy outcomes were similar across groups. Participants in CP and EleVATE GC were more likely to attend their postpartum visit and breastfeed at hospital discharge than those in IC. Our findings model a systematic approach to design a feasible, patient-centered, community-based, trauma-informed, antiracist intervention. Further study is needed to determine whether EleVATE GC improves perinatal outcomes and promotes health equity.