Community-based Participatory Research Practices Research Articles

The power of representation: Statistical analysis of diversity in US Alzheimer's disease genetics data.

Alzheimer's disease (AD) is a complex disease influenced by genetics and environment. More than 75 susceptibility loci have been linked to late-onset AD, but most of these loci were discovered in genome-wide association studies (GWAS) exclusive to non-Hispanic White individuals. There are wide disparities in AD risk across racially stratified groups, and while these disparities are not due to genetic differences, underrepresentation in genetic research can further exacerbate and contribute to their persistence. We investigated the racial/ethnic representation of participants in United States (US)-based AD genetics and the statistical implications of current representation. We compared racial/ethnic data of participants from array and sequencing studies in US AD genetics databases, including National Institute on Aging Genetics of Alzheimer's Disease Data Storage Site (NIAGADS) and NIAGADS Data Sharing Service (dssNIAGADS), to AD and related dementia (ADRD) prevalence and mortality. We then simulated the statistical power of these datasets to identify risk variants from non-White populations. There is insufficient statistical power (probability <80%) to detect single nucleotide polymorphisms (SNPs) with low to moderate effect sizes (odds ratio [OR]<1.5) using array data from Black and Hispanic participants; studies of Asian participants are not powered to detect variants OR <= 2. Using available and projected sequencing data from Black and Hispanic participants, risk variants with OR = 1.2 are detectable at high allele frequencies. Sample sizes remain insufficiently powered to detect these variants in Asian populations. AD genetics datasets are largely representative of USADRDburden. However,there is a wide discrepancy between proportional representation and statistically meaningful representation.Most variation identified in GWAS of non-Hispanic White individuals have low to moderate effects. Comparable risk variants in non-White populations are not detectable given current sample sizes, which could lead to disparities in future studies and drug development. We urge AD genetics researchers and institutions to continue investing in recruiting diverse participants and use community-based participatory research practices.

Translating community-based participatory research into broadscale sociopolitical change: insights from a coalition of women firefighters, scientists, and environmental health advocates

BackgroundWe report on community-based participatory research (CBPR) initiated by women firefighters in order to share successful elements that can be instructive for other community-engaged research. This CBPR initiative, known as the Women Worker Biomonitoring Collaborative (WWBC) is the first we are aware of to investigate links between occupational exposures and health outcomes, including breast cancer, for a cohort of exclusively women firefighters.MethodsIn order to be reflective of the experiences and knowledge of those most intimately involved, this article is co-authored by leaders of the research initiative. We collected leaders’ input via recorded meeting sessions, emails, and a shared online document. We also conducted interviews (N = 10) with key research participants and community leaders to include additional perspectives.ResultsFactors contributing to the initiative’s success in enacting broadscale social change and advancing scientific knowledge include (1) forming a diverse coalition of impacted community leaders, labor unions, scientists, and advocacy organizations, (2) focusing on impacts at multiple scales of action and nurturing different, yet mutually supportive, goals among partners, (3) adopting innovative communication strategies for study participants, research partners, and the broader community, (4) cultivating a prevention-based ethos in the scientific research, including taking early action to reduce community exposures based on existing evidence of harm, and (5) emphasizing co-learning through all the study stages. Furthermore, we discuss external factors that contribute to success, including funding programs that elevate scientist-community-advocacy partnerships and allow flexibility to respond to emerging science-policy opportunities, as well as institutional structures responsive to worker concerns.ConclusionsWhile WWBC shares characteristics with other successful CBPR partnerships, it also advances approaches that increase the ability for CBPR to translate into change at multiple levels. This includes incorporating partners with particular skills and resources beyond the traditional researcher-community partnerships that are the focus of much CBPR practice and scholarly attention, and designing studies so they support community action in the initial stages of research. Moreover, we emphasize external structural factors that can be critical for CBPR success. This demonstrates the importance of critically examining and advocating for institutional factors that better support this research.

Community Voices on the Experiences of Community-Based Participatory Research in the Environmental Justice Movement

Community-based participatory research (CBPR) is increasingly being used by academics to address urban health and inequity. While its foundational literature emphasizes CBPR’s role in eschewing the traditional balance of power between communities and institutions, some scholars and grassroots activists note that it has not consistently delivered community-led, action-oriented strategies. Here we examine gaps between theory and current practice of CBPR. First, we assess its fundamental practices through social movement theory. Second, we examine narratives from grassroots leaders who have utilized CBPR in their environmental justice efforts. Three key facilitating factors are often cited for authentic applications of CBPR: (1) grounding research within community-specific opportunities for change, (2) collaborating with a strong community partner, and (3) facilitating flexibility in research processes. Building on previous scholarship, we investigate the complexity of CBPR implementation that may dampen its potency as a social change strategy and highlight the need for nuanced and critical application of best practices to suit local contexts. This is accomplished by pairing the theoretical framework with the experiences of four community leaders who are members of the Moving Forward Network (MFN). Narratives from their experiences with partnering with academic institutions speak to how theoretical complexities with CBPR occur in practice.

Lessons learned in the practice of community-based participatory research with community partner collaboration in study design and implementation: the community scientist model.

Engagement of community participation is an innovative driver of modern research. However, to benefit the communities being studied, it is imperative to continuously evaluate ethical considerations, the relationship dynamic between researchers and community members, and the responsiveness of research teams to the needs and preferences of communities. Northwestern University's Center for Health Equity Transformation founded a community scientist program in 2018 that implemented a study using the Community-Based Participatory Research (CBPR) model. This project is an ongoing study of heavy metal exposure by geographic location in Chicago. Community scientists from various backgrounds, communities, and organizations formed an advisory panel, partnering with the cancer research team. This commentary describes lessons learned in structuring meaningful community involvement and benefit in CBPR, with a focus on three lessons learned that relate to ethics, relationships, and responsiveness. Our findings lay new groundwork for iteratively shaping best practices in CBPR.

Examining Self-Other Constructions to Advance the Social Justice Goals of Leisure Research

Community-based participatory research (CBPR) is used increasingly in leisure research to foster equitable relationships and social change, yet individuals who disseminate CBPR remain fraught with the challenges of upholding CBPR’s central values and principles in the daily practices of CBPR. In this analysis we examine the promises and challenges of integrating mental health ‘peer’ research participants into all phases of the CBPR process. While peers’ experiences were largely positive, reflections from team members revealed ongoing tensions in attending to power differences between academic researchers and peers - what the research team called “self-other” constructions. Our efforts to unsettle ‘self-other’ constructions built peers’ capacity and personal growth but perpetuated role distinctions, power inequalities, and tensions around structure and control. These tensions are highly instructive for leisure researchers “to reimagine leisure studies and its role in helping society understand, confront, and address complex social challenges” (Glover, 2015, p. 1).

Community-Based Participatory Approaches to Knowledge Translation: HIV Prevention Case Study of the Investigaytors Program.

Approaches to knowledge translation (KT) that engage community stakeholders in the research cycle have been identified as particularly promising for addressing the "know-do" gap. Using the case study of a long-standing community-based participatory research (CBPR) project known as the "Investigaytors," this article describes the development and implementation of a KT intervention aimed at facilitating access to HIV pre-exposure prophylaxis for gay, bisexual, and other sexual minority men in British Columbia, Canada, through a publicly funded program. In doing so, we offer a model of CBPR for KT that is highly participatory, driven by community members, and centered around capacity building. We also present findings from a focus group with eight volunteer co-researchers to capture the perspectives of community members involved in the CBPR process and to evaluate the strengths and challenges associated with the use of a CBPR framework for KT. Findings from the focus group reveal how the inclusion of multiple perspectives from community, academic, and healthcare partners contributes to the perceived strength and credibility of the KT intervention opportunities for improving the CBPR process and how the CBPR process itself can be a form of integrated KT. This work has implications for future KT that deploys a CBPR framework, including an expanded understanding of reciprocity that can include benefits such as training and professional development, as well as introducing a novel approach to KT that is driven by community and integrates multiple perspectives. We conclude with reflections on implementing CBPR practices for KT in different settings.

Engage for Equity: Development of Community-Based Participatory Research Tools.

We developed a set of four community-based participatory research (CBPR) partnership tools aimed at supporting community-academic research partnerships in strengthening their research processes, with the ultimate goal of improving research outcomes. The aim of this article is to describe the tools we developed to accomplish this goal: (1) the River of Life Exercise; (2) a Partnership Visioning Exercise; (3) a personalized Partnership Data Report of data from academic and community research partners; and (4) a Promising Practices Guide with aggregated survey data analyses on promising CBPR practices associated with CBPR and health outcomes from two national samples of CBPR projects that completed a series of two online surveys. Relying on Paulo Freire's philosophy of praxis, or the cycles of collective reflection and action, we developed a set of tools designed to support research teams in holding discussions aimed at strengthening research partnership capacity, aligning research partnership efforts to achieve grant aims, and recalling and operationalizing larger social justice goals. This article describes the theoretical framework and process for tool development and provides preliminary data from small teams representing 25 partnerships who attended face-to-face workshops and provided their perceptions of tool accessibility and intended future use.

Relevance of Community-Based Participatory Research in Community Medicine Training.

Community-based participatory research (CBPR) is an approach in which researchers undertake research in partnership with those affected by the issue being studied, for the purpose of taking action or effecting social change. It can also incorporate those who will use the results to change practice and inform policy. The practice of CBPR is primarily focused on “Knowledge for Change.” Most research projects in such CBPR partnerships are funded through the academic partners. In many situations, academic and professional researcher institutions and researchers find it difficult to share the information and resources or to directly engage with local community and other local stakeholders. In practice, finding an intermediary partner who has good rapport with local community and local government can be very effective. While there are good initiatives in selected medical colleges for community orientation of medical undergraduates and postgraduates in community medicine, these are not immersive enough to cause an attitudinal change. It is time that we exposed our graduates and postgraduates to CBPR concepts and practice.

A Participatory Group Process within a Health Collaborative to Collect and Analyze Needs Assessment Data

A Participatory Group Process within a Health Collaborative to Collect and Analyze Needs Assessment Data Elizabeth C. Prom-Wormley, MPH, PhD, Faisal Ilyas, BS, De’Nisha Wilson, BA, Danita Gregory, Aquanetta Scott, Patricia Willaford, Laleta Fritz, Joanne Towles, Dyanne Broidy, Helen Frye, Stephanie Carrington, AAS, Brenda Kenney, Shikita Taylor, AAS, Bukola Usidame, PhD, Richard Seeley, DBA, Amy Popovich, RN, MSN, and Cynthia Newbille, PhD What Is the Purpose of This Study? • The Seventh District Health and Wellness Initiative (HWI) is a partnership between multiple community organizations, residents and an academic partner, Virginia Commonwealth University, that implements intentional and strategic health strategies in the East End of Richmond, Virginia. • The Seventh District Health and Wellness Survey (HWS) was administered to provide baseline information for HWI partners on current health conditions and health care in high-risk residents. What Is the Problem? • Creating the appropriate setting for using research-generated results in a community-based partnership to support and plan collaborative activities and to develop resident awareness of these results was unclear. What Are the Findings? • Data were collected from 1,048 participants aged 18 to 90 years. The majority of participants were women (67.6%). Most participants indicated Black or African American race/ethnicity (90%). • Approximately 400 community residents participated in community-wide results dissemination activities at six HWI partner events. Internet-based dissemination of results also supported community-wide efforts. • Dissemination of HWS results in a small group of 30 participants identified three priority areas (mental health, medical conditions, and lifestyle behaviors) and additional collaborative-level action steps to address these areas. • Results and experiences from the HWS as shared by HWI partners have informed other community-focused health and wellness activities in the city. Who Should Care Most? • Partners in community health improvement partnerships. • Researchers engaged in community-based participatory research practices. [End Page 271] Recommendations for Action • Use of community-based participatory research approach alongside data collection and analysis can result in effective dissemination of results and application in a health collaborative comprising multiple partners. • Multiple dissemination approaches improve the likelihood of widespread sharing across several different groups ofcommunity stakeholders. [End Page 272] Elizabeth C. Prom-Wormley Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University Faisal Ilyas Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University De’Nisha Wilson Richmond Promise Neighborhood, Peter Paul Development Center Danita Gregory Richmond Promise Neighborhood, Peter Paul Development Center Aquanetta Scott Richmond Promise Neighborhood, Peter Paul Development Center Patricia Willaford Richmond Promise Neighborhood, Peter Paul Development Center Laleta Fritz Richmond Promise Neighborhood, Peter Paul Development Center Joanne Towles Richmond Promise Neighborhood, Peter Paul Development Center Dyanne Broidy Richmond Promise Neighborhood, Peter Paul Development Center Helen Frye Richmond Promise Neighborhood, Peter Paul Development Center Stephanie Carrington Virginia Department of Health, Richmond City Health District Brenda Kenney Virginia Department of Health, Richmond City Health District Shikita Taylor Virginia Department of Health, Richmond City Health District Bukola Usidame Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University Richard Seeley Richmond Promise Neighborhood, Peter Paul Development Center Amy Popovich Virginia Department of Health, Richmond City Health District Cynthia Newbille Richmond City Council Copyright © 2020 Johns Hopkins University Press

Identifying the benefits and risks of emerging integration methods for upper limb prosthetic devices in the United States: an environmental scan

ABSTRACTObjectives: Novel connective and control methods between an upper limb prosthetic device and end-user have large potential rewards and risks, making economic evaluation difficult.Methods: We conducted an environmental scan to assess user perspectives on advancements in upper limb prosthetic device integration. The environmental scan consisted of a PubMed literature search, grey literature review, formation of a community advisory board (CAB) and key informant interviews. The CAB guided the study and was comprised of adults with personal or professional experiences with upper limb prostheses.Results: The environmental scan highlights 4 main types of integration in upper-limb prostheses: osseointegration, targeted muscle reinnervation, cortical integration and peripheral nerve/muscle integration. The PubMed literature search resulted in the greatest number of matches for ‘targeted muscle reinnervation upper limb’ (N = 65) and ‘upper limb osseointegration’ (N = 54). The grey literature review found targeted muscle reinnervation and peripheral nerve/muscle integration to be most discussed amongst end-users and regulators. Of these four methods, greater device control versus invasiveness of implant is a clear benefit-risk tradeoff.Conclusion: This scan highlights a gap in user-centered research in upper limb prosthetic devices. Future directions include the development of a stated-preference instrument incorporating these methods of integration.Expert opinion: Upper limb loss greatly impacts one’s productivity and quality of life. Despite a variety of prosthetic device options, high user dissatisfaction and rejection rates persist. Using community-based participatory research practices, we engaged end-users and identified the importance of option value. Many individuals said they would forego a present-day option to maintain the opportunity to adopt a device in the future, a point not addressed in the literature. Of the four emerging integration methods identified, targeted muscle reinnervation and peripheral nerve/muscle integration are highly promising, yet a better understanding of end-user preferences for these methods is still needed.

Community-based Participatory Research (CBPR) and Refugees' Health Studies: What's Working and What's Not Working

The Community-based Participatory Research (CBPR) has been well defined and widely applied to different study populations in a variety of health topic areas to address the urgency of translating research into practice, reducing health disparities, improving health equity, and advocating for health policy changes. The current study aims to systematically examine how CBPR has been applied to improving underserved refugee populations' health and identify the successes and challenges of CBPR utilization among refugees. A total of 930 peer-reviewed journal articles, reports, commentaries, theses, dissertations, books, and book chapters in English, retrieved from several major databases (e.g., EBSCO, ERIC, PubMed, PsycINFO, CINAHL Plus, and Google Scholar) were initially reviewed. Fourteen peer-reviewed journal articles were finally selected and analyzed using the theme analysis. Results showed that successes of utilization CBPR in refugee health studies were achieved in areas of shared learning, trust, recruitment, methodological rigor, advocacy, sociocultural determinants, dissemination/ sustainability, ethics, cultural competency, and stigma. However, the CBPR practice was also challenged by issues emerging from institutional culture and structure, clinical procedures, non-probability sampling, self-reflection, and repetition. Current literature suggests that overcoming these challenges requires both institutional restructure and policy changes, and changes in the focus of both internal and external funding mechanisms.

Best Practices for Community-Engaged Research with Pacific Islander Communities in the US and USAPI: A Scoping Review.

This scoping review identifies the best practices of community-based participatory research with Pacific Islanders in the United States and United States Affiliated Pacific Islands. Eighty-four articles from January 2000 to December 2017 were included in the review. Best practices included the importance of engaging Pacific Islander community leaders as research staff, community co-investigators, and community advisory board members. Best practices also focused on removing barriers to research by using participants' native languages, conducting research within the geographic community, and spending significant time to build trust. Novel best practices included honoring Pacific Islanders' cultural practices such as protocols for engagement, reciprocity, and social and spiritual inclusiveness and honoring Pacific Islanders' collectivist cultural structure. The goal of this scoping review is to aid community-academic partnerships working to improve the health of Pacific Islanders.

Implications of the GC-HARMS Fishermen's Citizen Science Network: Issues Raised, Lessons Learned, and Next Steps for the Network and Citizen Science.

This paper is intended to complement our extended documentation and analysis of the activities of the Gulf Coast Health Alliance: Health Risks related to the Macondo Spill project Community Outreach and Dissemination Core entitled, "Building and maintaining a citizen science network with fishermen and fishing communities after the Deepwater Horizon oil disaster using a Community-Based Participatory Research (CBPR) approach." We discuss nuances of CBPR practice, including trust-building, clarification of stakeholder expectations, balancing timelines and agendas, cultural fluency, and the importance of regional history-political-economic context, regulatory practices, and cultural life-ways-in creating social dynamics that overarch and underpin the entire process. We examine the unique role of knowledge-making hybrid structures like the project's Fishermen's citizen science network and compare/contrast this structure with other models of participatory science or deliberation. Finally, we reiterate the importance of environmental health literacy efforts, summarize project outcomes, and offer thoughts on the future roles of collaborative efforts among communities and institutional science in environmental public health.

Community-Based Participatory Research for Health

The new edition of Community-Based Participatory Research for Health by Nina Wallerstein and colleagues is an extremely valuable resource for a wide variety of stakeholders interested in collaborative work to promote health equity. This updated collection succinctly delineates the theory, history, principles, and practices of community-based participatory research (CBPR) to help the reader understand CBPR as an approach, a philosophy, and an ethic. This updated edition will serve as a helpful resource for those interested in incorporating CBPR principles and approaches into their work. The chapters are authored by leaders and innovators in CBPR who provide insights, share experiences, and describe case studies that expand our ability to understand and envision the transformative power of CBPR in practice. The book is divided thematically into seven parts plus 13 appendices. Updates to this edition align with critical dialogues about positionality, privilege, and power in a way that encourages healthy self-reflection.

Community Based Participatory Research as a Long-Term Process: Reflections on Becoming Partners in Understanding Social Dimensions of Mining in the Yukon

The Northern Review 47 (2018): 187–207North American Indigenous communities increasingly demand a community-based participatory research (CBPR) approach to social and natural sciences research undertaken on their traditional territories. This article outlines key principles of CBPR, reflecting on the “social licence to research” and how research in anthropology and other social sciences has been practised in the past. The article illustrates elements of establishing partnerships, knowledge sharing, knowledge co-production, and data and research-product ownership. It also stresses the need for long-term relationships in a research partnership in order to build trust between the involved parties and to provide meaningful outcomes. It highlights benefits and also the challenges that come along with CBPR practice and argues that time is the essential asset in a successful CBPR project. The article is based on experiences in the research project LACE—Labour Mobility and Community Participation in the Extractive Industries, Yukon—hosted from 2014 to 2018 by the community of the First Nation of Na-Cho Nyak Dun, the “Big River People,” in Mayo, Yukon, Canada.

Ethical Research Practice or Undue Influence? Symbolic Power in Community- and Individual-Level Informed Consent Processes in Community-Based Participatory Research in Swaziland.

In community-based participatory research (CBPR), community-level consent is assumed to enhance ethical rigor, when obtained prior to individual informed consent. However, community leaders' permission to conduct research may influence individuals' agency to decline participation. This article presents findings of a Bourdieusian analysis of ethnographic data documenting CBPR in rural Swaziland. The findings reveal that the "symbolic power" of leaders who provide community-level consent constrains individual agency and reproduces existing relations of power, if individual informed consent is simply a procedure. However, when informed consent is a process that introduces notions of autonomy and rights, it can disrupt power relations. Implications for ethical CBPR practice, and ethnography's value for developing theory from real-world research ethics practice, are discussed.

Community-based participatory research and integrated knowledge translation: advancing the co-creation of knowledge

BackgroundBetter use of research evidence (one form of “knowledge”) in health systems requires partnerships between researchers and those who contend with the real-world needs and constraints of health systems. Community-based participatory research (CBPR) and integrated knowledge translation (IKT) are research approaches that emphasize the importance of creating partnerships between researchers and the people for whom the research is ultimately meant to be of use (“knowledge users”). There exist poor understandings of the ways in which these approaches converge and diverge. Better understanding of the similarities and differences between CBPR and IKT will enable researchers to use these approaches appropriately and to leverage best practices and knowledge from each. The co-creation of knowledge conveys promise of significant social impacts, and further understandings of how to engage and involve knowledge users in research are needed.Main textWe examine the histories and traditions of CBPR and IKT, as well as their points of convergence and divergence. We critically evaluate the ways in which both have the potential to contribute to the development and integration of knowledge in health systems. As distinct research traditions, the underlying drivers and rationale for CBPR and IKT have similarities and differences across the areas of motivation, social location, and ethics; nevertheless, the practices of CBPR and IKT converge upon a common aim: the co-creation of knowledge that is the result of knowledge user and researcher expertise. We argue that while CBPR and IKT both have the potential to contribute evidence to implementation science and practices for collaborative research, clarity for the purpose of the research—social change or application—is a critical feature in the selection of an appropriate collaborative approach to build knowledge.ConclusionCBPR and IKT bring distinct strengths to a common aim: to foster democratic processes in the co-creation of knowledge. As research approaches, they create opportunities to challenge assumptions about for whom, how, and what is defined as knowledge, and to develop and integrate research findings into health systems. When used appropriately, CBPR and IKT both have the potential to contribute to and advance implementation science about the conduct of collaborative health systems research.

Sharing Stories

The focus of this study is the role of health narratives play in mobilization when shared among community members experiencing exposure to air pollution from numerous sources of industrial pollution. Grounded in the practice of community-based participatory research, The Stories Project (as the collection of narratives has been colloquially named) highlights various aspects of both the process and outcome of community and academic partnerships. Drawing attention to the process illustrates the complexity of such relationships in the field, and how an understanding of these relationships is vital to successful engagement of community members in such studies. The process of storytelling became the tool for successful mobilization in this community. Narratives became strategies and vehicles for social justice. Throughout, the reflexivity of the researcher also informed the process. It is this complexity that serves as the primary focus of the study, for intertwined in a reflection of storytelling and empowerment is the role the researcher plays in such outcomes.

Developing a Community-Based Participatory Research Curriculum to Support Environmental Health Research Partnerships: An Initiative of the GROWH Community Outreach and Dissemination Core.

The Transdisciplinary Research Consortium for Gulf Resilience on Women's Health (GROWH) addresses reproductive health disparities in the Gulf Coast by linking communities and scientists through community-engaged research. Funded by the National Institutes of Environmental Health Sciences, GROWH's Community Outreach and Dissemination Core (CODC) seeks to utilize community-based participatory research (CBPR) and other community-centered outreach strategies to strengthen resilience in vulnerable Gulf Coast populations. The CODC is an academic-community partnership comprised of Tulane University, Mary Queen of Vietnam Community Development Corporation, Bayou Interfaith Shared Community Organizing, and the Louisiana Public Health Institute (LPHI). Alongside its CODC partners, LPHI collaboratively developed, piloted and evaluated an innovative CBPR curriculum. In addition to helping with curriculum design, the CODC's community and academic partners participated in the pilot. The curriculum was designed to impart applied, practical knowledge to community-based organizations and academic researchers on the successful formulation, execution and sustaining of CBPR projects and partnerships within the context of environmental health research. The curriculum resulted in increased knowledge about CBPR methods among both community and academic partners as well as improved relationships within the GROWH CODC partnership. The efforts of the GROWH partnership and curriculum were successful. This curriculum may serve as an anchor for future GROWH efforts including: competency development, translation of the curriculum into education and training products, community development of a CBPR curriculum for academic partners, community practice of CBPR, and future environmental health work.

Development and Feasibility of a Childhood Obesity Prevention Program for Rural Families: Application of the Social Cognitive Theory

Background: Effective childhood obesity prevention programs for preschool children are limited in number and focus on changes in the child care environment rather than the home environment. Purpose: The purpose of this project was to develop and test the feasibility of a home environment obesity prevention program that incorporates mindful eating strategies and social cognitive theory (SCT) constructs. Home Sweet Home (HSH) is specifically designed for rural parents and grandparents of preschool-age children. Methods: HSH was developed using community-based participatory research practices and constructs from SCT. Three community-based education sessions were delivered. Pre- and postintervention data were collected from 47 grandparents and mothers. Results: Three of the 4 selected behavioral outcomes improved between pre- and postintervention. The number of hours engaged in sedentary behaviors and intake of “red light” foods decreased and 3 of 4 mindful eating scores increased. Graduates of the program were able to decrease the number of red light foods available in their homes. Discussion: Improvements in mindful eating and several key behaviors were observed after a 3-week mindful eating/home environment intervention. Translation to Health Education Practice: Health Educators should incorporate mindful eating strategies and use SCT when designing childhood obesity prevention programs.