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Title: Virtues and challenges in using the community based participatory research (cbpr) approach by the delta nutrition research initiative (delta niri) in developing rural community walking studies to lower obesity risks

Author
item McCabe Sellers, Beverly
item CHAMPAGNE, CATHERINE - PENNINGTON BIOMED CTR
item BRADLEY, BONNIE - UNIV ARKANSAS PINE BLUFF
item WEBER, JUDY - ACHRI
item Bogle, Margaret

Submitted to: International Society for Behavioral Nutrition and Physical Activity
Publication Type: Abstract Only
Publication Acceptance Date: 4/15/2007
Publication Date: 6/20/2007
Citation: McCabe Sellers, B.J., Champagne, C.M., Bradley, B.J., Weber, J., Bogle, M.L. 2007. Virtues and challenges in using the community based participatory research (CBPR) approach by the Delta Nutrition Research Initiative (Delta NIRI) in developing rural community walking studies to lower obesity risks [abstract]. Proceedings of International Society for Behavioral Nutrition and Physical Activity. p. 121.

Interpretive Summary:

Technical Abstract: Purpose: To discuss the CBPR approach in development, implementation, and evaluation of rural community walking and nutrition studies. Background: The current obesity epidemic, especially among rural and low-income minority populations, presents challenges in designing interventions that are effective, realistic and acceptable. CBPR engages community members in every stage of the research process. Methods: CBPR was initiated in three rural communities in Arkansas, Mississippi, and Louisiana, with equitable partnerships of local communities, universities and government entities through the Delta NIRI. These partnerships, while similar in concept, were implemented differently (e.g., the ratio of community members to researchers) with varying degrees of community participation. Greater community membership meant increased community participation, greater knowledge and buy-in of the research process. Community members displayed strong logic, local knowledge and detailed suggestions in planning, implementation and monitoring. Hiring and training of locals strengthened community acceptance. Social interactions celebrating successes and encouraging continuation of involvement are essential. Significant challenges: shifting of traditionally trained academics to the CBPR approach, geographical distance of partners in developing and maintenance of full partnerships, small sizes of communities in traditional statistical analysis and avoidance of research contamination. Significant virtues: capacity building within all partners, demystifying the research process to create informed communities, positive sense of achievement and confidence. Specific examples will illustrate these. Conclusions: Delta NIRI partnerships have experienced both significant challenges and rewards using CBPR to develop community walking and nutrition interventions. Active community participation in all phases offers high potential for changing and maintaining behaviors to improve health.