Table 2.
Types of KTE Activities | CBR strengths | CBR limitations |
---|---|---|
Fostering a culture that supports research use | ▪ Funding typically requires partnerships between researchers and community members and/or CBOs (e.g., funding calls from the National Institutes of Health in the U.S., the Canadian Institutes of Health Research and the Social Sciences and Humanities Research Council in Canada). | ▪ Scope of partnerships often limited as community partners are often those that already have a culture that supports the use of research evidence. |
▪ Emphasis on capacity building and actionable outcomes resonates well with the grass roots orientation of many CBOs. | ▪ Often no dedicated funding for linking CBR to action (as opposed to funding to conduct the research). | |
▪ The process-oriented nature of CBR can push a project beyond initial timelines, limiting the ability of some partners to remain engaged long-term. | ||
▪ Those who have the most influence on CBO culture (e.g., Executive Directors) are not always included as the community partner from a CBO. | ||
Production of research to key target audiences | ▪ CBR projects are often developed through consultation with local communities in order to ensure they are addressing community relevant issues and needs. | ▪ CBR projects typically take the form of single locally-based studies and not systematic reviews of studies conducted across a range of communities. |
▪ CBR projects are not typically written up in a way that puts the findings in the context of the global pool of knowledge. | ||
Activities to link research to action | ||
'Push' | ▪ Dissemination of actionable messages is often strong at the local level through the use existing networks and partnerships. | ▪ Actionable messages derived from CBR projects often not shared on a larger scale (i.e., outside the communities in which the CBR projects were conducted) despite their potential broader applicability. |
▪ 'Push' efforts in communities limited to projects conducted locally (i.e., potentially informative projects from other communities are not actively 'pushed' to relevant target audiences). | ||
▪ Minimal capacity building designed specifically for enhancing 'push' efforts. | ||
Facilitating 'pull' | ▪ Capacity-building for research within communities and CBOs through participation in CBR projects is a central goal of the CBR approach. | ▪ No capacity building in acquiring, assessing, adapting, and applying research evidence. |
▪ Few 'one-stop shopping' websites or resources exist that provide user-friendly, high-quality, and community--relevant research evidence (e.g., CBR and/or community-relevant systematic reviews) with the actionable messages clearly identified. | ||
'Pull' | ▪ Some CBOs and communities are effective at identifying research needs and partnering in CBR projects or seeking out research evidence. | ▪ CBOs typically don't have in place mechanisms to prompt them to review their programming in light of the available research evidence (either on a rotating basis for select programs or all at once during strategic planning). |
▪ Smaller CBOs do not always have the capacity, resources or time to acquire, assess, adapt and apply research evidence in their settings. | ||
'Exchange' | ▪ Equitable partnerships between community, researchers and other stakeholders are a core requirement of the CBR approach. | ▪ Scope of partnerships often limited to the same researchers and community partners in many projects. Many not representative of the breadth of perspectives in the community. |
▪ Other stakeholders (e.g., healthcare managers and policymakers not always sought (or available) for partnerships. | ||
Evaluation | ▪ Some projects have systematically evaluated the types of topics previously addressed by CBR and the quality of those projects in order to inform future research and funding initiatives [31]. | ▪ Minimal efforts in the community sector to evaluate the impact of CBR and other community-based KTE strategies on action beyond those communities most directly involved in the CBR. |
▪ If evaluations of the impact of research are completed, they may be done by the researchers of the study, thereby introducing a source of bias. |
Acronyms used: CBO = community-based organizations, CBR = community-based research, KTE = knowledge transfer and exchange