Table 1.

Application of CBPR to the current research study

CBPR principle	Application in this study
Acknowledge the community	Community members were consulted about the feasibility and appropriateness of enrolling members of the local community into the study
Foster co-learning and capacity building	The team of investigators and DSN local coordinators brought diverse expertise to the development and implementation of the study protocol. Investigators learned about strategies to increase the likelihood of success, while community members learned more about the scientific process and the potential adverse effects of high stress
Build on community strengths and resources	Community networks and social interactions were leveraged to meet recruitment goal
Integrate and achieve a balance of all partners	Community members were engaged in the design of this research study and significantly influenced changes to the original recruitment approach. Community members recommended the in person orientation in lieu of a mailer to introduce the study
Facilitate collaborative, equitable partnership	Investigators and local coordinators were active in all aspects of the study. Investigators regularly consulted with local coordinators and study participants to ensure acceptability
Focus on local relevance	Initial round table discussions with local coordinators confirmed that the topic of stress was important and relevant to the members of the local community
Cyclical and iterative systems development	Investigators maintained regular communication with our local coordinators to determine whether modifications to the protocol were needed. Local coordinators provided information about how to more efficiently collect data at 6-months
Disseminate findings and involve partners	Initial results were presented to participants collaboratively by a study investigator and the local coordinators. Future dissemination of study findings such as manuscripts and presentations will be developed and presented collaboratively by investigators and community partners
Plan for a long-term process and commitment	Investigators and community members continue to engage in ongoing discussions about how to sustain relevant programs that may be warranted based on the findings of this study