Selected Context Measures
|
Community‐Based Participatory Research (CBPR) Skills and Training Needs
61
|
CBPR skill set
CBPR training needs
CBPR mentorship
|
Research, relationship building, community training [CBPR skill set]
Interest in gaining additional skills/training related to CBPR [CBPR training needs]
Willingness to mentor; interest in being mentored [CBPR mentorship]
|
Survey of research investigators’ skills, interest, and training needs in CBPR |
20 closed‐ and open‐ended items |
Piloted with academic medicine and public health faculty and then revised |
Community Needs Assessment
55
|
Primary target population that organization serves
Health issues that current programming addresses
Research and evaluation experience
Interest in partnering and training
|
History and experience with research collaboration [Research and evaluation experience]
Interest in learning about specific research topics; preference for learning format and structure [Interest in partnering and training]
|
Assessment of local community‐based organizations’ research needs |
23 closed‐ and open‐ended items |
– |
Group Level Assessment
97
|
Climate setting
Generating
Appreciating
Reflecting
Understanding
Selecting
Action
|
Building trust and encouraging participants to openly share what they know; icebreakers [Climate setting]
Responding to project‐generated open‐ended prompts: “Our toughest problem to address is …” [Generating]
Time to view the responses (collective data), discuss observations, and add additional comments [Appreciating]
Initial observations/thoughts [Reflecting]
Smaller group discussions of the responses; looking for common themes and analyzing the data [Understanding]
Larger group discussion of themes; prioritization of themes by some voting/ranking process [Selecting]
Smaller groups consider possible next steps/action plans for each prioritized theme [Action]
|
Formative evaluation method to assess needs and design a plan for future programs |
7 participatory stages/activities |
Implementation across more than 14 participatory evaluation settings |
Community Priority Index
62
|
Importance of issue
Changeability of issue
|
|
Method to quantify priorities (for engaged project) across stakeholders |
Varies; issues derived a priori or through community focus groups |
– |
Cultural Identity Inventory
98
|
|
How does the participant identify across various cultural dimensions (eg, gender, race, sexual orientation, ability) [Cultural dimensions]
Values, actions, or messages associated with the dimension [Manifestations]
Intersectionalities; interactions with other dimensions [Interactions]
Privileges afforded to member of dominant group; denials experienced by member of subordinate group [Subordination]
Understanding of cultural aspect of oneself; how others see/view you [Vantage point]
Strengths or challenges related to cultural identity and community practice [Connection to community practice]
|
Critical self‐reflection for community practitioners |
8 domains for self‐reflection |
– |
Potential Partner Interview Guide
66
|
|
Previous work in community; changes wanted/needed for target population [Community background]
Anticipated time for coalition activities [Capacity/fit]
Identification of community leaders, organizations that provide services to target population [Key community members/organizations]
|
Assessment of community organization and their interest in partnering |
6 open‐ended questions |
– |
Community Health Initiative Interview Guide
58
|
Physical community assets
Voluntary groups (associations)
Paid groups (institutions)
Economic assets
Individual assets
Community stories
Communication
|
Neighborhood characteristics and trends; social connections; quality of life, safety, noise, city services [Physical community assets]
Transportation; neighborhood/community associations; conflict management [Voluntary groups (associations)]
Schools; locations to meet people and hang out; food locations; access to health care [Paid groups (institutions)]
Sources of income, occupation, education, employment history, home ownership [Economic assets]
Other personal skills; contact with political representatives; dependability of members of neighborhood [Individual assets]
Stories about people/places around here; important events in location [Community stories]
News sources; how news travels; most reliable source; first to know; health information [Communication]
|
Community assets assessment when initiating an academic‐community partnership
|
107 open‐ended questions |
Interview guide refined and revised through community partner input and interviewing role‐play |
Selected Context and Process Measures
|
Partnerships in Social Determinants of Health Interview Guide
45
|
|
How did partners decide the specific SDH was meaningful to the partnering community? [Community context]
Was the specific SDH of great importance and concern to the partnering community before working on this project?
|
Evaluation of academic‐community partnership processes
Targeting SDH
|
8 open‐ended questions |
– |
Partnership Assessment in Community‐based Research (PAIR)
43
|
|
Open and honest dialogue between partners; resolution of conflicts through discussion [Communication]
Equal partnership; shared leadership and resources; shared goals and decision making [Collaboration]
Mutual trust and respect; valuing other perspectives; appreciation of partner; understanding culture of partner organization and community [Partnership values]
Plans and resources for a sustainable partnership, including commitment from partners [Sustainability]
|
Evaluation of critical elements of academic‐community partnership |
31 Likert‐type items and one open‐ended question |
Community input sought at each step of measure development (generation of dimensions and items, item sorting and feedback, cognitive interviews and measure piloting) |
Patient Engagement Workbook
49
|
Reasons for engagement/justification
Cost of engagement
Roles of partners across stages of research
Logistics of engagement
Identification/recruitment of patient partners, including compensation
Institutional requirements for patient engagement
Guidelines for screening participants
Research team preparation for engagement
Patient partner training for engagement
Patient partner retention and feedback
Data‐sharing processes
Closure activities for project end
|
|
Reflection guide for researchers considering engaging patients and documenting patient efforts |
102 open‐ended questions |
– |
Selected Measures of Context, Process, and Outcome
|
Research for Improved Health (RIH) Partnership Interview Guide
85
|
Individual/project background
Context for all communities
Intervention research questions
Policy research questions
Partnership/group dynamics
Individual‐level issues
Partnership outcomes
Research design
|
Origins of partnership [Background]
Personal motivations; relevant knowledge of community; approval processes [Context]
Role of community knowledge and experience; professional articles; evidence and best practices; local programs/agencies in project [Intervention research]
Process of prioritizing policy changes; action steps; role of data and evidence; advocacy and personal testimony [Policy research]
Successes in the partnership? Challenges? Power and trust? [Dynamics]
Personal qualities useful for involvement in partnership; researchers share background with community? [Individual‐level issues]
Successes of partnership; community member benefits [Partnership outcomes]
Description of research approach; CBPR's influence on project? [Research design]
|
To describe the challenges and successes of the participatory process and outcomes that arose from the partnership |
39 open‐ended questions |
Developed and refined with relevant stakeholders |
Rochester Suicide Prevention Training Institutes Evaluation
51
|
|
CBPR knowledge and research skills [Personal knowledge and capabilities]
Quality of partnership interactions; community‐focused; clear roles and policies; community capacity for research [Partnership agency]
Knowledge; improved research; improved partnership [Partnership benefits]
|
Follow‐up survey to assess knowledge and skills for engagement, partnership processes, and benefits or outcomes |
58 closed‐ended items (Likert, yes/no, checklist) |
Cronbach's α
Personal knowledge = 0.55‐0.87
Partnership agency = 0.66‐0.93
Partnership benefits = 0.84‐0.92
|
Program for the Elimination of Cancer Disparities (PECaD) Collaboration Survey
52
|
Environmental characteristics of partnership
Structural characteristics of partnership
Group dynamics characteristics
Intermediate partnership effectiveness
Partnership effectiveness
|
Previous collaborations; diversity; organizational context [Environmental]
Role within partnership [Structural]
Communication; goals and vision; participatory decision making; shared power, influence, resources; mutual trust; collaborative evaluation and meetings [Group dynamics]
Effectiveness in achieving goals; benefits of participation; satisfaction with role and influence; shared ownership; group empowerment [Intermediate]
Collective impact; sustainability; enhanced networks/capacity [Effectiveness]
|
Assessing capacity, group dynamics, and effectiveness of achieving principles of CBPR in partnership |
45‐60 closed‐ and open‐ended items (adaptation by two different community‐engaged project groups results in a varying number of items) |
– |
CBPR Model Visioning Guide
82
|
|
Priority issues [Planning priority]
Desired intermediate system and capacity outcomes; long‐term community, health, and health equity outcomes [Desired outcomes]
Review of contextual factors like socioeconomic, cultural, historical collaboration and trust, capacity [Context for planning]
Review of partnership dynamics like individual characteristics, dialogue, conflict management, leadership, and partnership structures [Partnership processes]
Integration of cultural or community knowledge for interventions matching community values, norms, practices; empowering processes; involvement of community members in all stages and impact on research design [Interventions]
|
Guidance for adapting a CBPR model to fit context, planning a new research project, evaluating partnership practices, and assessing the impact of practices |
19‐page workbook/
facilitation guide
|
– |
CBPR Model Visioning Guide
82
(cont.) |
|
2‐3 important contextual issues to evaluate or consider; effects on ability to work together [Context evaluation]
2‐3 important partnership issues to evaluate or consider; impact on collective work [Partnership evaluation]
2‐3 important intervention/research issues to evaluate or consider; importance of integrating cultural/local knowledge; ability to work together/construct joint understanding of research; importance of including community in all steps of research [Intervention evaluation]
2‐3 intermediate and long‐term outcomes important to evaluate or consider [Outcomes evaluation]
|
|
|
– |
Engage for Equity (E2) Key Informant Survey
99
|
Project features
Populations and communities involved in project
Community challenges
Reflective practices
Training topics
Hiring and resource sharing
Research integrity and governance practices
Advisory boards
Formal agreements
Project outcomes
|
Initiator of study; community partners; type of partnership; description of meetings; number of members [Features]
Focus of project; demographics of academic and community team members [Populations]
Social, economic, or structural issues impacting the health of the community [Challenges]
Extent that partnership engages in self‐evaluation or quality improvement [Reflective]
Formal training/discussions about cultural sensitivity, CBPR, reflection [Training]
Hiring; decisions around resources; distribution of funding [Hiring and resources]
Human subjects training; confidentiality agreements; approvals on behalf of community [Research integrity]
Advisory boards and their role [Advisory boards]
Memorandums of understanding; verbal agreements; data ownership and sharing [Agreements]
Publications; additional research/funding; evaluation instruments; revisions to Institutional Review Board (IRB) policies/practices [Project outcomes]
|
To describe engaged project structural features and processes |
90 closed‐ and open‐ended items |
Developed and refined through input with relevant stakeholders |
Engage for Equity (E2) Community Engaged Research Survey
60
|
Community context and capacity
Partnership capacity
Bridging differences
Missions and strategies
Community involvement in research
Influence in the partnership
Quality of dialogue
Reflexivity
Leadership
Resource use
|
Resources; experience with partnered projects [Community context and capacity]
Partnership knowledge, skills, diverse members, legitimacy, and credibility in community [Partnership capacity]
Skills to bridge differences; similar backgrounds among community and academic members [Bridging differences]
Shared agreement for missions/strategies; clear understanding of goals [Missions and strategies]
Level of involvement of community members in different stages of research process [Community involvement in research]
Amount of voice and influence over decisions; commitment to decisions [Influence]
Attitudes; listening; consensus; conflict/hostility among members [Quality of dialogue]
Partnership discussions on activities; power; privilege; and improvements to collaboration [Reflexivity]
Effectiveness of leadership in achieving active participation, respect, creativity [Leadership]
Project's use of resources [Resource use]
|
Assessment of context, partnership processes, and research processes of engaged project
Evaluation of intermediate and long‐term outcomes of engaged research
|
126 Likert‐type, yes/no, and open‐ended items |
Refined through discussion with relevant stakeholders and psychometric testing
91
|
Engage for Equity (E2) Community Engaged Research Survey
60
(cont.) |
Trust
Community engagement principles
Partnership synergy
Agency outcomes/benefits
Personal advantages
Personal challenges
Power relations in research
Project sustainability
Health outcomes
Current community‐level, research, and policy outcomes
Future community‐level, research, and policy outcomes
Quality and satisfaction
Time use
|
Trust in people and decisions of partnership; type of trust [Trust]
Builds on resources and strengths in the community; facilitates equitable partnerships in all phases of the research [Community engagement principles]
Goal setting and problem solving among partners [Partnership synergy]
Enhanced reputation of community organization; use of expertise or services by others [Agency outcomes]
Enhanced reputation; ability to affect policy; ability to seek education [Personal advantages]
Challenges participating in partnership [Personal challenges]
Change in power relations in research process and capacity [Power relations]
Likelihood of project sustainability [Project sustainability]
Improvement to community's health [Health outcomes]
Changes to policy, practice, cultural identity/pride, social impacts, better research [Current outcomes]
Desired changes to outcomes [Future outcomes]
Quality and satisfaction with partnership [Quality and satisfaction]
Time dedicated to project per week, both covered and not covered by salary [Time use]
|
|
|
|
Clinical and Translational Science Award (CTSA) Engagement Survey
76
|
Definition of community engagement
Institutional partners
Institutional transformation
Measures being tracked
Community advisory boards (CAB)
|
Best description of CTSA's engagement with community [Definition]
Types of community stakeholders [Institutional partners]
Number and intensity of local collaborations; institutional resources [Transformation]
Metrics that CTSA's track, including community members with research training, projects that seek input from community members, publications and grant proposals [Measures]
Presence of CAB associated with CTSA and larger institution; serving community members [Community]
|
Survey of academic perspectives on community engagement activities within clinical and translational science institutions |
12 yes/no or forced‐choice items |
– |
Partnership River of Life
59
|
Start of partnership
Important stages
Tributaries
Facilitators
Obstacles
Future vision
Overall reflection
|
The group selects “where it's important to start” (eg, historical events before partnership; funding start) [Start of partnership
Important or influential stages in the partnership's timeline [Important stages]
Key “tributaries” (resources, mentors, members) that enter or leave the partnership [Tributaries]
Factors that facilitated the partnership's work [Facilitators]
Obstacles against the partnership's work [Obstacles]
Where the partnership is headed [Future vision]
Experience of collective process; general thoughts and feelings; facilitators and obstacles identified; important external factors [Overall reflection]
|
To facilitate partnership reflection on the history and influences of the members and the goals, processes, and results of partnership |
Group exercise and 5 open‐ended questions for reflection |
– |
Selected Process Measures
|
Research for Improved Health (RIH) Focus Group Interview Guide
100
|
|
Change in partnership goals, resources [Current partnership]
Impacts of cultural differences between academic researchers and community, influence of community knowledge [Cultural issues]
Benefits and challenges of a CBPR approach; impact of CBPR approach on the project and community trust [CBPR approach]
Power, conflict resolution, trust, future of partnership [Partnership/group dynamics]
|
To understand participant experiences within an academic‐community partnership |
9 open‐ended questions |
– |
Partnership Trust Tool
69
|
|
Accessibility/approachability
Dependability
Good/clear communication
Mutual benefit
Openness
Providing accurate information
Relationship building
Responsibility
Shared power/decison making
Supportive
Truthful
Value differences
|
Facilitate discussion about and enhance trust within the partnership |
58 items:
30 Likert‐type items and
28 open‐ended written questions
|
– |
Building Your Capacity Evaluation Survey
101
|
|
Competencies such as conducting a literature review, recruiting participants into a study, designing a survey, or writing a research report
|
Assessment of community partner's research competencies post training |
14 Likert‐type items |
– |
Community Engagement in Research Index
46
|
|
|
Assessment of community partner's level of participation in various research tasks during engaged project |
12 closed‐ended items |
Developed through qualitative interviews with community‐engaged project primary investigators |
Youth‐Led Participatory Action Research (YPAR) Process Template
70
|
Training and practice of research skills
Promoting strategic thinking
Group work
Opportunities for networking
Communication skills
Power sharing over major decisions
Power sharing over class structure
|
Identifying research questions; developing tools; data collection [Training and practice]
Considering how to influence rules and policy; alternative points of view [Promoting strategic thinking]
Productive group processes; roles to further group goals [Group work]
Student contact; teacher contact on behalf of students [Opportunities for networking]
Practicing formal presentations; sharing ideas and perspectives aloud [Communication skills]
How power is shared as decisions are made [Power over decisions]
How power is shared in everyday class climate [Power over structure]
|
Classroom observational measure to assess the quality of YPAR implementation |
25 qualitative codes |
Intraclass correlation coefficients (ICCs) for interrater reliability:
Training = 0.88
Promoting = 0.73
Group work = 0.97
Opportunities = 0.73
Communication = 0.76
Power over decisions = 0.66
Power over structure = 0.72
|
Selected Process and Outcome Measures
|
Participatory Evaluation Measure
102
|
Extent of involvement in evaluation
Diversity of participants
Control of the evaluation process
|
Extent of stakeholder involvement in the technical tasks of evaluation, such as questions and issues definition, data collection and analysis, interpretation and dissemination/reporting [Extent of involvement]
Number of types of stakeholders involved, such as policymakers, frontline staff, target populations, or citizens [Diversity of participants]
Authority to make decisions and other resources to bring to bear such as money, values, social skills
|
To assess participatory evaluation practices |
3 coding schemes and weights |
Face validity and apparent content validity, according to the authors |
Participatory Impact Pathways Analysis
103
|
|
Linking problems that the project directly addresses with the conditions that it wishes to improve [“Problem Tree”]
Envisioning what various stakeholders will do differently after the project [Network perspective]
Changes to stakeholders’ specific knowledge, attitude, skills, and practice needed to achieve the project's vision [Outcomes logic model]
Outcome targets (expected benefits) for the project and specific milestones toward achieving them [Monitoring and evaluation]
|
To allow researchers and stakeholders to jointly describe a project's “theories of action,” develop logic models, and use them for project planning and evaluation |
4 stages of impact planning |
– |
Interorganizational Network Survey (ION)
75
|
Information exchange
Joint activities
Tangible resources
Formal agreements
|
Frequency of interorganizational information exchange [Information exchange]
Joint activities, trainings, events, or programs [Joint activities]
Sharing of tangible resources [Tangible resources]
Formal memorandums or contracts between organizations [Formal agreements]
|
Change in community capacity over the past 12 months |
4 Likert‐type items and qualitative descriptions of linkages and resources |
– |
WeValueToolkit and List of Indicators
94
|
Justice
Integrity
Unity in diversity
Empowerment
Trust
Care and respect
|
Policies are perceived as fair by all involved; people are treated equitably and with fairness [Justice]
Decision‐making processes are ethical; processes and outcomes of decison making are transparent [Integrity]
People explore their own ideas and/or reflect on their own individuality; people appreciate the differences in others [Unity in diversity]
Organization's activities have a motivating effect on participants; people are encouraged to reach their potential [Empowerment]
Trust partners to meet their commitments without the need for formal agreements; trust that others share a common vision [Trust]
People do not talk negatively about others in their absence; people treat each other with kindness [Care and respect]
|
Assess intangible, values‐related processes and outcomes of organization's projects and activities |
166 indicators |
Evaluated via field trials
104
|
Community‐Based Participatory Research Rating Scale
71
|
|
Importance of … community involvement in defining research objectives, developing the proposal, budget discussions, etc. [Level of community involvement]
… sense of trust, mutual respect, commitment to power sharing, shared commitment [Relational issues]
… remuneration for participation, reimbursement for travel/parking, flexible timelines and meeting places, technical access [Community access factors]
… discussion about resources, clear roles, ground rules, common definition, strategic plan [Mobilizing collaboration]
… educational materials, training, communication, information sharing [Training, education, information]
… having regular meetings, use of consensus building, use of conflict resolution, regular assessments of partnership [CBPR process methods]
… shared decision making, shared goals, public acknowledgement of community participation, common values [Fostering collaboration]
|
To assess the perceived importance of CBPR factors to the current study |
33 Likert‐type items |
Based on relevant social psychological and community organizing theory |
Community Engagement Measure
65
|
|
CBPR principles include: focus on local relevance and determinants of health; acknowledge the community; disseminate findings and knowledge gained to all partners; seek and use the input of community partners; involve a cyclical and iterative process in pursuit of objectives; foster co‐learning, capacity building, and co‐benefit for all partners; build on strengths and resources within the community; facilitate collaborative, equitable partnerships; integrate and achieve a balance of all partners; involve all partners in the dissemination process; plan for a long‐term process and commitments
|
Assessment of the quality and quantity of adherence to engagement principles
|
48 Likert‐type items |
Cronbach's α
Quality = 0.99
Quantity = 0.98
|
Peer Engagement Process Evaluation Framework
105
|
|
Assess and address barriers and facilitators of engagement [Supportive environment]
Ways to ensure that all participants’ experiences are respected and represented [Equitable participation]
Individual and group abilities in terms of access, mobilization, interest, networks, opportunity, and literacy [Capacity building]
Changes to program or policy; understanding of local risk environment; information synthesis; solution design [Improved programming]
|
To guide evaluation of primary data and project documents |
4 domains, with assessment questions and sample constructs to measure |
– |
Ripple Effect Tool
83
|
|
Number of new personal connections since beginning of project; benefits to self, organization, community [Personal connections]
Number of new professional connections since beginning of project; benefits [Professional connections]
Number of new organizational connections since beginning of project; benefits [Organizational connections]
New coalitions, committees, advisory boards, classes, or groups; changes in employment; articles, presentations, policy briefs, written or creative expression, news articles; new funding; policy or procedural changes as a result of the project [New projects]
Change to understanding of health; lifestyle changes related to health; changes in people around you as a result of participation in project [Changes in perceptions]
|
To measure increased social connectedness and other benefits of community‐engaged research participation |
12 open‐ended questions |
– |
Prevention Research Centers Cost Analysis Instrument
106
|
|
Salary and wage of each individual involved in the project [Labor]
Cost of products or services regularly used; durable and capital goods [Materials and consumables]
Travel expenses [Travel]
Cost of primary project location and external places or settings used for project [Location]
|
To systematically collect budget year data on the costs related to a community‐engaged project |
4 open‐ended items |
Piloted with relevant stakeholders |
Selected Outcome Measures
|
Student Learning Outcomes of Community‐Based Research (CBR)
107
|
CBR experiences
Professional skills
Civic engagement
Educational experience
Academic skills
Personal growth
|
Type of CBR experience (course, internship, etc.); activities experienced in CBR course; course critique [CBR experience]
Improved ability to run meetings, delegate, listen to others [Professional skills]
Enhanced likelihood of participating in civic activities, voting [Civic engagement]
Increased interest in college, in selected major [Educational experience]
Improved analytical, academic writing, research skills [Academic skills]
Ability to consider others’ perspectives; deepened understanding of self [Personal growth]
|
To measure student outcomes/benefits of participation in community‐based research coursework/projects |
19 yes/no and Likert‐type items |
Cronbach's α
Overall CBR outcomes = 0.95
Professional skills = 0.91
Civic engagement = 0.86
Educational experience = 0.87
Academic skills = 0.80
Personal growth = 0.94.
Convergent validity also tested
|
Social Network Analysis of Partnership Networks
108
|
|
Shared information; shared resources; collaboration on community events; referrals; collaboration on grant proposals [Linkages]
Strength of partnership relationship [Trust]
Attendance at quarterly meetings [Engagement]
|
Measure the evolution/change in interorganizational relationships |
19 survey items |
– |
Progress of Collaborative Action
47
|
Intensity of change—duration
Intensity of change—reach
Intensity of change—strategy
Strategy employed
|
|
Measuring progress of partnership; intensity of change and strategy employed for change |
Mixed methods coding scheme across 3 domains for partnership document review |
96% inter‐observer agreement among 2 independent coders |
Community Health Council Outcomes
109
|
|
Number of presentations between community organizations and council; boards and committees [Council development]
Times that emerging issues were discussed at council meetings [Community assessment]
Current community priority; shared projects with other organizations; number of new/enhanced strategies, programs, services; new funding; new policy change initiatives [Community action]
Success stories about outcomes [Success stories]
Problems while carrying out council mission [Barriers]
|
Evaluate the effect of community health council actions on local health systems and health status outcomes |
20 quantitative indicators with accompanying narrative (open‐ended) probes |
Developed through qualitative document review and quantitative survey of relevant stakeholders. Stakeholder participation in analysis interpretation |
Knowledge Ownership Social Network Analysis
74
|
|
|
Change in active involvement in knowledge creation |
1 item |
– |
Critical Outcomes of Research Engagement
110
|
|
Patient influence at each stage of research; outcomes compared to studies without patient engagement [Patient‐centered]
Meaningful outcomes to patient community [Meaningful]
Patient community's level of comfort with discussions and written materials; trust, respect among members [Team collaboration]
Reading level and plain language of study materials and presentations; patient community training in research [Understandable]
Realistic continuous improvement methods used? Discrete decisions for which partners were consulted at which level [Rigorous]
Research question is clear and understood by all; partner contributions to ethical research design [Integrity/adaptable]
Level of engagement at each stage of research; diversity of study population [Legitimate]
Goals and methods are realistic and feasible [Feasible]
Materials, study design, and data/privacy protection are transparent and fair [Ethical and transparent]
Research conduct and sharing of information is timely [Timely]
Mediums/channels used to disseminate/share findings; partners’ role in dissemination; use of findings outside the research study [Sustainable]
|
To assess the desired outcomes of engaged research |
25 open‐ended questions |
Developed through a workshop with patient partners |