Visioning with CBPR Model• Developed over a long process: 2006 –present• Comprehensive and Dynamic• Key Question:

– How can we together as partners improve equity processes and outcomes?

• To assess research links and pathways between promising practices and outcomes

• Validated by community partnerships and by two national surveys of 379 federally-funded partnerships

• Developed in consultation with Think TankFunding:

NIMHD Pilot (2006-2009) Research for Improved Health NARCH Funding: (2009-2013)

I.H.S./NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHDEngage for Equity: Advancing Community Engaged Partnerships (2015-2020)

National Institute of Nursing Research

Core Domains of CBPR Model

ContextPartnershi

pInterventio

n/Researc

h

Outcome

s

Outcomes

Long-term

Intermediate

• Policy Environment

• Sustained Partnership

• Empowerment

• Shared Power Relations

in Research

• Cultural Reinforcement

• Individual/Agency

Capacity

• Research Productivity

• Community

Transformation

• Social Justice

• Health / Health Equity

Outcomes

Intermediate System & Capacity Outcomes

• Policy Environment: University and

Community Changes

• Sustainable Partnerships and Projects

• Empowerment – Multi-Level

• Shared Power Relations in Research /

Knowledge Democracy

• Cultural Reinforcement / Revitalization

• Growth in Individual Partner & Agencies

Capacities

• Research Productivity: Research

Outcomes, Papers, Grant Applications &

Awards

Long-Term Outomes: Social Justice

• Community / Social Transformation:

Policies & Conditions

• Improved Health / Health Equity

Visioning with the CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010

Start with Outcomes: What are the results you want to achieve?

Choose your time period: In the next year? five years? ten years?

CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010

• Social-Structural: Social-Economic

Status, Place, History, Environment,

Community Safety, Institutional

Racism, Culture

• Role of Education and Research

Institutions

• Political & Policy: National / Local

Governance / Stewardship /

Approvals of Research; Policy &

Funding Trends

• Health Issue: Perceived Severity

• Collaboration: Historic Trust/

Mistrust between Partners

• Capacity: Community History of

Organizing / Academic Capacity /

Partnership Capacity

Contexts

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Health

Issue

Importance

CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Health

Issue

Importance

Partnership

Structures

RelationshipsIndividual

Characteristics

Health Care

Agency

Government

Community

CBOs

Funders

Partnership Processes

Academic

Partnership Structures:• Diversity: Who is involved

• Complexity

• Formal Agreements

• Control of Resources

• % Dollars to Community

• CBPR Principles

• Partnership Values

• Bridging Social Capital

• Time in Partnership

Partnership Processes• Relationships:• Safety / Respect / Trust

• Influence / Voice

• Flexibility

• Dialogue & Listening/ Mutual

Learning

• Conflict Management

• Leadership

• Collective Reflection/

Reflexivity

• Resource Management

• Participatory Decision- making

• Task Roles Recognized

Commitment to Collective

Empowerment

Individual

Characteristics:• Motivation to Participate

• Cultural Identities/Humility

• Personal Beliefs/Values

• Spirituality

• Reputation of P.I.

CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html

Intervention & Research

• Processes that honor community

and cultural knowledge and voice, fit

local settings, and use both

academic & community language

lead to Culture-Centered

Interventions

• Empowering Co-Learning Processes

lead to Partnership Synergy

• Community Members Involved in

Research Activities leads to

Research/Evaluation Designs that

Reflect Community Priorities

• Bidirectional Translation,

Implementation & Dissemination

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Health

Issue

Importance

Partnership

Structures

RelationshipsIndividual

Characteristics

Health Care

Agency

Government

Community

CBOs

Funders

Partnership Processes

Academic

Intervention

& Research

Integrate

Community

Knowledge

Culture-

Centered

Interventions

Empowering

ProcessesPartnership

Synergy

Appropriate

Research

Design

Community

Involved in

Research

Processes Outputs

CBPR Conceptual ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html

Outcomes

Outcomes

Long-term

Intermediate

• Policy Environment

• Sustained Partnership

• Empowerment

• Shared Power Relations

in Research

• Cultural Reinforcement

• Individual/Agency

Capacity

• Research Productivity

• Community

Transformation

• Social Justice

• Health / Health Equity

Outcomes

Long-term

Intermediate

• Policy Environment

• Sustained Partnership

• Empowerment

• Shared Power Relations

in Research

• Cultural Reinforcement

• Individual/Agency

Capacity

• Research Productivity

• Community

Transformation

• Social Justice

• Health / Health Equity

Outcomes

Long-term

Intermediate

• Policy Environment

• Sustained Partnership

• Empowerment

• Shared Power Relations

in Research

• Cultural Reinforcement

• Individual/Agency

Capacity

• Research Productivity

• Community

Transformation

• Social Justice

• Health / Health Equity

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Health

Issue

Importance

Partnership

Structures

RelationshipsIndividual

Characteristics

Health Care

Agency

Government

Community

CBOs

Funders

Partnership Processes

Academic

Intervention

& Research

Integrate

Community

Knowledge

Cultural-

Centered

Interventions

Empowering

ProcessesPartnership

Synergy

Appropriate

Research

Design

Community

Involved in

Research

Processes Outputs

System & Capacity Outcomes

• Policy Environment: University &

Community Changes

• Sustainable Partnerships and Projects

• Empowerment – Multi-Level

• Shared Power Relations in Research /

Knowledge Democracy

• Cultural Reinforcement/Revitalization

• Growth in Individual Partner &

Agencies Capacities

• Research Productivity: Research

Outcomes, Papers, Grant Applications

& Awards

Long-Term Outcomes: Social Justice

• Community / Social Transformation:

Policies and Conditions

• Improved Health / Health Equity

Australia: Oral Health Partnership

http://child-health.mspgh.unimelb.edu.au/research_areas/oral_health/teeth_tales

5/21/2018 B. Duran 10CBPR Institute, UNM, 2016

11CBPR Institute, UNM, 2016

Cartagena, 2017

Summer Course, University of Sao Paulo, 2018

CBPR Conceptual ModelFocus on Multi-Level Outcomes: Implementation Study of Ethnic Studies Curriculum

Partnership between Albuquerque Public Schools and University of New Mexico, 2017

Outcomes

Long-term

Intermediate: Implementation

• Teachers

•Curriculum Pedagogy and Products

•School Practices and Administrators

•District Practices, Administrators,

Policies

•Policy and Community Environment

•Sustained Partnership

•Shared Power Relations in Research

•Connection to National Networks

•Social Justice

•Education and Health Equity

•Student Outcomes

Partnership Outcomes: Shared Power

Implementation Practice Outcomes at the District Level

(School District Leaders/Administrators)

Implementation Practice Outcomes at School Level

(High School Leaders/Administrators)

Curriculum Pedagogy and Products

Teacher (capacity/empowermen

t/skills)

Student Engagement/YPAR

Model (Youth Participatory Action

Research)

Partnership Structures:• Social-Structural

• Political & Policy

• Health Issue

• Collaboration

• Capacity

Partnership ProcessesContexts OutcomesIntervention &

ResearchRelationships

Individual Characteristics:

Intermediate System & Capacity Outcomes

Long-Term Outcomes: Social Justice and Health

Visual from Amos Health 2017

Partnership

Structures

RelationshipsIndividual

Characteristics

Intervention

& Research Outcomes

Long-term

Intermediate

Contexts

Capacity

&

Readiness

Collaboration

Trust &

Mistrust

Political

&

Policy

Social

&

Structural

Education

Issue

Importance

Integrate

Community

Knowledge

Empowering

Processes

Community

Involved in

Research

Partnership Processes

Processes Outputs

Template for Re-Creating Your Own CBPR ModelAdapted from Wallerstein et al, 2008 & Wallerstein et al, 2018: https://cpr.unm.edu/research-projects/cbpr-project/cbpr-model.html

Thanks to Partners

See http://cpr.unm.edu/research-projects/cbpr-project/index.html