A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects

Justin Jagosh, Paula Bush, Jon Salsberg, Ann Macaulay, Trish Greenhalgh, Geoff Wong, Margaret CARGO, Lawrence Green, Carol Herbert, Pierre Pluye

Research output: Contribution to journalArticle

150 Citations (Scopus)
2 Downloads (Pure)

Abstract

Community-Based Participatory Research (CBPR) is an approach in which researchers and community stakeholders form equitable partnerships to tackle issues related to community health improvement and knowledge production. Our 2012 realist review of CBPR outcomes reported long-term effects that were touched upon but not fully explained in the retained literature. To further explore such effects, interviews were conducted with academic and community partners of partnerships retained in the review. Realist methodology was used to increase the understanding of what supports partnership synergy in successful long-term CBPR partnerships, and to further document how equitable partnerships can result in numerous benefits including the sustainability of relationships, research and solutions.

Methods

Building on our previous realist review of CBPR, we contacted the authors of longitudinal studies of academic-community partnerships retained in the review. Twenty-four participants (community members and researchers) from 11 partnerships were interviewed. Realist logic of analysis was used, involving middle-range theory, context-mechanism-outcome configuration (CMOcs) and the concept of the ‘ripple effect’.

Results

The analysis supports the central importance of developing and strengthening partnership synergy through trust. The ripple effect concept in conjunction with CMOcs showed that a sense of trust amongst CBPR members was a prominent mechanism leading to partnership sustainability. This in turn resulted in population-level outcomes including: (a) sustaining collaborative efforts toward health improvement; (b) generating spin-off projects; and (c) achieving systemic transformations.

Conclusion

These results add to other studies on improving the science of CBPR in partnerships with a high level of power-sharing and co-governance. Our results suggest sustaining CBPR and achieving unanticipated benefits likely depend on trust-related mechanisms and a continuing commitment to power-sharing. These findings have implications for building successful CBPR partnerships to address challenging public health problems and the complex assessment of outcomes
Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalBMC Public Health
Volume15
Issue number1
DOIs
Publication statusPublished - 2015
Externally publishedYes

Fingerprint

Community-Based Participatory Research
Research Personnel
Health
Longitudinal Studies
Public Health
Outcome Assessment (Health Care)
Interviews

Cite this

Jagosh, Justin ; Bush, Paula ; Salsberg, Jon ; Macaulay, Ann ; Greenhalgh, Trish ; Wong, Geoff ; CARGO, Margaret ; Green, Lawrence ; Herbert, Carol ; Pluye, Pierre. / A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects. In: BMC Public Health. 2015 ; Vol. 15, No. 1. pp. 1-11.
@article{090af214578d478ebd50997f0d4a208a,
title = "A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects",
abstract = "Community-Based Participatory Research (CBPR) is an approach in which researchers and community stakeholders form equitable partnerships to tackle issues related to community health improvement and knowledge production. Our 2012 realist review of CBPR outcomes reported long-term effects that were touched upon but not fully explained in the retained literature. To further explore such effects, interviews were conducted with academic and community partners of partnerships retained in the review. Realist methodology was used to increase the understanding of what supports partnership synergy in successful long-term CBPR partnerships, and to further document how equitable partnerships can result in numerous benefits including the sustainability of relationships, research and solutions.MethodsBuilding on our previous realist review of CBPR, we contacted the authors of longitudinal studies of academic-community partnerships retained in the review. Twenty-four participants (community members and researchers) from 11 partnerships were interviewed. Realist logic of analysis was used, involving middle-range theory, context-mechanism-outcome configuration (CMOcs) and the concept of the ‘ripple effect’.ResultsThe analysis supports the central importance of developing and strengthening partnership synergy through trust. The ripple effect concept in conjunction with CMOcs showed that a sense of trust amongst CBPR members was a prominent mechanism leading to partnership sustainability. This in turn resulted in population-level outcomes including: (a) sustaining collaborative efforts toward health improvement; (b) generating spin-off projects; and (c) achieving systemic transformations.ConclusionThese results add to other studies on improving the science of CBPR in partnerships with a high level of power-sharing and co-governance. Our results suggest sustaining CBPR and achieving unanticipated benefits likely depend on trust-related mechanisms and a continuing commitment to power-sharing. These findings have implications for building successful CBPR partnerships to address challenging public health problems and the complex assessment of outcomes",
author = "Justin Jagosh and Paula Bush and Jon Salsberg and Ann Macaulay and Trish Greenhalgh and Geoff Wong and Margaret CARGO and Lawrence Green and Carol Herbert and Pierre Pluye",
year = "2015",
doi = "10.1186/s12889-015-1949-1",
language = "English",
volume = "15",
pages = "1--11",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

Jagosh, J, Bush, P, Salsberg, J, Macaulay, A, Greenhalgh, T, Wong, G, CARGO, M, Green, L, Herbert, C & Pluye, P 2015, 'A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects', BMC Public Health, vol. 15, no. 1, pp. 1-11. https://doi.org/10.1186/s12889-015-1949-1

A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects. / Jagosh, Justin; Bush, Paula; Salsberg, Jon; Macaulay, Ann; Greenhalgh, Trish; Wong, Geoff; CARGO, Margaret; Green, Lawrence; Herbert, Carol; Pluye, Pierre.

In: BMC Public Health, Vol. 15, No. 1, 2015, p. 1-11.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A realist evaluation of community-based participatory research: Partnership synergy, trust building and related ripple effects

AU - Jagosh, Justin

AU - Bush, Paula

AU - Salsberg, Jon

AU - Macaulay, Ann

AU - Greenhalgh, Trish

AU - Wong, Geoff

AU - CARGO, Margaret

AU - Green, Lawrence

AU - Herbert, Carol

AU - Pluye, Pierre

PY - 2015

Y1 - 2015

N2 - Community-Based Participatory Research (CBPR) is an approach in which researchers and community stakeholders form equitable partnerships to tackle issues related to community health improvement and knowledge production. Our 2012 realist review of CBPR outcomes reported long-term effects that were touched upon but not fully explained in the retained literature. To further explore such effects, interviews were conducted with academic and community partners of partnerships retained in the review. Realist methodology was used to increase the understanding of what supports partnership synergy in successful long-term CBPR partnerships, and to further document how equitable partnerships can result in numerous benefits including the sustainability of relationships, research and solutions.MethodsBuilding on our previous realist review of CBPR, we contacted the authors of longitudinal studies of academic-community partnerships retained in the review. Twenty-four participants (community members and researchers) from 11 partnerships were interviewed. Realist logic of analysis was used, involving middle-range theory, context-mechanism-outcome configuration (CMOcs) and the concept of the ‘ripple effect’.ResultsThe analysis supports the central importance of developing and strengthening partnership synergy through trust. The ripple effect concept in conjunction with CMOcs showed that a sense of trust amongst CBPR members was a prominent mechanism leading to partnership sustainability. This in turn resulted in population-level outcomes including: (a) sustaining collaborative efforts toward health improvement; (b) generating spin-off projects; and (c) achieving systemic transformations.ConclusionThese results add to other studies on improving the science of CBPR in partnerships with a high level of power-sharing and co-governance. Our results suggest sustaining CBPR and achieving unanticipated benefits likely depend on trust-related mechanisms and a continuing commitment to power-sharing. These findings have implications for building successful CBPR partnerships to address challenging public health problems and the complex assessment of outcomes

AB - Community-Based Participatory Research (CBPR) is an approach in which researchers and community stakeholders form equitable partnerships to tackle issues related to community health improvement and knowledge production. Our 2012 realist review of CBPR outcomes reported long-term effects that were touched upon but not fully explained in the retained literature. To further explore such effects, interviews were conducted with academic and community partners of partnerships retained in the review. Realist methodology was used to increase the understanding of what supports partnership synergy in successful long-term CBPR partnerships, and to further document how equitable partnerships can result in numerous benefits including the sustainability of relationships, research and solutions.MethodsBuilding on our previous realist review of CBPR, we contacted the authors of longitudinal studies of academic-community partnerships retained in the review. Twenty-four participants (community members and researchers) from 11 partnerships were interviewed. Realist logic of analysis was used, involving middle-range theory, context-mechanism-outcome configuration (CMOcs) and the concept of the ‘ripple effect’.ResultsThe analysis supports the central importance of developing and strengthening partnership synergy through trust. The ripple effect concept in conjunction with CMOcs showed that a sense of trust amongst CBPR members was a prominent mechanism leading to partnership sustainability. This in turn resulted in population-level outcomes including: (a) sustaining collaborative efforts toward health improvement; (b) generating spin-off projects; and (c) achieving systemic transformations.ConclusionThese results add to other studies on improving the science of CBPR in partnerships with a high level of power-sharing and co-governance. Our results suggest sustaining CBPR and achieving unanticipated benefits likely depend on trust-related mechanisms and a continuing commitment to power-sharing. These findings have implications for building successful CBPR partnerships to address challenging public health problems and the complex assessment of outcomes

U2 - 10.1186/s12889-015-1949-1

DO - 10.1186/s12889-015-1949-1

M3 - Article

VL - 15

SP - 1

EP - 11

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

ER -