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Critical Reflections on the Role of CBPR Within an RCT Community Health Worker Prevention Intervention

Rosenthal, E. Lee PhD, MS, MPH; Balcazar, Hector G. PhD; De Heer, Hendrik D. PhD, MPH; Wise, Sherrie MPH; Flores, Leticia MPH; Aguirre, Melissa BCH

Journal of Ambulatory Care Management: July/September 2014 - Volume 37 - Issue 3 - p 241–249
doi: 10.1097/JAC.0000000000000010
Original Articles

Coalescence of culturally relevant and community-based research with traditional scientific inquiry is necessary for the translation of science into practice. One methodology that has been identified as an important missing link in achieving the goal of combining science and community practice is the community-based participatory research approach, or CBPR. To demonstrate how CBPR has been successfully blended with randomized control trial (RCT) methodology, we showcase a randomized community trial that has shown efficacy in reducing cardiovascular risk factors integrating community health workers. The purpose of this article is 2-fold. First, it describes the process of merging the CBPR approach within an RCT framework and, second, it describes lessons learned in conducting CBPR-RCT research initiatives.

Institute for Health Policy (Dr Rosenthal), UTHealth School of Public Health (Dr Balcazar and Ms Wise), El Paso, Texas; Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff (Dr De Heer); ACHS Program, El Paso Community College, El Paso, Texas (Ms Flores); and Centro San Vicente Clinic, El Paso, Texas (Ms Aguirre).

Correspondence: E. Lee Rosenthal, PhD, MS, MPH, Project on CHW Policy and Practice, Institute for Health Policy, UTHealth School of Public Health, El Paso Regional Campus, 1101 N. Campbell, El Paso, TX 79902 (Lee.Rosenthal@uth.tmc.edu).

Funding for the HEART Project was provided by the National Institutes of Health National Institute of Minority Health Disparities Grant Number: R24MD001785.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins