ESAP Evaluation: Harlem and the Bronx

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Challenges to Successful CBPR Competencies in
Developing Community Partnerships

• Cleopatra Howard Caldwell, Ph.D.
• Department of Health Behavior Health Education
• School of Public Health
• University of Michigan

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Overview of Challenges toSuccessful Partnerships

• Developing Partnerships
• Establishing Respect and Trust
• Negotiating Goals and Objectives
• Effective Communication
• Shared Decision-Making Strategies

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Developing CBPR Partnerships

• Identifying Partners
• Understanding Dominant and Subordinate
  Relationships
• -- Power and Privilege
• -- Reframing Relationships
• Determining Timeframes for Developing Partnerships

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Establishing Respect and Trust

• Understanding the Historical Basis of Mistrust
• Identifying Strategies for Building Trust and
  Respect
• Removing Obstacles to Establishing and Sustaining
  Trust

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Negotiating Goals Objectives

• Articulating Individual Partner Project Goals and
  Objectives
• Developing Integrated Project Goals and
  Objectives
• Assessing and Reassessing Project Outcomes

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Effective Communication

• Developing a Shared Vocabulary
• Learning to Hear and Respond to Different
  Viewpoints
• Speaking as a Collective

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Shared Decision-Making Strategies

• Assessing Approaches to Collaborative
  Decision-Making
• Selecting a Collaborative Decision-Making
  Strategy
• An Example from the Flint Fathers and Sons
  Evaluation Project

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The Collaborative Model1

• The Fathers and Sons Project followed three
  primary stages in developing its collaborative
  research partnership. These three stages are
• Dependence academic partners emerge as the
  leaders at this stage danger of not benefiting
  from expertise of all partners.
• Independence charge each partner with the
  responsibility of ensuring that their groups
  perspective is not lost to the larger group
  written documents using non-technical language to
  communicate ideas are developed at this stage.
• Interdependence incorporation of the points of
  view of other groups in the partnership to
  reflect the whole. Final vision is reflective of
  the total partnership.
• 1From Caldwell, C.H., Zimmerman, M.A., Isichei,
  P.A.C. (2001). Forging collaborative
  partnerships to enhance family health An
  assessment of strengths and challenges in
  conducting community-based research. Journal of
  Public Health Management and Practice 7, 1-9.

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General Project Decision-Making Process
Initial Discussions As A Steering Committee
Separate Discussions among Each Partner
Written Contributions From the Perspective of
Each Partner
Integration of Final Decisions into Document
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Additional Challenges

• IRB Issues
• Capacity-Building for the Research Enterprise
• Evaluating Partnerships
• Sustaining Partnerships
• Funding Issues

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Conclusion

• In the end, when you succeed at CBPR, the
  benefits far outweigh the challenges to become
  opportunities to improve the publics health.
• The CBPR Panel Members