A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships

Melanie Ward, Amy J. Schulz, Barbara A. Israel, Kristina Rice, Sheena E. Martenies, Evan Markarian

Research output: Contribution to journalArticlepeer-review

Abstract

Community-based participatory research (CBPR) approaches present strong opportunities to promote health equity by improving health within low-income communities and communities of color. CBPR principles and evaluation frameworks highlight an emphasis on equitable group dynamics (e.g., shared leadership and power, participatory decision-making, two-way open communication) that promote both equitable processes within partnerships and health equity in the communities with whom they engage. The development of an evaluation framework that describes the manner in which equitable group dynamics promote intermediate and long-term equity outcomes can aid partners in assessing their ability to work together effectively and improve health equity in the broader community. CBPR principles align with health equity evaluation guidelines recently developed for Health Impact Assessments (HIAs), which emphasize meaningful engagement of communities in decision-making processes that influence their health. In this paper, we propose a synergistic framework integrating contributions from CBPR and HIA evaluation frameworks in order to guide efforts to evaluate partnership effectiveness in addressing health inequities. We suggest specific indicators that might be used to assess partnership effectiveness in addressing health equity and discuss implications for evaluation of partnership approaches to address health equity.

Original languageEnglish (US)
Pages (from-to)25-34
Number of pages10
JournalEvaluation and Program Planning
Volume70
DOIs
StatePublished - Oct 2018
Externally publishedYes

Keywords

  • Community-based participatory research
  • Community-based research
  • Community-engaged research
  • Equity promotion
  • Evaluation
  • Framework
  • Health disparities
  • Health equity
  • Health impact assessment
  • Health promotion
  • Participatory evaluation
  • Participatory research
  • Social determinants of health

ASJC Scopus subject areas

  • Business and International Management
  • Social Psychology
  • Geography, Planning and Development
  • Strategy and Management
  • Public Health, Environmental and Occupational Health

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