Culture-centeredness in community-based participatory research: contributions to health education intervention research

Author:

Wallerstein Nina1,Oetzel John G2,Duran Bonnie3,Magarati Maya4,Pearson Cynthia5,Belone Lorenda6,Davis Joyce7,DeWindt Lori8,Kastelic Sarah9,Lucero Julie10,Ruddock Charmaine11,Sutter Erika12,Dutta Mohan J13

Affiliation:

1. Center for Participatory Research, College of Population Health, University of New Mexico, MSC09 5060, 1 University of New Mexico, Albuquerque, NM, USA

2. Waikato Management School, Private Bag 3105, University of Waikato, Hamilton 3240, New Zealand

3. School of Social Work & Public Health, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE Room 211D, Seattle, WA, USA

4. School of Social Work, Indigenous Wellness Research Institute, University of Washington, 4101 15th Avenue, NE, Seattle, WA, USA

5. Indigenous Wellness Research Institute, University of Washington, Seattle, WA, USA

6. College of Education, University of New Mexico, MSC04 2610, 1 University of New Mexico, Albuquerque, NM, USA

7. Joyce Davis Associates, 4 Horizon Road Suite 1419, Fort Lee, NJ, USA

8. National Center for Deaf Health Research, University of Rochester Medical Center, CU 420708, 265 Crittenden Blvd., Rochester, NY, USA

9. National Indian Child Welfare Association, 5100 SW Macadm Avenue, Suite 300, Portland, OR, USA

10. School of Community Health Sciences, Lombardi Recreation Center, University of Nevada, Room 203, 1664 North Virginia Street, Reno, NV, USA

11. Institute for Family Health, Bronx Health REACH, 16 East 16th Street, New York, NY, USA

12. Rochester Prevention Research Center, National Center for Deaf Health Research, University of Rochester, CPU 420708, 265 Crittenden Blvd., Rochester, NY, USA

13. Center for Culture-Centered Approach to Research & Evaluation (CARE), Te Pou Aro Korero; School of Communication, Journalism, and Marketing, Massey University, Private Bag, Palmerston North, New Zealand

Abstract

Abstract Health education research emphasizes the importance of cultural understanding and fit to achieve meaningful psycho-social research outcomes, community responsiveness and external validity to enhance health equity. However, many interventions address cultural fit through cultural competence and sensitivity approaches that are often superficial. The purpose of this study was to better situate culture within health education by operationalizing and testing new measures of the deeply grounded culture-centered approach (CCA) within the context of community-based participatory research (CBPR). A nation-wide mixed method sample of 200 CBPR partnerships included a survey questionnaire and in-depth case studies. The questionnaire enabled the development of a CCA scale using concepts of community voice/agency, reflexivity and structural transformation. Higher-order confirmatory factor analysis demonstrated factorial validity of the scale. Correlations supported convergent validity with positive associations between the CCA and partnership processes and capacity and health outcomes. Qualitative data from two CBPR case studies provided complementary socio-cultural historic background and cultural knowledge, grounding health education interventions and research design in specific contexts and communities. The CCA scale and case study analysis demonstrate key tools that community–academic research partnerships can use to assess deeper levels of culture centeredness for health education research.

Funder

National Institutes of Health

NARCH

National Institute of General Medical Sciences in partnership

Indian Health Service

National Institute on Drug Abuse

Office of Behavioral and Social Science Research

National Cancer Institute

National Institute of Minority Health and Health Disparities. Bronx Health REACH

National Institute of Minority Health and Health Disparities

Centers for Disease Control and Prevention

Health Resources Services Administration

University of Rochester National Center for Deaf Health Research

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Education

Reference53 articles.

1. Strategies to empower communities to reduce health disparities;Thompson;Health Aff,2016

2. Culture: the missing link in health research;Kagawa-Singer;Soc Sci Med,2016

3. Cultural sensitivity in public health: defined and demystified;Resnicow;Ethn Dis,1999

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