Challenges and facilitating factors in conducting and sustaining community-based participatory research partnerships: Lessons learned from the Detroit, New York City and Seattle Urban Research Centers

摘要: In 1995 the Centers for Disease Control and Prevention (CDC) established three Urban Research Centers (URCs) in Detroit, New York City, and Seattle. The overall goal of the URCs has been to examine social determinants of health in order to address health disparities. A key approach has been to establish and maintain partnerships which actively involve community-based organizations, health and human service agencies, academic institutions, and community members in conducting community-based participatory research (CBPR). This presentation will:(1) provide a brief description of the three URCs (eg, communities involved, organizational structure, operating procedures);(2) examine challenges encountered within and across the URCs, with particular attention to what has occurred since CDC funding ended (eg, difficulty obtaining funding for infrastructure support for a CBPR Center);(3) describe facilitating factors and strategies used for overcoming these challenges (eg, ongoing attention to process, create a structure that fits within local context, engage in evaluation and modification of the partnership, focus on specific concerns of the community while framing them in a social determinant of health context); and (4) discuss lessons learned and recommendations from the perspective of community, agency and academic partners in establishing, maintaining and sustaining CBPR partnerships (eg, cover portion of core funding in project specific budgets, expand Center's coordination role). Based on the URCs' experiences, the overall implications for funding and sustaining a Center mechanism to promote and conduct CBPR efforts …