Author/Authors :
Salimi، Yahya نويسنده Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran , , Shahandeh، Khandan نويسنده Center for Community Based Participatory Research (CBPR), Tehran University of Medical Sciences, Department of Health Education and Health Promotion , , Malekafzali، Hossein نويسنده , , Loori، Nina نويسنده Center for Community Based Participatory Research (CBPR), Tehran University of Medical Sciences, Tehran , , Kheiltash، Azita نويسنده Center for Community Based Participatory Research (CBPR), Tehran University of Medical Sciences, Tehran , , Jamshidi، Ensiyeh نويسنده Center for Community Based Participatory Research (CBPR), Tehran University of Medical Sciences, Department of Health Education and Health Promotion , , Frouzan، Ameneh S. نويسنده Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Science, Tehran , , Majdzadeh، Reza نويسنده ,
Abstract :
Background: Community-based participatory research (CBPR) has
been applied by health researchers and practitioners to address health
disparities and community empowerment for health promotion. Despite
the growing popularity of CBPR projects, there has been little effort to
synthesize the literature to evaluate CBPR projects. The present review
attempts to identify appropriate elements that may contribute to the
successful or unsuccessful interventions.
Methods: A systematic review was undertaken using evidence identified
through searching electronic databases, web sites, and reference list checks.
Predefined inclusion and exclusion criteria were assessed by reviewers.
Levels of evidence, accounting for methodologic quality, were assessed
for 3 types of CBPR approaches, including interventional, observational,
and qualitative research design as well as CBPR elements through separate
abstraction forms. Each included study was appraised with 2 quality
grades, one for the elements of CBPR and one for research design.
Results: Of 14,222 identified articles, 403 included in the abstract review.
Of these, 70 CBPR studies, that 56 intervention studies had different
designs, and finally 8 studies met the inclusion criteria. The findings
show that collaboration among community partners, researchers, and
organizations led to community-level action to improve the health and
wellbeing and to minimize health disparities. It enhanced the capacity
of the community in terms of research and leadership skills. The result
provided examples of effective CBPR that took place in a variety of
communities. However, little has been written about the organizational
capacities required to make these efforts successful.
Conclusion: Some evidences were found for potentially effective strategies
to increase the participant’s levels of CBPR activities. Interventions that
included community involvement have the potential to make important
differences to levels of activities and should be promoted.
