Engaging Communities in Obesity Prevention: A Case Study of Partnership Dynamics and Participant Experience in Community Based Participatory Research.
Vikre, Emily.
2017-04-14T13:43:53.624Z
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Abstract: Community Based Participatory Research (CBPR) has been proposed as a potentially effective research approach for addressing complex public health issues such as obesity, particularly in traditionally marginalized populations such as new immigrants. However, much remains to be understood about creating and maintaining successful CBPR partnerships. Additionally, the potential pathways for ... read moreCBPR efficacy have been understudied. This dissertation conducted a case study of Live Well, a CBPR trial to prevent obesity in new immigrant women, in order to contribute to our understanding of the operationalization and mechanisms of CBPR, exploring portions of the pathway from CBPR process to outcomes by analyzing both the CBPR partnership and the study participants. For the first study, interviews were conducted with community-academic partners in fall 2010 and winter-spring 2012 (n = 16 at each point). Interviews were coded for themes related to organizational dimensions. Ten interrelated themes arose: goals, roles, sociometric structure, power structure, decision making, perception of conflict, communication, capacity, contextual influences, and complexity. Analysis showed that over time informal interpersonal structures superseded formalized structures and helped the group to work from a foundation of a sense of shared purpose and mutual respect and commitment to one another. The second study explored associations of the Live Well participants' perceptions of intervention relevance and responsiveness with their attendance and self-reported adherence to the intervention. Participants (n =124) reported overall high perceived relevance and responsiveness. Relevance of information (p
Thesis (Ph.D.)--Tufts University, 2014.
Submitted to the Dept. of Food Policy & Applied Nutrition.
Advisor: Christina Economos.
Committee: Nesly Metayer, Raymond Hyatt, and Alice Ammerman.
Keywords: Nutrition, and Public health.read less - ID:
- 3j333d60c
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