Using the Community-Based Participatory Research (CBPR) Approach in Childhood Obesity Prevention
DOI:
https://doi.org/10.6000/1929-4247.2014.03.04.3Keywords:
Childhood and adolescent obesity, Community-Based Participatory Research, community, engagement, health disparity.Abstract
Childhood and adolescent obesity has increased drastically in the past 30 years. While this is troubling, there is also evidence of large disparities among certain ethnic groups such as African American and Hispanic children and adolescents. The Community-Based Participatory Research (CBPR) Model emphasizes a collaborative, co-learning, mutually beneficial, and community-partnered approach to research. Unique aspects of this model include viewing community members as equal partners in non-hierarchical teams, working together in a strengths-based, action oriented research process. This review consists of an investigation of the CBPR approach, its important tenets, and why such an approach may be more effective for childhood and adolescent obesity intervention program development, especially in stratified communities.
References
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA 2012; 307: 483-90. http://dx.doi.org/10.1001/jama.2012.40
Fryar CD, Carroll, MD, Odgen CL. Prevalence of obesity among children and adolescents: United States, trends 1963–1965 through 2009–2010. Centers for Disease Control and Prevention; 2012. Available at: http://www.cdc.gov/nchs/ data/hestat/obesity_child_09_10/obesity_child_09_10.htm. Accessed September 13, 2012.
Summerbell CD, Waters E, Edmunds LD, Kelly S, Brown T, Campbell KJ. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2005; (3): CD001871.
Doak CM, Visscher TL, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obes Rev 2006; 7: 111-36. http://dx.doi.org/10.1111/j.1467-789X.2006.00234.x
Flynn MA, McNeil DA, Maloff B, et al. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with 'best practice' recommendations. Obes Rev 2006; 7: 7-66. http://dx.doi.org/10.1111/j.1467-789X.2006.00242.x
Economos CD, Hyatt RR, Goldberg JP, et al. A community intervention reduces BMI z-score in children: shape up Somerville first year results. Obesity (Silver Spring) 2007; 15: 1325-36. http://dx.doi.org/10.1038/oby.2007.155
Bogart LM, Elliott MN, Uyeda K, Hawes-Dawson J, Klein DJ, Schuster MA. Preliminary health eating outcomes of SNaX, a pilot community-based intervention for adolescents. J Adol Health 2011; 48: 196-202. http://dx.doi.org/10.1016/j.jadohealth.2010.06.004
Hoelscher D, Andrew E, Springer A, et al. Reductions in child obesity among disadvantaged school children with community involvement: the Travis County CATCH Trial. Obesity (Silver Spring) 2010; 18: 36-44. http://dx.doi.org/10.1038/oby.2009.430
Sanigorski AM, Bell AC, Kremer PJ, Cuttler R, Swinburn BA. Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well. Int J Obes 2008; 32: 1060-7. http://dx.doi.org/10.1038/ijo.2008.79
Krug E, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. Violence – a global public health problem. In: World report on violence and health. Geneva, Switzerland: World Health Organization (WHO); 2002: 1-21.
Israel BA, Coombe CM, Cheezum RR, et al. Community-based participatory research: A capacity-building approach to policy advocacy aimed at eliminating health disparities. Am J Public Health 2010; 100: 2094-102. http://dx.doi.org/10.2105/AJPH.2009.170506
Wallerstein N, Duran B. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am J Public Health 2010; 100: 40-6. http://dx.doi.org/10.2105/AJPH.2009.184036
Minkler M, Wallerstein N. Community-based participatory research for health. San Francisco, CA: Jossey-Bass Press; 2003.
Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Ann Rev Public Health 1988; 19: 173-202. http://dx.doi.org/10.1146/annurev.publhealth.19.1.173
Kumanyika SK. Environmental influences on childhood obesity: ethnic and cultural influences in context. Physiol Behav 2008; 22: 61-70. http://dx.doi.org/10.1016/j.physbeh.2007.11.019
de Wilde JA, van Dommelen P, Middelkoop BJ, Verkerk PH. Trends in overweight and obesity prevalence in Dutch, Turkish, Moroccan and Surinamese South Asian children in the Netherlands. Arch Dis Child 2009; 94: 795-800. http://dx.doi.org/10.1136/adc.2009.163709
Morgen CS, Mortensen LH, Rasmussen M, Andersen AM, Sorensen TI, Due P. Parental socioeconomic position and development of overweight in adolescence: longitudinal study of Danish adolescents. BMC Public Health 2010; 10: 520. http://dx.doi.org/10.1186/1471-2458-10-520
Sallis JF, Glanz K. The role of built environments in physical activity, eating, and obesity in childhood. Future Child 2006; 16: 89-108. http://dx.doi.org/10.1353/foc.2006.0009
Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr 2008; 87: 1107-17.
Burns C. The vulnerable and the disadvantaged. Australian Econ Rev 2008; 41: 90-6. http://dx.doi.org/10.1111/j.1467-8462.2008.00489.x
Wandel M, Råberg M, Kumar B, Holmboe-Ottesen G. Changes in food habits after migration among South Asians settled in Oslo: the effect of demographic, socio-economic and integration factors. Appetite 2008; 50: 376-85. http://dx.doi.org/10.1016/j.appet.2007.09.003
Minkler M. Linking science and policy through community- based participatory research to study and address health disparities. Am J Public Health 2010; 100: S81-7. http://dx.doi.org/10.2105/AJPH.2009.165720
Dallman MF, Pecoraro N, Akana SF, et al. Chronic stress and obesity: a new view of "comfort food". Proc Natl Acad Sci USA 2003; 100: 11696-701. http://dx.doi.org/10.1073/pnas.1934666100
Bleich S, Blendon R, Adams A. Trust in scientific experts on obesity: implications for awareness and behavior change. Obesity (Silver Spring) 2007; 15: 2145-56. http://dx.doi.org/10.1038/oby.2007.255
Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M. Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc 2006; 106: 559-68. http://dx.doi.org/10.1016/j.jada.2006.01.003
Kelly B, Halford JC, Boyland EJ, et al. Television food advertising to children: a global perspective. Am J Public Health 2010; 100: 1730-6. http://dx.doi.org/10.2105/AJPH.2009.179267
Bell R, Berger C, Cassady D. Townsend M. Portrayals of food practices and exercise behavior in popular American films. J Nutr Educ Behav 2005; 37: 27-32. http://dx.doi.org/10.1016/S1499-4046(06)60256-X
Coveney J. A qualitative study exploring socio-economic differences in parental lay knowledge of food and health: implications for public health nutrition. Public Health Nutr 2005; 8: 290-7. http://dx.doi.org/10.1079/PHN2004682
Israel BA, Schulz AJ, Parker EA, Becker AB, Allen AJ III, Guzman JR. Critical issues in developing and following CBPR principles. In: Minkler M, Wallerstein N ed. Community-based participatory research for health. 2nd ed. San Francisco, CA: Jossey-Bass Press; 2008:49-66.
Molnar BE, Gortmaker SL, Bull FC, Buka SL. Unsafe to play? Neighborhood disorder and lack of safety predict reduced physical activity among urban children and adolescents. Am J Health Promot 2004; 8: 378-86. http://dx.doi.org/10.4278/0890-1171-18.5.378
Borraccino A, Lemma P, Iannotti RJ, et al. Socioeconomic effects on meeting physical activity guidelines: comparisons among 32 countries. Med Sci Sports Exerc 2009; 41: 749-56. http://dx.doi.org/10.1249/MSS.0b013e3181917722
Chomitz VR, McGowan RJ, Wendel JM, et al. Healthy living Cambridge kids: a community-based participatory effort to promote healthy weight and fitness. Obesity (Silver Spring) 2010; 18: 45-53. http://dx.doi.org/10.1038/oby.2009.431
French SA, Story M, Neumark-Sztainer D, Fulkerson JA, Hannan P. Fast food restaurant use among adolescents: associations with nutrient intake, food choices and behavioral and psychosocial variables. Int J Obes 2001; 12: 1823-33. http://dx.doi.org/10.1038/sj.ijo.0801820
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988; 15: 351-77. http://dx.doi.org/10.1177/109019818801500401
Sallis JF, Owen N, Fisher, EB. Ecological models of health behavior. In: Glanz K, Rimer BK, Viswanath K ed. Health behavior and health education: theory, research and practice. 4th ed. San Francisco, CA: Jossey-Bass Press; 2008:435-485.
Stokols D. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot 1996; 10: 282-98. http://dx.doi.org/10.4278/0890-1171-10.4.282
Fleury J, Lee SM. The social ecological model of physical activity in African American women. Am J Community Psychol 2006; 37: 129-40. http://dx.doi.org/10.1007/s10464-005-9002-7
Krug E, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. Violence – a global public health problem. In: World report on violence and health. Geneva, Switzerland: World Health Organization (WHO); 2002: 1-21.
Wagener DK, Williams DR, Wilson PM. Equity and environmental health: data collection and interpretation issues. Toxicol Industr Health 1993; 9: 775-95.
Herbert CP. Community-based research as a tool for empowerment: the Haida Gwaii diabetes project example. Can J Public Health 1996; 87: 109-12.
Hatch J, Moss N, Saran A. Presley-Cantrell L and Mallory C, Community research: partnership in black communities. Am J Prev Med1993; 9: 27-31.
Steuart GW. Social and cultural perspectives: community intervention and mental health. Health Educ Quart 1993; 1: 99-111.
Israel BA, Cbeckoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q 1994; 21: 149-70. http://dx.doi.org/10.1177/109019819402100203
McKnight J. Regenerating community. Social Policy 1987; 17: 54-8.
McKnight JL. Politicizing health care. In: Conrad P, Kern R, ed. The sociology of health and illness: Critical perspectives. New York: St. Martin's Press; 1994: 437-41.
Coleman J. Social capital in the creation of human capital. Am J Sociol 1988; 94: 95-120. http://dx.doi.org/10.1086/228943
Israel BA, Schurman SJ. Social support, control and the stress process. In: Glanz K, Lewis FM, Rimer BK, ed. Health behavior and health education: theory, research and practice. San Francisco, CA: Jossey-Bass Press; 1990: 179-205.
Berger PL, Neuhaus RJ. To empower people: the role of mediating structures in public policy. In: Berger PL, Neuhaus RJ, ed. American enterprise institute for public policy research. Washington, D.C: Aei Press; 1977.
Bishop R. Initiating empowering research? New Zeal J Educ Stud 1994; 29: 175-88.
Bishop R. Addressing issues of self-determination and legitimation in Kaupapa Maori research. In: Webber B, ed. Research perspectives in Maori education. Wellington, New Zealand: Council for Educational Research; 1996: 143-60.
Green LW, George MA, Daniel M, et al. Study of participatory research in health promotion. Vancouver, Canada: University of British Columbia Press, Vancouver; 1995.
Elden M, Levin M. Cogenerative learning. In: Whyte WF, ed. Participatory action research. Newbury Park, CA: Sage Press; 1991: 127-42.
Blankenship KM, Schulz AJ. Approaches and dilemmas in community-based research and action. In: Annual Meeting of the Society for the Study of Social Problems 1996; New York, NY.
Altman DG. Sustaining interventions in community systems: On the relationship between researchers and communities. Health Psychol 1995; 14: 526-36. http://dx.doi.org/10.1037/0278-6133.14.6.526
Fawcett SB, Paine-Andrews A, Francisco VT, et al. Empowering community health initiatives through evaluation. In: Fetterman DM, Kaftarian SJ, Wandersman A, ed. Empowerment evaluation: Knowledge and tools of self-assessment and accountability. Thousand Oaks, CA: Sage Press; 1996: 161-187.
Constitution of the World Health Organization (WHO) 45th ed. http://www.who.int/governance/eb/constitution/en/ Published October 2006. Accessed October 1, 2012.
Kelly MP, Davies JK, Charlton BG. A modern problem or a postmodern solution? In: Davis JK, Kelly MP, ed. Healthy cities: Research and practice. New York: Routledge Press; 1993: 159-67.
Brown ER. Community action for health promotion: a strategy to empower individuals and communities. Int J Health Serv 1991; 21: 441-56. http://dx.doi.org/10.2190/AKCP-L5A4-MXXQ-DW9K
Schulz AJ, Israel BA, Selig SM, Bayer IS, Griffin CB. Development and implementation of principles for community-based research in public health. In: MacNair RH, ed. Research strategies for community practice. New York: Haworth Press; 1998: 83-110.
Israel BA, Schurman SJ, Hugentobler MK. Conducting action research: relationships between organization members and researchers. J Appl Behav Sci 1992; 28: 74-101. http://dx.doi.org/10.1177/0021886392281008
Horowitz CR, Robinson M, Seifer S. Community-based participatory research from the margin to the mainstream: are researchers prepared? Circulation 2009; 119: 2633-42. http://dx.doi.org/10.1161/CIRCULATIONAHA.107.729863
Bogart LM, Uyeda K. Community-based participatory research: partnering with communities for effective and sustainable behavioral health interventions. Health Psychol 2009; 28: 391-3. http://dx.doi.org/10.1037/a0016387
Downloads
Published
How to Cite
Issue
Section
License
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .
