Advertisement

Community-Engaged Research Perspectives: Then and Now

      Abstract

      To fully appreciate the health of an individual, it is necessary to understand the effect of a person's attitudes, beliefs, and behaviors within their social, environmental, and cultural context. The medical model, although extremely useful, has its limitations when it comes to understanding the health of people as they live in the world. Wellness does not happen in the doctor's office alone, akin to the fact that scientific discovery is not limited to a laboratory. In this perspectives article, we posit that by using a community-engaged research approach, we not only allow for the translation of scientific discovery into clinical practice and public health initiatives, but we also create a new way of generating and integrating knowledge to improve health outcomes. In short, community-engaged research is not only a tool for translation, it is unique method for scientific discovery bringing transdisciplinary teams together that study health problems in real-world contexts and consider sustainability at the front end of asking the research question.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kligler B.
        • Maizes V.
        • Schachter S.
        • et al.
        Core competencies in integrative medicine for medical school curricula: a proposal.
        Acad Med. 2004; 79: 521-531
        • Shannon M.T.
        Health promotion and illness prevention: a biopsychosocial perspective.
        Health Soc Work. 1989; 14: 32-40
        • Engel G.L.
        The need for a new medical model: a challenge for biomedicine.
        Science. 1977; 196: 129-136
        • Kothari A.R.
        • Birch S.
        Multilevel health promotion research: conceptual and analytical considerations.
        Can J Nurs Res. 2004; 36: 56-75
        • Pickett K.E.
        • Pearl M.
        Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review.
        J Epidemiol Community Health. 2001; 55: 111-122
        • Wilcox B.A.
        Ecosystem health in practice: emerging areas of application in environment and human health.
        Ecosystem Health. 2001; 7: 317-325
        • Schulz A.
        • Northridge M.E.
        Social determinants of health: implications for environmental health promotion.
        Health Educ Behav. 2004; 31: 455-471
        • Gee G.C.
        • Payne-Sturges D.C.
        Environmental health disparities: a framework integrating psychosocial and environmental concepts.
        Environ Health Perspect. 2004; 112: 1645-1653
        • Payne-Sturges D.
        • Gee G.C.
        • Crowder K.
        • et al.
        Workshop Summary: Connecting social and environmental factors to measure and track environmental health disparities.
        Environ Res. 2006; 102: 145-153
        • Lasker R.D.
        • Weiss E.S.
        Broadening participation in community problem solving: a multidisciplinary model to support collaborative practice and research.
        J Urban Health. 2003; 80 (discussion 48–60): 14-47
        • Minkler M.
        Community-based research partnerships: challenges and opportunities.
        J Urban Health. 2005; 82: ii3-12
        • Hicks S.
        • Duran B.
        • Wallerstein N.
        • et al.
        Evaluating community-based participatory research to improve community-partnered science and community health.
        Prog Community Health Partnersh. 2012; 6: 289-299
        • Martin C.A.
        • Andrade A.A.
        • Vila D.
        • et al.
        The development of a community-based family asthma management intervention for Puerto Rican children.
        Prog Community Health Partnersh. 2010; 4: 10
        • Israel B.A.
        • Schulz A.J.
        • Parker E.A.
        • et al.
        Review of community-based research: assessing partnership approaches to improve public health.
        Ann Rev Public Health. 1998; 19: 173-202
        • Canino G.
        • Vila D.
        • Normand S.L.
        • et al.
        Reducing asthma health disparities in poor Puerto Rican children: the effectiveness of a culturally tailored family intervention.
        J Allergy Clin Immunol. 2008; 121: 665-670
        • Gortmaker S.L.
        • Peterson K.
        • Wiecha J.
        • et al.
        Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health.
        Arch Pediatr Adolesc Med. 1999; 153: 409-418
        • Haider R.
        • Ashworth A.
        • Kabir I.
        • Huttly S.R.
        Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial.
        Lancet. 2000; 356: 1643-1647
        • Bhandari N.
        • Bahl R.
        • Mazumdar S.
        • et al.
        Effect of community-based promotion of exclusive breastfeeding on diarrhoeal illness and growth: a cluster randomised controlled trial.
        Lancet. 2003; 361: 1418-1423
        • Bergman D.A.
        • Beck A.
        Moving from research to large-scale change in child health care.
        Acad Pediatr. 2011; 11: 360-368
        • Best A.
        • Stokols D.
        • Green L.W.
        • et al.
        An integrative framework for community partnering to translate theory into effective health promotion strategy.
        Am J Health Promot. 2003; 18: 168-176
        • Spoth R.L.
        • Greenberg M.T.
        Toward a comprehensive strategy for effective practitioner-scientist partnerships and larger-scale community health and well-being.
        Am J Community Psychol. 2005; 35: 107-126
        • Viswanathan M.
        • Ammerman A.
        • Eng E.
        • et al.
        Community-based participatory research: assessing the evidence.
        Evid Rep Technol Assess (Summ). 2004; : 1-8
        • Waib P.H.
        • Goncalves M.I.
        • Barrile S.R.
        Improvements in insulin sensitivity and muscle blood flow in aerobic-trained overweight-obese hypertensive patients are not associated with ambulatory blood pressure.
        J Clin Hypertens (Greenwich). 2011; 13: 89-96
        • Barkin S.L.
        • Gesell S.B.
        • Po'e E.K.
        • et al.
        Culturally tailored, family-centered, behavioral obesity intervention for Latino-American preschool-aged children.
        Pediatrics. 2012; 130: 445-456
        • Po'e E.
        • Neureiter C.
        • Escarfuller J.
        • et al.
        Systematic exposure to recreation center increases use by Latino families with young children.
        Childhood Obes. 2012; 8: 116-123
        • Economos C.D.
        • Hyatt R.R.
        • Goldberg J.P.
        • et al.
        A community intervention reduces BMI z-score in children: Shape Up Somerville first year results.
        Obesity. 2007; 15: 1325-1336
        • Keller L.O.
        • Strohschein S.
        • Schaffer M.A.
        • et al.
        Population-based public health interventions: innovations in practice, teaching, and management. Part II.
        Public Health Nurs. 2004; 21: 469-487
        • Huang T.T.
        • Drewnosksi A.
        • Kumanyika S.
        • et al.
        A systems-oriented multilevel framework for addressing obesity in the 21st century.
        Prev Chronic Dis. 2009; 6: A82
        • Stokols D.
        • Hall K.L.
        • Taylor B.K.
        • et al.
        The science of team science: overview of the field and introduction to the supplement.
        Am J Prev Med. 2008; 35: S77-S89
        • Fiore S.M.
        Interdisciplinarity as teamwork—How the science of teams can inform team science.
        Small Gr Res. 2008; 39: 251-277
        • Fiore S.M.
        Interdisciplinarity as Teamwork.
        Small Group Res. 2008; 39: 251-277
        • Bandura A.
        Social Foundations of Thought and Action: A Social Cognitive Theory.
        Prentice-Hall, Englewood Cliffs, NJ1986
        • Bandura A.
        Health promotion by social cognitive means.
        Health Educ Behav. 2004; 31: 143-164
        • Rosenfield P.L.
        The potential of transdisciplinary research for sustaining and extending linkages between the health and social sciences.
        Soc Sci Med. 1992; 35: 1343-1357
        • Schadt E.E.
        • Sachs A.
        • Friend S.
        Embracing complexity, inching closer to reality.
        Sci STKE. 2005; 2005: pe40
        • Van Regenmortel M.H.
        Reductionism and complexity in molecular biology. Scientists now have the tools to unravel biological and overcome the limitations of reductionism.
        EMBO Rep. 2004; 5: 1016-1020
        • Palla G.
        • Derenyi I.
        • Farkas I.
        • et al.
        Uncovering the overlapping community structure of complex networks in nature and society.
        Nature. 2005; 435: 814-818