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Planning and implementation of a participatory evaluation strategy: A viable approach in the evaluation of community-based participatory programs addressing cancer disparities

机译:参与式评估策略的规划和实施:评估基于社区的参与式计划以解决癌症差异的可行方法

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摘要

Community-based participatory research (CBPR) has been posited as a promising methodology to address health concerns at the community level, including cancer disparities. However, the major criticism to this approach is the lack of scientific grounded evaluation methods to assess development and implementation of this type of research. This paper describes the process of development and implementation of a participatory evaluation framework within a CBPR program to reduce breast, cervical, and colorectal cancer disparities between African Americans and whites in Alabama and Mississippi as well as lessons learned. The participatory process involved community partners and academicians in a fluid process to identify common ground activities and outcomes. The logic model, a lay friendly approach, was used as the template and clearly outlined the steps to be taken in the evaluation process without sacrificing the rigorousness of the evaluation process. We have learned three major lessons in this process: (1) the importance of constant and open dialogue among partners; (2) flexibility to make changes in the evaluation plan and implementation; and (3) importance of evaluators playing the role of facilitators between the community and academicians. Despite the challenges, we offer a viable approach to evaluation of CBPR programs focusing on cancer disparities.
机译:基于社区的参与性研究(CBPR)被认为是解决社区水平上健康问题(包括癌症差异)的一种有前途的方法。但是,对这种方法的主要批评是缺乏科学的评估方法来评估这类研究的发展和实施。本文介绍了一项CBPR计划中参与性评估框架的开发和实施过程,以减少阿拉巴马州和密西西比州的非洲裔美国人与白人之间的乳腺癌,宫颈癌和结肠直肠癌的差异,以及所获得的经验教训。参与过程涉及社区合作伙伴和院士,他们的工作流程流畅,可以确定共同的地面活动和成果。逻辑模型(一种友好的方法)被用作模板,并且清楚地概述了评估过程中要采取的步骤,同时又不牺牲评估过程的严格性。我们在这一过程中吸取了三个主要教训:(1)伙伴之间进行持续和公开对话的重要性; (2)灵活地更改评估计划和实施; (3)评价者在社区和院士之间发挥促进者作用的重要性。尽管面临挑战,我们还是提供了一种可行的方法来评估针对癌症差异的CBPR计划。

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