January 1, 2016

A Community-Based Participatory Research Guided Model for Dissemination of Evidence-Based Interventions

Rebecca Delafield, MPH, Andrea (Nacapoy) Hermosura, PhD, Claire Townsend Ing, DrPH, Claire K. Hughes, DrPH, Donna-Marie Palakiko, APRN, MS, Adrienne Dillard, MSW, LSW, B. Puni Kekauoha, Sheryl R. Yoshimura, RD, CDE, MPH, Shari Gamiao, and Joseph Keawe’aimoku Kaholokula, PhD

Progress in Community Health Partnerships : Research, Education, and Action.

Background—Dissemination is a principle within community-based participatory research (CBPR); however, published research focuses on the dissemination of findings from CBPR projects but less on dissemination of interventions developed through CBPR approaches. To disseminate an evidence-based lifestyle intervention tailored for Native Hawaiians and Pacific Islanders, the PILI ‘Ohana Project (POP), an 11-year CBPR initiative, developed an innovative dissemination model.

Objectives—The Community-to-Community Mentoring (CCM) model described in this paper extends the application of CBPR values and principles used in intervention development to intervention dissemination.

Methods—The CCM model combines a CBPR orientation with the Diffusion of Innovation Theory, the Social Cognitive Theory, and key concepts from community organizing and community building to address the multilevel factors that influence uptake of an evidence-based intervention. Grounding the model in CBPR principles provides benefits for intervention dissemination and integrates a focus on community benefits and capacity building.

Conclusions—By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process.

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