Using ethnographic approaches to document, evaluate, and facilitate virtual community-engaged implementation research.

Autor: Rabin BA; Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, San Diego, CA, United States of America. barabin@health.ucsd.edu.; UC San Diego Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, San Diego, CA, United States of America. barabin@health.ucsd.edu., Cain KL; Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, San Diego, CA, United States of America., Salgin L; San Ysidro Health, San Diego, CA, United States of America.; Joint Doctoral Program in Public Health, San Diego State University, University of California San Diego, San Diego, United States of America., Watson PL Jr; The Global Action Research Center, San Diego, CA, United States of America., Oswald W; The Global Action Research Center, San Diego, CA, United States of America., Kaiser BN; UC San Diego Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, San Diego, CA, United States of America.; Department of Anthropology and Global Health Program, University of California San Diego, La Jolla, San Diego, CA, United States of America., Ayers L; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, San Diego, CA, United States of America., Yi C; Department of Urban Studies and Planning, University of California San Diego, La Jolla, San Diego, CA, United States of America., Alegre A; Department of Urban Studies and Planning, University of California San Diego, La Jolla, San Diego, CA, United States of America., Ni J; UC San Diego Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, San Diego, CA, United States of America., Reyes A; Department of Urban Studies and Planning, University of California San Diego, La Jolla, San Diego, CA, United States of America., Yu KE; UC San Diego Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, San Diego, CA, United States of America., Broyles SL; Department of Pediatrics, University of California San Diego, La Jolla, San Diego, CA, United States of America.; UC San Diego Altman Clinical and Translational Research Institute Community Research Partnerships, University of California San Diego, La Jolla, San Diego, CA, United States of America., Tukey R; Laboratory of Environmental Toxicology, Department of Pharmacology, University of California San Diego, La Jolla, San Diego, CA, United States of America., Laurent LC; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, San Diego, CA, United States of America., Stadnick NA; UC San Diego Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, San Diego, CA, United States of America.; Department of Psychiatry, University of California San Diego, La Jolla, San Diego, CA, United States of America.; Child and Adolescent Services Research Center, San Diego, CA, United States of America.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2023 Feb 28; Vol. 23 (1), pp. 409. Date of Electronic Publication: 2023 Feb 28.
DOI: 10.1186/s12889-023-15299-2
Abstrakt: Background: Community Advisory Boards (CABs) have been frequently used to engage diverse partners to inform research projects. Yet, evaluating the quality of engagement has not been routine. We describe a multi-method ethnographic approach documenting and assessing partner engagement in two "virtual" CABs, for which we conducted all meetings remotely.
Methods: Two research projects for increasing equitable COVID-19 testing, vaccination, and clinical trial participation for underserved communities involved remote CAB meetings. Thirty-three partners representing 17 community groups participated in 15 sessions across the two CABs facilitated by a social change organization. We developed ethnographic documentation forms to assess multiple aspects of CAB member engagement (e.g., time spent speaking, modality used, types of interactions). Documenters were trained to observe CAB sub-groups via virtual sessions. Debriefing with the documentation team after CAB meetings supported quality assurance and process refinement. CAB members completed a brief validated survey after each meeting to assess the quality and frequency of engagement. Content and rapid thematic analysis were used to analyze documentation data. Quantitative data were summarized as frequencies and means. Qualitative and quantitative findings were triangulated.
Results: A total of 4,540 interactions were identified across 15 meetings. The most frequent interaction was providing information (44%), followed by responding (37-38%). The quality and frequency of stakeholder engagement were rated favorably (average 4.7 of 5). Most CAB members (96%) reported good/excellent engagement. Specific comments included appreciation for the diversity of perspectives represented by the CAB members and suggestions for improved live interpretation. Debriefing sessions led to several methodological refinements for the documentation process and forms.
Conclusion: We highlight key strategies for documenting and assessing community engagement. Our methods allowed for rich ethnographic data collection that refined our work with community partners. We recommend ongoing trainings, including debriefing sessions and routinely reviewed assessment of data to strengthen meaningful community engagement.
(© 2023. The Author(s).)
Databáze: MEDLINE
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