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A Retrospective Analysis of the Capacity Built through a Community-Based Participatory Research Project Addressing Diabetes and Obesity in South and East Los Angeles

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=47112#.VGGGXGfHRK0

Chronic diseases, such as diabetes and obesity, are more prevalent in low-income and minority communities. One promising method to understand and address these chronic conditions is through Community Based Participatory Research (CBPR). CBPR engages and empowers community members to identify risk factors and work toward solutions as equal partners with researchers. One positive and lasting outcome may be an increase in the community capacity which includes individual and community leadership development, policy making, creating connections and utilizing existing community resources. Evaluating community capacity created as a result of a CBPR project is one way to measure its effectiveness. This paper is a retrospective analysis of the capacity built during a CBPR study of diabetes and obesity in East and South Los Angeles which are two low-income and minority neighborhoods. Four people, who were heavily involved in the project, completed a retrospective analysis of the capacity built utilizing a validated instrument. There was consensus about the capacity built, which included: excellent participation by community members, inclusion of members’ ideas to leverage additional funding, and pride of community members in their participation in the project. One area that could have been strengthened was increased access for leadership and research experience among community members, especially since the project ended prematurely. There were differences among the two community groups with East Los Angeles members focusing more on tangible interventions and grant writing, while South Los Angeles members had a greater policy focus. Communities and researchers who are embarking on a CBPR project can learn from those who have implemented the strategy. Measuring capacity built during and after the project, can be one way to understanding the contributions of a project in a community. CBPR is an empowering research methodology which, done correctly, can build community capacity and have long-term impacts on individuals and communities.
Cite this paper
Hillstrom, K. , Ruelas, V. , Peters, A. , Gedebu-Wilson, T. and Iverson, E. (2014) A Retrospective Analysis of the Capacity Built through a Community-Based Participatory Research Project Addressing Diabetes and Obesity in South and East Los Angeles. Health, 6, 1429-1435. doi: 10.4236/health.2014.612175. 
 

[1] Flegal, K.M., Carroll, M.D., Odgen, C.L. and Curtin, L.R. (2010) Prevalence and Tends in Obesity among US Adults, 1999-2008. JAMA, 303, 235-241.
http://dx.doi.org/10.1001/jama.2009.2014
[2] Ogden, C.L., Carroll, M.D., Curtin, L.R., Lamb, M.M. and Flegal, K.M. (2010) Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008. JAMA, 303, 242-249.
http://dx.doi.org/10.1001/jama.2009.2012
[3] Cowie, C.C., Rust, K.F., Byrd-Holt, D.D., Eberhardt, M.S., Flegal, K.M., Engelgau, M.M., Saydah, S.H., Williams, D.E., Geiss, L.S. and Gregg, E.W. (2006) Prevalence of Diabetes and Impaired Fasting Glucose in Adults in the US Population: National Health and Nutrition Examination Survey 1999-2002. Diabetes Care, 29, 1263-1268.
http://dx.doi.org/10.2337/dc06-0062
[4] Cowie, C., Rust, K.F., Ford, S.F., Eberhardt, M.S., Byrd-Holt, D.D., Li, C.Y., Williams, D.E., Gregg, E.W., Brain-bridge, K.E., Saydah, S.H. and Geiss, L.S. (2009) Full Accounting of Diabetes and Pre-Diabetes in the US Population in 1988-1994 and 2005-2006. Diabetes Care, 32, 287-294.
http://dx.doi.org/10.2337/dc08-1296
[5] Sloan, D.C., Diamant, A.L., LaVonna, B.L., Yancy, A.K., Flynn, G., Nascimeneto, L.M., McCarthy, W.J., Guinyard, J.J. and Cousineau, M.R. (2003) Improving the Nutritional Resource Community Environment for Healthy Living through Community-Based Participatory Research. Journal of General Internal Medicine, 18, 568-575.
http://dx.doi.org/10.1046/j.1525-1497.2003.21022.x
[6] Israel, B.A, Schulz, A.J., Parker, E.A. and Becker, A.B. (1998) Review of Community-Based Research: Assessing Partnership Approaches to Improve Public Health. Annual Review of Public Health, 19, 173-202.
http://dx.doi.org/10.1146/annurev.publhealth.19.1.173
[7] Viswanathan, M., Ammerman, A., Eng, E., Garlehner, G., Lohr, K.N., Griffith, D., Rhodes, S., Samuel-Hodge, C., Maty, S., Lux, L., Webb, L., Sutton, S.F., Swinson, T., Jackman, A. and Whitener, L. (2004) Community-Based Participatory Research: Assessing the Evidence. Summary, Evidence Report/Technology Assessment: Number 99. Agency for Healthcare Research and Quality, Rockville.
http://www.ahrq.gov/clinic/epcsums/cbprsum.htm
[8] Israel, B.A., Parker, E.A., Rowe, Z., Salvatore, A., Minkler, M., Lopez, J. and Halstead, S. (2005) Community-Based Participatory Research: Lessons Learned from the Centers for Children’s Environmental Health and Disease Prevention Research. Environmental Health Perspectives, 113, 1463-1471.
http://dx.doi.org/10.1289/ehp.7675
[9] Goodman, R.M., Speers, M.A., McLeroy, K., Fawcett, S., Kegler, M., Parker, E., Smith, S.R., Sterling, T.D. and Wallerstein, N. (1998) Identifying and Defining the Dimensions of Community Capacity to Provide a Basis for Measurement. Health Education & Behavior, 25, 258-278.
http://dx.doi.org/10.1177/109019819802500303
[10] Dressendorfer, R.H., Raine, K., Dyck, R.J., Plotnikoff, R.C., Collins-Nakai, R.L., McLaughlin, W.K. and Ness, K. (2005) A Conceptual Model of Community Capacity Development for Health Promotion in the Alberta Heart Health Project. Health Promotion Practice, 6, 31-36.
[11] Maclellan-Wright, M.D., Anderson, D., Barber, S., Smith, N., Cantin, B., Felix, R. and Raine, K. (2007) The Development of Measures of Community Capacity for Community-Based Funding Programs in Canada. Health Promotion International, 22, 299-306.
http://dx.doi.org/10.1093/heapro/dam024
[12] Raine, K.D., Plotnikoff, R., Nykiforuk, C., Deegan, H., Storey, K., Schopflocher, D., Vuegelers, P., Wild, C.T. and Ohinmaa, A. (2010) Reflections on Community-Based Population Health Intervention and Evaluation for Obesity and Chronic Disease Prevention: The Healthy Alberta Communities Project. International Journal of Public Health, 55, 679-686.
[13] Kipke, M.D., Iverson, E., Moore, D., Booker, C., Ruelas, V., Peters, A.L. and Kaufman, F. (2006) Food and Park Environments: Neighborhood-Level Risks for Childhood Obesity in ELA. Journal of Adolescent Health, 40, 325-333.
[14] Bronfenbrenner, U. (1979) The Ecology of Human Development: Experiments by Nature and Design. Harvard University Press, Cambridge.
[15] Ruelas, V., Iverson, E., Kiekel, P. and Peters, A. (2012) The Role of Farmers’ Markets in Two Low Income, Urban Communities. Journal of Community Health, 37, 554-562.
http://dx.doi.org/10.1007/s10900-011-9479-y               eww141111lx
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