Visioning with CBPR Model Developed over a long process: 2006 – 2017 Comprehensive and Dynamic Key Question: How can we together as partners improve equity processes and outcomes? To assess research links and pathways between promising practices and outcomes Validated by community partnerships and by two national surveys of 379 federally-funded partnerships Developed in consultation with Think Tank Funding: NIMHD Pilot (2006-2009) Research for Improved Health NARCH Funding: (2009-2013) I.H.S./NIGMS, NIDA, NCRR, OBSSR, NCI, NIMHD Engage for Equity: Advancing Community Engaged Partnerships (2015-2020) National Institute of Nursing Research

Visioning with the CBPR Conceptual Model Outcomes Intermediate Policy Environment Sustained Partnership Empowerment Shared Power Relations in Research Cultural Reinforcement Individual/Agency Capacity Research Productivity Long-term Community Transformation Social Justice Health / Health Equity Outcomes Intermediate System & Capacity Outcomes Policy Environment: University and Community Changes Sustainable Partnerships and Projects Empowerment – Multi-Level Shared Power Relations in Research / Knowledge Democracy Cultural Reinforcement / Revitalization Growth in Individual Partner & Agencies Capacities Research Productivity: Research Outcomes, Papers, Grant Applications & Awards Long-Term Outomes: Social Justice Community / Social Transformation: Policies & Conditions Improved Health / Health Equity

CBPR Conceptual Model Contexts Contexts Social Political & Structural Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Capacity & Readiness Collaboration Trust & Mistrust Political Policy Social & Structural Health Issue Importance Contexts Social-Structural: Social-Economic Status, Place, History, Environment, Community Safety, Institutional Racism, Culture Role of Education and Research Institutions Political & Policy: National / Local Governance / Stewardship / Approvals of Research; Policy & Funding Trends Health Issue: Perceived Severity Collaboration: Historic Trust/ Mistrust between Partners Capacity: Community History of Organizing / Academic Capacity / Partnership Capacity

CBPR Conceptual Model Contexts Partnership Processes Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Capacity & Readiness Collaboration Trust & Mistrust Political Policy Social & Structural Health Issue Importance Partnership Structures Relationships Individual Characteristics Health Care Agency Government Community CBOs Funders Partnership Processes Academic Partnership Structures: Diversity: Who is involved Complexity Formal Agreements Control of Resources % Dollars to Community CBPR Principles Partnership Values Bridging Social Capital Time in Partnership  Partnership Processes Relationships: Safety / Respect / Trust Influence / Voice Flexibility Dialogue & Listening/ Mutual Learning Conflict Management Leadership Collective Reflection/ Reflexivity Resource Management Participatory Decision- making Task Roles Recognized Commitment to Culture- Centeredness Individual Characteristics: Motivation to Participate Cultural Identities/Humility Personal Beliefs/Values Spirituality Reputation of P.I.

CBPR Conceptual Model Contexts Partnership Processes Intervention Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Capacity & Readiness Collaboration Trust & Mistrust Political Policy Social & Structural Health Issue Importance Partnership Structures Relationships Individual Characteristics Health Care Agency Government Community CBOs Funders Partnership Processes Academic Intervention & Research Integrate Community Knowledge Culture-Centered Interventions Empowering Processes Partnership Synergy Appropriate Research Design Community Involved in Research Processes Outputs Intervention & Research Processes that honor community an dcultural knowledge and voice, fit local settings, and use both academic & community language lead to Culture-Centered Interventions Empowering Co-Learning Processes lead to Partnership Synergy Community Members Involved in Research Activities leads to Research/Evaluation Designs that Reflect Community Priorities Bidirectional Translation, Implementation & Dissemination

CBPR Conceptual Model Contexts Partnership Processes Intervention Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Capacity & Readiness Collaboration Trust & Mistrust Political Policy Social & Structural Health Issue Importance Partnership Structures Relationships Individual Characteristics Health Care Agency Government Community CBOs Funders Partnership Processes Academic Intervention & Research Integrate CommunityKnowledge Cultural-Centered Interventions Empowering Processes Partnership Synergy Appropriate Research Design Community Involved in Research Processes Outputs Outcomes Long-term Intermediate Policy Environment Sustained Partnership Empowerment Shared Power Relations in Research Cultural Reinforcement Individual/Agency Capacity Research Productivity Community Transformation Social Justice Health / Health Equity Outcomes System & Capacity Outcomes Policy Environment: University & Community Changes Sustainable Partnerships and Projects Empowerment – Multi-Level Shared Power Relations in Research / Knowledge Democracy Cultural Reinforcement/Revitalization Growth in Individual Partner & Agencies Capacities Research Productivity: Research Outcomes, Papers, Grant Applications & Awards Long-Term Outcomes: Social Justice Community / Social Transformation: Policies and Conditions Improved Health / Health Equity

Australia: Oral Health Partnership http://child-health.mspgh.unimelb.edu.au/research_areas/oral_health/teeth_tales

CBPR Institute, UNM, 2016 9/17/2018 B. Duran

CBPR Institute, UNM, 2016

CBPR Conceptual Model Outcomes Intermediate: Implementation Long-term Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Partnership Outcomes: Shared Power Implementation Practice Outcomes at the District Level (School District Leaders/Administrators) Implementation Practice Outcomes at School Level (High School Leaders/Administrators) Curriculum Pedagogy and Products Teacher (capacity/empowerment/skills) Student Engagement/YPAR Model (Youth Participatory Action Research) Outcomes Long-term Intermediate: Implementation Teachers Curriculum Pedagogy and Products School Practices and Administrators District Practices, Administrators, Policies Policy and Community Environment Sustained Partnership Shared Power Relations in Research Connection to National Networks Social Justice Education and Health Equity Student Outcomes

Template for Re-Creating Your Own CBPR Model Adapted from Wallerstein et al, 2008 & Wallerstein and Duran, 2010 Contexts Partnership Processes Intervention & Research Outcomes Intermediate Individual Characteristics Relationships Social & Structural Political & Policy Processes Outputs Integrate Community Knowledge Partnership Structures Education Issue Importance Empowering Processes Capacity & Readiness Collaboration Trust & Mistrust Long-term Community Involved in Research Visual from amoshealth.org 2017 Contexts Partnership Processes Intervention & Research Outcomes Social-Structural Political & Policy Health Issue Collaboration Capacity Partnership Structures: Relationships Intermediate System & Capacity Outcomes Long-Term Outcomes: Social Justice and Health Individual Characteristics:

Thanks to Partners See http://cpr.unm.edu/research-projects/cbpr-project/index.html