Journal of community engagement and scholarship最新文献

Introduction: The Transtheoretical Model (TTM) has been used to assess individual readiness for health behavior change. We describe our use of the TTM to assess organizational readiness of African-American churches to participate in the Church Challenge (CC) in Flint, Michigan; the processes of change that moved churches toward readiness for change; and lessons learned.

Methods: The CC was a faith-based, multilevel intervention to reduce chronic disease risk. A community-based participatory approach was used to engage and recruit churches. We used the TTM to capture church readiness for change and track church progress through the five stages.

Results: We engaged with 70 churches: 35 remained in Stage 1 (precontemplation), 10 remained in Stage 2 (contemplation), 3 remained in Stage 3 (preparation), 5 made it to Stage 4 (action), and 17 finished within Stage 5 (maintenance). Churches engaged in several processes of change as they moved through the various stages of change.

Lessons learned: Utilizing processes of change, establishing rapport, and having previous participants share success stories helped move churches from stage-to-stage. However, certain barriers prevented progression, such as burnout/trauma from the Flint Water Crisis and scheduling conflicts.

Discussion: Faith-based organizational readiness greatly impacted participation in the CC. Researchers should utilize established social capital, build rapport, and remain flexible when working with African-American churches.

Conclusion: Although traditionally used at the individual level, the TTM works well at the organizational level to assess and monitor church readiness to participate in community-engaged research and health programming to improve health in an African-American faith community.

Forming equity-based community-academic partnerships focused on recovery research is a time- consuming and challenging endeavor, but one well worth the care and effort required. Through building trusting relationships, vital research collaborations emerge, which are driven by expressed community needs and supported with university resources. This article describes the stakeholder engagement process utilized by a university-based and opioid-focused initiative entitled Innovations in Recovery through Infrastructure Support (IRIS). IRIS developed a diverse and representative network of clinical providers, peer recovery workers, academics, and other behavioral health leaders. The process was informed by community-based participatory research (CBPR) practices and principles aimed at creating equitable partnerships. Lessons learned include the need to reshape the relationship between research and the community through an acknowledgment of harms committed by academia, as well as the importance of maintaining an approach of humility, accountability, and patience with the partnership process. Concrete benefits that go beyond the long-term promise of change, including compensating partners financially for their time, help ensure equity. A commitment to always asking "Who's missing?" and then filling those gaps builds a broad network inclusive of the various constituencies that make up the recovery support system. As IRIS builds on these lessons learned and plans next steps, we share our experience to support others engaged in forming community-academic partnerships through deep stakeholder engagement and use of participatory approaches within and outside of recovery research.

Farmworkers are among the most underserved and marginalized populations of workers despite their essential role in the U.S. food supply chain. The Michigan Farmworker Project (MFP) evolved as a collaborative, community-based participatory project among state and regional service entities, legal service organizations, and the university. The overarching goal of the project was to study the relationship of precarious working conditions and labor exploitation with occupational and environmental health inequities and social justice for farmworkers in Michigan. We employed critical race theory and community-based participatory research approaches to guide the development and implementation of the MFP. We describe the development of the participatory process with community partners and discuss implementation challenges and lessons learned from the field. Throughout the research, we reflect on how farmworkers' social and working environment goes beyond precarity, revealing labor exploitation as an important deterrent of farmworker health and well-being. Despite entrenched systems of structural oppression, farmworkers contribute to and improve our society with their rich cultural backgrounds, their work, and their resilience. The diverse composition of this community-university partnership amplified collaboration, enriched our understanding of the role of precarity and labor exploitation among farmworkers, and contributed to the study's success. The MFP will continue strengthening the community-university partnership with the goal of continuing to address health inequities in the farmworker population.