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Evaluation ViewAttendees 1

Category: Health Psychology / Behavioral Medicine - Adult
Symposia

Symposium 134 - “We’re All in This Together”: How to Best Employ Community Engaged Research in Complex Behavioral Medicine Settings

Sunday, November 19, 2023
10:30 AM – 12:00 PM PST
Location: Cispus (403), Level 4
CE: 1.5

Keywords: Community-Based, Behavioral Medicine, Community-Identified Problems
Level of Familiarity: All
Recommended Readings: Lewis, Y.R., Shain, L., Quinn, S.C., Turner, K., & Moore, T. (2002) Building Community Trust: Lessons from an STD/HIV Peer Educator Program with African American Barbers and Beauticians. Health Promotion Practice, 3(2), 133-143. doi:10.1177/152483990200300209,  

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and policy in mental health, 38(1), 4–23. https://doi-org.ezp-prod1.hul.harvard.edu/10.1007/s10488-010-0327-7

,   Weinstein ER, Herrera CM, Pla Serrano L, Martí Kring E, Harkness A. Promoting health equity in HIV prevention and treatment research: a practical guide to establishing, implementing, and sustaining community advisory boards. Therapeutic Advances in Infectious Disease. 2023;10. doi:10.1177/20499361231151508,  

 


https://howardbrown.org/wp-content/uploads/2022/02/HBH_FourCorners_BestPractices_FINAL2.pdf,  

Community-based participatory research (CBPR) is now one of the most effective and innovative methodological approaches to achieving health equity in biopsychosocial research. CBPR is a ‘democratization’ of the research process and helps to combat systemic injustice and historical exclusion of minoritized in research and clinical practice through collaboration with all research partners. CBPR approaches help advance the behavioral health and well-being of minoritized groups by centering the specific needs and experiences of these communities across all stages of the research process. This symposium draws from the fields of HIV, diabetes management, and substance use treatment amongst a variety of intersectional marginalized populations to bridge the gap between research indicating that community engagement is critical to ending behavioral health disparities and the limited data on effective models for doing so.

Our first presentation offers a broad overview of best practices when establishing a community advisory board (CAB) for HIV-prevention and sexual health research. Using this model as a guide, the presenter will review several research projects related to Latino sexual minority men’s (LSMM) health that were conducted in collaboration with a CAB composed of LSMM.

The role of CABs is highlighted in the second presentation focused on an CBPR project to design a culturally sensitive, family-based diabetes prevention package for Hispanic/Latinx adults. A review of initial CAB feedback illustrates the value of academic-community partnerships in adapting behavioral health interventions to meet the needs of underserved communities.

Our third presentation draws on the complementary expertise of a CBPR principal investigator and the chair of a CFAR funded community-engaged research council to discuss best CBPR practices among transgender women with alcohol problems. Presenters demonstrate how to advocate for and build equal partnerships between researchers and community and offer insights into how CBPR may replace ‘damage-centered approaches’ with ‘desire-based frameworks’ based on participants’ mixed-methods survey results.

The next presentation highlights how CBPR was successfully used to develop and implement a status neutral psycho-behavioral curriculum for a community-based organization (CBO) for people who use drugs. This presenter will describe how iterative feedback from staff, peers, and clients was used to identify four prioritized psycho-behavioral needs, select appropriate resources, and develop a curriculum to support people engaged in services at this CBO.

The final presentation describes a novel and effective community-informed model, the Five Point Initiative (FPI), that helps mitigate barriers to care within Black communities erroneously labelled as “hard to reach”. Two FPI team members provide insights on quantitative metrics of success and strategies for fostering and maintaining community engagement and multilevel collaboration to reduce HIV disparities due to systemic and structural inequities.

Finally, our discussant, an expert on CBPR, will synthesize themes across presentations in discussing how to use CBPR to work with complex marginalized populations in behavioral medicine.

Learning Objectives:

At the end of the session, the learner will be able to:
  • Determine how to apply community-engaged research best practices to working with marginalized groups in behavioral medicine settings.
  • Review a step-by-step guide for employing community advisory boards for HIV prevention research.
  • Describe lateral and collaborative strategies for working with CBOs to identify unmet needs and adapt evidence-based content to meet those needs.
  • Understand the value and utility of CBPR partnerships in adapting lifestyle interventions to meet the needs of underserved communities.
  • Evaluate a community-based bundled implementation strategy to mitigate barriers to HIV prevention/intervention efforts.

Presentations:

  • (SYM 134) Harnessing the Power of Community Advisory Boards for HIV Prevention: Lessons Learned from a South Florida Based CAB

    Speaker: Elliott R. Weinstein, M.P.H., M.S. (he/him/his) – University of Miami

    Co-author: Daniel Hernandez Altamirano, B.S. – University of Miami

    Co-author: Lorenzo Pla Serrano, B.S. (he/him/his) – University of Miami

    Co-author: Edward Marti Kring, MPA (he/him/his) – Miami Dade County Commissioners Office

    Co-author: Audrey Harkness, PhD (she/her/hers) – University of Miami

  • (SYM 134 Evaluation of an Academic-community Partnership for Adapting a Diabetes Prevention Lifestyle Intervention to Meet the Needs of Hispanic/latine Communities

    Speaker: Brynn L. Meulenberg, B.A. (she/her/hers) – University of Utah

    Co-author: Sara Carbajal-Salisbury, B.S. – Alliance Community Services

    Co-author: Jeannette Villalta, CHW – Alliance Community Services

    Co-author: Marco Guzman, CAB Member (he/him/his) – Alliance Community Services

    Co-author: Marcela Flores, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Nelamaria Flores, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Virginia Fuentes, CAB Member (she/her/hers) – Alliance community services

    Co-author: Maria Hernandez, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Diana Parry-Alba, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Carmen Rodriguez, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Yolanda Rodriguez, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Maria Zavala, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Veronica Selene Zavala, CAB Member (she/her/hers) – Alliance Community Services

    Co-author: Anu Asnaani, Ph.D. – University of Utah

    Co-author: Ana C. Sanchez-Birkhead, PhD (she/her/hers) – University of Utah

    Co-author: Katie J.W. Baucom, PhD (she/her/hers) – University of Utah

  • (SYM 134 Best Practices of Community-based Participatory Online Survey Research Among Transgender Women with Alcohol Problems

    Speaker: Arryn A. Guy, Ph.D. (she/they) – Brown University School of Public Health

    Co-author: Paul Goulet, Health Care Consultant – Community Engaged Research Council-(CCERC) Prov/Boston CFAR

    Co-author: Carla Ibarra, B.A. – University of Southern California

    Co-author: -- Gaustria, AA – Brown University School of Public Health

    Co-author: Jesus "Yarimah" Iniguez, -- – Brown University School of Public Health

    Co-author: Daniela Hernandez, -- – Brown University School of public Health

    Co-author: Jennifer Rodriguez, -- – Brown University School of public Health

    Co-author: Olly Richards, B.S. – Brown University School of Public Health

    Co-author: Bethany Gen, B.A. (they/them/theirs) – Lifespan

  • (SYM 134 Status Neutral Psycho-behavioral Capacity Building in Low-threshold Settings for People Who Use Drugs in Boston

    Speaker: Abigail W. Batchelder, M.P.H., Ph.D. (she/her/hers) – Harvard Medical School/Massachusetts General Hospital

    Co-author: Abigail W. Batchelder, M.P.H., Ph.D. (she/her/hers) – Harvard Medical School/Massachusetts General Hospital

    Co-author: Hyo Shin, MPH (she/her/hers) – MGH

    Co-author: Oscar Mairena, MPP (he/him/his) – Chan School of Public Health, Harvard University

    Co-author: Jacob Herrera, B.A. (he/him/his) – Victory Program, Inc.

    Co-author: Matthew C. Sullivan, Ph.D. – Massachusetts General Hospital

    Co-author: Jacklyn D. Foley, Ph.D. – Massachusetts General Hospital

    Co-author: Chris Chiu, MA (he/him/his) – UM Boston & Massachusetts General Hospital

    Co-author: Meg Von Lossnitzer, MA (she/her/hers) – Victory Programs, Inc.

  • (SYM 134 Fostering Collaborative Relationships and Processes in the Five Point Initiative: A Community-based Bundled Implementation Strategy for HIV Prevention

    Speaker: Rachelle Reid, M.S. (she/her/hers) – University of Miami

    Co-author: Roxana Bolden (she/her/hers) – University of miami

    Co-author: Sherkila Shaw (she/her/hers) – University of Miami

    Co-author: Kalenthia nunnally (she/her/hers) – University of Miami

    Co-author: George Gibson – University of Miami

    Co-author: Maria Fernanda Silva, B.S. (she/her/hers) – University of Miami

    Co-author: Naysha Shahid, B.S. (she/her/hers) – University of Miami

    Co-author: Mya Wright, B.A. – University of Miami

    Co-author: Sannisha Dale, Ph.D. – University of Miami