title: Application of a CBPR framework to inform a multi-level tobacco cessation intervention in public housing neighborhoods.
abstract: African American women in urban, high poverty neighborhoods have high rates of smoking, difficulties with quitting, and disproportionate tobacco-related health disparities. Prior research utilizing conventional "outsider driven" interventions targeted to individuals has failed to show effective cessation outcomes. This paper describes the application of a community-based participatory research (CBPR) framework to inform a culturally situated, ecological based, multi-level tobacco cessation intervention in public housing neighborhoods. The CBPR framework encompasses problem identification, planning and feasibility/pilot testing, implementation, evaluation, and dissemination. There have been multiple partners in this process including public housing residents, housing authority administrators, community health workers, tenant associations, and academic investigators. The advisory process has evolved from an initial small steering group to our current institutional community advisory boards. Our decade-long CBPR journey produced design innovations, promising preliminary outcomes, and a full-scaled implementation study in two states. Challenges include sustaining engagement with evolving study partners, maintaining equity and power in the partnerships, and long-term sustainability of the intervention. Implications include applicability of the framework with other CBPR partnerships, especially scaling up evolutionary grassroots involvement to multi-regional partnerships.
authors: College of Nursing, Medical University of South Carolina, 99 Jonathon Lucas Street, MSC 160, Charleston, SC 29426-1600, USA. andrewj@musc.edu
authors: Jeannette O
authors: JO
authors: Andrews
authors: Martha S
authors: MS
authors: Tingen
authors: Stacey Crawford
authors: SC
authors: Jarriel
authors: Maudesta
authors: M
authors: Caleb
authors: Alisha
authors: A
authors: Simmons
authors: Juanita
authors: J
authors: Brunson
authors: Martina
authors: M
authors: Mueller
authors: Jasjit S
authors: JS
authors: Ahluwalia
authors: Susan D
authors: SD
authors: Newman
authors: Melissa J
authors: MJ
authors: Cox
authors: Gayenell
authors: G
authors: Magwood
authors: Christina
authors: C
authors: Hurman
mesh_terms: D001741:Black or African American; D055812:Community-Based Participatory Research; D005260:Female; D006801:Humans; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods; D010379:Peer Group; D010865:Pilot Projects; D011638:Public Housing; D016540:Smoking Cessation / Q000379:methods*; D061485:Tobacco Use Cessation Devices; D014505:Urban Population; D014026:Nicotiana