title: Enhancing stewardship of community-engaged research through governance.
abstract: OBJECTIVE
  We explored the relationship of community-engaged research final approval type (tribal government, health board, or public health office (TG/HB); agency staff or advisory board; or individual or no community approval) with governance processes, productivity, and perceived outcomes.
  
  
  METHODS
  We identified 294 federally funded community-engaged research projects in 2009 from the National Institutes of Health's Research Portfolio Online Reporting Tools, Centers for Disease Control and Prevention's Prevention Research Centers, and Native American Research Centers for Health databases. Two hundred (68.0%) investigators completed a survey about governance processes and productivity measures; 312 partners (77.2% of 404 invited) and 138 investigators (69.0% of 200 invited) completed a survey about perceived outcomes.
  
  
  RESULTS
  Projects with TG/HB approval had increased likelihood of community control of resources (odds ratios [ORs] ≥ 4.80). Projects with other approvals had decreased likelihood of development or revision of institutional review board policies (ORs ≤ 0.37), having written agreements (ORs ≤ 0.17), and agreements about publishing (ORs ≤ 0.28), data use (ORs ≤ 0.17), and publishing approval (ORs ≤ 0.14).
  
  
  CONCLUSIONS
  Community-engaged research projects with TG/HB approval had strong stewardship of project resources and agreements. Governance as stewardship protects community interests; thus, is an ethical imperative for communities, especially native communities, to adopt.
authors.affiliation: John G. Oetzel is with the Department of Management Communication, University of Waikato, New Zealand. Malia Villegas and Heather Zenone are with the Policy Research Center at the National Congress of American Indians, Washington, DC. Emily R. White Hat is with the Collaborative Research Center for American Indian Health at Sanford Research, Sioux Falls, SD. Nina Wallerstein is with the Center for Participatory Research at the University of New Mexico, Albuquerque. Bonnie Duran is with the School of Public Health, School of Social Work, and the Indigenous Wellness Research Institute at the University of Washington, Seattle.
authors.forename: John G
authors.initials: JG
authors.lastname: Oetzel
authors.forename: Malia
authors.initials: M
authors.lastname: Villegas
authors.forename: Heather
authors.initials: H
authors.lastname: Zenone
authors.forename: Emily R
authors.initials: ER
authors.lastname: White Hat
authors.forename: Nina
authors.initials: N
authors.lastname: Wallerstein
authors.forename: Bonnie
authors.initials: B
authors.lastname: Duran
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D055812:Community-Based Participatory Research / Q000191:economics / Q000458:organization & administration*; D016208:Databases, Factual; D005380:Financing, Government; D006077:Government Agencies; D006801:Humans; D007198:Indians, North American; D009316:National Institutes of Health (U.S.); D011634:Public Health; D044469:Racial Groups; D012107:Research Design; D011795:Surveys and Questionnaires; D014481:United States