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Evans CD, Nanda JP, Ouyang P, Bone L, Byiringiro S, Lacanienta C, Clark R, Weston C, Han HR, Terkowitz M, Bates-Hopkins B, Galiatsatos P, Xu AJ, Stevens S, Himmelfarb CR. Integrating community voices in the research continuum: Perspectives on a consultation service. J Clin Transl Sci 2023; 7:e177. [PMID: 37654776 PMCID: PMC10465313 DOI: 10.1017/cts.2023.600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 06/21/2023] [Accepted: 07/13/2023] [Indexed: 09/02/2023] Open
Abstract
The Community Research Advisory Council (C-RAC) of the Johns Hopkins Institute for Clinical and Translational Research was established in 2009 to provide community-engaged research consultation services. In 2016-2017, C-RAC members and researchers were surveyed on their consultation experiences. Survey results and a 2019 stakeholder meeting proceeding helped redesign the consultation services. Transitioning to virtual consultations during COVID-19, the redesigning involved increasing visibility, providing consultation materials in advance, expanding member training, and effective communications. An increase in consultations from 28 (2009-2017) to 114 (2020-2022) was observed. Implementing stakeholder-researcher inputs is critical to holistic and sustained community-engaged research.
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Affiliation(s)
- Crystal D. Evans
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Joy P. Nanda
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Pamela Ouyang
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Lee Bone
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Medicine, Baltimore, MD, USA
- The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
- The Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Samuel Byiringiro
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Cyd Lacanienta
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Roger Clark
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Christine Weston
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Hae-Ra Han
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Medicine, Baltimore, MD, USA
- The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Mia Terkowitz
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Barbara Bates-Hopkins
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Panagis Galiatsatos
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Ashley Jingzhi Xu
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Sarah Stevens
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
| | - Cheryl R. Himmelfarb
- Institute for Clinical and Translational Research (ICTR), Johns Hopkins University, Baltimore, MD, USA
- Community Research Advisory Council, The Johns Hopkins ICTR, Baltimore, MD, USA
- The Johns Hopkins University School of Medicine, Baltimore, MD, USA
- The Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
- The Johns Hopkins University School of Nursing, Baltimore, MD, USA
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Miller ER, Cooper LA, Carson KA, Wang NY, Appel LJ, Gayles D, Charleston J, White K, You N, Weng Y, Martin-Daniels M, Bates-Hopkins B, Robb I, Franz WK, Brown EL, Halbert JP, Albert MC, Dalcin AT, Yeh HC. A Dietary Intervention in Urban African Americans: Results of the "Five Plus Nuts and Beans" Randomized Trial. Am J Prev Med 2016; 50:87-95. [PMID: 26321012 PMCID: PMC4691550 DOI: 10.1016/j.amepre.2015.06.010] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Revised: 05/13/2015] [Accepted: 06/16/2015] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Unhealthy diets, often low in potassium, likely contribute to racial disparities in blood pressure. We tested the effectiveness of providing weekly dietary advice, assistance with selection of higher potassium grocery items, and a $30 per week food allowance on blood pressure and other outcomes in African American adults with hypertension. DESIGN We conducted an 8-week RCT with two parallel arms between May 2012 and November 2013. SETTING/PARTICIPANTS We randomized 123 African Americans with controlled hypertension from an urban primary care clinic in Baltimore, Maryland, and implemented the trial in partnership with a community supermarket and the Baltimore City Health Department. Mean (SD) age was 58.6 (9.5) years; 71% were female; blood pressure was 131.3 (14.7)/77.2 (10.5) mmHg; BMI was 34.5 (8.2); and 28% had diabetes. INTERVENTION Participants randomized to the active intervention group (Dietary Approaches to Stop Hypertension [DASH]-Plus) received coach-directed dietary advice and assistance with weekly online ordering and purchasing of high-potassium foods ($30/week) delivered by a community supermarket to a neighborhood library. Participants in the control group received a printed DASH diet brochure along with a debit account of equivalent value to that of the DASH-Plus group. MAIN OUTCOME MEASURES The primary outcome was blood pressure change. Analyses were conducted in January to October 2014. RESULTS Compared with the control group, the DASH-Plus group increased self-reported consumption of fruits and vegetables (mean=1.4, 95% CI=0.7, 2.1 servings/day); estimated intake of potassium (mean=0.4, 95% CI=0.1, 0.7 grams/day); and urine potassium excretion (mean=19%, 95% CI=1%, 38%). There was no significant effect on blood pressure. CONCLUSIONS A program providing dietary advice, assistance with grocery ordering, and $30/week of high-potassium foods in African American patients with controlled hypertension in a community-based clinic did not reduce BP. However, the intervention increased consumption of fruits, vegetables, and urinary excretion of potassium.
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Affiliation(s)
- Edgar R Miller
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland.
| | - Lisa A Cooper
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland
| | - Kathryn A Carson
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland; Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Nae-Yuh Wang
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland
| | - Lawrence J Appel
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland
| | - Debra Gayles
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Jeanne Charleston
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Karen White
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Na You
- School of Mathematics and Computational Science, Sun Yat-sen University, Guangzhou, China
| | - Yingjie Weng
- Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Michelle Martin-Daniels
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Barbara Bates-Hopkins
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Inez Robb
- Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Whitney K Franz
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Emily L Brown
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Jennifer P Halbert
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Michael C Albert
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Community Physicians, Johns Hopkins Medical Institutions, Baltimore, Maryland
| | - Arlene T Dalcin
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland
| | - Hsin-Chieh Yeh
- Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Johns Hopkins School of Medicine, Baltimore, Maryland; The Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland; Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
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Goldberg-Freeman C, Kass N, Gielen A, Tracey P, Bates-Hopkins B, Farfel M. Faculty beliefs, perceptions, and level of community involvement in their research: a survey at one urban academic institution. J Empir Res Hum Res Ethics 2010; 5:65-76. [PMID: 21133788 PMCID: PMC3210479 DOI: 10.1525/jer.2010.5.4.65] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Health researchers are increasingly interested in how best to engage communities in their health-related research studies. To help determine how researchers have interacted with community members in their research, we conducted a survey of full-time faculty from the Johns Hopkins Medical Institutions regarding researchers' beliefs and experiences with community-based research. Approximately 41% of respondents who conducted human subject studies had enrolled local residents in their research. Researchers whose studies were based in the surrounding community were significantly more likely to involve community members in all stages of their research (e.g., selection of the problem, project planning, data collection, interpretation and dissemination of results, or developing an intervention) than were faculty whose studies enrolled community members as research participants but whose studies were not set in the community. Over 90% of all faculty respondents agree that community involvement improves the relevance of their research, although almost 60% had not done so. Most faculty value community involvement, but they want more institutional support for such activities and they seek better skills to involve community. Few studies have surveyed researchers who enroll community members as research participants to document practices regarding community involvement in the research process. Given that the majority (73.6%) of faculty responded that they intend to include local residents in their upcoming studies, future research to evaluate interventions designed to facilitate community involvement, especially in the inner city, would help stakeholders identify best practices for involving and engaging communities in health research.
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Goldberg-Freeman C, Kass NE, Tracey P, Ross G, Bates-Hopkins B, Purnell L, Canniffe B, Farfel M. "You've got to understand community": community perceptions on "breaking the disconnect" between researchers and communities. Prog Community Health Partnersh 2010; 1:231-40. [PMID: 20208285 DOI: 10.1353/cpr.2007.0021] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Community-based participatory research (CBPR) is a growing approach to research yet its implementation does not come without challenges. Incorporating CBPR may be especially difficult for large academic medical institutions where research is conducted by different stakeholders operating under different paradigms. The Environmental Justice Partnership (EJP) is a community-academic partnership that sought to understand and address these challenges. OBJECTIVES To know how to effectively foster collaboration between a large academic medical center and its surrounding urban community, the EJP sought to understand community stakeholders' views on research, the research process, and how to improve researcher-community collaborations. METHODS This study used a qualitative approach to gather information from residents and representatives from community-based organizations (CBOs) and city agencies. The data are from 17 semistructured interviews and 8 focus groups (n = 80) conducted from October 2003 to May 2004. RESULTS Respondents emphasized the importance of disseminating research findings, working closely with the community before research starts and throughout the study, and listening to community members' priorities and needs. Those with personal research experience had more positive attitudes about research than respondents who had not been in research. CONCLUSIONS Academic institutions need to make greater effort to involve communities regularly in their community-based research to identify community priorities and concerns. Institutions may want to develop strategies for their affiliated researchers to facilitate partnership building. Especially for large academic institutions in urban settings, such efforts may help to bridge distance between researchers and community to promote the shared goal of improved public health.
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