Journal of General Internal Medicine

, Volume 18, Issue 7, pp 558–567 | Cite as

Community action against asthma

Examining the partnership process of a community-based participatory research project
  • Edith A. ParkerEmail author
  • Barbara A. Israel
  • Melina Williams
  • Wilma Brakefield-Caldwell
  • Toby C. Lewis
  • Thomas Robins
  • Erminia Ramirez
  • Zachary Rowe
  • Gerald Keeler
Original Articles


BACKGROUND: Community Action Against Asthma (CAAA) is a community-based participatory research (CBPR) project that assesses the effects of outdoor and indoor air quality on exacerbation of asthma in children, and tests household- and neighborhood-level interventions to reduce exposure to environmental asthma triggers. Representatives of community-based organizations, academia, an integrated health system, and the local health department work in partnership on CAAA’s Steering Committee (SC) to design and implement the project.

OBJECTIVE: To conduct a process evaluation of the CAAA community-academic partnership.

DESIGN: In-depth interviews containing open-ended questions were conducted with SC members. Analysis included established methods for qualitative data, including focused coding and constant comparison methods.

SETTING: Community setting in Detroit, Michigan.

PARTICIPANTS: Twenty-three members of the CAAA SC.

MEASUREMENTS: Common themes identified by SC members relating to the partnership’s ability to achieve project goals and the successes and challenges facing the partnership itself.

MAIN RESULTS: Identified partnership accomplishments included: successful implementation of a complex project, identification of children with previously undiagnosed asthma, and diverse participation and community influence in SC decisions. Challenges included ensuring all partners’ influence in decision-making, the need to adjust to “a different way of doing things” in CBPR, constraints and costs of doing CBPR felt by all partners, ongoing need for communication and maintaining trust, and balancing the needs of science and the community through intervention.

CONCLUSIONS: CBPR can enhance and facilitate basic research, but care must be given to trust issues, governance issues, organizational culture, and costs of participation for all organizations involved.

Key Words

community-based participatory research asthma partnership process evaluation 


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  1. 1.
    Green LW, Mercer SL. Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities? Am J Public Health. 2001;91:1926–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.PubMedCrossRefGoogle Scholar
  3. 3.
    Barnett K. Collaboration for Community Empowerment: Redefining the Role of Academic Institutions. Berkeley, Calif: Center for Community Health, School of Public Health, University of California at Berkeley; 1993.Google Scholar
  4. 4.
    Buchanan DR. Building academic-community linkages for health promotion: a case study in Massachusetts. Am J Health Promot. 1996;10:262–9.PubMedGoogle Scholar
  5. 5.
    Fals-Borda O, Rahman MA. Action and Knowledge: Breaking the Monopoly with Participatory Action Research. New York, NY: Intermediate Technology Publishers/Apex; 1991.Google Scholar
  6. 6.
    Whyte WF. Participatory Action Research. Newbury Park, Calif: Sage Publications, Inc.; 1991.Google Scholar
  7. 7.
    Israel BA, Lichtenstein R, Lantz PM, et al. The Detroit Community-Academic Urban Research Center: development, implementation and evaluation. J Public Health Manag Pract. 2001;7:1–19.PubMedGoogle Scholar
  8. 8.
    Lantz P, Viruell-Fuentes E, Israel BA, Softley D, Guzman JR. Can communities and academia work together on public health research? Evaluation results from a community-based participatory research partnership in Detroit. J Urban Health. 2001;78:495–507.PubMedGoogle Scholar
  9. 9.
    U.S. Bureau of Census. Statistical Abstract of the United States. Washington, DC; 1990.Google Scholar
  10. 10.
    Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.PubMedCrossRefGoogle Scholar
  11. 11.
    Patton MQ. Qualitative Evaluation and Research Methods, 3rd ed. Newbury Park, Calif: Sage Publications; 2001.Google Scholar
  12. 12.
    Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, Calif: Sage Publications, Inc.; 1994.Google Scholar
  13. 13.
    Zimmerman MA, Israel BA, Freudenberg N, Becker MH, Janz N. Evaluating twelve AIDS prevention interventions: methodology. In: Freudenberg N, Zimmerman MA, eds. AIDS Prevention in the Community: Lessons from the First Decade. Washington, DC: American Public Health Association; 1995:199–220.Google Scholar
  14. 14.
    Alter C, Hage J. Organizations Working Together. Newbury Park, Calif: Sage Publications, Inc.; 1993.Google Scholar
  15. 15.
    Butterfoss FD, Goodman RM, Wandersman A. Community coalitions for prevention and health promotion. Health Educ Res. 1993;8:315–30.PubMedCrossRefGoogle Scholar
  16. 16.
    Florin P, Mitchell R, Stevenson J. Identifying technical needs in community coalitions: a developmental approach. Health Educ Res. 1993;8:417–32.PubMedCrossRefGoogle Scholar
  17. 17.
    Israel BA, Schulz AJ, Parker EA, Becker AB. Community-based participatory research: policy recommendations for promoting a partnership approach in health research. Education for Health. 2001;14:182–97.PubMedCrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2003

Authors and Affiliations

  • Edith A. Parker
    • 5
    Email author
  • Barbara A. Israel
    • 5
  • Melina Williams
    • 5
  • Wilma Brakefield-Caldwell
    • 2
  • Toby C. Lewis
    • 5
    • 1
  • Thomas Robins
    • 5
  • Erminia Ramirez
    • 3
  • Zachary Rowe
    • 4
  • Gerald Keeler
    • 5
  1. 1.the University of Michigan Schools of MedicineAnn Arbor
  2. 2.Detroit Health DepartmentDetroit
  3. 3.Community Health and Social Services CenterDetroit
  4. 4.Friends of ParksideDetroit
  5. 5.Department of Health Behavior and Health EducationUniversity of Michigan School of Public HealthAnn Arbor

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