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Community-based participatory research to engage disadvantaged communities: Levels of engagement reached and how to increase it. A systematic review

Author

Listed:
  • Teresa, Riccardi Maria
  • Valentina, Pettinicchio
  • Marcello, Di Pumpo
  • Gerardo, Altamura
  • Cesare, Nurchis Mario
  • Roberta, Markovic
  • Čedomir, Šagrić
  • Miodrag, Stojanović
  • Luca, Rosi
  • Gianfranco, Damiani

Abstract

Community-based participatory research (CBPR) is one of the most used community engagement frameworks to promote health changes in vulnerable populations. The more a community is engaged, the more a program can impact the social determinants of health. The present study aims to measure the level of engagement reached in randomized controlled trials (RCTs) using CBPR in disadvantaged populations, and to find out the CBPR components that better correlate with a higher level of engagement. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Embase, Web of Science, MEDLINE, Cochrane and Scopus databases were queried. Engagement level was assessed using the revised version of IAP2 spectrum, ranging from “inform” to “shared leadership” . Fifty-one RCTs were included, belonging to 36 engagement programs. Fourteen CBPR reached the highest level of engagement. According to the multivariate logistic regression, a pre-existing community intervention was associated with a higher engagement level (OR = 10.08; p<0.05).

Suggested Citation

  • Teresa, Riccardi Maria & Valentina, Pettinicchio & Marcello, Di Pumpo & Gerardo, Altamura & Cesare, Nurchis Mario & Roberta, Markovic & Čedomir, Šagrić & Miodrag, Stojanović & Luca, Rosi & Gianfranco,, 2023. "Community-based participatory research to engage disadvantaged communities: Levels of engagement reached and how to increase it. A systematic review," Health Policy, Elsevier, vol. 137(C).
    • Handle: RePEc:eee:hepoli:v:137:y:2023:i:c:s0168851023001902
    DOI: 10.1016/j.healthpol.2023.104905
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