A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities
Abstract Background Innovative Models Promoting Access to Care Transformation (IMPACT) was a five-year (2013–2018), Canadian-Australian research program that aimed to use a community-based partnership approach to transform primary health care (PHC) organizational structures to improve access to appr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12961-023-01045-y |
| _version_ | 1827707638825091072 |
|---|---|
| author | Virginia J. Lewis Catherine M. Scott Kate Silburn William L. Miller |
| author_facet | Virginia J. Lewis Catherine M. Scott Kate Silburn William L. Miller |
| author_sort | Virginia J. Lewis |
| collection | DOAJ |
| description | Abstract Background Innovative Models Promoting Access to Care Transformation (IMPACT) was a five-year (2013–2018), Canadian-Australian research program that aimed to use a community-based partnership approach to transform primary health care (PHC) organizational structures to improve access to appropriate care for vulnerable populations. Local Innovation Partnerships (LIPs) were developed to support the IMPACT research program, and to be ongoing structures that would continue to drive local improvements to PHC. Methods A longitudinal development-focused evaluation explored the overall approach to governance, relationships and processes of the LIPs in the IMPACT program. Semi-structured interviews were conducted with purposively selected participants including researchers with implementation roles and non-researchers who were members of LIPs at four time points: early in the development of the LIPs in 2014; during intervention development in 2015/2016; at the intervention implementation phase in 2017; and nearing completion of the research program in 2018. A hybrid deductive-inductive thematic analysis approach was used. A Guide developed to support the program was used as the framework for designing questions and analysing data using a qualitative descriptive method initially. A visual representation was developed and refined after each round of data collection to illustrate emerging themes around governance, processes and relationship building that were demonstrated by IMPACT LIPs. After all rounds of data collection, an overarching cross-case analysis of narrative summaries of each site was conducted. Results Common components of the LIPs identified across all rounds of data collection related to governance structures, stakeholder relationships, collaborative processes, and contextual barriers. LIPs were seen primarily as a structure to support implementation of a research project rather than an ongoing multisectoral community-based partnership. LIPs had relationships with many and varied stakeholders although not necessarily in ways that reflected the intended purpose. Collaboration was valued, but multiple barriers impeded the ability of LIPs to enact real collaboration in daily operations over time. We learned that experience, history, and time matter, especially with respect to community-oriented collaborative skills, structures, and relationships. Conclusions This longitudinal multiple case study offers lessons and implications for researchers, funders, and potential stakeholders in community-based participatory research. |
| first_indexed | 2024-03-10T16:51:23Z |
| format | Article |
| id | doaj.art-ff2453dfd2734ed7ab526fc9c4ec719d |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-03-10T16:51:23Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-ff2453dfd2734ed7ab526fc9c4ec719d2023-11-20T11:19:45ZengBMCHealth Research Policy and Systems1478-45052023-10-0121111210.1186/s12961-023-01045-yA longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communitiesVirginia J. Lewis0Catherine M. Scott1Kate Silburn2William L. Miller3Australian Institute for Primary Care and Ageing, La Trobe UniversityDepartment of Community Health Sciences, University of CalgaryAustralian Institute for Primary Care and Ageing, La Trobe UniversityDepartment of Family Medicine, Lehigh Valley Health NetworkAbstract Background Innovative Models Promoting Access to Care Transformation (IMPACT) was a five-year (2013–2018), Canadian-Australian research program that aimed to use a community-based partnership approach to transform primary health care (PHC) organizational structures to improve access to appropriate care for vulnerable populations. Local Innovation Partnerships (LIPs) were developed to support the IMPACT research program, and to be ongoing structures that would continue to drive local improvements to PHC. Methods A longitudinal development-focused evaluation explored the overall approach to governance, relationships and processes of the LIPs in the IMPACT program. Semi-structured interviews were conducted with purposively selected participants including researchers with implementation roles and non-researchers who were members of LIPs at four time points: early in the development of the LIPs in 2014; during intervention development in 2015/2016; at the intervention implementation phase in 2017; and nearing completion of the research program in 2018. A hybrid deductive-inductive thematic analysis approach was used. A Guide developed to support the program was used as the framework for designing questions and analysing data using a qualitative descriptive method initially. A visual representation was developed and refined after each round of data collection to illustrate emerging themes around governance, processes and relationship building that were demonstrated by IMPACT LIPs. After all rounds of data collection, an overarching cross-case analysis of narrative summaries of each site was conducted. Results Common components of the LIPs identified across all rounds of data collection related to governance structures, stakeholder relationships, collaborative processes, and contextual barriers. LIPs were seen primarily as a structure to support implementation of a research project rather than an ongoing multisectoral community-based partnership. LIPs had relationships with many and varied stakeholders although not necessarily in ways that reflected the intended purpose. Collaboration was valued, but multiple barriers impeded the ability of LIPs to enact real collaboration in daily operations over time. We learned that experience, history, and time matter, especially with respect to community-oriented collaborative skills, structures, and relationships. Conclusions This longitudinal multiple case study offers lessons and implications for researchers, funders, and potential stakeholders in community-based participatory research.https://doi.org/10.1186/s12961-023-01045-yCommunity academic partnershipsCommunity-based participatory researchMulti-sectorial research partnershipsLongitudinal qualitative evaluationImplementing innovative interventions |
| spellingShingle | Virginia J. Lewis Catherine M. Scott Kate Silburn William L. Miller A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities Health Research Policy and Systems Community academic partnerships Community-based participatory research Multi-sectorial research partnerships Longitudinal qualitative evaluation Implementing innovative interventions |
| title | A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities |
| title_full | A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities |
| title_fullStr | A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities |
| title_full_unstemmed | A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities |
| title_short | A longitudinal multi-site evaluation of community-based partnerships: implications for researchers, funders, and communities |
| title_sort | longitudinal multi site evaluation of community based partnerships implications for researchers funders and communities |
| topic | Community academic partnerships Community-based participatory research Multi-sectorial research partnerships Longitudinal qualitative evaluation Implementing innovative interventions |
| url | https://doi.org/10.1186/s12961-023-01045-y |
| work_keys_str_mv | AT virginiajlewis alongitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT catherinemscott alongitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT katesilburn alongitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT williamlmiller alongitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT virginiajlewis longitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT catherinemscott longitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT katesilburn longitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities AT williamlmiller longitudinalmultisiteevaluationofcommunitybasedpartnershipsimplicationsforresearchersfundersandcommunities |