Community advisory boards as implementation strategies to center partner and patient voice in community health centers

Abstract Introduction: Community advisory boards (CABs) are a promising approach for strengthening patient and partner voices in community health center (CHC) evidence-based decision-making. This paper aims to describe how CHCs used CABs during the COVID-19 pandemic to improve the reach of testing...

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Main Authors: Rebekka M. Lee, Kamini Mallick, James G. Daly, Vetta Sanders Thompson, Elise Hoffman, Maria Papadopoulos, Stacey Curry
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Journal of Clinical and Translational Science
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Online Access:https://www.cambridge.org/core/product/identifier/S2059866124006794/type/journal_article
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author Rebekka M. Lee
Kamini Mallick
James G. Daly
Vetta Sanders Thompson
Elise Hoffman
Maria Papadopoulos
Stacey Curry
author_facet Rebekka M. Lee
Kamini Mallick
James G. Daly
Vetta Sanders Thompson
Elise Hoffman
Maria Papadopoulos
Stacey Curry
author_sort Rebekka M. Lee
collection DOAJ
description Abstract Introduction: Community advisory boards (CABs) are a promising approach for strengthening patient and partner voices in community health center (CHC) evidence-based decision-making. This paper aims to describe how CHCs used CABs during the COVID-19 pandemic to improve the reach of testing among populations experiencing health disparities and identify transferable lessons for future implementation. Methods: This mixed methods study integrates brief quantitative surveys of community engagement (N = 20) and one-on-one qualitative interviews (N = 13) of staff and community partners engaged in CHC CABs with a cost analysis and qualitative feedback from CHC staff participating in an online learning community (N = 17). Results: Community partners and staff engaged in the CHC CABs reported high ratings of engagement, with all mean ratings of community engagement principles above a 4 (“very good” or “often”) out of 5. Qualitative findings provided a more in-depth understanding of experiences serving on the CHC CAB and highlighted how engagement principles such as trust and mutual respect were reflected in CAB practices. We developed a CHC CAB toolkit with strategies for governance and prioritization, cost estimates to ensure sustainment, guidance on integrating quality improvement expertise, testimonies from community members on the benefits of joining, and template agendas and facilitator training to ensure meeting success. Conclusion: In alignment with the Translational Science Benefits Model, this study expands research impact through comprehensive mixed methods measurement of community engagement and by transforming findings into an action-orientated guide for CHCs to implement CABs to guide evidence-based decision-making for community and public health impact.
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spelling doaj-art-8bb014f4d4da4a708897d8241858f6212025-01-20T12:55:38ZengCambridge University PressJournal of Clinical and Translational Science2059-86612025-01-01910.1017/cts.2024.679Community advisory boards as implementation strategies to center partner and patient voice in community health centersRebekka M. Lee0https://orcid.org/0000-0002-5863-7907Kamini Mallick1James G. Daly2Vetta Sanders Thompson3Elise Hoffman4Maria Papadopoulos5Stacey Curry6Harvard T.H. Chan School of Public Health, Boston, MA, USAHarvard T.H. Chan School of Public Health, Boston, MA, USAHarvard T.H. Chan School of Public Health, Boston, MA, USAWashington University, St. Louis, MO, USAHarvard T.H. Chan School of Public Health, Boston, MA, USADotHouse Health, Boston, MA, USACoastal Family Health Center, Biloxi, MS, USA Abstract Introduction: Community advisory boards (CABs) are a promising approach for strengthening patient and partner voices in community health center (CHC) evidence-based decision-making. This paper aims to describe how CHCs used CABs during the COVID-19 pandemic to improve the reach of testing among populations experiencing health disparities and identify transferable lessons for future implementation. Methods: This mixed methods study integrates brief quantitative surveys of community engagement (N = 20) and one-on-one qualitative interviews (N = 13) of staff and community partners engaged in CHC CABs with a cost analysis and qualitative feedback from CHC staff participating in an online learning community (N = 17). Results: Community partners and staff engaged in the CHC CABs reported high ratings of engagement, with all mean ratings of community engagement principles above a 4 (“very good” or “often”) out of 5. Qualitative findings provided a more in-depth understanding of experiences serving on the CHC CAB and highlighted how engagement principles such as trust and mutual respect were reflected in CAB practices. We developed a CHC CAB toolkit with strategies for governance and prioritization, cost estimates to ensure sustainment, guidance on integrating quality improvement expertise, testimonies from community members on the benefits of joining, and template agendas and facilitator training to ensure meeting success. Conclusion: In alignment with the Translational Science Benefits Model, this study expands research impact through comprehensive mixed methods measurement of community engagement and by transforming findings into an action-orientated guide for CHCs to implement CABs to guide evidence-based decision-making for community and public health impact. https://www.cambridge.org/core/product/identifier/S2059866124006794/type/journal_articleCommunity health centersimplementation strategiescommunity advisory boardsengagementmixed methods
spellingShingle Rebekka M. Lee
Kamini Mallick
James G. Daly
Vetta Sanders Thompson
Elise Hoffman
Maria Papadopoulos
Stacey Curry
Community advisory boards as implementation strategies to center partner and patient voice in community health centers
Journal of Clinical and Translational Science
Community health centers
implementation strategies
community advisory boards
engagement
mixed methods
title Community advisory boards as implementation strategies to center partner and patient voice in community health centers
title_full Community advisory boards as implementation strategies to center partner and patient voice in community health centers
title_fullStr Community advisory boards as implementation strategies to center partner and patient voice in community health centers
title_full_unstemmed Community advisory boards as implementation strategies to center partner and patient voice in community health centers
title_short Community advisory boards as implementation strategies to center partner and patient voice in community health centers
title_sort community advisory boards as implementation strategies to center partner and patient voice in community health centers
topic Community health centers
implementation strategies
community advisory boards
engagement
mixed methods
url https://www.cambridge.org/core/product/identifier/S2059866124006794/type/journal_article
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