Scaling Up a Community-Based Exercise Program for Women in Difficult Life Situations in Germany—The BIG Project as a Case-Study

Scaling up community-based participatory research (CBPR) remains challenging. This case-study reports on how, and under which conditions, a CBPR project aiming at promoting exercise among socially disadvantaged women (BIG) scaled up at four project sites. As part of BIG, researchers support city administrations in implementing a participatory project to reach socially disadvantaged women for exercise. The case study was conducted in winter 2020 in southern Germany and is based on a co-creative process involving city administrators and researchers. Following Kohl and Cooley’s scaling up dimensions, scaling up BIG was investigated at the four sites using a mixed-method approach. Course registrations and offers were analysed, and qualitative interviews (n = 4) with administrative staff members were conducted and analysed using content analysis. The geographical coverage of exercise classes, the addressed groups, and the utilisation of participatory methods by city administrations are described. All four sites managed to scale-up project activities. Three of the four sites reported that further growth of the project was no longer possible due to limited resources. All sites attempted to reach a larger number of, and more diverse, women. One site managed to scale-up the use of participatory methods within the city administration. The following important facilitators for scaling up CBPR projects were reported: advertisements tailored to the needs of the addressed women, utilising participatory approaches, and equipping project coordinators with sufficient resources.

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Transferring a Community-Based Participatory Research Project to Promote Physical Activity Among Socially Disadvantaged Women—Experiences From 15 Years of BIG

Frontiers in Public Health ◽

10.3389/fpubh.2020.571413 ◽

2020 ◽

Vol 8 ◽

Author(s):

Annika Herbert-Maul ◽

Karim Abu-Omar ◽

Annika Frahsa ◽

Anna Streber ◽

Anne K. Reimers

Keyword(s):

Physical Activity ◽

Participatory Research ◽

Community Based Participatory Research ◽

Community Based ◽

Research Project ◽

Socially Disadvantaged ◽

Disadvantaged Women ◽

Women Experiences

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Shifting from “Community-Placed” to “Community-Based” Research to Advance Health Equity: A Case Study of the Heatwaves, Housing, and Health: Increasing Climate Resiliency in Detroit (HHH) Partnership

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183310 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3310 ◽

Cited By ~ 3

Author(s):

Todd B. Ziegler ◽

Chris M. Coombe ◽

Zachary E. Rowe ◽

Sarah J. Clark ◽

Carina J. Gronlund ◽

...

Keyword(s):

Urban Communities ◽

Community Involvement ◽

Community Based Participatory Research ◽

Steering Committee ◽

Community Based ◽

Community Based Research ◽

Study Approach ◽

Significant Public Health ◽

Hot Weather

Extreme summertime heat is a significant public health threat that disproportionately impacts vulnerable urban populations. Research on health impacts of climate change (including increasing intensity, duration, and frequency of hot weather) is sometimes designed and implemented without the involvement of the communities being studied, i.e., “community-placed” not “community-based.” We describe how the Heatwaves, Housing, and Health: Increasing Climate Resiliency in Detroit (HHH) partnership engaged relevant communities by integrating a community-based participatory research (CBPR) approach into an existing, academic-designed research project through a steering committee of community and academic partners. Using a case study approach, we analyze program documentation, partnership evaluation questionnaires, and HHH steering committee meeting notes. We describe the CBPR process by which we successfully collected research data in Detroit during summer 2016, engaged in collaborative analysis of data, and shared results with Detroit residents. Evaluations of the partnership over 2 years show community involvement in research; enhanced capacities; success in securing new grant funding; and ways that CBPR strengthened the validity, relevance, and translation of research. Engaging communities as equal partners using CBPR, even after a study is underway, can strengthen research to understand and address the impacts of extreme heat on health and equity in urban communities.

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Evaluation of community participation in the implementation of community-based sanitation systems: a case study from Indonesia

Water Science & Technology ◽

10.2166/wst.2010.344 ◽

2010 ◽

Vol 62 (5) ◽

pp. 1028-1036 ◽

Cited By ~ 12

Author(s):

Elisa Roma ◽

Paul Jeffrey

Keyword(s):

Community Involvement ◽

Millennium Development Goals ◽

Developed Countries ◽

Successful Implementation ◽

Participatory Methods ◽

Least Developed Countries ◽

Community Based ◽

Water And Sanitation ◽

Development Goals

Acceptance and adequate use of water and sanitation technologies in least developed countries is still a chimera, with one billion people using unimproved water supply sources and 2.5 billion not benefitting from adequate sanitation. Public participation in water and sanitation planning and pre-implementation phases has become increasingly important for technology providers seeking solutions to implementation challenges towards the achievement of the Millennium Development Goals (MDGs). Based on the principle that successful implementation of WATSAN technologies ultimately depends on recipients' ability to absorb a technology and adapt it to their own needs, this study analyses the impacts of participatory methods adopted by community-based sanitation (CBS) providers on communities' receptivity of the transferred systems. A fieldwork activity was undertaken in Indonesia and a multiple case study approach adopted to analyse indicators of receptivity of the transferred technologies. Conclusions show that community involvement through participatory methods in the implementation of CBS systems can enhance the process of acceptance and management of the technologies, thereby increasing the progress towards the achievement of the Millennium Development Goals.

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Exploring the scope for Normalisation Process Theory to help evaluate and understand the processes involved when scaling up integrated models of care: a case study of the scaling up of the Gnosall memory service

Journal of Integrated Care ◽

10.1108/jica-11-2018-0072 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Michael Clark ◽

David Jolley ◽

Susan Mary Benbow ◽

Nicola Greaves ◽

Ian Greaves

Keyword(s):

Primary Care ◽

Scale Up ◽

Scaling Up ◽

Process Theory ◽

Normalisation Process Theory ◽

Small Scale ◽

Content Type ◽

Service Models ◽

Integrated Service

PurposeThe scaling up of promising, innovative integration projects presents challenges to social and health care systems. Evidence that a new service provides (cost) effective care in a (pilot) locality can often leave us some way from understanding how the innovation worked and what was crucial about the context to achieve the goals evidenced when applied to other localities. Even unpacking the “black box” of the innovation can still leave gaps in understanding with regard to scaling it up. Theory-led approaches are increasingly proposed as a means of helping to address this knowledge gap in understanding implementation. Our particular interest here is exploring the potential use of theory to help with understanding scaling up integration models across sites. The theory under consideration is Normalisation Process Theory (NPT).Design/methodology/approachThe article draws on a natural experiment providing a range of data from two sites working to scale up a well-thought-of, innovative integrated, primary care-based dementia service to other primary care sites. This provided an opportunity to use NPT as a means of framing understanding to explore what the theory adds to considering issues contributing to the success or failure of such a scaling up project.FindingsNPT offers a framework to potentially develop greater consistency in understanding the roll out of models of integrated care. The knowledge gained here and through further application of NPT could be applied to inform evaluation and planning of scaling-up programmes in the future.Research limitations/implicationsThe research was limited in the data collected from the case study; nevertheless, in the context of an exploration of the use of the theory, the observations provided a practical context in which to begin to examine the usefulness of NPT prior to embarking on its use in more expensive, larger-scale studies.Practical implicationsNPT provides a promising framework to better understand the detail of integrated service models from the point of view of what may contribute to their successful scaling up.Social implicationsNPT potentially provides a helpful framework to understand and manage efforts to have new integrated service models more widely adopted in practice and to help ensure that models which are effective in the small scale develop effectively when scaled up.Originality/valueThis paper examines the use of NPT as a theory to guide understanding of scaling up promising innovative integration service models.

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Who Benefits From Community-Based Participatory Research? A Case Study of the Positive Youth Project

Health Education & Behavior ◽

10.1177/1090198105285927 ◽

2006 ◽

Vol 35 (1) ◽

pp. 70-86 ◽

Cited By ~ 74

Author(s):

Sarah Flicker

Keyword(s):

Participatory Research ◽

Community Based Participatory Research ◽

Community Based

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Enriching qualitative research by engaging peer interviewers: a case study

Qualitative Research ◽

10.1177/1468794115626244 ◽

2016 ◽

Vol 16 (6) ◽

pp. 661-680 ◽

Cited By ~ 23

Author(s):

Kimberly Devotta ◽

Julia Woodhall-Melnik ◽

Cheryl Pedersen ◽

Aklilu Wendaferew ◽

Tatiana P Dowbor ◽

...

Keyword(s):

Qualitative Interviews ◽

Research Process ◽

Qualitative Inquiry ◽

Community Based ◽

Financial Investment ◽

Community Based Organization ◽

Positive Capacity ◽

Quality Of Research

Engaging peer-interviewers in qualitative inquiry is becoming more popular. Yet, there are differing opinions as to whether this practice improves the research process or is prohibitively challenging. Benefits noted in the literature are improved awareness/acceptance of disenfranchised groups, improved quality of research, and increased comfort of participants in the research process. Challenges include larger investment in time and money to hire, train, and support peer-interviewers, and the potential to disrupt peer recovery. We illustrate, through case study, how to engage peer-interviewers, meet potential challenges, and the benefits of such engagement. We draw upon our experience from a qualitative study designed to understand men’s experiences of problem gambling and housing instability. We hired three peers to conduct semi-structured qualitative interviews with 30 men from a community-based organization. We contend, that with appropriate and adequate resources (time, financial investment), peer-interviewing produces a positive, capacity building experience for peer-interviewers, participants and researchers.

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Scaling up Smart City Logistics Projects: The Case of the Smooth Project

Smart Cities ◽

10.3390/smartcities4040071 ◽

2021 ◽

Vol 4 (4) ◽

pp. 1337-1365

Author(s):

Eleonora Sista ◽

Pietro De De Giovanni

Keyword(s):

Smart City ◽

Success Factors ◽

Scale Up ◽

Pilot Project ◽

Scaling Up ◽

City Logistics ◽

Structured Interviews ◽

The City ◽

Roll Out

A large number of smart city logistics projects fail to scale up, remaining a local experimental exercise. This lack of scalability is, in fact, commonly recognized as a major problem. This study aims to determine the key success factors related to the scalability of smart city logistics projects. The process of scaling up, which is articulated as expansion, roll-out, and replication, is defined as the ability of a system to improve its scale by aiming to meet the increasing volume demand. Specifically, this study investigates the scalability intended to be used as expansion and roll-out. A qualitative case study was conducted to fulfill the research purpose. The chosen case study is SMOOTh, a pilot project currently underway in the city of Gothenburg, Sweden, involving a diverse group of companies including Volvo Group and DHL. Semi-structured interviews were conducted with seven of the project’s stakeholders. Through a thematic analysis, four categories and the respective success factors were identified. These were represented by a business model, as well as technical, stakeholder and regulatory factors. The paper concludes with observations and recommendations aimed at the pilot initiatives, adding new perspectives to the upscaling debate.

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Innovating for Transformation in First Nations Health Using Community-Based Participatory Research

Qualitative Health Research ◽

10.1177/1049732318756056 ◽

2018 ◽

Vol 28 (7) ◽

pp. 1036-1049 ◽

Cited By ~ 11

Author(s):

Grace Kyoon-Achan ◽

Josée Lavoie ◽

Kathi Avery Kinew ◽

Wanda Phillips-Beck ◽

Naser Ibrahim ◽

...

Keyword(s):

First Nations ◽

Participatory Research ◽

Qualitative Interviews ◽

Community Based Participatory Research ◽

Study Data ◽

Lessons Learned ◽

Research Approach ◽

Sustainable Change ◽

Community Based ◽

Participatory Research Approach

Community-based participatory research (CBPR) provides the opportunity to engage communities for sustainable change. We share a journey to transformation in our work with eight Manitoba First Nations seeking to improve the health of their communities and discuss lessons learned. The study used community-based participatory research approach for the conceptualization of the study, data collection, analysis, and knowledge translation. It was accomplished through a variety of methods, including qualitative interviews, administrative health data analyses, surveys, and case studies. Research relationships built on strong ethics and protocols to enhance mutual commitment to support community-driven transformation. Collaborative and respectful relationships are platforms for defining and strengthening community health care priorities. We further discuss how partnerships were forged to own and sustain innovations. This article contributes a blueprint for respectful CBPR. The outcome is a community-owned, widely recognized process that is sustainable while fulfilling researcher and funding obligations.

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