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Exploring Community Evidence: What is Community-Centered EBP?

Thursday, June 14th, 2018
Figure 1. NLN’s Adapted EBP Approach Of note, EBP is intended to be a process that guides the weighing of decisions for program implementation and adaptation. The following sources should be considered when making decisions about programming as well as documentation efforts (e.g., evaluation).

NLN’s Adapted EBP Approach
Of note, EBP is intended to be a process that guides the weighing of decisions for program implementation and adaptation. The following sources should be considered when making decisions about programming as well as documentation efforts (e.g., evaluation).

A Community-Centered, Evidence-Based Practice Approach

Casa de Esperanza explores a community-centered EBP (evidence-based practice) approach that we adapted along with many test-tasters, including practitioners, community members and other researchers/evaluators. This EBP approach is meant to align with the work of community-based, culturally-specific organizations that work alongside community members. We hope that it increases understanding of how EBP can look from this perspective.

Community Expertise

Just as the work of the National Latin@ Network (NLN), Casa de Esperanza’s national initiative, is informed first and foremost by community experiences, this adapted approach is grounded in community expertise as represented graphically by highlighting the “community expertise” circle. We’ve expanded this aspect to not merely consider community members needs and values but to actively engage community members in program decision making and documentation efforts. For example, Cardona et al. (2009) conducted focus groups with Latin@ immigrant families to understand the types of cultural adaptations the community found important before implementing an evidence-based parenting intervention. In this way, Cardona and colleagues collaborated with the community to inform the best possible implementation of an evidence-based treatment. In a similar manner, many culturally specific community-based domestic violence programs develop and adapt their programs based on the voices of the communities they serve. The process of engaging community experts is key to this adapted approach.

Expertise of Community Practitioners & Other Resources

The NLN views the expertise of community practitioners as a key component of EBP not only for the services they provide, but also in their role as consultants to other programs. The dissemination of knowledge among community programs has traditionally taken various forms including information sharing in conferences, roundtables, toolkits, and manuals. Publishing in academic journals has more recently increased for those agencies that have been able to establish academic partnerships. Here too, community practitioners have an important seat at the table, as they are often valuable consultants for academic researchers. Community practitioners can provide unique contributions in identifying meaningful program development and adaptation, culturally appropriate research and evaluation methodology (e.g., how to recruit participants), and interpreting results. Finally, community practitioners can also serve as allies to communities as they have earned the trust of community members. The NLN stresses the importance of building collaborations with community practitioners and other community stakeholders in order to increase funded community-based sources of evidence that offer higher rates of external validity or generalizability to communities, especially those that have historically been underrepresented.

Documented Evidence

The NLN approach of considering documented evidence is based on a flexible approach that values information from community and academia as equal sources of knowledge. We see community research as a different entity from other academic research, more closely aligned with community and broader in scope. As such we see “documented evidence” as including community-based research, organizational evaluations, as well as traditional academic research.  In looking at various forms of evidence, some researchers have created hierarchies of evidence, prioritizing the use of RCTs; however, the CDC (Centers for Disease Control and Prevention), in their document “Expanding the Evidence Universe,” promotes the broader definition of evidence similar to what we have adopted, which sees program evaluation as a significant source of knowledge (Schorr & Farrow, 2011). In our approach, decision-making and documentation of evidence are carried out using an inclusive process and research methods appropriate for communities.

Environmental and Organizational Context

A central element in our work is the inclusion of contextual factors. We know that we cannot separate our work with community members and families from their larger context such as socio-cultural histories and policies (Perilla et al., 1994 & Perilla, 1999). Similarly, we cannot separate EBP from the larger contextual environment. They noted that decision making about programs and the ability to evaluate programs relies on organizational resources which in turn are influenced by the funding environment. These are all elements that need to be considered; thus, we expanded on Satterfield’s model to represent this very important point.

Looking Forward

In our work with community organizations, we hope to utilize our adapted EBP three-circle approach as a guiding element in making decisions for implementation and documentation that considers all elements, including contextual factors, while prioritizing the voices of community members. This approach is consistent with Casa de Esperanza’s long-standing belief about the central role of communities in ending domestic violence. Researchers and service providers across various disciplines have highlighted the importance of valuing the community’s expertise about their own realities. Thus, as with any one of our research initiatives, our EBP approach will value program staff and community stakeholders as key elements of our work. In this way, we will approach each opportunity with the flexibility to meet the needs of organizations, utilizing methods that align with the NLN’s commitment to human rights, community wellness, and social change.

This blog is a brief overview of our Building Evidence Toolkit. Please visit nationallatinonetwork.org/be-toolkit-home for more information and resources.

 

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