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November 2009, Vol 99, No. S3 | American Journal of Public Health S531-S538
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.152405

HEALTH POLICY AND ETHICS

The Role for Community-Based Participatory Research in Formulating Policy Initiatives: Promoting Safety and Health for In-Home Care Workers and Their Consumers

Fang Gong, PhD, Sherry Baron, MD, MPH, Linda Ayala, MPH, Laura Stock, MPH, Susannah McDevitt, BA and Cathy Heaney, PhD

At the time of the study, Fang Gong was with the National Institute for Occupational Safety and Health (NIOSH), Cincinnati, OH, and with Ball State University, Muncie, IN. Sherry Baron is with NIOSH, Cincinnati. Linda Ayala is with the Public Authority for In-Home Supportive Services in Alameda County, Oakland, CA. Laura Stock is with the Labor Occupational Health Program, School of Public Health, University of California, Berkeley. Susannah McDevitt is with the Service Employees International Union, Oakland. Cathy Heaney is with Stanford Prevention Research Center, Stanford University, Stanford, CA.

Correspondence: Correspondence can be sent to Sherry Baron, MD, 4676 Columbia Pkwy, MS R-13, Cincinnati, OH 45226 (e-mail: sbaron{at}cdc.edu). Reprints can be ordered at http://www.ajph.org by clicking on the "Reprints/Eprints" link.

Although community-based participatory research (CBPR) can be effective in influencing policy, the process of formulating policy initiatives through CBPR is understudied. We describe a case study to illustrate how alliances among various community partners could be united to formulate policy directions.

In collaboration with partners, the National Institute for Occupational Safety and Health initiated a project aimed at improving health and safety for low-income elderly and disabled persons and their in-home care workers. Community partners and stakeholders participated in focus groups, stakeholder interviews, and meetings; they played multiple roles including identifying organizational policy changes the partners could initiate immediately, as well as broader public policy goals.

Results indicated that a strong community partnership, participation, and shared values contributed to successful formulation of policy initiatives.






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