Differences in Community Members' and Academics' Perceptions of Factors Contributing to Food Insecurity and Obesity among Mexican Immigrants: An Application of Concept Mapping

D’Alonzo, Karen T.; Vilaró, Frances Munet; Garsman, Lisa; Rosas, Scott R.; Vivar, Maria Teresa Herrera

doi:10.1353/cpr.2021.0060

Cited by 3 publications

(3 citation statements)

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“…The formative work for this project and our early explorations of the data suggest that the five-cluster solution identified based on all participants' data may mask important differences between academics and practitioners in their conceptualization of core skills and areas of need for capacity-building [11]. Similar to other group concept mapping studies involving academic and community groups [31], important distinctions in the conceptual thinking of the two subgroups may have implications for design, uptake, and sustainability of EBIs at the local level. Thus, the next set of analyses will explore this further and additional research to examine potential differences in definitions or understandings of skills is warranted.…”

Section: Discussionmentioning

confidence: 96%

Priority skills for equity-focused, evidence-based cancer control in community-based organizations: A group concept mapping analysis with academics and practitioners

Ramanadhan¹,

Weese²,

Rosas³

et al. 2023

J. Clin. Trans. Sci.

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Introduction: Community-based organizations (CBOs) are important equity-promoting delivery channels for evidence-based interventions (EBIs). However, CBO practitioners often cannot access needed support to build EBI skills. Additionally, the capacity-building literature is hindered by inconsistent definitions, limited use of validated measures, and an emphasis on the perspectives of EBI developers versus implementers. To address these gaps, we explored commonalities and differences between CBO practitioners and academics in conceptualizing and prioritizing core EBI skills. Methods: We utilized Group Concept Mapping, a mixed-methods approach connecting qualitative data (e.g., regarding the range of critical EBI skills) and quantitative data (e.g., sorting and ranking data regarding unique skills) to create conceptual maps integrating perspectives from diverse participants. A total of 34 practitioners and 30 academics working with cancer inequities participated in the study. Results: Participants nominated 581 core skills for EBI use, and our team (including practitioners and academics) identified 98 unique skills from this list. Participants sorted them into conceptual groups, yielding five clusters: (1) using data and evaluation, (2) selecting and adapting EBIs, (3) connecting with community members, (4) building diverse and equitable partnerships, and (5) managing EBI implementation. The ordering of importance and presence of skill clusters were similar across groups. Overall, importance was rated higher than presence, suggesting capacity gaps. Conclusions: There are helpful commonalities between practitioners’ and academics’ views of core EBI skills in CBOs and apparent capacity gaps. However, underlying patterns suggest that differences between the groups’ perceptions warrant further exploration.

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Section: Discussionmentioning

confidence: 96%

Priority skills for equity-focused, evidence-based cancer control in community-based organizations: A group concept mapping analysis with academics and practitioners

Ramanadhan¹,

Weese²,

Rosas³

et al. 2023

J. Clin. Trans. Sci.

Self Cite

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“…Because of our participative focus, pre-session discussions were held at the beginning of each class to assess the students’ baseline knowledge of the topic, while a brief post-session summary of the material was presented by the students in order to judge overall comprehension, in place of a pre-test post-test format. Once the students completed the basic modules, they analyzed the results of the group concept mapping (GCM) activities completed in Project PESO (D’Alonzo et al, 2020, 2021).…”

Section: Methodsmentioning

confidence: 99%

“…Since many of these adolescents are from undocumented or mixed-immigration status families, we preferred the term “community researcher” to citizen scientist. We designed RU-CRISP as a follow-up to Project PESO (People Engaged in Stopping Obesity), an NIH-funded community-academic partnership to address obesity among Mexican immigrant families (D’Alonzo et al, 2020, 2021). Several teenagers who participated in that study expressed an interest in continuing to work with the primary author in her obesity-related research.…”

Section: Introductionmentioning

confidence: 99%

Use of Adolescent “Community Researchers” to Address Obesity Among Mexican Immigrant Families

D’Alonzo,

Jimenez,

Ahmed

et al. 2023

Hisp Health Care Int

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Background: Mexican–American immigrants have a disparate prevalence of overweight/obesity, and obesogenic illness. One approach is to train immigrant adolescents as “community researchers.” Aims: (1) Design a program to train community researchers to address obesity among Mexican immigrant families and (2) identify the key components of a successful program. Methods: The content included an overview of community research/citizen science; obesity and food insecurity; study design and data collection and analysis for nutrition and physical activity. The students concluded by analyzing the results of group concept mapping (GCM) activities. Results: Post-session class discussions reflected an increased understanding of weekly topics. Analysis of GCM data suggests that members of the Mexican immigrant community may use emotional eating as a way to manage structural stigma, eventually leading to truncal obesity, T2DM and increased cardiovascular risk. Conclusions: Adolescents of Mexican heritage can have a major impact in promoting healthy lifestyles in their communities.

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Differing conceptual maps of skills for implementing evidence-based interventions held by community-based organization practitioners and academics: A multidimensional scaling comparison

Ramanadhan,

Cruz,

Weese

et al. 2024

Translational Behavioral Medicine

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Community-based organizations (CBOs) are critical for delivering evidence-based interventions (EBIs) to address cancer inequities. However, a lack of consensus on the core skills needed for this work often hinders capacity-building strategies to support EBI implementation. The disconnect is partly due to differing views of EBIs and related skills held by those typically receiving versus developing capacity-building interventions (here, practitioners and academics, respectively). Our team of implementation scientists and practice-based advisors used group concept mapping to engage 34 CBO practitioners and 30 academics with experience addressing cervical cancer inequities implementing EBIs. We created group-specific maps of skills using multidimensional scaling and hierarchical cluster analysis, then compared them using Procrustes comparison permutations. The 98 skills were sorted into six clusters by CBO practitioners and five by academics. The groups generated maps with statistically comparable underlying structures but also statistically significant divergence. Some skill clusters had high concordance across the two maps, e.g. “managing funding and external resources.” Other skill clusters, e.g. “adapting EBIs” from the CBO practitioner map and “selecting and adapting EBIs” from the academic map, did not overlap as much. Across groups, key clusters of skills included connecting with community members, understanding the selected EBI and community context, adapting EBIs, building diverse and equitable partnerships, using data and evaluation, and managing funding and external resources. There is a significant opportunity to combine CBO practitioners’ systems/community frames with the EBI-focused frame of academics to promote EBI utilization and address cancer and other health inequities.

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Differences in Community Members' and Academics' Perceptions of Factors Contributing to Food Insecurity and Obesity among Mexican Immigrants: An Application of Concept Mapping

Cited by 3 publications

References 0 publications

Priority skills for equity-focused, evidence-based cancer control in community-based organizations: A group concept mapping analysis with academics and practitioners

Priority skills for equity-focused, evidence-based cancer control in community-based organizations: A group concept mapping analysis with academics and practitioners

Use of Adolescent “Community Researchers” to Address Obesity Among Mexican Immigrant Families

Differing conceptual maps of skills for implementing evidence-based interventions held by community-based organization practitioners and academics: A multidimensional scaling comparison

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