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Engaging Communities to Improve Health: Models, Evidence, and the Participatory Knowledge Translation (PaKT) Framework

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Principles and Concepts of Behavioral Medicine

Abstract

Stakeholder engagement can improve the quality and utility of behavioral research and is increasingly being seen as a means to bridge the gap between research and practice. In this chapter, we review a range of approaches to support the use of research evidence for creating change in communities, including the early community trials for cardiovascular health, community organization and mobilization, ecological models, systems approaches, and participatory approaches to research. We then present the participatory knowledge translation (PaKT) framework, which emphasizes strategic stakeholder engagement, investment in human and social capital, and joint knowledge creation and transfer. These inputs translate into infrastructure development at the individual, organizational, and community levels. Long-term outcomes include improvements in community health/disparities, systems to support knowledge translation, and community action to improve health. The framework suggests that strategic investments and engagement can support the development of important social networks and “engines of change” in community settings, so that communities can identify and address issues of importance to them by leveraging the best available evidence.

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Funding Acknowledgments

MassCONECT was funded by the US NCI (5 U01 CA114644, Viswanath PI). PLANET MassCONECT was funded by the US NCI (5 R01 CA132651, Viswanath, PI) and the NIH via the Harvard Clinical Translational Science Center (R01 RR025758-Supplement). Project IMPACT was funded by the US NCI (5P50 CA148596, Viswanath, PI).

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Authors and Affiliations

  1. Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, USA

    Shoba Ramanadhan & K. “Vish” Viswanath

  2. The Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA

    Shoba Ramanadhan & K. “Vish” Viswanath

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  1. Shoba Ramanadhan
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  2. K. “Vish” Viswanath
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Correspondence to Shoba Ramanadhan .

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Editors and Affiliations

  1. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Edwin B. Fisher

  2. Psychological Sciences, University of California, Merced, Merced, CA, USA

    Linda D. Cameron

  3. Department of Psychological and Brain Sciences and Department of Internal Medicine, The University of Iowa, Iowa City, IA, USA

    Alan J. Christensen

  4. Department of Clinical Psychology and Psychotherapy, University of Zurich, Zürich, Switzerland

    Ulrike Ehlert

  5. School of Public Health, Peking University Health Science Center, Beijing, China

    Yan Guo

  6. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia

    Brian Oldenburg

  7. Departments of Medical Psychology, Academic Medical Center (AMC) and VU University Medical Center (VUMC), Amsterdam, The Netherlands

    Frank J. Snoek

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Ramanadhan, S., “Vish” Viswanath, K. (2018). Engaging Communities to Improve Health: Models, Evidence, and the Participatory Knowledge Translation (PaKT) Framework. In: Fisher, E., et al. Principles and Concepts of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93826-4_23

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