beyond the proposal Flashcards
Where do you think you might publish this work?
Injury prevention, social sciences and medicine
What is the role of theory in social and behavioral science?
Understand why people do or do not practice health promoting behaviors;
Help identify what information is needed to design an effective intervention strategy;
Provide insight into how to design a program so it is successful
When applied to real world like this, can spend too much time developing theory and not answering relevant implementation questions
Requires much more data to develop theory
What would be pros/cons of including other cities beyond baltimore?
Cons: stretching thin with case studies as is
Pros: want valuable lessons learned that can be applied elsewhere, show some larger structural differences that cant within just one city: e.g. different funding structures, not housed in mayors office for example.
What national data sources are available on hnfs?
Other cities provide type of geospatial data baltimore has (new york, dc)
CDC WISQARS or WONDER: victim data (age, sex, race) but not perpetrator, know weapon used, WONDER allows county level
Baltimore police: consent decree, GTTF, police/community relations
2017 after death of freddie gray
court enforceable agreement
focus on equitable fair respectful policing
people in high violence neighborhood fail to produce cooperative witnesses as a result of the cumulative impact of anti-snitching edicts, fear of retaliation, legal cynicism, and high-risk victims’ normative views toward self-help.
Disadvantaged communities of color typically have low fatal and nonfatal shooting clearance rates in part as a result of poor witness cooperation.
Diminished clearance rates have also been shown to intensify minority residents’ claims that officers do not care about keeping them or their neighborhoods safe.
Glacial timeline of things difficult to assess effects
Would love to get homicide clearance data- measure of police effectiveness
Jhu steve morgan sociologist- gray effect, no ferguson effect, large impacts changing police commissioner
How take racial equity approach? (and define cbpr)
Using a researcher-practitioner research approach to advance equity and justice, the principal investigators, CVI workers, program participants, and ANCs will collaboratively: 1) present study findings to government agencies, program leadership, community forums, and policymakers; 2) co-author manuscripts and reports on the study’s findings
Qualitative: give voice
Racial equity CBPR approach in design/guidance of questions, aim 3
CBPR is a collaborative approach to research that seeks to equitably and actively involve community members in all stages of the research process with the idea that community collaboration will increase the validity of the research findings and more effectively reduce longstanding health disparities (Israel et al., 1998).
CBPR intends to bridge academic researchers and community members through co-learning and reciprocal transfer of expertise, resulting in shared knowledge generation. Although there is a large spectrum of the level of community engagement within CBPR, there ideally is shared decision making power and ownership of the processes and products of the research study
What about an implementation science approach? Consolidated framework implementation?
Implementation science is the scientific study of methods and strategies that facilitate the uptake of evidence-based practice and research into regular use by practitioners and policymakers.
The field of implementation science seeks to systematically close the gap between what we know and what we do (often referred to as the know-do gap) by identifying and addressing the barriers that slow or halt the uptake of proven health interventions and evidence based practices.
CFIR provides a menu of constructs that have been associated with effective implementation
consistent use of constructs, systematic analysis, and organization of findings from implementation studies
Helpful from a gov perspective- assessing different types of programs to reudce violence, which to choose
Constructs: intervention characteristics (e.g. cost, complexity), inner setting (culture, tension for change), characteristics of individuals (self efficacy), process (opinion leaders)
