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Principles of Community Engagement (Second Edition)

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These challenges do not compare, however, with those created by the histori-<br />

cal exploitation <strong>of</strong> residents in some <strong>of</strong> these communities In the Southwest,<br />

where research has too <strong>of</strong>ten been conducted in an exploitative manner with-<br />

out the consent and participation <strong>of</strong> the community, it is extremely difficult<br />

to develop partnerships between rural communities and researchers Many<br />

American Indian and Hispanic communities throughout the Southwest have<br />

been the subjects <strong>of</strong> research conducted by persons living outside the community<br />

who did not engage residents and their communities in the research<br />

In one multisite study with tribal groups across the United States that began<br />

in the 1990s, researchers at the University <strong>of</strong> New Mexico PRC and at four<br />

other universities were confronted with the challenge <strong>of</strong> overcoming the<br />

mistrust <strong>of</strong> seven tribal communities that had either experienced exploitation<br />

or heard <strong>of</strong> examples<br />

Action Steps<br />

Together, the partners<br />

established and maintained the<br />

bidirectional trust necessary<br />

to develop and implement a<br />

successful intervention.<br />

Despite the history <strong>of</strong> violated trust, the PRC was able to develop appropriate<br />

and meaningful partnerships between researchers and tribal communities<br />

Together, the partners established and maintained the bidirectional trust<br />

necessary to develop and implement a successful intervention<br />

They used a variety <strong>of</strong> participation strategies to achieve trust For<br />

example, local customs and cultural constructs were considered in<br />

formulating the intervention, local advisory councils were formed,<br />

elders were included as advisors, local community members were<br />

hired, formative assessment was conducted to determine the feasibility<br />

and acceptability <strong>of</strong> the proposed prevention strategies in local<br />

terms, approval was sought from tribal and local review boards,<br />

and local priorities were determined Participation, feedback, and<br />

collaborative relationships were crucial to engaging these underrepresented<br />

communities with a history <strong>of</strong> exploitation And yet, perhaps<br />

the most important and most basic strategy was to demonstrate respect and<br />

inclusion to the fullest extent possible<br />

Take-Home Messages<br />

• Recognize that there may be a history <strong>of</strong> exploitation in the community<br />

and therefore a distrust <strong>of</strong> research and researchers<br />

114

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