Profile
International Journal of Nursing & Clinical Practices Volume 3 (2016), Article ID 3:IJNCP-191, 6 pages
http://dx.doi.org/10.15344/2394-4978/2016/191
Case Study
A Social Ecological and Community-Engaged Perspective for Addressing Health Disparities Among Marshallese in Arkansas

Pearl Anna McElfish*, Jennifer Post and Brett Rowland

University of Arkansas for Medical Sciences Northwest, Office of Community Health & Research, 1125 N. College Avenue, Fayetteville, AR 72703, USA
Dr. Pearl Anna McElfish, University of Arkansas for Medical Sciences Northwest, Office of Community Health & Research, 1125 N. College Avenue, Fayetteville, AR 72703, USA, Tel: (479)713-8680; E-mail: pamcelfish@uams.edu
01 April 2016; 28 July 2016; 30 July 2016
McElfish PA, Post J, Rowland B (2016) A Social Ecological and Community-Engaged Perspective for Addressing Health Disparities Among Marshallese in Arkansas. Int J Nurs Clin Pract 3: 191. doi: http://dx.doi.org/10.15344/2394-4978/2016/191
The CBPR partnership support is provided by the University of Arkansas for Medical Sciences Translational Research Institute grant UL1TR000039, which is funded through the National Institutes of Health National Center for Research Resources and National Center for Advancing Translational Sciences. Some of the programs described were provided through grants from Center for Disease Control and Prevention, Wal-Mart Foundation, Sturgis Foundation, and Patient Centered Outcomes Research Institute. The content of this paper is solely the responsibility of the authors and does not necessarily represent the official views of the funders.

Abstract

Background: This article describes the case study of a community-based participatory research team that has used a social ecological approach to address significant health disparities in type 2 diabetes among Marshallese living in Arkansas.
Methods: A case study approach is used to analyze the activities of the community-based participatory research partnership using a social ecological framework to describe how multiple factors across the social ecology are being addressed simultaneously.
Results: In collaboration with the local Marshallese community and local organizations, the interprofessional team implemented interventions at each of the social ecological levels.
Conclusion: Efforts to address health disparities should include interventions at multiple social ecological levels. Further, engaging diverse community partners contributes to success by leveraging the contextual and cultural knowledge, practices, and resources of all individuals and organizations involved. Finally, combining a social ecological perspective with a community-based participatory research approach contributes to sustainability of the interventions by engaging the broader community and ensuring the interventions reflect an understanding of and appreciation for the community’s culture.