Perceptions of evidence-based programs among community-based organizations tackling health disparities: a qualitative study

UMMS Affiliation

Meyers Primary Care Institute; Department of Family Medicine and Community Health

Publication Date


Document Type



Capacity Building; Community-Based Participatory Research; *Diffusion of Innovation; *Evidence-Based Practice; Female; Focus Groups; *Health Status Disparities; Humans; Male; Massachusetts; Medically Underserved Area; Organizational Culture; Qualitative Research


Community Health and Preventive Medicine | Health Services Research | Primary Care


Dissemination of prevention-focused evidence-based programs (EBPs) from research to community settings may improve population health and reduce health disparities, but such flow has been limited. Academic-community partnerships using community-based participatory research (CBPR) principles may support increased dissemination of EBPs to community-based organizations (CBOs). This qualitative study examined the EBP-related perceptions and needs of CBOs targeting underserved populations. As part of PLANET MassCONECT, a CBPR study, we conducted six key informant interviews with community leaders and four focus groups with CBO staff members in Boston, Worcester and Lawrence, Massachusetts, in 2008. Working definitions of EBPs among CBO staff members varied greatly from typical definitions used by researchers or funders. Key barriers to using EBPs included: resource constraints, program adaptation challenges and conflicts with organizational culture. Important facilitators of EBP usage included: program supports for implementation and adaptation, collaborative technical assistance and perceived benefits of using established programs. This exploratory study highlights differences among key stakeholders regarding the role of evidence in program planning and delivery. An updated perspective should better incorporate CBO perspectives on evidence and place greater, and much needed, emphasis on the impact of context for EBP dissemination in community settings.

DOI of Published Version



Health Educ Res. 2012 Aug;27(4):717-28. doi: 10.1093/her/cyr088. Link to article on publisher's site

Journal/Book/Conference Title

Health education research


Chyke Doubeni is a member of the PLANET MassCONECT C-PAC.

Related Resources

Link to Article in PubMed

PubMed ID