Although Latino immigrant men experience many health disparities, they are underrepresented in research to understand and address disparities. Community Based Participatory Research (CBPR) has been identified to encourage participant engagement and increase representation in health disparities research. The CBPR conceptual model describes how partnership processes and study design impact participant engagement in research. Using this model, we sought to describe how these domains influenced participant engagement in a pilot randomized controlled trial of brief intervention for unhealthy alcohol use (n = 121) among Latino immigrant men. We conducted interviews with a sample of study participants (n = 25) and reviewed logs maintained by ‘promotores’. We identified facilitators of participant engagement, including the relevance of the study topic, alignment with participants’ goals to improve their lives, partnerships with study staff that treated participants respectfully and offered access to resources. Further, men reported that the study time and location were convenient and that they appreciated being compensated for their time. Barriers to participant engagement included survey questions that were difficult to understand and competing demands of work responsibilities. Findings suggest that engaging underserved communities requires culturally responsive and community engagement strategies that promote trust. Future studies should further investigate how CBPR partnership processes can inform intervention research.

中文翻译：

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参与者参与一项以社区为基础的参与性研究，以减少拉丁裔移民男性的酒精使用

尽管拉丁裔移民男性经历了许多健康差异，但在了解和解决差异的研究中，他们的代表性不足。基于社区的参与式研究 (CBPR) 已被确定为鼓励参与者参与并增加健康差异研究的代表性。CBPR 概念模型描述了伙伴关系过程和研究设计如何影响参与者参与研究。使用该模型，我们试图描述这些领域如何影响参与者参与一项针对 拉丁裔移民男性进行的不健康酒精使用短暂干预的随机对照试验（n = 121）。我们对研究参与者样本（n = 25) 并审查了由“promotores”维护的日志。我们确定了参与者参与的促进因素，包括研究主题的相关性、与参与者改善生活目标的一致性、与尊重参与者并提供资源访问权的研究人员的合作伙伴关系。此外，男性报告说学习时间和地点都很方便，他们很高兴得到时间补偿。参与者参与的障碍包括难以理解的调查问题和对工作职责的竞争要求。调查结果表明，让服务不足的社区参与需要促进信任的文化响应和社区参与策略。未来的研究应该进一步调查 CBPR 伙伴关系过程如何为干预研究提供信息。