The Critical Role of Community Engagement in Implementation Science
Imagine a scenario: A hepatitis A outbreak has been detected. Local health officials want to notify the community about the outbreak and share ways to limit exposure, from responsible food-handling techniques to vaccines. They determine that launching an awareness and vaccination campaign will be the most beneficial course of action.
In this scenario, as in real life, successful implementation depends on the engagement of stakeholders. Stakeholders come in many forms, including teams of implementation science professionals, healthcare providers and other formal and informal caregivers, and the patients or community members that benefit from interventions drawn from evidence-based practices (EBPs).
During a health epidemic, and in many other circumstances, community members become especially crucial stakeholders and invaluable collaborators. A health campaign can only become an effective intervention if members of the community understand the risks they face, become engaged in prevention efforts and cooperate with health officials to help close the evidence-to-practice gap.
Let’s explore some of the ways that community engagement contributes to the successful implementation of an intervention.
Building Understanding to Promote Participation
Cooperation is central to any community-related endeavor. The community must fully understand what’s being attempted or proposed, what’s at stake and how the entire process will affect them before they give their approval and participate in the crucial task of data collection. To achieve this, implementation teams can:
- Create and distribute informational materials via mail, canvassing, flyers, billboards and other methods, including a web address for more information.
- Hold “town hall” events during which the implementation team can provide detailed explanations about the proposal and answer individual questions.
Creating Trust
When stakeholders are engaged, they feel a greater sense of trust. In the case of community engagement, community members want to know they’ve been consulted for feedback and are being heard. Making this effort and providing a transparent process throughout can help the community accept that the implementation team is trustworthy and their work worthwhile.
To build trust, consider community engagement a must-have and make it a priority from the outset of the endeavor. This requires reaching out to the community before major decisions have been made and any implementation work is underway, so that community stakeholders know the implementation team values their input.
Sharing Mutually Beneficial Knowledge
The relationship between a community and other implementation stakeholders is a mutually beneficial one that involves the reciprocal sharing of information. The community learns about an unfamiliar subject, and implementation professionals gain perspectives that only individuals within the community can provide, helping identify potential implementation barriers and more.
To facilitate this exchange:
- Be thorough in providing information to the community.
- Solicit direct input from individuals about how an intervention will affect them.
- Schedule and conduct one-on-one interviews with community members, as feasible.
- Include Q&A time at public events.
Implementing Interventions Equitably
It’s important to ensure an intervention equitably benefits all members of a community. This means understanding the community’s demographic makeup and specific needs. For example: Are there many families? Or does the population skew towards older, retired individuals? An implementation team must understand their target community deeply to adequately address its underlying issues.
To promote equity:
- Research, plan for and address the concerns of different community groups proactively.
- Reach out to organizations representing specific groups (e.g., a senior citizen advocacy group) in addition to the community in general.
- Ensure team decisions are informed by input from a diverse group of community members that accurately represents the community’s demographic makeup.
Yielding a Sustainable, Expandable Intervention
Implementation can be a multifaceted and protracted process. Maintaining community engagement is critical to making an intervention sustainable and enabling it to grow over time. For broad-ranging, lasting solutions:
- Present proposed plans both for the immediate future and the long term.
- Schedule checkpoints (e.g., town hall meetings) at regular intervals to share progress and discuss any necessary changes in direction.
Become an Implementation Science Stakeholder
Whether there’s an ongoing health crisis or a less urgent objective, you can be part of the solution. As an implementation science professional, you’ll have the opportunity to become a stakeholder in countless crucial endeavors that can positively impact your community and beyond.
Build new expertise and credentials in this fast-growing field with the University of Florida’s online Implementation Science Graduate Certificate Program. Complete 11 credits that will give you an advantage in a variety of professional roles, including:
- Health services manager
- Medical scientist
- Health education specialist
See more potential careers associated with this program.
Our graduate certificate program enables you to:
- Get started with no GRE requirement.
- Finish in as little as one year.
- Study at your own pace with our asynchronous online format.
- Pay the same affordable tuition rate no matter where you live.
- Participate in unique and highly relevant courses including Community Engaged Research for Clinical Effectiveness and Implementation Science Studies.
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Sources:
https://meridian.allenpress.com/ethnicity-disease/article/DECIPHeR/Special%20Issue/52/500159/Community-Engagement-in-Implementation-Science-the
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549478/
https://link.springer.com/article/10.1007/s10935-024-00788-w