(3) describe almost a dozen advantages of using a CBPAR approach in health research: enhanced relevance, usefulness, and use of the research data by all partners; creation of a research team with the diverse range of skills needed to address complex problems; improved quality and validity of research; encouragement of critical subjectivity; promotion of the use of knowledge to benefit the community; strengthened research and program capacity; creation of more effective practices; bridging cultural gaps between partners; provision of funds and employment opportunities for community partners; directly and indirectly improving the health of the communities involved; and involving the marginalized.
In contrast to orthodox science, which presumes the knower and the known are separate and independent, CBPAR postulates that the knower participates in the known.
CBPAR does not view theory as something that is known and that "informs" practice.
A growing number of health researchers and practitioners have suggested that the CBPAR approach to public health may add a useful, if not fundamental, aspect to the practice of PHC (3-7).
While there are obviously many approaches to implementing multidisciplinary teamwork in PHC settings, we found CBPAR methodology allows community members, and the health-related professionals who serve them, to take ownership of the research, and critically reflect on iterative cycles of evaluation.
Our CBPAR approach revealed that in this PHC setting, team members frequently judged their contribution to the team and client care relative to physician practice, while physicians felt ultimately responsible for client care.