2447 Community voices first: A multi-method approach to shaping institutional response to Flint’s water crisis

• Published in: Journal of clinical and translational science 2018-06, Vol.2 (S1), p.66-67
• Main Authors: Calhoun, Karen D., Key, Kent, Lewis, E. Yvonne, Carerra, Jennifer, Hamm, Joseph, Woolford, Susan, De Loney, E. Hill, Greene-Moten, Ella, Sparks, Arlene, Vereen, Don, Piechowski-Whitney, Patricia, Wallace, Kaneesha, Byers, Ismael, McKay, Athena, Robinson, DeWaun, Holzer, Jess, De Danzine, Vanessa, Paberzs, Adam, Spiroff, Meghan, Marsh, Erica
• Format: Article
• Language: English
• Subjects: Data processing; Environmental stress; Focus groups; Health Equity & Community Engagement; Hispanic Americans; Meetings; Population studies; Public health; Quality of life; Transcription
• ISSN: 2059-8661; 2059-8661
• DOI: 10.1017/cts.2018.243

OBJECTIVES/SPECIFIC AIMS: Explore perceptions of Flint stakeholders on the water crisis regarding trust and the capacity of faith and community-based organizations providing public health services to address community needs. Analyze the community’s voice shared at (1) 17 key community communications (community/congressional meetings and events), and (2) during 9 focus group sessions, in which residents, faith-based leadership and other stakeholders discuss issues and concerns on the Flint Water Crisis, and recommend ways to address them. Develop a framework that defines core theories, concepts and strategies recommended by the community to help rebuild trust and the quality of life in Flint, Michigan, and support other communities experiencing environmental stress. METHODS/STUDY POPULATION: Study population: faith-based leaders, seniors, youth, Hispanic/Latino and African American stakeholders, and others experiencing inequities in the city of Flint. Convene 9 focus group sessions (recorded and transcribed) to learn community perceptions on trust and ways to address it. Validate accuracy of the transcriptions with community consultants to reconcile any inaccurate information. Through a community engaged research (CEnR) process, review and analyze qualitative data from the 9 focus group sessions, and quantitative data from 2 surveys documenting (1) demographic backgrounds of focus group participants, and (2) their perceptions on trust and mistrust. Prepare a codebook to qualitatively analyze the focus group data summarizing community input on trust, mistrust, changes in service delivery among community and faith-based organizations, and ways to re-build trust in the city of Flint. Transcribe the community’s voice shared during 17 key events, identified by a team of community-academic stakeholders (i.e., UM Flint water course, congressional and community events, etc.), in which residents and other stakeholders discuss issues and concerns on the Flint Water Crisis, and recommend ways to address it. Qualitatively analyze the transcriptions, using a CEnR process to prepare a codebook on key themes from the community’s voice shared at these events, and recommendations on ways to address it. Compare and contrast findings between the two codebooks developed from (1) the focus group data and (2) qualitative analysis of community voice during public meetings and events. Synthesize this information into a framework of core theories, concepts and rebuilding strategies