Cent Eur J Public Health 2007, 15(2):58-65 | DOI: 10.21101/cejph.a3418

Promoting Public Health: Benefits and Challenges of a Europeanwide Research Consortium on Student Health

Walid El Ansari1, Annette E. Maxwell2, Rafael T. Mikolajczyk3, Christiane Stock4, Vihra Naydenova3, Alexander Krämer3
1 Faculty of Sport, Health & Social Care, University of Gloucestershire, Gloucester, United Kingdom
2 Division of Cancer Prevention & Control Research, School of Public Health/Jonsson Comprehensive Cancer Center, University of California, Los Angeles, USA
3 Department of Public Health Medicine, School of Public Health, University of Bielefeld, Bielefeld, Germany
4 Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark

Aims: The purpose of this paper is to highlight some of the benefits and challenges when undertaking research across several countries comprising diverse ethnic, lingual and historically different communities.

Methods: Literature review and experiences of the researchers who participated in the Students' Health Inquiry, as regards the benefits and the challenges that can emerge when conducting collaborative research. The Delphi technique was employed to reach consensus on and prioritise the emerging challenges and suggested solutions.

Results: Challenges of research consortia include the preparatory work before the study, the ownership of the data and dissemination of results, as well as methodological, financial, operational, and structural challenges. These are described, each challenge is further broken down in its subcomponents, examples are given, and potential solutions are suggested.

Conclusions: If challenges can be prevented or solved, the benefits of research consortia include greater generalisability of findings, and more comprehensive understanding of the issues than would be possible with a single-site study. There is also an increased probability to bring about policy changes and programmatic adjustments. Cross-national research consortia can contribute to reduction in the inequality of resources and research opportunities in the collaborating countries. Research consortia deserve the attention of funding agencies. They are capable of bringing about synergies that result from working collaboratively together of large multi-disciplinary team of investigators who share their strengths, disciplines and expertise in order to bear on the same research issue in multiple countries and diverse populations.

Keywords: student health, research consortia, public health

Received: January 4, 2007; Revised: February 12, 2007; Accepted: February 12, 2007; Published: June 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
El Ansari W, Maxwell AE, Mikolajczyk RT, Stock C, Naydenova V, Krämer A. Promoting Public Health: Benefits and Challenges of a Europeanwide Research Consortium on Student Health. Cent Eur J Public Health. 2007;15(2):58-65. doi: 10.21101/cejph.a3418. PubMed PMID: 17645218.
Download citation

References

  1. El Ansari W, Phillips CJ, Hammick M. Collaboration and partnerships: developing the evidence base. Health Soc Care Community. 2001 Jul;9(4):215-27. Go to original source... Go to PubMed...
  2. Stock C, Kücük N, Miseviciene I, Guillen-Grima F, Petkeviciene J, Aguinaga-Ontoso I, et al. Differences in health complaints among university students from three European countries. Prev Med. 2003 Dec;37(6 Pt 1):535-43. Go to original source...
  3. Greene SM, Hart G, Wagner EH. Measuring and improving performance in multicenter research consortia. J Natl Cancer Inst Monogr. 2005;(35):26-32. Go to original source... Go to PubMed...
  4. Willgerodt MA, Kataoka-Yahiro M, Kim E, Ceria C. Issues of instrument translation in research onAsian immigrant populations. J Prof Nurs. 2005 Jul-Aug;21(4):231-9. Go to original source... Go to PubMed...
  5. Wagner EH, Greene SM, Hart G, Field TS, Fletcher S, Geiger AM, et al. Building a research consortium of large health systems: the Cancer Research Network. J Natl Cancer Inst Monogr. 2005;(35):3-11. Go to original source... Go to PubMed...
  6. Goede H, ElAnsari W, editors. Partnership work: the health service-community interface for the prevention, care and treatment of HIV/AIDS. Report of a WHO consultation 5-6 December 2002. Geneva: WHO; 2003.
  7. Steenbergen G, ElAnsari W. The power of partnership. Stop TB Partnership, World Health Organization. Geneva: WHO; 2003.
  8. Kennedy HP, Renfrew MJ, Madi BC, Opoku D, Thompson JB. The conduct of ethical research collaboration across international and culturally diverse communities. Midwifery. 2006 Jun;22(2):100-7. Go to original source... Go to PubMed...
  9. El Ansari W. Collaborative research partnerships with disadvantaged communities: challenges and potential solutions. Public Health. 2005 Sep;119(9):758-70. Go to original source... Go to PubMed...
  10. Corless IB, Nicholas PK, Nokes KM. Issues in cross-cultural quality-oflife research. J Nurs Scholarsh. 2001;33(1):15-20. Go to original source...
  11. World Health Organization [database on the Internet]. European health for all statistical database [cited 2007 Jan 4].Available from: http://www.euro.who.int/hfadb
  12. Lopez AD. Assessing the burden of mortality from cardiovascular diseases. World Health Stat Q. 1993;46(2):91-6.
  13. Murray JL, Lopez AD. The global burden of disease. Geneva: WHO; 1996.
  14. McKee M. Monitoring health in central and eastern Europe and the former Soviet Union. Soz Praventivmed. 2005;50(6):341-3. Go to original source...
  15. Steptoe A, Wardle J. Health behaviour, risk awareness and emotional well-being in students from Eastern Europe and Western Europe. Soc Sci Med. 2001 Dec;53(12):1621-30. Go to original source...
  16. Steptoe A, Wardle J, Cui W, Baban A, Glass K, Tsuda A, et al. An international comparison of tobacco smoking, beliefs and risk awareness in university students from 23 countries.Addiction. 2002 Dec;97(12):156171. Go to original source...
  17. Meier S, Stock C, Krämer A. New approaches of health promotion at universities - Evaluation of a health circle among students. Prävention. 2003;2:53-6. (In German.)
  18. Stock C, Guillen-Grima F, de Mendoza JH, Marin-Fernandez B,Aguinaga-Ontoso I, Kramer A. Risk factors of herpes simplex type 1 (HSV-1) infection and lifestyle factors associated with HSV-1 manifestations. Eur J Epidemiol. 2001;17(9):885-90. Go to original source...
  19. Stock C, Guillen-Grima F, Prufer-Kramer L, Serrano-Monzo I, MarinFernandez B, Aguinaga-Ontoso I, et al. Sexual behavior and the prevalence of Chlamydia trachomatis infection in asymptomatic students in Germany and Spain. Eur J Epidemiol. 2001;17(4):385-90. Erratum in: Eur J Epidemiol. 2001;17(6):593. Go to original source...
  20. Stock C, Kücük N, Miseviciene I, Petkeviciene J, Krämer A. Misperceptions of body shape among university students from Germany and Lithuania. Health Educ. 2004;104(2):113-21. Go to original source...
  21. Petkeviciene J, Petrauskas D, Klumbiene J, Miseviciene I, Kardelis K. Sexual behaviour of first year students of Kaunas Universities. Lietuvos akušerija ir ginekologija. 2002;5:185-90. (In Lithuanian.)
  22. KramerA, Prufer-Kramer L, Stock C,Tshiananga JT. Differences in health determinants between international and domestic students at a German university. J Am Coll Health. 2004 Nov-Dec;53(3):127-32. Go to original source... Go to PubMed...
  23. Petrauskas D, Petkeviciene J, Klumbiene J, Siudikiene J. Health behaviour among students of Kaunas universities: dental health and oral hygiene. Stomatologija, Balt Dent Maxillofac J. 2003;5(3):106-9.
  24. Uter W, Stock C, Pfahlberg A, Guillen-Grima F, Aguinaga-Ontoso I, Brun-Sandiumenge C, et al.Association between infections and signs and symptoms of 'atopic' hypersensitivity-results of a cross-sectional survey among first-year university students in Germany and Spain.Allergy. 2003 Jul;58(7):580-4. Go to original source... Go to PubMed...
  25. Yuen PP, Gould D, Cheng MY. Rationing hospital services in Hong Kong: priority setting by clinicians using the Delphi method. Health Serv Manage Res. 2002 Feb;15(1):1-13. Go to original source... Go to PubMed...
  26. Helmer O. Social technology. New York: Basic Books; 1966.
  27. Dalkey N. The Delphi method: an experimental study of group opinion. Santa Monica: Rand Corporation; 1969. Go to original source...
  28. Moore CM. Group techniques for idea building. Newbury Park: Sage; 1987.
  29. Stewart J, O'Halloran C, Harrigan P, Spencer JA, Barton JR, Singleton SJ. Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ. 1999 Jul 24;319(7204):224-9. Go to original source... Go to PubMed...
  30. Campbell SM, Cantrill JA, Roberts D. Prescribing indicators for UK general practice: Delphi consultation study. BMJ. 2000 Aug 12;321(7258):425-8. Go to original source...
  31. El-Guebaly N,Atkinson MJ. The practice research network: benefits and limitations. World Psychiatry. 2004 Feb;3(1):56-9.
  32. Dean SC, Harper CE, Cappuccio FP, Rink E, Dirckx C, Arnout J, et al; European Collaborative Group of the IMMIDIET Project. The challenges of cross-national research in primary health care across Europe. Fam Pract. 2005 Jun;22(3):341-6. Go to original source... Go to PubMed...
  33. Kearney N, Miller M, Sermeus W, Hoy D, Vanhaecht K. Multicentre research and the WISECARE experience. Workflow Information Systems for European Nursing Care. J Adv Nurs. 2000 Oct;32(4):999-1007. Go to original source... Go to PubMed...
  34. Worthen BR, Schmitz CC. Conceptual challenges confronting cluster evaluation. Evaluation. 1997;3(3):300-19. Go to original source...
  35. Sinacore JM, Turpin RS. Multiple sites in evaluation research: a survey of organisational and methodological issues. In: Turpin RS, Sinacore JM, editors. Multisite evaluations. New directions for program evaluation. Series No. 50. San Francisco: Jossey-Bass; 1991. p. 5-18. Go to original source...
  36. Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof. 2005 Jun;28(2):212-32. Go to original source... Go to PubMed...
  37. Tang ST, Dixon J. Instrument translation and evaluation of equivalence and psychometric properties: the Chinese Sense of Coherence Scale. J Nurs Meas. 2002;10(1):59-76. Go to original source... Go to PubMed...
  38. Carroll JS, Holman TB, Segura-Bartholomew G, Bird MH, Busby DM. Translation and validation of the Spanish version of the RELATE questionnaire using a modified serial approach for cross-cultural translation. Fam Process. 2001;40(2):211-31. Go to original source... Go to PubMed...
  39. Macklin R. International research: ethical imperialism or ethical pluralism? Account Res. 1999;7(1):59-83. Go to original source... Go to PubMed...
  40. Bhutta ZA. Ethics in international health research: a perspective from the developing world. Bull World Health Organ. 2002;80(2):114-20. Go to PubMed...
  41. Marshall PA. Human rights, cultural pluralism, and international health research. Theor Med Bioeth. 2005;26(6):529-57. Go to original source... Go to PubMed...
  42. Kania C, Richards R, Sanderson-Austin J, Wagner J, Wetzler H. Using clinical and functional data for quality improvement in outcomes measurement consortia. Jt Comm J Qual Improv. 1996 Jul;22(7):492-504. Go to original source... Go to PubMed...
  43. Rosser WW, Culpepper L, Lam CL, Parkerson G, Poon V, Weel CV. Guidelines for international collaborative research. Fam Pract. 1997 Aug;14(4):330-4. Go to original source... Go to PubMed...
  44. Mapanga K, Ndlovu R, Mapanga M, Mudokwenyu-Rawdon C, Brooten D, Morris D, et al. A model for international research collaboration. Int Nurs Rev. 1999 Jul-Aug;46(4):117-21. Go to original source... Go to PubMed...
  45. El Ansari W. Stakeholders' perceptions of outcomes in public health educational partnerships. In: Knobler SL, Burroughs T, Mahmoud A, Lemon SM, editors. Ensuring an infectious disease workforce: education and training needs for the 21st century - workshop summary. Forum on Microbial Threats, Board on Global Health, Institute of Medicine of the National Academies. Washington, DC: The National Academy Press; 2006.
  46. El Ansari W, Phillips CJ. Empowering health care workers in Africa: partnerships in health - beyond the rhetoric towards a model. Crit Public Health. 2001 Sep 1;11(3):231-52. Go to original source...
  47. Kreuter MW, Lezin NA, Young LA. Evaluating community-based collaborative mechanisms: implications for practitioners. Health Promot Pract. 2000;1(1):49-63. Go to original source...
  48. Goodrow B, Olive KE, Behringer B, Kelley MJ, Bennard B, Grover S, et al. The Community Partnerships Experience: a report of institutional transition at East Tennessee State University. Acad Med. 2001 Feb;76(2):134-41. Go to original source... Go to PubMed...
  49. Weiss ES, Anderson RM, Lasker RD. Making the most of collaboration: exploring the relationship between partnership synergy and partnership functioning. Health Educ Behav. 2002 Dec;29(6):683-98. Go to original source... Go to PubMed...
  50. El Ansari W, Phillips CJ, Zwi AB. Public health nurses' perspectives on collaborative partnerships in South Africa. Public Health Nurs. 2004 May-Jun;21(3):277-86. Go to original source... Go to PubMed...
  51. Abramowitz S, Obten N. Ryan White CARE Act Title IV: building networks to improve healthcare delivery to the HIV infected. AIDS Public Policy J. 2000;15(1):17-28.
  52. Renfrew MJ, Raisler J, Powell Kennedy H, Mudokwenyu-Rawdon C, Prakasamma M. Conducting international research in midwifery: a workshop held at the ICM Congress, Vienna, April 2002. J Midwifery Womens Health. 2003 Sep;48(5):346-9. Go to original source...
  53. ElAnsari W, MaxwellA, Stock C, Mikolajczyk R, Naydenova V, Krämer A. Nurses´ involvement in international research collaborations. Nurs Stand. 2007 Mar; 21(6):35-40. Go to original source...