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Implementing a community-based physical activity program within a randomized controlled trial: A confessional tale of
Naomi Maldonado-Rodriguez1, Erica Bennett1, Shelly Tognazzini2
1School of Kinesiology, The University of British Columbia, Vancouver, BC, Canada.
Translational Behavioral Medicine
|March 11, 2026
Summary
This study highlights key considerations for integrating community-based participatory research (CBPR) with randomized controlled trials (RCTs). Successful implementation requires clear values, trust-building, and capacity development for sustainable physical activity interventions.
Area of Science:
- Public Health
- Community Health
- Intervention Science
Background:
- Randomized controlled trials (RCTs) are standard for evaluating physical activity interventions.
- Community-based participatory research (CBPR) enhances RCTs, especially in underserved communities.
- Tensions exist between CBPR and RCT principles, impacting real-world implementation.
Purpose of the Study:
- To describe experiences implementing a community-based dance program with women living with HIV.
- To address the gap in understanding the practicalities of combining CBPR and RCTs.
- To detail the process of adapting to challenges in a CBPR-RCT framework.
Main Methods:
- A confessional tales approach was used for reflection.
- Experiences delivering a community dance program were documented.
- The process of adapting to and responding to challenges was analyzed.
Main Results:
- Articulating values and axiological commitments is crucial.
- Building trust and managing emergent contextual factors are complex.
- Emphasizing capacity building promotes intervention sustainability.
Conclusions:
- Integrating CBPR and RCTs requires careful attention to underlying principles.
- Practical implementation necessitates flexibility and responsiveness.
- Focusing on values, trust, and capacity building can lead to more impactful and sustainable interventions.

