In our experience, both with the example provided and with other studies in our network, adopting CBPR approaches to PBRN research requires more time than “unilateral” research, expands infrastructure costs for the network, and requires having or building good working relationships with community members and local institutions. In the example presented of a clinical study of TM/CAM communication in the primary care setting in New Mexico, however, CBPR was the most appropriate model. It was feasible and greatly enhanced the process and findings. Community and patient participation was essential in the successful conduct of the study, leading to the development of a model of enhanced TM/CAM communication. Further reports on the marriage of CBPR and PBRNs can help to clarify the benefits and challenges of the relationship.
