Employing Dissonance-Based Interventions to Promote Health Equity Utilizing a Community-Based Participatory Research Approach and Social Network Analysis

The purpose of this paper is to examine and advocate for the consideration of relevant approaches that can be utilized to increase the effectiveness of cognitive dissonance-based interventions (DBIs) designed to promote health equity. Although DBIs informed by different paradigms have been reported to be effective in creating behavior change, particularly among at-risk populations, their long-term impacts on behavior change have apparently been difficult to sustain. We argue that a community-based participatory research (CBPR) approach could considerably improve the effectiveness and long-term impacts of DBIs by harnessing community strengths, increasing stakeholder participation, and facilitating collaborations and partnerships in the planning, implementation, and evaluation of such interventions. Then, we argue that the benefits of employing a CBPR approach in DBIs can be further enhanced when combined with an approach that intentionally utilizes Social Network Analysis (SNA). SNA applies powerful techniques to recognize the type of connections that hold a specific network together and identify that network's key and influential stakeholders. We conclude by providing recommendations for the use of CBPR and SNA in DBIs and demonstrating the benefits of our recommendations, especially in the context of promoting health equity.