Lessons learned in conducting community participatory school-based health research on an American Indian reservation

Background: Describing lessons learned from using a community-based participatory research (CBPR) approach to conduct school-based child health research in a tribal community is an important contribution to the literature. Objectives: To identify how CBPR principles shaped the process of conducting a school-based child health interven-tion, and to describe lessons learned. Methods: The study evaluates how CBPR principles guided a mixed-methods, school-based child health intervention to increase physical activity (PA). Results: Nine key lessons are identified, associated with CBPR principles. Conclusions: This information can help researchers under-stand how to successfully navigate the challenges and oppor-tunities of conducting CBPR-guided research in the context of a small, short-term project, including leadership turnover, multiple Institutional Review Board (IRB)s, and study design approaches amidst schools policy changes. Collectively, understanding the lessons learned through the perspective of CBPR principles may help others conduct meaningful research with schools and children in tribal communities.