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RBRR is thought to increase environmental health literacy (EHL), although standardized measurements are limited. For this study, we developed a report back document on exposure to air pollutants, Polycyclic Aromatic Hydrocarbons, during pregnancy through community engaged research and evaluated whether the report increased EHL. We used focus groups and surveys to gather feedback on the report document from an initial group of study participants (Group 1, n\u2009=\u200922) and then sent the revised report to a larger number of participants (Group 2, n\u2009=\u2009168). We conducted focus groups among participants in Group 1 and discussed their suggested changes to the report and how those changes could be implemented. Participants in focus groups demonstrated multiple levels of EHL. While participant engagement critically informed report development, a survey comparing feedback from Group 1 (initial report) and Group 2 (revised report) did not show a significant difference in the ease of reading the report or knowledge gained about air pollutants. We acknowledge that our approach was limited by a lack of EHL tools that assess knowledge and behavior change, and a reliance on quantitative methodologies. Future approaches that merge qualitative and quantitative methodologies to evaluate RBRR and methodologies for assessing RBRR materials and subsequent changes in knowledge, attitudes, and behavior, may be necessary.<\/jats:p>","DOI":"10.1177\/11786302241262604","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T06:18:31Z","timestamp":1721801911000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Development and Outcomes of Returning Polycyclic Aromatic Hydrocarbon Exposure Results in the Washington Heights, NYC Community"],"prefix":"10.1177","volume":"18","author":[{"given":"Kylie W","family":"Riley","sequence":"first","affiliation":[{"name":"Columbia Center for Children\u2019s Environmental Health, Columbia University, New York, NY, USA"},{"name":"Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Burke","sequence":"additional","affiliation":[{"name":"Columbia Center for Children\u2019s Environmental Health, Columbia University, New York, NY, USA"},{"name":"Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0326-4477","authenticated-orcid":false,"given":"Holly","family":"Dixon","sequence":"additional","affiliation":[{"name":"Environmental and Molecular Toxicology, Food Safety and Environmental Stewardship Program, Oregon State University, Corvallis, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darrell","family":"Holmes","sequence":"additional","affiliation":[{"name":"Columbia Center for Children\u2019s Environmental Health, Columbia University, New York, NY, USA"},{"name":"Department of Environmental 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8384-1926","authenticated-orcid":false,"given":"Lisa M","family":"Bramer","sequence":"additional","affiliation":[{"name":"Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina M","family":"Waters","sequence":"additional","affiliation":[{"name":"Department of Environmental and Molecular Toxicology, Oregon State University, Corvallis, OR, USA"},{"name":"Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim A","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Environmental and Molecular Toxicology, Oregon State University, Corvallis, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Herbstman","sequence":"additional","affiliation":[{"name":"Columbia Center for Children\u2019s Environmental Health, Columbia University, New York, NY, USA"},{"name":"Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Rohlman","sequence":"additional","affiliation":[{"name":"School of Nutrition and Public Health, College of Health, Oregon State University, Corvallis, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"bibr1-11786302241262604","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.094813"},{"key":"bibr2-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-13-40"},{"key":"bibr3-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2016.12.003"},{"key":"bibr4-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2022.113173"},{"key":"bibr5-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1021\/acs.est.7b05460"},{"key":"bibr6-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.10598"},{"key":"bibr7-11786302241262604","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:105345"},{"key":"bibr8-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1409337"},{"key":"bibr9-11786302241262604","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13070690"},{"key":"bibr10-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1186\/s12940-015-0080-1"},{"key":"bibr11-11786302241262604","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111626"},{"key":"bibr12-11786302241262604","doi-asserted-by":"publisher","DOI":"10.1289\/EHP702"},{"key":"bibr13-11786302241262604","author":"National 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