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一种针对研究设计的文化响应式模型能否让我们更接近解决参与差异问题?从癌症幸存者研究中吸取的经验教训。

Can a culturally responsive model for research design bring us closer to addressing participation disparities? Lessons learned from cancer survivorship studies.

作者信息

Ashing-Giwa Kimlin Tam

机构信息

Center for Culture and Health, UCLA Department of Psychiatry and Biobehavioral Sciences, 760 Westwood Plaza, Box 62, Los Angeles, CA 90095, USA.

出版信息

Ethn Dis. 2005 Winter;15(1):130-7.

Abstract

INTRODUCTION

Health disparities research demands the inclusion of traditionally excluded peoples. Additional complex issues weigh into health disparities or multicultural research including sociopolitical context, cultural context, network or community context, and micro-level or personal dimensions.

CONCEPTUAL FRAMEWORK

This paper will present a work in progress based on psycho-oncology research: A Culturally Responsive Model for Research Design. The manuscript will describe the model's governing principles and practices employed to address these study components: 1) purpose of the research; (2) utilization of modified or new conceptual framework and operationalization; (3) methods and procedures; (4) participant and data safety and monitoring; (5) reliable and valid instrumentation; (6) drawing valid conclusions; (7) dissemination of findings; and (8) staff training. This paper will define these issues and present the guiding principles modeled to conduct culturally responsive research and increase research integrity.

DISCUSSION

Cancer control research is an important part of the stated commitment to reduce cancer incidence, morbidity, and mortality and to increase health-related quality of life. Ethnic minorities are overrepresented in cancer burden, yet underrepresented in research. This paper is part of a movement to articulate practical models for designing culturally responsive, multicultural research. The model may have implications for increasing ethnic minority participation in research.

摘要

引言

健康差异研究需要纳入传统上被排除在外的人群。社会政治背景、文化背景、网络或社区背景以及微观层面或个人层面等其他复杂问题也会影响健康差异或多元文化研究。

概念框架

本文将介绍一项基于心理肿瘤学研究正在进行的工作:一种具有文化适应性的研究设计模型。该手稿将描述该模型用于解决以下研究组成部分的指导原则和实践:1)研究目的;(2)使用修改后的或新的概念框架及操作化;(3)方法和程序;(4)参与者及数据安全与监测;(5)可靠且有效的测量工具;(6)得出有效结论;(7)研究结果的传播;以及(8)工作人员培训。本文将界定这些问题,并提出为开展具有文化适应性的研究及提高研究完整性而建立的指导原则。

讨论

癌症控制研究是所宣称的降低癌症发病率、发病率和死亡率以及提高与健康相关生活质量承诺的重要组成部分。少数族裔在癌症负担中占比过高,但在研究中占比过低。本文是阐明设计具有文化适应性的多元文化研究实用模型这一运动的一部分。该模型可能对增加少数族裔参与研究有影响。

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