Schensul Stephen L, Nastasi Bonnie K, Verma Ravi K
Department of Community Medicine, Center for International Community Health Studies, University of Connecticut School of Medicine, 263 Farmington Ave., Farmington, 06030-6325, USA.
Am J Community Psychol. 2006 Sep;38(1-2):95-111. doi: 10.1007/s10464-006-9066-z.
While there has been a trend toward greater disciplinary collaboration over the last several decades, the emergence of the HIV pandemic has required that disciplines work more closely and creatively to generate the multiple and innovative approaches necessary to meet the demands for effective prevention and treatment. This paper describes the nature of collaborative relationships among U.S. and Indian anthropologists, psychologists, demographers, epidemiologists, physicians and representatives of other fields and sectors in conducting a large scale, multi-year HIV/STD prevention project directed toward married men in urban poor communities in Mumbai (Bombay), India. The project has challenged members of the participating disciplines to develop a transdisciplinary conceptual model, to test the model with community-based formative research and to utilize the results in the development and implementation of a multi-level (community, provider and patient) intervention. The paper describes the interaction among disciplines and international sectors in the conceptualization, methodology and community-based action components of the project. In addition, it examines both the inhibiting and facilitating factors that are a part of the collaborative process. The paper concludes with implications for future transdisciplinary partnerships.
在过去几十年里,学科间的合作有加强的趋势,而艾滋病大流行的出现要求各学科更紧密、更有创造性地合作,以产生多种创新方法,满足有效预防和治疗的需求。本文描述了美国和印度的人类学家、心理学家、人口统计学家、流行病学家、医生以及其他领域和部门的代表在印度孟买(旧称“Bombay”)城市贫困社区针对已婚男性开展一项大规模、多年期艾滋病毒/性传播感染预防项目时合作关系的性质。该项目促使参与学科的成员开发一个跨学科概念模型,通过基于社区的形成性研究对该模型进行测试,并将结果用于制定和实施多层次(社区、提供者和患者层面)干预措施。本文描述了各学科与国际部门在项目概念化、方法学和基于社区的行动等方面的互动。此外,还考察了合作过程中的阻碍因素和促进因素。本文最后阐述了对未来跨学科合作关系的启示。