Sapienza Jessica N, Corbie-Smith Giselle, Keim Sarah, Fleischman Alan R
National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD 20892, USA.
Ambul Pediatr. 2007 May-Jun;7(3):247-52. doi: 10.1016/j.ambp.2007.01.004.
Engaging communities has become a critical aspect of planning and implementing health research. The role community engagement should play in epidemiological and observational research remains unclear since much of this research is not directly generated by community concerns and is not interventional in nature. The National Children's Study (NCS), an observational longitudinal study of 100,000 children and their families, provides a model to help guide the development of community engagement strategies in epidemiologic research.
This manuscript describes community engagement activities of the NCS during the planning phases of the study.
There are many challenges of community engagement in epidemiologic research particularly before the actual research sites are determined. After communities of interest are designated many further issues must be resolved, including: defining the specific community, determining which residents or institutions represent the identified community, and developing trust and rapport through respectful engagement.
Community engagement is critical to the long-term success of any longitudinal epidemiologic study. A partnership with the community should be formed to ensure mutual respect and the establishment of an enduring relationship. Genuine community engagement offers the hope of enhancing recruitment, retention, and participant satisfaction.
让社区参与已成为健康研究规划与实施的关键环节。社区参与在流行病学和观察性研究中应发挥的作用仍不明确,因为此类研究大多并非直接源于社区关切,本质上也不是干预性的。全国儿童研究(NCS)是一项针对10万名儿童及其家庭的观察性纵向研究,为指导流行病学研究中社区参与策略的制定提供了一个范例。
本手稿描述了NCS在研究规划阶段的社区参与活动。
在流行病学研究中,社区参与面临诸多挑战,尤其是在确定实际研究地点之前。在确定了感兴趣的社区之后,还必须解决许多其他问题,包括:界定具体社区、确定哪些居民或机构代表已确定的社区,以及通过尊重性参与建立信任和融洽关系。
社区参与对任何纵向流行病学研究的长期成功至关重要。应与社区建立伙伴关系,以确保相互尊重并建立持久关系。真正的社区参与有望提高招募率、保留率和参与者满意度。