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让社区暴力的黑人男性受害者参与医疗保健研究面临的挑战:从两项研究中吸取的经验教训。

Challenges to Engaging Black Male Victims of Community Violence in Healthcare Research: Lessons Learned From Two Studies.

作者信息

Schwartz Sonia, Hoyte Joel, James Thea, Conoscenti Lauren, Johnson Renee, Liebschutz Jane

机构信息

Section of General Internal Medicine, Boston Medical Center, Clinical Addiction Research and Education (CARE) Unit.

Department of Community Health.

出版信息

Psychol Trauma. 2010 Mar 1;2(1):54-62. doi: 10.1037/a0019020.

Abstract

A dearth of literature exists on barriers to conducting research with Black male victims of community violence, despite the need for evidence-based postinjury interventions. This study used qualitative data from a cross-sectional interview study (n = 16) and a pilot intervention study (n = 11) conducted in Boston, MA to identify challenges and facilitators to conducting research with Black male victims of community violence, particularly with regard to recruitment and maintenance of a study sample. Qualitative methods, including Grounded Theory and ethnography, were used to analyze the data. Challenges included a fear of police involvement, an impression of "snitching" when disclosing personal information, mistrust of research motives, suspicion of the informed consent process, the emotional impact of the trauma itself, and logistical issues. Facilitators to research included monetary incentives and motivation to help oneself and others. Participant recommendations on recruitment methods relating to approach and timing are provided. Findings from this study may assist in the planning of research studies for Black male victims of community violence.

摘要

尽管需要基于证据的伤后干预措施,但关于针对社区暴力黑人男性受害者开展研究的障碍的文献却很匮乏。本研究使用了来自马萨诸塞州波士顿进行的一项横断面访谈研究(n = 16)和一项试点干预研究(n = 11)的定性数据,以确定针对社区暴力黑人男性受害者开展研究的挑战和促进因素,特别是在研究样本的招募和维持方面。采用了包括扎根理论和人种志在内的定性方法来分析数据。挑战包括对警方介入的恐惧、披露个人信息时的“告密”印象、对研究动机的不信任、对知情同意过程的怀疑、创伤本身的情感影响以及后勤问题。研究的促进因素包括金钱激励以及帮助自己和他人的动机。提供了参与者关于招募方法在方式和时间方面的建议。本研究的结果可能有助于为社区暴力黑人男性受害者的研究制定计划。

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