McGill University, Department of Family Medicine, Montreal, Quebec, Canada.
Glob Health Promot. 2011 Jun;18(2):45-8. doi: 10.1177/1757975910383936.
Participatory research (PR) experts believe that increased community and stakeholder participation in research augments program pertinence, quality, outcome, sustainability, uptake, and transferability. There is, however, a dearth of assessments and measurement tools to demonstrate the contribution of participation in health research and interventions. One systematic review of PR, conducted for the Agency for Health Research and Quality (AHRQ), provided no conclusive evidence concerning the benefits of community participation to enhance research and health outcomes. To overcome methodological gaps and barriers of the AHRQ review, we propose to conduct a systematic realist review, which can be understood as a theory-driven qualitative review capable of capturing the often complex, diffuse and obtuse evidence concerning participation. Reviewing how PR mechanisms and contextual factors mediate and moderate outcomes, the review will generate and test hypotheses (middle-range theories) conceptualizing the benefits of participation and will portray the manner and circumstances in which participation influences outcomes.
参与式研究（PR）专家认为，增加社区和利益相关者对研究的参与，可以增强项目的针对性、质量、结果、可持续性、采用率和可转移性。然而，目前缺乏评估和测量工具来展示参与健康研究和干预的贡献。为美国卫生研究院质量评估署（AHRQ）进行的一项参与式研究系统评价没有提供关于社区参与以增强研究和健康结果的好处的确凿证据。为了克服 AHRQ 审查中的方法学差距和障碍，我们建议进行系统的现实主义审查，可以将其理解为一种理论驱动的定性审查，能够捕捉到关于参与的通常复杂、分散和难以理解的证据。审查参与式研究的机制和情境因素如何调节和适度影响结果，该审查将生成和测试假设（中程理论），概念化参与的好处，并描述参与影响结果的方式和情况。
