Cromley Ellen, Kleinman Lawrence C, Ramos Michelle A, Arniella Guedy, Viswanathan Nalini, Garel Mischka, Horowitz Carol R
University of Connecticut School of Medicine, USA.
Prog Community Health Partnersh. 2011 Fall;5(3):299-305. doi: 10.1353/cpr.2011.0033.
While neighborhood-based approaches to eliminate health disparities are on the rise, there is little guidance on how researchers may engage with community partners to select geographic areas for interventions to reduce health disparities. We aimed to identify a small geographic area to target interventions to improve diabetes-related outcomes.
We describe lessons learned from a community-engaged approach to specify the geographic area of focus.
A community-academic partnership of more than 20 organizations collaborated to develop and employ a 5-stage process to specify a target area for diabetes preventions and control activities.
A coalition with local knowledge and ties to the community can develop criteria and direct a process leading to selection of a geographic area, increased research capacity, and strengthened relationships among partners.
A participatory approach can be effective in defining a geographic area for targeting interventions to reduce health disparities.
虽然基于社区的消除健康差距方法正在兴起,但对于研究人员如何与社区伙伴合作以选择地理区域进行干预以减少健康差距,几乎没有指导。我们旨在确定一个小的地理区域,以针对干预措施来改善糖尿病相关结局。
我们描述了从社区参与方法中吸取的经验教训,以确定重点地理区域。
一个由20多个组织组成的社区-学术伙伴关系合作开发并采用了一个5阶段过程,以确定糖尿病预防和控制活动的目标区域。
一个具有当地知识并与社区有联系的联盟可以制定标准并指导选择地理区域、提高研究能力以及加强伙伴之间关系的过程。
参与式方法在确定用于针对性干预以减少健康差距的地理区域方面可能是有效的。