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开发资源以促进具有文化敏感性的服务规划与提供——与学习障碍者一起开展包容性研究。

Developing resources to facilitate culturally-sensitive service planning and delivery - doing research inclusively with people with learning disabilities.

作者信息

Unwin Gemma, Larkin Michael, Rose John, Kroese Biza Stenfert, Malcolm Stephen

机构信息

University of Birmingham, School of Psychology, Edgbaston, Birmingham B15 2TT UK.

St. Andrews Healthcare, Academic Unit, Northampton, UK.

出版信息

Res Involv Engagem. 2016 May 18;2:17. doi: 10.1186/s40900-016-0031-1. eCollection 2016.

Abstract

PLAIN ENGLISH SUMMARY

(Please see www.Toolsfortalking.co.uk for an easy read summary of the project.) The Tools for Talking are a set of resources that were developed through collaboration between Black, Asian and minority ethnic people with learning disabilities and researchers at the University of Birmingham. The resources were designed to be used by people with learning disabilities and service providers to facilitate culturally-sensitive communication and information sharing, service planning and delivery. They comprise illustrative videos and exploratory activities relating to five topics, namely, culture, activities, support from staff, important people, choices and independence. These topics emerged as important to people with learning disabilities during the 'Access to Social Care-Learning Disabilities' (ASC-LD) study which involved interviews with 32 adults with learning disabilities from Black, Asian and minority ethnic communities. The results of the ASC-LD study were used to develop a set of draft resources which were then co-developed through collaboration with people with learning disabilities and service providers. A 'Partnership event' was convened to involve stakeholders in the development of the resources. This paper describes the refinement of these materials by people with learning disabilities from Black, Asian and minority ethnic backgrounds in cooperation with a range of other stakeholders.

ABSTRACT

Black, Asian and minority ethnic people with learning disabilities face inequities in health and social care provision. Lower levels of service uptake and satisfaction with services have been reported, however, this is largely based on the views of carers. The 'Access to Social Care: Learning Disabilities (ASC-LD)' study sought to explore the views and experiences of social support services among adults with learning disabilities from Black, Asian and minority ethnic communities. Interviews with 32 Black, Asian and minority ethnic adults with learning disabilities were conducted to explore participants' cultural identities, their understanding and experience of 'support'. The views and experiences expressed in the ASC-LD study were used in the 'Tools for Talking project' to develop a suite of resources designed to facilitate culturally-sensitive communication and information-sharing, service planning and delivery through improved mutual understanding between providers and users of services. This paper describes the Tools for Talking project which sought to co-develop the resources through a partnership event. An inclusive approach was adopted to address issues that are important to people with learning disabilities, to represent their views and experiences, and to involve Black, Asian and minority ethnic people with learning disabilities in the research process. Partnerships were developed with provider organisations and service users who were invited to a 'Partnership Event'. Collaborators at the partnership event were asked to comment on and evaluate draft resources which included a series of videos and activities to explore topics that emerged as important in the ASC-LD study. Their comments were collated and the tools developed as they suggested. Using the results from the ASC-LD study helped to ensure that the draft resources were relevant to service users, addressing topics that were important to them. The partnership event was an effective method to collaborate with a relatively large number of stakeholders. However, the event was resource intensive and required substantial planning to ensure active and meaningful participation. Considerations, such as inviting stakeholders, developing the programme and selecting a venue are discussed. The partnership approach has led to the development of a set of five illustrative videos and accompanying activities that address issues that emerged from the collaborative process including: culture, activities, support from staff, important people, choices and independence. These resources are freely available at: www.Toolsfortalking.co.uk. They are designed to be used by users and providers of services, but may also be useful in other settings.

摘要

通俗易懂的总结

(有关该项目的易懂总结,请访问www.Toolsfortalking.co.uk)“沟通工具”是一套资源,由学习障碍的黑人和少数族裔人士与伯明翰大学的研究人员合作开发。这些资源旨在供学习障碍者和服务提供者使用,以促进具有文化敏感性的沟通与信息共享、服务规划及提供。它们包括与五个主题相关的说明性视频和探索性活动,这五个主题分别是文化、活动、工作人员的支持、重要人物、选择与独立。在“获得社会护理——学习障碍”(ASC-LD)研究中,这些主题对学习障碍者而言显得很重要,该研究对32名来自黑人和少数族裔社区的成年学习障碍者进行了访谈。ASC-LD研究的结果被用于制定一套资源草案,随后通过与学习障碍者和服务提供者合作进行共同开发。召开了一次“合作活动”,让利益相关者参与资源开发。本文描述了来自黑人和少数族裔背景的学习障碍者与一系列其他利益相关者合作对这些材料进行的完善。

摘要

有学习障碍的黑人和少数族裔在医疗和社会护理服务方面面临不公平待遇。据报道,他们对服务的接受程度和满意度较低,然而,这很大程度上是基于护理人员的观点。“获得社会护理:学习障碍(ASC-LD)”研究旨在探索黑人和少数族裔社区成年学习障碍者对社会支持服务的看法和经历。对32名有学习障碍的黑人和少数族裔成年人进行了访谈,以探究参与者的文化身份、他们对“支持”的理解和经历。ASC-LD研究中表达的观点和经历被用于“沟通工具项目”,以开发一套资源,旨在通过改善服务提供者和使用者之间的相互理解,促进具有文化敏感性的沟通和信息共享、服务规划及提供。本文描述了“沟通工具项目”,该项目试图通过一次合作活动共同开发这些资源。采用了一种包容性方法来解决对学习障碍者重要的问题,呈现他们的观点和经历,并让有学习障碍的黑人和少数族裔参与研究过程。与提供者组织和服务使用者建立了合作关系,并邀请他们参加“合作活动”。在合作活动中,合作者被要求对资源草案发表评论并进行评估,这些草案包括一系列视频和活动,以探讨在ASC-LD研究中显得重要的主题。他们的意见被整理,并按照他们的建议开发工具。利用ASC-LD研究的结果有助于确保资源草案与服务使用者相关,涉及对他们重要的主题。合作活动是与相对大量利益相关者合作的有效方法。然而,该活动资源密集,需要大量规划以确保积极且有意义的参与。文中讨论了一些考虑因素,如邀请利益相关者、制定议程和选择场地等。合作方法促成了一套五个说明性视频及配套活动的开发,这些视频和活动解决了合作过程中出现的问题,包括:文化、活动、工作人员的支持、重要人物、选择与独立。这些资源可在以下网址免费获取:www.Toolsfortalking.co.uk。它们旨在供服务使用者和提供者使用,但在其他环境中可能也有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d0/5611676/d88565d2ba91/40900_2016_31_Fig1_HTML.jpg

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