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促进公共卫生与医学领域的社区及人群健康:开展社区参与式研究的分步指南

Promoting Community and Population Health in Public Health and Medicine: A Stepwise Guide to Initiating and Conducting Community-engaged Research.

作者信息

Rhodes Scott D, Tanner Amanda E, Mann-Jackson Lilli, Alonzo Jorge, Simán Florence M, Song Eunyoung Y, Bell Jonathan, Irby Megan B, Vissman Aaron T, Aronson Robert E

机构信息

Wake Forest School of Medicine.

University of North Carolina Greensboro.

出版信息

J Health Dispar Res Pract. 2018 Fall;11(3):16-31.

PMID:31428533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699784/
Abstract

Various methods, approaches, and strategies designed to understand and reduce health disparities, increase health equity, and promote community and population health have emerged within public health and medicine. One such approach is community-engaged research. While the literature describing the theory, principles, and rationale underlying community engagement is broad, few models or frameworks exist to guide its implementation. We abstracted, analyzed, and interpreted data from existing project documentation including proposal documents, project-specific logic models, research team and partnership meeting notes, and other materials from 24 funded community-engaged research projects conducted over the past 17 years. We developed a 15-step process designed to guide the community-engaged research process. The process includes steps such as: networking and partnership establishment and expansion; building and maintaining trust; identifying health priorities; conducting background research, prioritizing "what to take on"; building consensus, identifying research goals, and developing research questions; developing a conceptual model; formulating a study design; developing an analysis plan; implementing the study; collecting and analyzing data; reviewing and interpreting results; and disseminating and translating findings broadly through multiple channels. Here, we outline and describe each of these steps.

摘要

公共卫生和医学领域出现了各种旨在理解和减少健康差距、增进健康公平以及促进社区和人群健康的方法、途径和策略。社区参与研究就是其中一种方法。虽然描述社区参与背后的理论、原则和基本原理的文献众多,但用于指导其实施的模型或框架却很少。我们从现有的项目文档中提取、分析和解读数据,这些文档包括提案文件、特定项目的逻辑模型、研究团队和合作会议记录,以及过去17年中开展的24个资助的社区参与研究项目的其他材料。我们开发了一个15步流程,旨在指导社区参与研究过程。该流程包括以下步骤:建立和扩展网络与伙伴关系;建立和维护信任;确定健康优先事项;进行背景研究,确定“着手处理的事项”的优先级;达成共识,确定研究目标并提出研究问题;开发概念模型;制定研究设计;制定分析计划;实施研究;收集和分析数据;审查和解读结果;以及通过多种渠道广泛传播和转化研究结果。在此,我们概述并描述这些步骤中的每一步。