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美属萨摩亚的研究能力强化:美属萨摩亚医学研究能力的提升

Research Capacity Strengthening in American Samoa: Fa'avaeina le Fa'atelega o le Tomai Sa'ili'ili i Amerika Samoa.

作者信息

Tofaeono Va'atausili, Ka'opua Lana Sue I, Sy Angela, Terada Tyran, Taliloa-Vai Purcell Rachelann, Aoelua-Fanene Salote, Tong Katherine, Tofaeono Victor, Unutoa-Mageo Tofoipupu, Scanlan Luana, Cassel Kevin, Rosario Adelaida

机构信息

American Samoa Community Cancer Coalition, Pago Pago, AS, USA.

Cancer Center, University of Hawaii, Honolulu, HI, USA.

出版信息

Br J Soc Work. 2020 Mar;50(2):525-547. doi: 10.1093/bjsw/bcz160. Epub 2019 Dec 31.

Abstract

Capacity-building partnerships are central to the sustainable development goals (SDGs), the UN's blueprint for achieving global health equity. The UN Permanent Forum on Indigenous Issues endorses the SDG and underscores the need for global partnerships that respect local leadership and culture. Innovations that weave or integrate Indigenous and Western knowledges are emphasised. These recommendations guided the INdigenous Samoan Partnership to Initiate Research Excellence (INSPIRE). INSPIRE is led by investigators from American Samoa and supported by US co-investigators. In project year one, INSPIRE queried: What weaving approaches are feasible for promoting community access to INSPIRE's research hub and for training Indigenous researchers? Weaving procedures involved interlacing Samoan and Western knowledges. Cultural tailoring strategies were used to customise communications. Formative evaluation suggests the feasibility of INSPIRE's efforts. Evidential tailoring provided information on American Samoa (A.S.) social determinants of health; trainees indicated increased research commitment. Linguistic and sociocultural relevance tailoring were positively received; trainees reported increased interest in research praxis and initiated an A.S. research capacity-strengthening model. Social work assured knowledge parity in development/delivery of the training curriculum and culturally safe discussions on social determinants of health, territorial status and Samoan survivance. Findings are context-specific yet offer considerations for capacity-strengthening partnerships seeking to advance health equity.

摘要

能力建设伙伴关系对于可持续发展目标(SDGs)至关重要,而可持续发展目标是联合国实现全球卫生公平的蓝图。联合国土著问题常设论坛认可可持续发展目标,并强调需要建立尊重地方领导和文化的全球伙伴关系。强调融合或整合土著知识与西方知识的创新。这些建议指导了萨摩亚土著伙伴关系以推动卓越研究(INSPIRE)。INSPIRE由美属萨摩亚的研究人员牵头,并得到美国共同研究人员的支持。在项目的第一年,INSPIRE提出了如下问题:哪些融合方法对于促进社区使用INSPIRE的研究中心以及培训土著研究人员是可行的?融合程序涉及将萨摩亚知识与西方知识交织在一起。采用了文化定制策略来定制沟通方式。形成性评估表明INSPIRE所做努力的可行性。证据定制提供了有关美属萨摩亚健康的社会决定因素的信息;学员们表示对研究的投入增加了。语言和社会文化相关性定制受到了积极的反馈;学员们报告说对研究实践的兴趣增加了,并启动了一个美属萨摩亚研究能力加强模型。社会工作确保了在培训课程的开发/提供以及关于健康的社会决定因素、领土地位和萨摩亚生存问题的文化安全讨论中的知识平等。研究结果是针对具体情况的,但为寻求推进卫生公平的能力加强伙伴关系提供了思考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f66/7127868/e730cc2c10a7/bcz160f1.jpg

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