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基于社区的参与式方法在知识转化中的应用:以调查员计划为例的 HIV 预防案例研究。

Community-Based Participatory Approaches to Knowledge Translation: HIV Prevention Case Study of the Investigaytors Program.

机构信息

Community-Based Research Centre, 1007-808 Nelson St., Vancouver, BC, V6Z 2H2, Canada.

BC Centre on Substance Use, Vancouver, BC, Canada.

出版信息

Arch Sex Behav. 2021 Jan;50(1):105-117. doi: 10.1007/s10508-020-01789-6. Epub 2020 Jul 31.

Abstract

Approaches to knowledge translation (KT) that engage community stakeholders in the research cycle have been identified as particularly promising for addressing the "know-do" gap. Using the case study of a long-standing community-based participatory research (CBPR) project known as the "Investigaytors," this article describes the development and implementation of a KT intervention aimed at facilitating access to HIV pre-exposure prophylaxis for gay, bisexual, and other sexual minority men in British Columbia, Canada, through a publicly funded program. In doing so, we offer a model of CBPR for KT that is highly participatory, driven by community members, and centered around capacity building. We also present findings from a focus group with eight volunteer co-researchers to capture the perspectives of community members involved in the CBPR process and to evaluate the strengths and challenges associated with the use of a CBPR framework for KT. Findings from the focus group reveal how the inclusion of multiple perspectives from community, academic, and healthcare partners contributes to the perceived strength and credibility of the KT intervention opportunities for improving the CBPR process and how the CBPR process itself can be a form of integrated KT. This work has implications for future KT that deploys a CBPR framework, including an expanded understanding of reciprocity that can include benefits such as training and professional development, as well as introducing a novel approach to KT that is driven by community and integrates multiple perspectives. We conclude with reflections on implementing CBPR practices for KT in different settings.

摘要

参与社区利益相关者的知识转化(KT)方法已被确定为解决“知-行”差距的特别有前途的方法。本文通过长期的社区参与式研究(CBPR)项目“Investigaytors”的案例研究,描述了一种 KT 干预措施的制定和实施,旨在通过一个由公共资金资助的项目,为不列颠哥伦比亚省的男同性恋、双性恋和其他性少数群体男性提供 HIV 暴露前预防。通过这种方式,我们提供了一种高度参与、由社区成员驱动、以能力建设为中心的 CBPR 促进 KT 的模式。我们还介绍了对 8 名志愿者共同研究人员的焦点小组的调查结果,以捕捉参与 CBPR 过程的社区成员的观点,并评估使用 CBPR 框架进行 KT 的优势和挑战。焦点小组的结果揭示了社区、学术和医疗保健合作伙伴的多种观点的纳入如何有助于 KT 干预机会的感知优势和可信度,以改善 CBPR 过程,以及 CBPR 过程本身如何成为一种综合 KT 的形式。这项工作对未来使用 CBPR 框架的 KT 具有重要意义,包括对互惠的扩展理解,互惠可以包括培训和专业发展等好处,以及引入一种由社区驱动并整合多种观点的新型 KT 方法。最后,我们对在不同环境中实施 CBPR 促进 KT 的实践进行了反思。

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