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撒哈拉以南非洲家庭医生在线研究培训和指导的实施。

Implementation of Online Research Training and Mentorship for Sub-Saharan African Family Physicians.

机构信息

Department of Family Medicine, Boston University, Boston, USA.

Family Medicine Specialty Training Program, Lesotho-Boston Health Alliance, Leribe, Lesotho.

出版信息

Ann Glob Health. 2021 Feb 3;87(1):13. doi: 10.5334/aogh.3171.

Abstract

BACKGROUND

To improve the delivery and reach of primary health care, a robust scientific foundation driven by research is needed. However, few family physicians conduct research, especially in sub-Saharan Africa. Early-career and trainee family physicians are a key part of the primary care research pipeline and have an expressed need for research training and mentorship.

OBJECTIVE

AfriWon Research Collaborative (ARC) was an online research training and mentorship pilot program whose objective was to increase research activity among participants from AfriWon Renaissance, the family physician young doctors' movement of sub-Saharan Africa.

METHODS

ARC utilized a 10-module online curriculum, supported by peer and faculty e-mentorship, to guide participants through writing a research protocol. The feasibility, acceptability, and scalability of this program was evaluated via a mixed-methods RE-AIM-guided process evaluation using descriptive statistics and inductive/deductive thematic analysis.

FINDINGS

The pilot reached participants from Botswana, Democratic Republic of the Congo, Ghana, Nigeria and Sierra Leone and was adopted by mentors from 11 countries across three continents. Four of the 10 pilot participants completed a full research protocol by the end of the six-month core program. Seven out of the 10 participants, and nine out of the 15 mentors, planned to continue their mentorship relationships beyond the core program. The program helped instill a positive research culture in active participants. Some participants' and mentors' engagement with the ARC program was limited by confusion over mentorship structure and role, poor network connectivity, and personal life challenges.

CONCLUSIONS

Online research training and mentorship for trainee and early-career family physicians in sub-Saharan Africa is feasible and acceptable to participants and mentors. Similar programs must pay careful attention to mentorship training and provide a flexible yet clearly organized structure for mentee-mentor engagement. Additional work is needed to determine optimal implementation strategies and ability to scale.

摘要

背景

为了改善初级卫生保健的提供和覆盖范围,需要有一个由研究驱动的强大科学基础。然而,很少有家庭医生进行研究,特别是在撒哈拉以南非洲。初级保健研究人员队伍中的关键部分是早期职业和受训家庭医生,他们对研究培训和指导有明确的需求。

目的

AfriWon 研究协作组织(ARC)是一个在线研究培训和指导试点计划,其目的是增加来自撒哈拉以南非洲家庭医生年轻医生运动 AfriWon Renaissance 的参与者的研究活动。

方法

ARC 利用 10 个模块的在线课程,由同行和教师电子指导提供支持,指导参与者撰写研究方案。该计划的可行性、可接受性和可扩展性通过使用混合方法的 RE-AIM 指导过程评估进行评估,使用描述性统计和归纳/演绎主题分析。

发现

该试点项目覆盖了来自博茨瓦纳、刚果民主共和国、加纳、尼日利亚和塞拉利昂的参与者,并被来自三大洲 11 个国家的导师采用。在为期六个月的核心计划结束时,10 名试点参与者中的 4 名完成了完整的研究方案。在 10 名参与者中,有 7 名和 15 名导师中的 9 名计划在核心计划结束后继续他们的导师关系。该计划有助于在活跃参与者中树立积极的研究文化。一些参与者和导师对 ARC 计划的参与受到导师结构和角色混淆、网络连接不良和个人生活挑战的限制。

结论

对撒哈拉以南非洲的受训和早期职业家庭医生进行在线研究培训和指导对参与者和导师来说是可行和可接受的。类似的计划必须特别注意导师培训,并为导师-学员的参与提供灵活而清晰的组织结构。需要进一步努力确定最佳实施策略和扩展能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/685a/7863851/6c6affb837f5/agh-87-1-3171-g1.jpg

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