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向文化和语言多样化社区传播 COVID-19 健康信息:来自参与式研究合作的见解。

Communicating COVID-19 health information to culturally and linguistically diverse communities: insights from a participatory research collaboration.

机构信息

BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, VIC, Australia;

BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, VIC, Australia.

出版信息

Public Health Res Pract. 2021 Mar 10;31(1):3112105. doi: 10.17061/phrp3112105.

Abstract

OBJECTIVE

To consider the challenges of communicating COVID-19 directives to culturally and linguistically diverse (CALD) communities in Australia, and present evidence-based solutions to influence policy and practice on promoting relevant health behaviours; to advance participatory research methodologies for health behaviour change. Type of program or service: We present a case study of a participatory research collaboration between CALD community leaders and health behaviour change scientists during the COVID-19 crisis. The goal was to better understand the role of community leaders in shaping health behaviours in their communities and how that role might be leveraged for better health outcomes.

METHODS

This article is the culmination of a series of dialogues between CALD community and advocacy leaders, and health behaviour change scientists in July 2020. The academic authors recruited 12 prominent CALD community leaders, conducted five semi-structured dialogues with small groups, and worked with all participants to develop insights that were applicable to the many different CALD communities represented in the research collaboration.

RESULTS

Three key findings emerged: 1) partnerships between CALD leaders, communities and government are critical for effective health communication; 2) shifting behaviour requires moving beyond disseminating information to designing tailored solutions; and 3) the diverse needs and circumstances of people and communities must be at the centre of health communication and behaviour change strategies.

LESSONS LEARNT

The collaborative process we undertook in this study enabled us to identify key challenges experienced and solutions offered by CALD leaders in communicating health information throughout the COVID-19 pandemic. Partnering with communities that are subject to health messaging can reduce inequalities in healthcare communication by enabling the development of strategies that help align human behaviour with the recommendations of health experts. This - along with sustained partnership and collaboration with CALD communities, understanding the cultural context, and the appropriate tailoring and delivery of communications - will ensure health-related messages are not lost in translation. The lessons provided in this paper are applicable not only to the current pandemic but also to post-pandemic social and economic recovery.

摘要

目的

考虑在澳大利亚向文化和语言多样化(CALD)社区传达 COVID-19 指令所面临的挑战,并提出循证解决方案,以影响促进相关健康行为的政策和实践;推进健康行为改变的参与式研究方法。

项目或服务类型

我们介绍了一个参与式研究合作的案例研究,该合作涉及 COVID-19 危机期间的 CALD 社区领袖和健康行为改变科学家。目的是更好地了解社区领袖在塑造社区健康行为方面的作用,以及如何利用这一作用来实现更好的健康结果。

方法

本文是 2020 年 7 月期间,CALD 社区和宣传领袖与健康行为改变科学家之间一系列对话的总结。学术作者招募了 12 名知名的 CALD 社区领袖,与小组成员进行了五次半结构化对话,并与所有参与者合作,制定了适用于研究合作中代表的众多不同 CALD 社区的见解。

结果

出现了三个关键发现:1)CALD 领袖、社区和政府之间的伙伴关系对于有效的健康沟通至关重要;2)改变行为需要超越传播信息,而转向设计量身定制的解决方案;3)人和社区的多样化需求和情况必须成为健康沟通和行为改变策略的核心。

经验教训

我们在这项研究中进行的合作过程使我们能够确定 CALD 领袖在整个 COVID-19 大流行期间传达健康信息所面临的主要挑战和提供的解决方案。与受健康信息传递影响的社区合作,可以通过制定帮助将人类行为与健康专家建议保持一致的策略,减少医疗保健沟通中的不平等现象。这一点——以及与 CALD 社区的持续伙伴关系和合作、理解文化背景,以及对沟通的适当调整和传递——将确保相关健康信息不会在翻译中丢失。本文提供的经验教训不仅适用于当前的大流行,也适用于大流行后的社会和经济复苏。

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