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社区-学术伙伴关系的 CBPR 实施框架。

CBPR Implementation Framework for Community-Academic Partnerships.

机构信息

College of Population Health, University of New Mexico, Albuquerque, NM, USA.

College of Nursing, University of New Mexico, Albuquerque, NM, USA.

出版信息

Am J Community Psychol. 2021 Jun;67(3-4):284-296. doi: 10.1002/ajcp.12506. Epub 2021 Apr 6.

DOI:10.1002/ajcp.12506
PMID:33823072
Abstract

The Engage for Equity (E2) study is an intervention trial for community-academic research partnerships that seeks to improve partnering practices and health equity outcomes by providing community and academic partners with tools to enhance and advance power sharing and health equity. Twenty-five community/academic research teams completed a two-day training intervention where they were introduced to the CBPR Conceptual Model and corresponding applied tools to their partnerships. We report on team interviews conducted immediately after the training, where teams discussed opportunities and challenges using the CBPR Model as an implementation framework as they considered their own contexts, their partnering processes/practices, actions, and their desired outcomes. We applied Diffusion of Innovation theory to guide data collection and analysis; augmented by intent to use and collective reflection. Results pointed to the flexibility of the CBPR model, concrete use of tools (e.g., planning/evaluation), and broader use in inspiring collective reflection to improve partnering practices and inform equity values. As an implementation framework, the CBPR model incorporates collaborative processes and strategies to mitigate power differentials into key phases of implementation studies, adding factors central to health equity work, not existing in previous implementation frameworks.

摘要

Engage for Equity(E2)研究是一项社区学术研究伙伴关系的干预试验,旨在通过为社区和学术合作伙伴提供增强和推进权力共享和健康公平的工具,改善合作实践和健康公平结果。25 个社区/学术研究团队完成了为期两天的培训干预,在培训中介绍了 CBPR 概念模型及其对合作伙伴关系的相应应用工具。我们报告了培训后立即进行的团队访谈,团队在考虑自己的背景、合作过程/实践、行动和预期结果的情况下,使用 CBPR 模型作为实施框架,讨论了机会和挑战。我们应用创新扩散理论来指导数据收集和分析;并通过使用意图和集体反思进行补充。结果表明,CBPR 模型具有灵活性,工具的具体使用(例如,规划/评估),以及更广泛地用于激发集体反思,以改善合作实践并为公平价值观提供信息。作为实施框架,CBPR 模型将合作过程和策略纳入实施研究的关键阶段,以减轻权力差异,增加对健康公平工作至关重要的因素,而这些因素在以前的实施框架中并不存在。

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