促进艾滋病病毒预防与治疗研究中的健康公平:建立、实施和维持社区咨询委员会实用指南
Promoting health equity in HIV prevention and treatment research: a practical guide to establishing, implementing, and sustaining community advisory boards.
作者信息
Weinstein Elliott R, Herrera Christian M, Pla Serrano Lorenzo, Martí Kring Edward, Harkness Audrey
机构信息
University of Miami, Miami, FL 33146, USA.
Texas A&M University System, College Station, TX, USA.
出版信息
Ther Adv Infect Dis. 2023 Feb 3;10:20499361231151508. doi: 10.1177/20499361231151508. eCollection 2023 Jan-Dec.
Over the last 25 years, community-based participatory research (CBPR) has emerged as an innovative methodological approach to break down the barriers toward health equity in biopsychosocial research. Although there are several methods one can use to conduct CBPR research, one widely used established tool that has shown to be effective for engaging community meaningfully in research is community advisory boards (CABs). CABs are formalized collaborative bodies consisting of community and research stakeholders and have been integral in engaging underserved groups experiencing HIV-related health inequities at the early stages of the AIDS crisis. Even though evidence suggests that CABs are an effective tool for conducting high-quality, rigorous, and community-centered HIV-related research, there are minimal guidelines summarizing the steps needed for developing and maintaining a CAB. Therefore, to fill this gap in the literature, this article offers a practical guide to help researchers with minimal experience, particularly graduate students and early-stage investigators, feel more comfortable with establishing a CAB for equity-focused HIV-related research. This article synthesizes already established guidelines and frameworks for CAB development while specifically outlining unique steps related to the three main stages of CAB formation - establishment, implementation, and sustainment. Throughout this article, the authors offer tension points, generated from the literature and with consultation from a CAB working alongside the authors, that researchers and community partners may need to navigate during each of these three stages. In addition, best practices from the literature are identified for each step in the guidelines so that readers can see firsthand how research groups have carried out these steps in their own practice.
在过去25年中,基于社区的参与性研究(CBPR)已成为一种创新的方法论途径,以打破生物心理社会研究中实现健康公平的障碍。尽管有几种方法可用于开展CBPR研究,但一种广泛使用且已被证明能有效让社区有意义地参与研究的既定工具是社区咨询委员会(CABs)。CABs是由社区和研究利益相关者组成的正式合作机构,在艾滋病危机早期让面临与艾滋病毒相关健康不平等的服务不足群体参与研究方面发挥了重要作用。尽管有证据表明CABs是开展高质量、严谨且以社区为中心的艾滋病毒相关研究的有效工具,但总结CABs组建和维持所需步骤的指南却很少。因此,为填补文献中的这一空白,本文提供了一份实用指南,以帮助经验最少的研究人员,特别是研究生和早期研究人员,在为以公平为重点的艾滋病毒相关研究建立CAB时更得心应手。本文综合了已有的CAB发展指南和框架,同时特别概述了与CAB形成的三个主要阶段——组建、实施和维持相关的独特步骤。在本文中,作者提出了从文献中产生并经与一个与作者合作的CAB协商得出的紧张点,研究人员和社区伙伴在这三个阶段中的每一个阶段可能都需要应对这些紧张点。此外,还为指南中的每个步骤确定了文献中的最佳实践,以便读者能直接了解研究团队在其自身实践中是如何执行这些步骤的。