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探索原住民和托雷斯海峡岛民健康研究报告的优势和局限性:干预研究的叙述性综述。

Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies.

机构信息

School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia.

Hunter Medical Research Institute, The University of Newcastle, Callaghan, NSW 2308, Australia.

出版信息

Int J Environ Res Public Health. 2023 Feb 23;20(5):3993. doi: 10.3390/ijerph20053993.

Abstract

High quality intervention research is needed to inform evidence-based practice and policy for Aboriginal and Torres Strait Islander communities. We searched for studies published from 2008-2020 in the PubMed database. A narrative review of intervention literature was conducted, where we identified researcher reported strengths and limitations of their research practice. A total of 240 studies met inclusion criteria which were categorised as evaluations, trials, pilot interventions or implementation studies. Reported strengths included community engagement and partnerships; sample qualities; Aboriginal and Torres Strait Islander involvement in research; culturally appropriate and safe research practice; capacity building efforts; providing resources or reducing costs for services and communities; understanding local culture and context; and appropriate timelines for completion. Reported limitations included difficulties achieving the target sample size; inadequate time; insufficient funding and resources; limited capacity of health workers and services; and inadequate community involvement and communication issues. This review highlights that community consultation and leadership coupled with appropriate time and funding, enables Aboriginal and Torres Strait Islander health intervention research to be conducted. These factors can enable effective intervention research, and consequently can help improve health and wellbeing outcomes for Aboriginal and Torres Strait Islander people.

摘要

需要高质量的干预研究来为原住民和托雷斯海峡岛民社区提供循证实践和政策依据。我们在 PubMed 数据库中搜索了 2008 年至 2020 年发表的研究。我们对干预文献进行了叙述性综述,从中确定了研究人员报告的研究实践的优势和局限性。共有 240 项研究符合纳入标准,分为评估、试验、试点干预或实施研究。报告的优势包括社区参与和伙伴关系;样本质量;原住民和托雷斯海峡岛民参与研究;文化上适当和安全的研究实践;能力建设工作;为服务和社区提供资源或降低成本;了解当地文化和背景;以及完成的适当时间表。报告的局限性包括难以达到目标样本量;时间不足;资金和资源有限;卫生工作者和服务的能力有限;以及社区参与和沟通问题不足。本综述强调,社区咨询和领导,加上适当的时间和资金,可以进行原住民和托雷斯海峡岛民健康干预研究。这些因素可以使有效的干预研究成为可能,从而有助于改善原住民和托雷斯海峡岛民的健康和福祉结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e3/10001772/45bd745d9df4/ijerph-20-03993-g001.jpg

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