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将社区参与概念化为通过“研究”、“社区组织”和“知识转化”的有限游戏来实施的无限游戏。

Conceptualising community engagement as an infinite game implemented through finite games of 'research', 'community organising' and 'knowledge mobilisation'.

机构信息

Department of Family Medicine, Department of Community Health Sciences, Cumming School of Medicine, O'Brien Institute for Public Health, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.

Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

Health Expect. 2023 Oct;26(5):1799-1805. doi: 10.1111/hex.13801. Epub 2023 Jun 23.

Abstract

Meaningful community engagement process involves focusing on the community needs, building community capacity and employing culturally tailored and community-specific strategies. In the current practices of community-engaged health and wellness research, generally, community engagement activities commence with the beginning of a particular research project on a specific topic and end with the completion of the project. The outcomes of the community engagement, including the trust, partnership and contribution of the community to research, thus remain limited to that specific project and are not generally transferred and fostered further to the following project on a different topic. In this viewpoint article, we discussed a philosophical approach to community engagement that proposes to juxtapose community engagement for the specific short-term research project and the overarching long-term programme of research with the finite game and infinite game concepts, respectively. A finite game is a concept of a game where the players are known, rules are fixed and when the agreed-upon goal is achieved, the game ends. On the other hand, in infinite games, the players may be both known and unknown, have no externally fixed rules and have the objective of continuing the game beyond a particular research project. We believe community engagement needs to be conducted as an infinite game that is, at the programme of research level, where the goal of the respective activities is not to complete a research project but to successfully engage the community itself is the goal. While conducting various research projects, that is, finite games, the researchers need to keep an infinite game mindset throughout, which includes working with the community for a just cause, building trust and community capacity to maximise their contribution to research, prioritising community needs and having the courage to lead the community if need be. Patient or Public Contribution: While preparing this manuscript, we have partnered actively with community champions, activists, community scholars and citizen researchers at the community level from the very beginning. We had regular interactions with them to get their valuable and insightful inputs in shaping our reflections. Their involvement as coauthors in this paper also provided a learning opportunity for them and facilitated them to gain insight on knowledge engagement. All authors support greater community/citizen/public involvement in research in an equitable manner.

摘要

有意义的社区参与过程涉及关注社区需求、建设社区能力以及采用文化适配和社区特定的策略。在当前社区参与的健康和保健研究实践中,社区参与活动通常从特定研究项目的开始进行,该项目涉及特定主题,并在项目完成时结束。社区参与的结果,包括社区对研究的信任、伙伴关系和贡献,因此仅限于该特定项目,通常不会进一步转移和促进到下一个不同主题的项目。在这篇观点文章中,我们讨论了一种社区参与的哲学方法,该方法建议将特定短期研究项目的社区参与与研究的总体长期计划并列,分别用有限游戏和无限游戏的概念来表示。有限游戏是一种游戏概念,其中参与者是已知的,规则是固定的,当商定的目标达成时,游戏结束。另一方面,在无限游戏中,参与者可能是已知的,也可能是未知的,没有外部固定的规则,目标是在特定研究项目之外继续游戏。我们认为,社区参与需要作为一种无限游戏来进行,即在研究计划层面上,活动的目标不是完成一个研究项目,而是成功地让社区本身参与进来。在进行各种研究项目时,即有限游戏,研究人员需要始终保持无限游戏的思维模式,包括为正义事业与社区合作、建立信任和社区能力,以最大限度地提高他们对研究的贡献、优先考虑社区需求,并在需要时勇于领导社区。患者或公众贡献:在撰写本文的过程中,我们从一开始就积极与社区拥护者、活动家和社区学者以及社区层面的公民研究人员合作。我们定期与他们互动,以获得他们在塑造我们的思考方面的宝贵和有见地的意见。他们作为共同作者参与本文也为他们提供了一个学习机会,并帮助他们了解知识参与。所有作者都支持以公平的方式让更多的社区/公民/公众更平等地参与研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7319/10485326/4f235386fbfd/HEX-26--g001.jpg

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