Papa Evan V, Patel Rupal M, Windsor Nicole, Capo-Lugo Carmen
Department of Rehabilitation Sciences, Tufts University School of Medicine, Seattle, Washington, USA.
School of Physical Therapy, Texas Woman's University, Houston, Texas, USA.
Phys Ther. 2024 Oct 2;104(10). doi: 10.1093/ptj/pzae102.
The COVID-19 pandemic and recent incidents of social injustice exposed the systemic racism and discrimination in health care and clinical research that perpetuate systemic inequities. This perspective utilizes the acronym JEDI (justice, equity, diversity, and inclusion) as a vision for addressing inequities in physical therapy research. The need to go beyond diversity and focus on inclusion, equity, and justice is emphasized to achieve transformation within physical therapy research. The prevailing research paradigms are examined, acknowledging that research can perpetuate inequities and reinforcing the importance of integrating JEDI principles into the research process. The underrepresentation of diverse researchers in physical therapy is discussed, as well as the barriers faced by underrepresented researchers and research participants. Funding disparities are also highlighted, emphasizing the need for JEDI principles in research funding practices. How other health professions' associations are addressing JEDI in research is also explored. The authors propose a framework for action, utilizing the concepts of the socioecological model to identify gaps in JEDI within physical therapy research at different levels of influence and conclude by emphasizing the importance of justice in dismantling inequitable systems and urge the physical therapy research community to become JEDI warriors to bring about transformative change.
By championing cultures that value justice, equity, diversity, and inclusion, individuals within the physical therapy research community have the potential to ignite a powerful transformation in society. The authors envision a future where JEDI warriors emerge, embracing the spirit of "Do or do not. There is no try," to forge a research community that is inclusive for all. 1 Drawing inspiration from this mindset, this perspective seeks to empower individuals to harness the force of a JEDI warrior, fostering cultures that value justice, embrace inclusive methodologies, and ensure equitable access to resources and opportunities for researchers and participants.
新冠疫情以及近期的社会不公事件暴露了医疗保健和临床研究中存在的系统性种族主义和歧视,这些现象使系统性不平等长期存在。本文观点使用首字母缩写词JEDI(正义、公平、多样性和包容性)作为解决物理治疗研究中不平等问题的愿景。强调超越多样性,关注包容性、公平性和正义的必要性,以实现物理治疗研究的变革。审视了当前的研究范式,认识到研究可能会使不平等长期存在,并强调将JEDI原则融入研究过程的重要性。讨论了物理治疗领域中不同研究者代表性不足的问题,以及代表性不足的研究者和研究参与者所面临的障碍。还强调了资金差距,突出了研究资助实践中JEDI原则的必要性。探讨了其他健康专业协会在研究中如何应对JEDI问题。作者提出了一个行动框架,利用社会生态模型的概念来识别物理治疗研究在不同影响层面上JEDI方面的差距,并在结尾强调正义在消除不公平系统中的重要性,敦促物理治疗研究界成为JEDI战士,以带来变革性的改变。
通过倡导重视正义、公平、多样性和包容性的文化,物理治疗研究界的个人有潜力在社会中引发强大的变革。作者设想了一个未来,JEDI战士出现,秉持“要么做,要么不做。没有试试看”的精神,打造一个对所有人都包容的研究社区。1 受这种思维方式的启发,本文观点旨在赋予个人力量,使其发挥JEDI战士的力量,培育重视正义、采用包容性方法并确保研究人员和参与者公平获取资源和机会的文化。