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探索如何扩大公共卫生干预措施的可接受性:系统评价方案。

Exploring how to widen the acceptability of public health interventions: a systematic review protocol.

机构信息

NIHR Policy Research Unit Behavioural and Social Sciences, Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.

NIHR Policy Research Unit Behavioural and Social Sciences, Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.

出版信息

BMJ Open. 2024 Nov 9;14(11):e088418. doi: 10.1136/bmjopen-2024-088418.

DOI:10.1136/bmjopen-2024-088418
PMID:39521457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11551972/
Abstract

INTRODUCTION

Health interventions that require significant change to individual lifestyles or social norms can pose a challenge for widespread public acceptability and uptake. At the same time, over the last two decades, there has been increasing attention paid to the rise of populist movements globally, defined by 'the people' pushing against 'an elite' viewed as depriving the people of their sovereignty. To understand potential overlap in these two areas, this study aims to synthesise existing international evidence on linkages between populist attitudes and reduced uptake, acceptability, adherence and/or effectiveness of public health interventions. The goal of this work is to create a conceptual framework that can be used to inform policy strategies aimed at widening the impact of public health interventions.

METHODS AND ANALYSIS

A systematic review will be performed via searches across databases and websites relevant to public health and social science research, informed by preliminary searches on the topic. There will be no language restrictions, but included studies will be limited to those produced since 2008, the year of the global financial crisis, from which most current literature on populism dates. Risk of bias will be assessed using validated tools according to study design. Due to expected heterogeneity across included studies, this will be a systematic review without meta-analysis. Findings will be synthesised narratively, and the strength of the evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. The review will be reported according to the Systematic Reviews without Meta-Analysis reporting guidelines.

ETHICS AND DISSEMINATION

Ethical review is not required for this study. Public dissemination will be informed via consultation with our Patient and Public Involvement and Engagement Strategy Group, along with reporting via peer-reviewed publication, relevant international conferences, a policy brief and a workshop with public health and communications experts.

PROSPERO REGISTRATION NUMBER

CRD42024513124.

摘要

简介

需要对个人生活方式或社会规范进行重大改变的健康干预措施可能会对广泛的公众接受度和采用度构成挑战。与此同时,在过去的二十年中,人们越来越关注全球民粹主义运动的兴起,这些运动的特点是“人民”反对被视为剥夺人民主权的“精英”。为了了解这两个领域之间的潜在重叠,本研究旨在综合现有的国际证据,探讨民粹主义态度与公共卫生干预措施的采用率降低、可接受性、依从性和/或有效性之间的联系。这项工作的目的是创建一个概念框架,用于为旨在扩大公共卫生干预措施影响的政策策略提供信息。

方法和分析

将通过对与公共卫生和社会科学研究相关的数据库和网站进行系统搜索来进行系统评价,这将基于对该主题的初步搜索。本研究将不限制语言,但纳入的研究将仅限于自 2008 年全球金融危机以来发表的研究,这是目前关于民粹主义文献的大多数年份。根据研究设计,使用经过验证的工具评估偏倚风险。由于预计纳入研究之间存在异质性,因此这将是一个没有荟萃分析的系统评价。研究结果将以叙述性方式进行综合,并使用推荐评估、制定和评估方法评估证据的强度。该评价将根据系统评价和荟萃分析报告指南进行报告。

伦理和传播

本研究不需要伦理审查。公众传播将通过与我们的患者和公众参与及参与战略小组协商,并通过同行评议出版物、相关国际会议、政策简报以及与公共卫生和传播专家的研讨会进行报告来进行。

PROSPERO 注册号:CRD42024513124。

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