Chan Felicia Jia Hui, Chan Alyssa Yenyi, Zhuang Wen Xi, Rajendram Priyanka, Quek Joseph Jie Hui, Tan Weng Mooi, Yong Yoek Ling, Song Clarice Liying, Hildon Zoe Jane-Lara
Saw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, Level 09-03J, Singapore, 117549, Singapore.
Ministry of Health Office for Healthcare Transformation, 1 North Buona Vista Link, #09-02 Elementum, Singapore, 139691, Singapore.
BMC Public Health. 2025 Jan 24;25(1):301. doi: 10.1186/s12889-024-21046-y.
Enabling community-led health initiatives will contribute to reducing the burdens on the healthcare system. Implementing such initiatives successfully in high and upper-middle income Asian countries is poorly understood and documented. We undertook a Rapid Review, systematically synthesising the evidence to develop implementation guidelines to address this gap.
Eligible studies focused on community movements or affiliated constructs in upper-middle and high-income Asian countries, conducted between 2014 and 2021. Studies were sought from either electronic databases - Cochrane and Campbell Collaboration, PubMed, Embase, CINAHL, SCOPUS, APA Psycinfo, Web of Science, Google Scholar - or recommendation from experts. Extraction was undertaken according to mid-level programme goals, termed Intermediate Results. These were conceptualized by a cross-disciplinary team and iteratively reworked as analysis progressed. Framework analysis was undertaken and structured according to the IRs. 28 studies (9 mixed methods, 9 quantitative, 7 qualitative and 3 case studies) were included and synthesised.
The MovEMENTs checklist and related strategies were elicited through the review. The six Intermediate Results include to: (1) Move the community to be recruited and retained (2) Engage capacity and build capability; (3) Maintain emotional resonance; (4) Embed participatory approaches; (5) Nurture network building and partnerships; (6) Team up to improve commissioning and funding structures. Sixteen strategies and related implementation guidelines underpinning the Intermediate Results are extracted from the evidence-base of included studies.
The MovEMENTs for Health checklist is developed to serve as a guide for implementers and proposed to be adaptable to various contexts. The checklist should be tested, validated, and updated as a field tool.
PROSPERO ID: CRD42023471832.
推动社区主导的健康倡议将有助于减轻医疗系统的负担。在亚洲高收入和中高收入国家成功实施此类倡议的情况鲜为人知且记录不足。我们进行了一项快速综述，系统地综合证据以制定实施指南来填补这一空白。
符合条件的研究聚焦于2014年至2021年间在亚洲中高收入和高收入国家开展的社区运动或相关概念。研究来源包括电子数据库——Cochrane和坎贝尔协作网、PubMed、Embase、CINAHL、SCOPUS、美国心理学会心理学文摘数据库、科学引文索引、谷歌学术——或专家推荐。根据中级项目目标（称为中间结果）进行提取。这些目标由一个跨学科团队进行概念化，并随着分析的推进进行反复修改。进行框架分析并根据中间结果进行构建。纳入并综合了28项研究（9项混合方法研究、9项定量研究、7项定性研究和3项案例研究）。
通过综述得出了MovEMENTs清单及相关策略。六个中间结果包括：（1）动员社区参与并保持参与度；（2）调动能力并培养能力；（3）保持情感共鸣；（4）融入参与式方法；（5）培育网络建设和伙伴关系；（6）共同努力改善委托和资助结构。从纳入研究的证据基础中提取了支持中间结果的16项策略及相关实施指南。
制定了健康MovEMENTs清单，为实施者提供指导，并建议可适应各种情况。该清单应作为实地工具进行测试、验证和更新。
PROSPERO注册号：CRD42023471832。
