Rizzone Katherine H, Agnew Megan, Kliethermes Stephanie A, Arthur Megan Nicole, Burton Monique, Day Carly, Nicholson Caitlin, Ray Julia, Stern Nicole, Drezner Jonathan A, Kroshus Emily, Blauwet Cheri
Department of Orthopaedics, University of Rochester Medical Center, Rochester, New York, USA
Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin, UK.
Br J Sports Med. 2025 Feb 6;59(4):272-282. doi: 10.1136/bjsports-2024-109286.
Limited guidance exists for conducting research on health disparities within the field of sport and exercise medicine (SEM). This review aimed to identify and summarise existing best practices for conducting equitable, diverse and inclusive research within SEM.
A narrative review with evidence synthesis was conducted using electronic databases, reference lists, manual searches and relevant publications from other organisations. Search terms associated with steps of the research process were used in tandem with 'equity', 'inclusion' and 'health disparities'.
We developed a research roadmap for SEM researchers with methodological recommendations to develop and conduct equity-informed and equity-focused research. This roadmap serves as a tool for SEM researchers and clinicians to design, execute and disseminate research with a health disparities lens. We recommend SEM researchers should build an equitable, diverse and inclusive research team and include community members; apply a multilevel, intersectional framework; minimise and acknowledge potential biases in the study design and incorporate qualitative or mixed-methods approaches if appropriate; apply multiple inclusive strategies for recruiting and retaining diverse populations; collect accurate and representative data using inclusive data collection methods and tools with validity and reliability in the populations of interest; apply measures with evidence of validity and reliability in the populations of interest; implement a data analysis plan that reflects the conceptual and theoretical frameworks; and promote broad dissemination and interventions that ultimately address and reduce health inequities.
SEM researchers should consider these methodological recommendations to conduct equity-informed and equity-focused research to address health disparities in SEM.
在运动与运动医学(SEM)领域,针对健康差异开展研究的指导有限。本综述旨在识别并总结在SEM领域开展公平、多样和包容研究的现有最佳实践。
采用电子数据库、参考文献列表、手工检索以及其他组织的相关出版物进行证据综合的叙述性综述。与研究过程步骤相关的检索词与“公平”“包容”和“健康差异”一并使用。
我们为SEM研究人员制定了一份研究路线图,并提出了方法学建议,以开展基于公平且聚焦公平的研究。该路线图可作为SEM研究人员和临床医生以健康差异视角设计、开展和传播研究的工具。我们建议SEM研究人员应组建一个公平、多样和包容的研究团队并纳入社区成员;应用多层次、交叉性框架;在研究设计中尽量减少并承认潜在偏差,如有必要纳入定性或混合方法;采用多种包容策略招募和留住多样化人群;使用在目标人群中具有有效性和可靠性的包容性数据收集方法和工具收集准确且具有代表性的数据;应用在目标人群中具有有效性和可靠性证据的测量方法;实施反映概念和理论框架的数据分析计划;并促进广泛传播和干预措施,最终解决并减少健康不平等问题。
SEM研究人员应考虑这些方法学建议,开展基于公平且聚焦公平的研究,以解决SEM中的健康差异问题。