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实施研究中社区参与式数据收集与分析方法

Methods for community-engaged data collection and analysis in implementation research.

作者信息

Palinkas Lawrence A, Springgate Benjamin, Cabassa Leopoldo J, Shin Michelle, Garcia Samantha, Crabtree Benjamin F, Tsui Jennifer

机构信息

Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 920932, USA.

Department of Medicine, LSU School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA.

出版信息

Implement Sci Commun. 2025 Apr 7;6(1):38. doi: 10.1186/s43058-025-00722-z.

Abstract

BACKGROUND

Community engagement is widely recognized as critical to successful and equitable implementation of evidence-based practices, programs, and policies. However, there are no clear guidelines for community involvement in data collection and analysis in implementation research.

METHODS

We describe three specific methods for engaging community members in data collection and analysis: concept mapping, rapid ethnographic assessment, and Photovoice. Common elements are identified from a case study of each method: 1) selection and adaptation of evidence-based strategies for improving adolescent HPV vaccine initiation rates in disadvantaged communities, 2) strategies for implementing medication for opioid use disorders among low-income Medicaid enrollees during natural disasters, and 3) interventions to improve the physical health of adults with severe mental illness living in supportive housing.

RESULTS

In all three cases, community members assisted in participant recruitment, provided data, and validated preliminary findings created by researchers. In the Photovoice case study, community members participated in both data collection and analysis, while in the concept mapping, community members also participated in the initial phase of organizing and prioritizing evidence-based strategies during the data analysis.

CONCLUSIONS

Community involvement in implementation research data collection and analysis contributes to greater engagement and empowerment of community members and validation of study findings. Use of methods that exhibit both scientific rigor and community relevance of implementation research also contributes to greater community investment in successful implementation outcomes. Nevertheless, the case studies point to the importance and efficiency of the division of labor embedded in community-engaged implementation research. Building capacity for community members to assume greater roles in obtaining and organizing data for preliminary analysis prior to interpretation is recommended.

摘要

背景

社区参与被广泛认为对于循证实践、项目和政策的成功及公平实施至关重要。然而,在实施研究中,对于社区参与数据收集和分析尚无明确指南。

方法

我们描述了三种让社区成员参与数据收集和分析的具体方法:概念图法、快速人种学评估法和摄影之声法。从每种方法的一个案例研究中确定了共同要素:1)为提高弱势社区青少年人乳头瘤病毒(HPV)疫苗接种率而选择和调整循证策略;2)在自然灾害期间为低收入医疗补助参保者实施阿片类药物使用障碍药物治疗的策略;3)改善居住在支持性住房中的重度精神疾病成年人身体健康的干预措施。

结果

在所有这三个案例中,社区成员协助招募参与者、提供数据并验证研究人员得出的初步结果。在摄影之声案例研究中,社区成员参与了数据收集和分析,而在概念图法中,社区成员在数据分析期间还参与了组织循证策略并确定其优先级的初始阶段。

结论

社区参与实施研究的数据收集和分析有助于提高社区成员的参与度和赋权,并验证研究结果。使用兼具科学严谨性和实施研究社区相关性的方法也有助于社区对成功实施成果进行更多投资。尽管如此,案例研究指出了社区参与实施研究中劳动分工的重要性和效率。建议培养社区成员的能力,使其在解释之前在获取和组织数据以进行初步分析方面发挥更大作用。

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