Gogoi Mayuri, Baggaley Rebecca F, Silva Luisa, Lal Zainab, Reilly Holly, Modhwadia Vishant, Pan Daniel, Bird Paul, Nellums Laura, Pareek Manish
Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Development Centre for Population Health, University of Leicester, Leicester, UK.
Health Expect. 2025 Aug;28(4):e70337. doi: 10.1111/hex.70337.
BACKGROUND: Migrants' participation in health research is essential to give voice to their needs and inform evidence-based practice. We conducted a mixed-methods study with migrants living in Leicester, United Kingdom, to understand their perceptions of participation in health research and factors influencing participation. METHODS: Our study included a questionnaire and focus groups with migrants. Interviews and focus groups were also conducted with key informants. The study was carried out at two sites in Leicester. Questionnaire data were analysed descriptively in R. The COM-B framework was used to thematically analyse interview and focus group transcripts. Workshops with public members of migrant origin helped with data interpretation and analysis. RESULTS: 119 questionnaires and 4 focus groups (n = 28) were completed with migrants. Seven interviews and one focus group (n = 7) were conducted with key informants. Questionnaire respondents originated from 34 different countries, with a significant proportion (25%) identifying themselves as asylum seekers/refugees. Migrants in the focus groups were from 16 different countries and were mainly asylum seekers/refugees (n = 18). The three components of the COM-B model (Capability, Opportunity and Motivation) were identified as the main themes, and descriptive statistics from the questionnaire data have been used to supplement the 16 sub-themes. Individual capabilities encompassing awareness and perception of research, language abilities and skills in the use of technology significantly influenced participation. Simultaneously, the presence or absence of opportunities such as costs, competing needs and priorities, healthcare access and experiences in the United Kingdom, language barriers, opportunities for learning and taking part, precarious living conditions and socio-cultural norms and perceptions about health were found to be important for research participation. Motivations to take part in research included trust, context of the research, need-based research, altruism, desire to be heard and receiving incentives. CONCLUSION: Our study contributes to the limited evidence base exploring migrants' participation in health research. Our findings, grounded in the COM-B model, exhibit how migrants' motivations, influenced by a host of individual capabilities and environmental and social opportunities, can influence motivation and impact research participation behaviour. These findings may support the design of accessible, inclusive, equitable and impactful health research involving underserved groups. PATIENT OR PUBLIC CONTRIBUTION: Patient and Public Involvement and Engagement (PPIE) in the project was obtained through the EMBRACE (East Midlands Migrant Research Advisory Collaborative) group, which was created as a migrant specific advisory group in 2019. We recruited new migrant members into the group and involved them in the interpretation of the study results. We organised two workshops with the group, and in the first workshop, held in February 2024, nine members took part to review the preliminary results and offer insights in contextualising and interpreting the data. The research team took into consideration the feedback received at the workshop and integrated it into the analysis. The final analysis was presented to the group again in September 2024, and the discussions held at that workshop were instrumental in shaping this manuscript.
背景:移民参与健康研究对于表达他们的需求并为循证实践提供依据至关重要。我们对居住在英国莱斯特的移民进行了一项混合方法研究,以了解他们对参与健康研究的看法以及影响参与的因素。 方法:我们的研究包括对移民进行问卷调查和焦点小组访谈。还对关键信息提供者进行了访谈和焦点小组访谈。该研究在莱斯特的两个地点进行。问卷数据在R软件中进行描述性分析。采用COM-B框架对访谈和焦点小组记录进行主题分析。与移民出身的公众成员举办的研讨会有助于数据解读和分析。 结果:共完成了119份移民问卷和4个焦点小组访谈(n = 28)。对关键信息提供者进行了7次访谈和1个焦点小组访谈(n = 7)。问卷受访者来自34个不同国家,其中相当一部分(25%)将自己认定为寻求庇护者/难民。焦点小组中的移民来自16个不同国家,主要是寻求庇护者/难民(n = 18)。COM-B模型的三个组成部分(能力、机会和动机)被确定为主要主题,问卷数据的描述性统计用于补充16个子主题。包括对研究的认识和认知、语言能力以及技术使用技能在内的个人能力对参与有显著影响。同时,发现诸如成本、相互竞争的需求和优先事项、在英国获得医疗服务的机会和经历、语言障碍、学习和参与的机会、不稳定的生活条件以及关于健康的社会文化规范和认知等机会的有无对研究参与很重要。参与研究的动机包括信任、研究背景、基于需求的研究、利他主义、被倾听的愿望以及获得激励。 结论:我们的研究为探索移民参与健康研究的有限证据库做出了贡献。我们基于COM-B模型的研究结果展示了移民的动机如何受到一系列个人能力以及环境和社会机会的影响,进而影响动机并影响研究参与行为。这些发现可能有助于设计涉及服务不足群体的可及、包容、公平且有影响力的健康研究。 患者或公众贡献:该项目中的患者和公众参与与合作(PPIE)是通过EMBRACE(东米德兰兹移民研究咨询协作组织)小组实现的,该小组于2019年作为一个特定于移民的咨询小组成立。我们招募了新的移民成员加入该小组,并让他们参与研究结果的解读。我们与该小组组织了两次研讨会,在2024年2月举行的第一次研讨会上,九名成员参与审查初步结果并就数据的背景化和解读提供见解。研究团队考虑了在研讨会上收到的反馈并将其纳入分析。最终分析结果于2024年9月再次提交给该小组,该研讨会上进行的讨论对形成本手稿起到了重要作用。
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