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让有实际生活经验的人参与社区参与式研究中的社区咨询委员会:一项范围综述。

Engaging people with lived experience on community advisory boards in community-based participatory research: a scoping review.

作者信息

Nelson Georgia, Jenkins Meghan, Knox Bruce, Purkey Eva, Chan-Nguyen Sophy, Cole Michele, Jackson Logan, Bayoumi Imaan

机构信息

School of Medicine, Queen's University, 80 Barrie Street, Kingston, ON, K7L 3N6, Canada.

Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada.

出版信息

Int J Equity Health. 2025 Jul 18;24(1):209. doi: 10.1186/s12939-025-02573-5.

Abstract

OBJECTIVES

Community-based participatory research (CBPR) is a collaborative research process which engages researchers and community members as equals during all phases of a research project. This approach promotes social change and enhances the practical relevance of the research. One key tool in CBPR is the community advisory board (CAB), where individuals with lived experience and community organizations are integrated into the research process and align research with community priorities. This scoping review: (1) explores best practices for effective recruitment and engagement of people with lived experience (PWLE) on CABs; and (2) identifies the scope of literature on minimizing power dynamics between organizations and community members with lived experience who work on CABs together.

DESIGN

A scoping review was conducted utilizing Embase, Medline and PsychINFO. Peer reviewed publications and grey literature published between Jan. 1, 1990, and Mar. 30, 2023, were considered. Two independent reviewers screened references in successive stages of title/abstract and full-text screening. Conflicts were resolved by consensus or a third reviewer. Selected studies were analyzed using a content analysis strategy with NVIVO software.

RESULTS

2346 peer-reviewed studies and 15 articles of grey literature were identified with initial search and 53 texts were included in final analysis. Three main themes were identified; recruitment of PWLE; engagement of PWLE; and navigating power dynamics of PWLE working alongside representatives of community organizations. Within recruitment, subthemes of CAB selection strategies, challenges, and successes were reported. Within engagement, subthemes of CAB management, CAB roles and activities, capacity strategies, challenges, successes, and compensation of members were reported. Lastly, within PWLE working alongside organizational representatives, subthemes of challenges and mitigation strategies were reported. We emphasize the importance of relationship building and mutual respect within the CAB; clearly defined roles and responsibilities to reduce role confusion and tokenism; appropriate compensation, whether monetary or otherwise, bi-directional capacity building; and the use of a cultural insider whilst establishing/operating a CAB.

CONCLUSIONS

We identified key factors that contribute to the effective recruitment and engagement of PWLE on CABs in the context of CBPR. This scoping review, completed by a CBPR group, identified key factors that can be utilized by other CBPR groups to better engage PWLE on CABs. Further research is needed to demonstrate the proposed best practices’ influence on CAB effectiveness.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s12939-025-02573-5.

摘要

目标

基于社区的参与式研究(CBPR)是一个协作性的研究过程,在研究项目的所有阶段,研究人员和社区成员都是平等的参与者。这种方法促进社会变革,并提高研究的实际相关性。CBPR的一个关键工具是社区咨询委员会(CAB),有实际生活经验的个人和社区组织被纳入研究过程,并使研究与社区优先事项保持一致。本范围综述:(1)探索在CAB中有效招募和吸引有实际生活经验的人(PWLE)的最佳实践;(2)确定关于尽量减少在CAB中共同工作的组织与有实际生活经验的社区成员之间权力动态的文献范围。

设计

利用Embase、Medline和PsychINFO进行范围综述。考虑了1990年1月1日至2023年3月30日期间发表的同行评审出版物和灰色文献。两名独立评审员在标题/摘要和全文筛选的连续阶段筛选参考文献。冲突通过协商一致或由第三位评审员解决。使用NVIVO软件的内容分析策略对选定的研究进行分析。

结果

通过初步检索确定了2346篇同行评审研究和15篇灰色文献文章,最终分析纳入了53篇文本。确定了三个主要主题;PWLE的招募;PWLE的参与;以及应对与社区组织代表一起工作的PWLE的权力动态。在招募方面,报告了CAB选择策略、挑战和成功的子主题。在参与方面,报告了CAB管理、CAB角色和活动、能力策略、挑战、成功以及成员补偿的子主题。最后,在与组织代表一起工作的PWLE方面,报告了挑战和缓解策略的子主题。我们强调在CAB中建立关系和相互尊重的重要性;明确界定角色和责任以减少角色混淆和象征主义;适当的补偿,无论是金钱还是其他形式,双向能力建设;以及在建立/运营CAB时使用文化内部人士。

结论

我们确定了在CBPR背景下有助于在CAB中有效招募和吸引PWLE的关键因素。这个由CBPR小组完成的范围综述确定了其他CBPR小组可以利用的关键因素来更好地让PWLE参与CAB。需要进一步的研究来证明所提出的最佳实践对CAB有效性的影响。

补充信息

在线版本包含可在10.1186/s12939-025-02573-5获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b854/12273312/56bb1080256f/12939_2025_2573_Fig1_HTML.jpg

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