中低收入国家精神与脑健康研究的社区参与概念化:肯尼亚基利菲县案例。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Edna N Bosire, Linda Khakali, Jasmit Shah, Lucy Wambui, Andrew Aballa, Willie Njoroge, Anthony Ngugi, Zul Merali
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引用次数: 0

摘要

越来越多的人认识到,社区参与(CE)是成功开展健康促进和干预计划的关键因素。然而,CE 一词在不同的环境中有着不同的含义。在本文中,我们将探讨肯尼亚基利菲县的精神和大脑健康领域是如何将社区参与概念化的。我们采用了人种学方法,包括焦点小组讨论、关键信息提供者访谈和观察,有针对性地从基利菲县招募了 65 名参与者。我们对数据进行了逐字记录和专题分析。我们的研究结果表明,社区成员和利益相关者对行政首长协调会有不同的看法和体验。研究人员与社区成员之间的信任、宣传和提高认识等因素是接受研究项目的关键。部分参与研究、缺乏获取信息的途径、贫困和社会经济挑战以及对研究人员的经济期望阻碍了社区参与,并导致对参与研究项目的抵制。为了有效开展社区参与,有必要与社区看门人密切合作,提高对研究项目的认识,使用当地语言,并确保持续参与,以促进公平的研究参与。我们的研究结果表明,隐性知识、背景和研究机制都是 CE 的关键特征,应加以考虑,以提高肯尼亚对精神和大脑健康干预措施的接受度和可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Conceptualizing Community Engagement for Mental and Brain Health Research in Low- and Middle-Income Countries: A Case of Kilifi County, Kenya.

Community engagement (CE) has increasingly been recognized as a critical element for successful health promotion and intervention programs. However, the term CE has been used to mean different things in different settings. In this article, we explore how CE has been conceptualized in the field of mental and brain health in Kilifi County, Kenya. We used ethnographic methods encompassing focused group discussions, key informant interviews, and observations with 65 participants, purposively recruited from Kilifi County. Data were transcribed verbatim and thematically analyzed. Our findings show that community members and stakeholders had diverse perceptions of and experiences with CE. Factors such as trust between researchers and community members, sensitization, and awareness creation were key for acceptance of research projects. Partial involvement in research, lack of access to information, poverty and socio-economic challenges, and financial expectations from researchers hindered CE and led to resistance to participation in research projects. For effective CE, there is a need to work closely with community gatekeepers, create awareness of the research projects, use local languages, and ensure continuous engagement that promotes equitable research participation. Our findings suggest that tacit knowledge, context, and mechanisms for research are all critical features of CE and should be considered to enhance acceptance and sustainability of mental and brain health interventions in Kenya.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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