“这只是好的科学”:一项探索加拿大关节炎研究公平性、多样性和包容性的定性研究。

IF 3.7 2区 医学 Q1 RHEUMATOLOGY
Megan M Thomas, Mark Harrison, Cheryl Barnabe, Charlene E Ronquillo, J Antonio Avina-Zubieta, Anna Samson, Michael Kuluva, Natasha Trehan, Mary A De Vera
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引用次数: 0

摘要

目的:尽管我们知道健康结果会根据患者的特征、身份和地理位置而变化,但在关节炎研究中包括代表性不足的人群仍然是一个挑战。我们进行了访谈,以探讨关节炎研究人员如何使用公平、多样性和包容性(EDI)原则来指导他们的研究。方法:对以下人员进行半结构化访谈:1)有进行关节炎研究的经验;2)在加拿大居住和/或进行研究;3)说英语或法语。参与者是采用有目的和受访者驱动的抽样方式招募的。采访是通过视频电话进行的,录音记录是抄录的。模板分析应用于访谈记录,以探索参与者在关节炎研究中的经验和EDI的看法。结果:参与者(n=22)认为在关节炎研究中缺乏代表性意味着无法提供全面的护理。参与者强调在所有关节炎研究的早期考虑EDI,以有效地影响研究。主题被分类为好处、障碍和促进因素。人们认为的好处是能够产生知识和减少健康差距。障碍包括来自历史上被剥削人群的不信任、意想不到的后果、缺乏获得研究机会的途径以及后勤方面的挑战。促进因素包括建立社区合作伙伴关系,策划多样化的研究团队,激励研究人员和资助者的支持,以及在研究环境中培养谦逊。结论:需要提高研究中的代表性,以改善不同人群关节炎患者的健康结果。必须解决EDI在研究中的障碍,同时必须促进伙伴关系和支持,以在加拿大的关节炎研究中获得更多的代表性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"It's Just Good Science": A Qualitative Study Exploring Equity, Diversity, and Inclusion in Canadian Arthritis Research.

Objective: Despite knowledge that health outcomes vary according to patient characteristics, identity, and geography, including underrepresented populations in arthritis research remains a challenge. We conducted interviews to explore how researchers in arthritis have used equity, diversity, and inclusion (EDI) principles to inform their research.

Methods: Semistructured interviews were conducted with individuals who 1) have experience conducting arthritis research studies, 2) reside in and/or conduct their research in Canada, and 3) speak English or French. Participants were recruited using purposive and respondent-driven sampling. Interviews were conducted over video call and audio recordings were transcribed. Template analysis was applied to interview transcripts to explore participant experiences and perceptions of EDI in arthritis research.

Results: Participants (n = 22) identified that a lack of representation in arthritis research translates to the inability to provide comprehensive care. Participants emphasized considering EDI early in all arthritis research to effectively affect a study. Themes were categorized as benefits, barriers, and facilitators. The perceived benefits were the ability to generate knowledge and reduce health disparities. Barriers included mistrust from historically exploited populations, unintended consequences, lack of access to research opportunities, and logistical challenges. Facilitators included building community partnerships, curating diverse research teams, incentivizing researchers and funder support, and fostering humility in research environments.

Conclusion: Improving representation in research is needed to improve health outcomes for diverse groups of people living with arthritis. Identified barriers to EDI in research must be addressed and partnerships and supports must be facilitated to achieve more representation in arthritis research within Canada.

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来源期刊
CiteScore
9.40
自引率
6.40%
发文量
368
审稿时长
3-6 weeks
期刊介绍: Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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