实施研究中社区参与的数据收集和分析方法。

Lawrence A Palinkas, Benjamin Springgate, Leopoldo J Cabassa, Michelle Shin, Samantha Garcia, Benjamin F Crabtree, Jennifer Tsui
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引用次数: 0

摘要

背景:社区参与被广泛认为是成功和公平实施循证实践、规划和政策的关键。然而,对于社区参与数据收集和实施研究分析尚无明确的指导方针。方法:我们描述了让社区成员参与数据收集和分析的三种具体方法:概念图、快速人种志评估和Photovoice。从每种方法的案例研究中确定了共同要素:1)选择和适应以证据为基础的策略,以提高弱势社区青少年HPV疫苗的启动率;2)在自然灾害期间对低收入医疗补助计划参与者实施阿片类药物使用障碍的策略;3)干预措施,以改善生活在支持性住房中的严重精神疾病成年人的身体健康。结果:在这三个案例中,社区成员协助招募参与者,提供数据,并验证了研究人员的初步发现。在Photovoice案例研究中,社区成员参与了数据收集和分析,而在概念图中,社区成员也参与了数据分析过程中组织和优先考虑循证策略的初始阶段。结论:社区参与实施研究数据的收集和分析有助于社区成员的更多参与和赋权,并有助于验证研究结果。采用既具有科学严谨性又与社区相关的实施研究方法,也有助于增加社区对成功实施成果的投资。然而,案例研究指出了社区参与的实施研究中劳动分工的重要性和效率。建议建立社区成员的能力,使其在获取和组织数据以便在解释之前进行初步分析方面发挥更大作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methods for community-engaged data collection and analysis in implementation research.

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.

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