通过公共捐助解决服务不足人口的保健需要:为性和性别少数群体被迫移徙者确定优先次序和制定同伴支助干预措施

IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Tommy Carlsson, Rogers Kissiti, Maria Jirwe, Elisabet Mattsson, Louise von Essen, Maria Gottvall
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引用次数: 0

摘要

服务不足人口的健康,包括性和性别少数群体被迫移徙者的健康,是一个紧迫的全球关切。研究中的公共贡献有可能提高干预发展的优先级和援助,但是由于缺乏足够的多样性和对服务不足人群的参与而受到批评。方法核心课题组与8位专家开展了8场工作坊,以实践经验为指导,对未来同伴支持干预研究进行优先排序和指导。活动包括头脑风暴、路径映射、排序程序、讲故事练习、照片语音会议和个人开放式写作会议。不限成员名额的反思会议以及对材料和文件的明确内容分析指导了朝向最后结果的进展。结果同伴支持被确定为一种有可能减轻心理健康负担、增强融入社会的能力和提供基本需求的干预措施。旨在通过提高语言能力和就业成就来减少健康不平等现象的同伴支持干预措施被确定为优先领域。关于干预方式、同伴支持者的培训和征聘战略的一系列考虑和障碍需要在研究中进一步审查。我们的研究结果表明,在规划研究以解决对服务不足和边缘化人群的支持时,公共贡献的重要性。针对像我们这样服务不足的人群的公共贡献努力将有助于研究人员深入了解优先研究问题和实用的研究程序。关于性和性别少数群体被迫移徙者的研究,我们建议优先发展干预措施,通过群体环境中的同伴和同伴导师的支持、信息支持和能力建设,促进心理健康并减少孤独感。患者或公众贡献代表在整个程序和讲习班中作为研究伙伴发挥了实际经验的专家作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Addressing the Health Needs of Underserved Populations Through Public Contribution: Prioritisation and Development of a Peer Support Intervention for Sexual and Gender Minority Forced Migrants

Introduction

The health of underserved populations, including sexual and gender minority forced migrants, is a pressing global concern. Public contribution in research has the potential to enhance prioritisation and aid in intervention development, but has been criticised due to a lack of sufficient diversity and engagement with underserved populations.

Methods

The core research team conducted eight workshops together with eight experts by lived experience to prioritise and guide future peer support intervention research. Activities included brainstorming, pathway mappings, ranking procedures, storytelling exercises, photovoice sessions and individual open-ended writing sessions. Open-ended reflective meetings and manifest content analysis of material, as well as documentation, guided the progress towards final results.

Results

Peer support was identified as an intervention with the potential to reduce mental health burdens, enhance the capacity to integrate into society and provide access to basic needs. Peer support interventions aiming to reduce health inequities by promoting language proficiency and employment attainment were identified as prioritised areas. A range of considerations and barriers regarding the modality of interventions, the training of peer supporters and recruitment strategies needs further examination in research.

Conclusions

Our findings illustrate the importance of public contribution when planning research addressing support for underserved and marginalised populations. Public contribution efforts targeting underserved populations such as ours will help researchers gain an in-depth understanding of prioritised research questions and pragmatic study procedures. In regard to research for sexual and gender minority forced migrants, we recommend prioritisation of intervention development that promotes mental health and reduces loneliness through support from peers in group settings and from peer mentors, informational support and capacity-building.

Patient or Public Contribution

Representatives acting as experts by lived experience contributed as research partners throughout the procedures and workshops.

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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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