解决移民复杂健康问题的综合方法:来自CAN-HEAL研究的经验教训。

IF 1.8
Sarah Elshahat, Tina Moffat, Zena Shamli Oghli, Yasmine Belahlou, Yumnah Jafri, Salima Zabian, Sarah Ah Curtay
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引用次数: 0

摘要

基于社区的参与性研究(CBPR)和综合知识转化(IKT)是强调研究人员与社区伙伴之间公平伙伴关系价值的方法学方法。这些办法之间的主要区别在于,CBPR以宣传为中心,旨在通过推动系统和政策变革来解决不平等问题,而IKT则以应用和上游解决方案为导向,特别是在改善卫生和社会保健方面。以前使用协作方法的研究主要集中在CBPR或IKT上,在较小程度上。CAN-HEAL项目采用了一种创新的方法,将CBPR和IKT结合起来,以解决加拿大安大略省阿拉伯移民和难民的心理健康需求。这一方法有三大支柱:(1)建立多层次的社区伙伴关系;(2)坚持文化敏感性原则;(3)致力于社会正义和应用。采用CBPR-IKT方法取得了许多成功,包括共同制定了一项以上游-下游为基础的整体健康促进行动计划,以解决不公平现象。这种方法与不同的挑战(例如,资源有限)有关,通过采用某些促成因素(例如,社区领导人的援助)减轻了这些挑战。根据该项目的经验教训,建议政府机构和学术机构推进CBPR-IKT研究,以促进社区的可持续性和福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Integrated Methodological Approach to Address Immigrants' Complex Health Issues: Lessons From the CAN-HEAL Study.

Community-based participatory research (CBPR) and integrated knowledge translation (IKT) are methodological approaches that emphasize the value of equitable partnerships between researchers and community partners. The main difference between these approaches is that CBPR is advocacy-centered and aims at addressing inequities by instigating systemic and policy changes, whilst IKT is application- and upstream solution-oriented especially within the context of health and social care improvement. Previous studies that have used a collaborative approach mainly focused on either CBPR or IKT to a lesser extent.The CAN-HEAL project employed an innovative methodological approach that integrates CBPR and IKT to address mental health needs among Arab immigrants and refugees in Ontario, Canada. Integral to this approach are three pillars: (1) establishment of a multi-level community partnership; (2) adherence to cultural sensitivity principles; and (3) commitment to social justice and application. The use of an CBPR-IKT approach led to numerous successes, including the co-development of a holistic upstream-downstream-based health promotion action plan to tackle inequities. This approach was associated with different challenges (e.g., limited resources), which were mitigated by employing certain enablers (e.g., assistance from community leaders). Based on lessons from this project, recommendations are made for governmental agencies and academic institutions to advance CBPR-IKT research to promote the sustainability and well-being of communities.

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