通过社区参与解决抗微生物药物耐药性问题:为开发具有上下文相关性和影响力的行为改变干预措施制定框架
Jessica Mitchell1, Helen Hawkings2, Sophia Latham3
1Nuffield Centre for International Health and Development, Leeds Institute for Health Sciences, Faculty of Medicine and Health, University of Leeds, Woodhouse, Leeds LS2 9JT, UK.
社区参与干预需要共同制作的行为改变建议,平衡学术证据与社区背景. 这一框架确保了抗微生物耐药性 (AMR) 目标的公平发展,在科学数据和实践经验的价值方面.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 一个健康,一个健康.
背景情况:
- 社区参与 (CE) 的干预旨在促进针对特定挑战的行为改变.
- 与社区共同制作行为改变建议对于CE的有效性至关重要.
- 当社区生活的经验与学术证据相冲突时,尤其是在抗菌素耐药性 (AMR) 方面,就会出现紧张局势.
研究的目的:
- 描述一个框架,以公平地发展适合环境的,基于证据的CE干预行为目标.
- 探索关于AMR的各种知识来源,包括利益相关者的观点.
主要方法:
- 根据学术证据,上下文适当性和CE方法开发了一个选择关键AMR内容的框架.
- 利用一个案例研究来展示该框架在各种环境和CE方法中的应用.
主要成果:
- 该框架促进了相关抗药性内容的选择,将学术证据与社区背景整合在一起.
- 一个案例研究表明,该框架能够适应不同环境,CE方法和超越AMR的One Health问题.
结论:
- 学术证据对于为CE干预内容提供信息至关重要.
- 让社区成员参与形成工作至关重要,以重视他们的上下文知识.
- 由于方法上的限制,选择CE方法会影响内容交付的范围.
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