激进的欢迎参与恢复模型和社区参与伙伴关系的评估工具
Sirry M Alang1,2, Abby S Letcher3, Mary Louise Mitsdarffer1,4
1Lehigh University, Bethlehem, PA, USA.
Health promotion practice
|January 31, 2024
概括
激进欢迎参与恢复模式 (RWERM) 促进边缘化群体在社区参与型研究 (CBPR) 中的公平参与. 这种模式解决了权力和资源的不平等,促进充分参与研究,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 基于社区的参与式研究
背景情况:
- 从历史上看,白人机构的系统性不平等会对成,无家可归或被监禁的个人健康状况产生负面影响.
- 在决策中排除边缘化社区的声音加剧了健康差异.
- 基于社区的参与型研究 (CBPR) 提供了一条解决健康不平等问题的途径,但权力和资源差异往往阻碍了公平的参与.
研究的目的:
- 描述激进欢迎参与恢复模型 (RWERM) 的应用,以促进CBPR伙伴关系中的合作伙伴全面参与.
- 引入一个框架和工具来评估和克服参与CBPR的挑战.
主要方法:
- 一个以社区为基础的参与性研究 (CBPR) 合作伙伴关系,健康公平激活研究小组成立,包括临床医生,研究人员和有实践经验的个人.
- 数据收集涉及参与式民族学,焦点小组和个人访谈.
- 分析利用了通过涉及所有合作伙伴的代意义制造过程的演编码.
主要成果:
- 该研究确定了RWERM的六个关键阶段:热情的邀请,激进的欢迎,真正的归属感,共同创造角色,优先考虑问题以及个人和集体行动.
- 开发了一份指南,用于评估通过这些阶段的进展.
- 创建了一个32项工具,以帮助CBPR合作伙伴预测和解决参与挑战.
结论:
- 该RWERM提供了一个结构化的方法,以加强在CBPR伙伴关系中的公平参与.
- 解决权力和资源不平衡对于CBPR倡议的成功至关重要.
- 开发的框架和工具可以支持实施包容和有效的CBPR.
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