用以对话为中心的方法进行社区参与的研究:辩证调查的应用
Catherine E Sanders1, Abigail Borron2, Alexa J Lamm2
1Department of Agricultural and Human Sciences, North Carolina State University, Raleigh, NC USA.
概括
农村社区面临更高的慢性病率. 一种新的批判性建设主义方法通过解决文化障碍和社会规范以改善预防策略来增强社区健康干预.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 健康差异 在健康上的差异
背景情况:
- 由于个人和社区因素,农村社区表现出更高的慢性疾病患病率.
- 现有的健康促进模式往往忽视了农村地区的文化和结构障碍.
- 在预防慢性疾病方面,迫切需要加强农村能力.
研究的目的:
- 为农村健康促进提出一种混合的方法,使用批判-建设主义的范式.
- 在预防慢性疾病方面解决文化和结构障碍以及社区社会规范.
- 通过新的方法来评估基于社区的健康促进干预措施.
主要方法:
- 采用了批判-建设主义范式,整合了辩证思维,欣赏性调查和辩证调查.
- 与社区联盟成员进行了采访,以确定辩证模型.
- 在项目实施中检查了基础假设和反假设.
主要成果:
- 确定了三个关键的辩证模型:社会关系,基础设施和世界观.
- 揭示了社区干预固有的辩证假设和反假设.
- 展示了如何理解这些动态可以为项目开发提供信息.
结论:
- 一种混合的批判-建设主义方法为农村健康促进提供了一个更具文化响应性的框架.
- 通过辩证调查进行的对话可以导致更有效和更可持续的干预.
- 解决潜在假设对于克服农村慢性疾病预防障碍至关重要.
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