整合系统思维与全球实施科学,与玛雅土著社区合作伙伴共同学习和共同创建心理健康干预措施和战略
Alejandra Paniagua-Avila1, Diego Sapalú2, Michelle Pieters2
1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA; Asociación para la Salud Mental Fundamental, Guatemala City, Guatemala.
这种观点引入了参与式系统思维,以加强全球实施研究,使其对边缘化社区更加公平和包容. 它提供了与社区合作伙伴共同创建干预措施的实际建议和阶段,以土著知识为中心.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 基于社区的参与式研究
背景情况:
- 在全球实施研究中,人们认识到需要参与性,公平性和脱殖民主义的方法.
- 实施这种方法的实用示例和指导,特别是与边缘化群体的实践示例和指导是有限的.
研究的目的:
- 为整合系统思维原则融入全球实施研究提供四项建议.
- 通过与社区合作伙伴共同学习和以土著知识为中心,促进更具参与性和公平的研究实践.
- 为研究人员提供一个分阶段的方法,使其与参与式系统思维原则保持一致.
主要方法:
- 该研究提出了一种参与式系统思维方法,将其与传统的实施科学进行对比.
- 它概述了以系统思维原则和研究人员的工具为灵感的八个阶段.
- 它借鉴了与危地马拉的政策制定者和玛雅土著社区合作伙伴的实际实例.
主要成果:
- 参与式系统思维方法通过与社区合作伙伴共同学习来促进更深层次的理解.
- 可以共同创建干预措施和实施策略,考虑结构性健康驱动因素和土著知识.
- 该方法旨在增强研究的相关性,参与和信任,解决历史上的不平等问题.
结论:
- 整合系统思维原则可以使全球实施研究更加参与和公平.
- 合作方法,以社区知识为中心,并解决结构性决定因素,对于公平的研究至关重要.
- 拟议的框架和示例为与边缘化社区工作的研究人员提供了实际指导.
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