The Importance of Conducting Practice-oriented Research with Underserved Populations

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-12-29 DOI:10.1007/s10488-023-01337-z
Javier Fernández-Alvarez, Guadalupe Molinari, Ryan Kilcullen, Jaime Delgadillo, Rebecca Drill, Paula Errázuriz, Fredrik Falkenstrom, Nick Firth, Amber O’Shea, Clara Paz, Soo Jeong Youn, Louis G. Castonguay
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Abstract

There has been a growing emphasis on dissemination of empirically supported treatments. Dissemination, however, should not be restricted to treatment. It can and, in the spirit of the scientific-practitioner model, should also involve research. Because it focuses on the investigation of clinical routine as it takes place in local settings and because it can involve the collaboration of several stakeholders, practice-oriented research (POR) can be viewed as an optimal research method to be disseminated. POR has the potential of addressing particularly relevant gaps of knowledge and action when implemented in regions of the world that have limited resources for or experiences with empirical research, and/or in clinical settings that are serving clinical populations who are not typically receiving optimal mental care services - specifically, individuals in rural and inner cities that have limited economic and social resources. The establishment and maintenance of POR in such regions and/or settings, however, come with specific obstacles and challenges. Integrating the experiences acquired from research conducted in various continents (Africa, Europe, Latin America, and North America), the goal of this paper is to describe some of these challenges, strategies that have been implemented to address them, as well as new possible directions to facilitate the creation and growth of POR. It also describes how these challenges and ways to deal with them can provide helpful lessons for already existing POR infrastructures.

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对未得到服务的人群开展以实践为导向的研究的重要性。
人们越来越重视传播有经验支持的治疗方法。然而,传播不应仅限于治疗。根据科学-实践者模式的精神,它还可以而且应该包括研究。以实践为导向的研究(POR)侧重于调查在当地环境中发生的临床常规情况,而且可以涉及多个利益相关者的合作,因此可以被视为一种最佳的传播研究方法。如果在世界上实证研究资源或经验有限的地区,以及/或者在为通常无法获得最佳精神保健服务的临床人群--特别是经济和社会资源有限的农村和城市内的个人--提供服务的临床环境中实施 POR,那么 POR 有可能弥补知识和行动方面的特别相关的差距。然而,在这些地区和/或环境中建立和维护 POR 会遇到特殊的障碍和挑战。本文综合了在各大洲(非洲、欧洲、拉丁美洲和北美洲)开展研究的经验,旨在描述其中的一些挑战、为应对这些挑战而实施的策略,以及促进 POR 建立和发展的新的可能方向。本文还介绍了这些挑战和应对方法如何为现有的 POR 基础设施提供有益的借鉴。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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