Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-11-05 DOI:10.1186/s12939-024-02278-1
Yan Zhang, Yao Jie Xie, Lin Yang, Kin Cheung, Qingpeng Zhang, Yan Li, Chun Hao, Harry Hx Wang, Qianling Zhou, Angela Yee Man Leung
{"title":"Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review.","authors":"Yan Zhang, Yao Jie Xie, Lin Yang, Kin Cheung, Qingpeng Zhang, Yan Li, Chun Hao, Harry Hx Wang, Qianling Zhou, Angela Yee Man Leung","doi":"10.1186/s12939-024-02278-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Community-based participatory research (CBPR) is a collaborative research approach that engages academic researchers and community stakeholders as equal partners in all research steps to address community concerns and achieve health equity. The CBPR approach has been widely used in vaccination promotion programmes. However, the elements and steps of CBPR-based programmes varied among studies. The purpose of this scoping review was to synthesize the elements and steps, and establish an implementation framework to guide the utilisation of CBPR approaches in vaccination promotion.</p><p><strong>Methods: </strong>This scoping review was performed in accordance with Arksey and O'Malley's five-stage framework. A systematic search was conducted on a set of electronic databases and grey literature sources. The retrieved articles were screened according to the criteria of CBPR and vaccination promotion, and data were extracted and recorded on a calibrated and predefined form in terms of study characteristics and CBPR components. Two authors worked independently to complete literature search, study selection, and data extraction. A narrative summary was used in categorising characteristics, and the contents of the included studies were summarised through qualitative analysis.</p><p><strong>Results: </strong>A total of 8557 publications were initially screened, and 23 articles were finally included. According to the CBPR conceptual model, the elements in each CBPR component specifically for vaccination promotion included (1) the establishment of community-academic partnership (CAP)s, (2) community capacity building by partner training vaccination knowledge, research literacy, and service abilities and skills, (3) development and implementation of community-based intervention and (4) Outcome evaluation. A CAP was established between academic researchers or institutes and eight types of partners, including community service organisation-related non-government organisations (NGOs), health service institution-related NGOs, religious organisations, government agencies, educational institutions, media agencies, business agencies, and community representatives. The maintenance of CAP was achieved with four key strategies, namely, strengthening communication, forming management groups, sharing resources and information, and providing incentives. Twelve studies provided comprehensive insights into the strategies employed for intervention development, utilising either quantitative surveys, qualitative methods or a combination of both approaches. The contents of interventions included health service supports, health education activities, social marketing campaigns, community mobilisation, interactive discussions, vaccination reminders and incentives. As for outcome evaluation, vaccination rate and the effectiveness of interventions were assessed. A considerable increase was observed in 95.7% of the included studies (22/23), and the highest increase (92.9%) was attained after the intervention. An implementation framework was generated to summarise the elements and steps of CBPR approaches for vaccination promotion.</p><p><strong>Conclusions: </strong>This review summarised current evidence and generated an implementation framework to elucidate the elements and steps in the development and application of CBPR approaches in vaccination promotion. CBPR approaches are recommended for future vaccination promotion programmes, involving community stakeholders and research professionals, to ensure equitable access to vaccinations across diverse populations.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":null,"pages":null},"PeriodicalIF":4.5000,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539765/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal for Equity in Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12939-024-02278-1","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Community-based participatory research (CBPR) is a collaborative research approach that engages academic researchers and community stakeholders as equal partners in all research steps to address community concerns and achieve health equity. The CBPR approach has been widely used in vaccination promotion programmes. However, the elements and steps of CBPR-based programmes varied among studies. The purpose of this scoping review was to synthesize the elements and steps, and establish an implementation framework to guide the utilisation of CBPR approaches in vaccination promotion.

Methods: This scoping review was performed in accordance with Arksey and O'Malley's five-stage framework. A systematic search was conducted on a set of electronic databases and grey literature sources. The retrieved articles were screened according to the criteria of CBPR and vaccination promotion, and data were extracted and recorded on a calibrated and predefined form in terms of study characteristics and CBPR components. Two authors worked independently to complete literature search, study selection, and data extraction. A narrative summary was used in categorising characteristics, and the contents of the included studies were summarised through qualitative analysis.

Results: A total of 8557 publications were initially screened, and 23 articles were finally included. According to the CBPR conceptual model, the elements in each CBPR component specifically for vaccination promotion included (1) the establishment of community-academic partnership (CAP)s, (2) community capacity building by partner training vaccination knowledge, research literacy, and service abilities and skills, (3) development and implementation of community-based intervention and (4) Outcome evaluation. A CAP was established between academic researchers or institutes and eight types of partners, including community service organisation-related non-government organisations (NGOs), health service institution-related NGOs, religious organisations, government agencies, educational institutions, media agencies, business agencies, and community representatives. The maintenance of CAP was achieved with four key strategies, namely, strengthening communication, forming management groups, sharing resources and information, and providing incentives. Twelve studies provided comprehensive insights into the strategies employed for intervention development, utilising either quantitative surveys, qualitative methods or a combination of both approaches. The contents of interventions included health service supports, health education activities, social marketing campaigns, community mobilisation, interactive discussions, vaccination reminders and incentives. As for outcome evaluation, vaccination rate and the effectiveness of interventions were assessed. A considerable increase was observed in 95.7% of the included studies (22/23), and the highest increase (92.9%) was attained after the intervention. An implementation framework was generated to summarise the elements and steps of CBPR approaches for vaccination promotion.

Conclusions: This review summarised current evidence and generated an implementation framework to elucidate the elements and steps in the development and application of CBPR approaches in vaccination promotion. CBPR approaches are recommended for future vaccination promotion programmes, involving community stakeholders and research professionals, to ensure equitable access to vaccinations across diverse populations.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
促进疫苗接种的社区参与式研究 (CBPR) 方法:范围综述。
背景:基于社区的参与式研究(CBPR)是一种合作研究方法,它让学术研究人员和社区利益相关者作为平等伙伴参与所有研究步骤,以解决社区关注的问题,实现健康公平。社区参与式研究方法已被广泛应用于疫苗接种推广计划中。然而,基于 CBPR 的计划的要素和步骤在不同的研究中各不相同。本次范围界定综述的目的是综合这些要素和步骤,并建立一个实施框架,以指导在疫苗接种推广中使用 CBPR 方法:本次范围界定综述按照 Arksey 和 O'Malley 的五阶段框架进行。我们在一系列电子数据库和灰色文献来源中进行了系统检索。根据CBPR和疫苗接种推广的标准对检索到的文章进行筛选,并根据研究特点和CBPR的组成部分,在经过校准和预定义的表格上提取和记录数据。两位作者独立完成了文献检索、研究筛选和数据提取工作。在对特征进行分类时使用了叙述性摘要,并通过定性分析对纳入研究的内容进行了总结:初步筛选了 8557 篇文献,最终纳入 23 篇文章。根据 CBPR 概念模型,专门针对疫苗接种推广的 CBPR 各组成部分的要素包括:(1)建立社区-学术合作伙伴关系(CAP);(2)通过合作伙伴培训疫苗接种知识、研究素养、服务能力和技能,进行社区能力建设;(3)制定和实施基于社区的干预措施;(4)结果评估。学术研究人员或机构与八类合作伙伴建立了 CAP,包括与社区服务组织相关的非政府组织 (NGO)、与卫生服务机构相关的非政府组织、宗教组织、政府机构、教育机构、媒体机构、商业机构和社区代表。通过加强沟通、成立管理小组、共享资源和信息以及提供激励措施这四项关键战略,实现了对社区行动计划的维护。12 项研究采用定量调查、定性方法或两种方法相结合的方式,对制定干预措施所采用的策略进行了全面深入的探讨。干预措施的内容包括医疗服务支持、健康教育活动、社会营销活动、社区动员、互动讨论、疫苗接种提醒和激励措施。在结果评估方面,对疫苗接种率和干预措施的效果进行了评估。在 95.7% 的纳入研究(22/23 项)中观察到疫苗接种率有了显著提高,干预后的疫苗接种率提高幅度最大(92.9%)。研究还提出了一个实施框架,总结了促进疫苗接种的 CBPR 方法的要素和步骤:本综述总结了当前的证据,并生成了一个实施框架,以阐明在疫苗接种推广中开发和应用 CBPR 方法的要素和步骤。建议在未来的疫苗接种推广计划中采用 CBPR 方法,让社区利益相关者和研究专业人员参与其中,以确保不同人群都能公平地接种疫苗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
期刊最新文献
Measuring attitudes towards ethnic minority patients: the revalidated REMP-3 instrument for graduate healthcare practitioners. Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review. Discrimination experiences of transgender individuals in healthcare: an interview study on the perspective of health professionals specializing in the treatment of transgender individuals. The community food environment as an effect modifier of the relationship between racial discrimination and food insecurity among adults in Southern Brazil. Determinants of COVID-19 vaccination acceptance based on the novel Omale INDEPT FORCIS Framework and recommendations for subsequent pandemics: a qualitative study among community members in Ebonyi state, Nigeria.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1