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Engaging Culturally and Linguistically Diverse Communities to Prepare for Lung Cancer Screening Implementation in Australia: A Qualitative Focus Group Study 参与文化和语言多样化的社区准备肺癌筛查实施在澳大利亚:定性焦点小组研究。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-18 DOI: 10.1111/hex.70557
Tescha Nicholls, Sarah York, Nathan J. Harrison, Georgia Bartlett, John Paul Troiani, Biljana Stanoevska, Mei Ling Yap, Joel Rhee, Rachael H. Dodd, Henry M. Marshall, Annette McWilliams, Emily Stone, Leissa Pitts, Nicole M. Rankin
<div> <section> <h3> Introduction</h3> <p>Lung cancer is the number one cause of cancer death worldwide, including in Australia, where more than 15,000 cases were diagnosed in 2024. The Australian National Lung Cancer Screening Programme commenced in July 2025. Unique barriers to participation in existing cancer screening programmes exist for culturally and linguistically diverse (CALD) communities. Little Australian research has engaged these communities to gauge their acceptability and readiness for the implementation of lung cancer screening (LCS). The aims were to identify barriers and enablers to LCS implementation and determine views about LCS acceptability and feasibility.</p> </section> <section> <h3> Methods</h3> <p>Community-based participatory research principles were used to collaboratively engage CALD stakeholders. The research team worked with highly experienced programme managers, multicultural health workers and bilingual facilitators/translators (‘leaders’) who provide support and education to Arabic-speaking/Lebanese, Macedonian, Vietnamese and Italian communities. Leaders used culturally appropriate methods to recruit participants and deliver focus groups. Verbatim transcripts were analysed using a coding framework based on the Health Equity Implementation Framework.</p> </section> <section> <h3> Results</h3> <p>Seven focus groups were conducted either face to face (<i>n</i> = 5) or online (<i>n</i> = 2) with 57 participants across New South Wales, Australia. Six groups were delivered in community languages. LCS was generally perceived as acceptable across all focus groups. Key enablers towards engagement were understanding the importance of screening for early detection, provision of interpreters and easily accessible locations. Key barriers were financial and language barriers, poor experiences with other cancer screening programmes, concerns about tobacco-related eligibility criteria and cancer-related stigma.</p> </section> <section> <h3> Conclusions</h3> <p>This qualitative study provides crucial foundational evidence from four culturally diverse Australian communities about barriers and enablers to inform Programme implementation. The findings are highly relevant to other jurisdictions that may be preparing for LCS implementation or need to modify programmes to engage culturally diverse populations to screen.</p> </section> <section> <h3> Patient or Public Contribution</h3> <p>Members of the public were directly involved as
简介:肺癌是全球癌症死亡的头号原因,包括在澳大利亚,2024年诊断出的病例超过15,000例。澳大利亚国家肺癌筛查计划于2025年7月启动。对于文化和语言多样化(CALD)社区来说,参与现有癌症筛查计划存在独特的障碍。澳大利亚的一些研究已经让这些社区参与进来,以评估他们对实施肺癌筛查(LCS)的接受程度和准备程度。目的是确定LCS实施的障碍和推动因素,并确定关于LCS可接受性和可行性的观点。方法:以社区为基础的参与性研究原则用于协同参与CALD利益相关者。研究小组与经验丰富的方案管理人员、多文化卫生工作者和双语促进者/翻译(“领导”)合作,他们为讲阿拉伯语/黎巴嫩、马其顿、越南和意大利社区提供支持和教育。领导者使用文化上合适的方法来招募参与者并组织焦点小组。使用基于《卫生公平实施框架》的编码框架对逐字抄本进行分析。结果:7个焦点小组进行了面对面(n = 5)或在线(n = 2),来自澳大利亚新南威尔士州的57名参与者。六个小组以社区语言授课。所有焦点群体都普遍认为LCS是可以接受的。促进参与的关键因素是了解筛查的重要性,以便及早发现,提供口译员和方便到达的地点。主要障碍是经济和语言障碍、其他癌症筛查规划经验不足、对烟草相关资格标准的担忧以及与癌症相关的污名。结论:这项定性研究提供了来自四个文化多样化的澳大利亚社区的关键基础证据,说明了项目实施的障碍和促进因素。研究结果与其他可能正在准备实施LCS或需要修改方案以吸引文化多样化人群进行筛查的司法管辖区高度相关。患者或公众贡献:公众成员作为参与者直接参与了本研究。与CALD社区合作的多文化卫生工作者和双语辅导员/口译员参与了研究设计和实施的所有阶段,包括招募、制定半结构化焦点小组指南、促进焦点小组工作和审查手稿。
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引用次数: 0
How to Tell a Recovery Story ‘Professionally’? Issues Related to the Transformation of Personal Stories During a Training for Becoming a Peer Support Worker 如何“专业”地讲述一个康复故事?在同伴支持工作者培训中个人故事转换的相关问题。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-15 DOI: 10.1111/hex.70528
Elena Faccio, Michele Rocelli, Giuseppe Salamina, Ludovica Aquili

Introduction

Sharing narratives about recovery is a central activity in peer support work. Researchers have so far investigated many issues related to recovery narratives, but have paid no attention to how the building and sharing of one's story are modified during training courses. This study examines the beliefs of participants in the first national training to become Peer Support Worker (PSW), funded by the Italian Ministry of Health in 2022–23, regarding how to craft their recovery story to make it ‘professional’.

Methods

16 PSWs were interviewed at the end of the course. Implicit theories and beliefs were the focus of the semi-structured interviews. Answers were transcribed and analysed through thematic analysis.

Results

The training represents a decisive moment for socialising the ‘unwritten rules’ about how to build and tell personal experiences. Seven main themes emerged: the story-sharing as the most important tool to understand what happened, as a ‘passage’ of status that changes the feeling between the person and the story through the presence of others, the need for a method for structuring the story, the emotion control as prerequisite for maintaining the right distance between one's story and the user's story—not imposing oneself on the other's experience, the relevance of acting as strategic story director, accepting stories without happy ending and story-sharing for cultural and social change. Results have been discussed with the contribution of PSW, highlighting the potentials and risks.

Conclusions

Training should develop competencies in expressing the story without standardising it, thereby avoiding the reification of the recovery journey into a single version. Story-sharing should not be considered merely as the enactment of a favourable recovery journey; even stories that do not have a happy ending, or that do not adhere to the canons of the ‘recovery genre’, have dignity and social utility. In a nutshell, the PSW must be helped in becoming the filmmaker of the story rather than the performer of a static script.

Patient or Public Involvement

The PSWs involved played a fundamental role in participating actively by deciding to make available their narratives, reading the results and commenting on them.

简介:分享关于康复的故事是同伴支持工作的核心活动。到目前为止,研究人员已经调查了许多与康复叙述相关的问题,但没有注意到在培训课程中如何修改一个人的故事的构建和分享。这项研究调查了在2022-23年由意大利卫生部资助的第一次成为同伴支持工作者(PSW)的国家培训中,参与者对如何编写他们的康复故事使其“专业”的信念。方法:在课程结束时对16名psw进行访谈。内隐理论和信念是半结构化访谈的重点。答案被记录下来,并通过主题分析进行分析。结果:对于如何建立和讲述个人经历的“不成文规则”的社会化来说,这次培训是一个决定性的时刻。出现了七个主要主题:故事分享是理解发生了什么的最重要的工具,是通过其他人的存在改变人与故事之间感觉的状态的“通道”,需要一种构建故事的方法,情感控制是保持一个人的故事和用户的故事之间适当距离的先决条件-不将自己强加于他人的经验,作为战略故事导演的相关性,接受没有圆满结局的故事,为文化和社会变革分享故事。结果讨论了PSW的贡献,突出了潜力和风险。结论:培训应该培养表达故事的能力,而不是将其标准化,从而避免将恢复旅程具体化为单一版本。分享故事不应仅仅被视为制定有利的复苏之旅;即使故事没有一个快乐的结局,或者不遵守“恢复类型”的规范,也有尊严和社会效用。简而言之,必须帮助PSW成为故事的制片人,而不是静态脚本的表演者。患者或公众参与:参与的psw通过决定提供他们的叙述,阅读结果并对其进行评论,在积极参与方面发挥了重要作用。
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引用次数: 0
Peer Support Workers in Mental Health Care: Plural Positionings Beyond Transformation and Assimilation Dichotomy 心理卫生保健中的同伴支持工作者:超越转化与同化二分法的多元定位。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-15 DOI: 10.1111/hex.70515
Ludovica Aquili, Michele Rocelli, Susanna Brunelli, Federica Mangione, Milena Negri, Giuseppe Salamina, Elena Faccio
<div> <section> <h3> Introduction</h3> <p>The role of the Peer Support Worker (PSW) has gained increasing prominence in mental health services, yet its institutionalisation raises questions about balancing autonomy and assimilation into service logics. This study examines the narrative positionings of three PSWs, focusing on how they construct professional identity in relation to mandate, collaboration with practitioners, and service organisation.</p> </section> <section> <h3> Methods</h3> <p>A qualitative design was adopted using semi-structured interviews with three PSWs. Data were analysed through Positioning Theory (Davies and Harré 1999) and Bamberg's three-level model (2022), which investigates positioning in relation to temporality, the other and agency. Particular attention was given to positions regarding the professional mandate, collaboration with practitioners, psychiatric and psychotherapeutic practices, and the services in which participants had placements or are currently engaged.</p> </section> <section> <h3> Results</h3> <p>PSW positioning emerged as dynamic and multifaceted, constantly negotiated between institutional mandates and fidelity to lived experience. Three configurations were identified: (1) a critical and independent stance, maintaining symbolic distance from services whilst collaborating with them; (2) an integrated stance, balancing institutional logics with attentiveness to user experience; and (3) a fluid stance, affirming the coexistence of PSW and service-user roles and challenging conventional boundaries between clinical and experiential knowledge. Across all narratives, PSWs located themselves in liminal spaces that foster transformative possibilities for mental health services.</p> </section> <section> <h3> Conclusion</h3> <p>PSW identity is not fixed but articulated through multiple positionings, ranging from critical autonomy to institutional integration and fluid coexistence of service-user and professional roles. This plurality, rather than constituting ambiguity, represents an epistemic and ethical resource that extends the transformative potential of services beyond the dichotomy of transformation versus assimilation. Recognising this plurality means valuing PSW agency and fostering flexible, participatory practices responsive to the complexity of lived experience.</p> </section> <section> <h3> Involving the Participants</h3> <p>The research team included both academics and PSWs in a co-participatory desi
导言:同伴支持工作者(PSW)的作用在精神卫生服务中越来越突出,但其制度化提出了关于平衡自主性和融入服务逻辑的问题。本研究考察了三名社会福利工作者的叙事定位,重点关注他们如何在任务、与从业人员的合作和服务组织方面构建专业身份。方法:采用质性设计,对3名心理健康工作者进行半结构化访谈。通过定位理论(Davies and harr 1999)和Bamberg的三层模型(2022)对数据进行了分析,该模型研究了定位与时间性、他者和代理的关系。特别注意了与专业任务、与从业人员的合作、精神病学和心理治疗做法以及参与者已安置或目前从事的服务有关的职位。结果:PSW的定位是动态的和多方面的,在机构授权和对生活经验的忠诚之间不断协商。确定了三种配置:(1)关键和独立的立场,在与服务合作的同时保持象征性的距离;(2)综合立场,平衡制度逻辑与对用户体验的关注;(3)流动的立场,肯定PSW和服务用户角色的共存,挑战临床和经验知识之间的传统界限。在所有叙述中,psw将自己定位于促进精神卫生服务变革可能性的有限空间。结论:PSW的身份不是固定的,而是通过多种定位来表达的,从关键的自主性到机构整合,以及服务-用户和专业角色的流动共存。这种多元性,而不是构成模糊性,代表了一种认知和伦理资源,它扩展了服务的变革潜力,超越了转型与同化的二分法。认识到这种多元性意味着重视PSW机构,并培养灵活的、参与性的实践,以响应生活经验的复杂性。让参与者参与:研究团队包括学者和社会福利工作者,透过自愿申请参与共同参与的设计。只有得到明确同意的访谈才被纳入研究。分析的初稿被提交给参与者验证:每个PSW审查他们自己的记录和相关评论,并可以选择修改或扩展分析。然后在小组内共享材料,以便集体反思和改进解释。通过这个集体的过程,这个小组共同撰写了这篇文章的当前版本。临床试验注册:不符合。
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引用次数: 0
Initial Co-Design Development of a Questionnaire to Measure Patient Preferences in a Danish Mental Healthcare Setting 初步共同设计的问卷发展,以衡量患者的偏好在丹麦精神卫生保健设置。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-15 DOI: 10.1111/hex.70561
Klaudia Kristensen, Anna Skov, Solvejg Kristensen, Ottar Ness, Søren Paaske Johnsen, Mainz Jan, Malene Terp
<div> <section> <h3> Background</h3> <p>Despite decades of quality improvement efforts in mental healthcare, patient preferences remain insufficiently integrated into care planning and system design. Although person-centered care strives to align services with patients' most valued preferences, current tools for measuring those preferences often fall short. Embedding co-design approaches—where patients and other stakeholders collaborate as equal partners in tool development—is essential to ensure that measurement instruments are both relevant and resonant with lived experience. This study aimed to develop a questionnaire that captures patient preferences in mental healthcare through a co-design process that actively integrates lived experience, thereby enhancing face and content validity.</p> </section> <section> <h3> Methods</h3> <p>The development of the questionnaire followed four key phases: identification of domain, item generation, content validity, and pre-testing of questions. A co-design approach was integral to the entire process, with active collaboration with the co-researcher or co-designers at every phase.</p> </section> <section> <h3> Results</h3> <p>Nine themes were identified in the literature, and two novel themes, “the person as a whole” and “meaningful community connections” emerged through co-design and extend beyond prior studies. From 242 preliminary items, workshops refined the questionnaire to 58, and content validation further reduced it to 54 items with recommendations for clarity, simplicity, and anonymous responses. Pre-testing of questions confirmed the questionnaire's usability and face validity.</p> </section> <section> <h3> Conclusions</h3> <p>This study demonstrates how traditional questionnaire development can be supported by co-design to effectively develop a patient preference questionnaire that is both valid and meaningful within the Danish mental healthcare context. While limitations exist, particularly regarding group dynamics and representation, the process sets a strong foundation for future work.</p> </section> <section> <h3> Patient or Public Contribution</h3> <p>This study was co-designed in collaboration with individuals with lived experience of mental illness. A co-researcher with lived experience was involved throughout several stages of the research process, including the design and facilitation of workshops, recruitment of participants, and interpretation of findings. Additional 15 co-designers with
背景:尽管几十年来精神卫生保健质量的改善努力,患者的偏好仍然没有充分纳入护理计划和系统设计。尽管以人为本的护理努力使服务与患者最看重的偏好保持一致,但目前衡量这些偏好的工具往往存在不足。嵌入共同设计方法——患者和其他利益相关者在工具开发中作为平等伙伴合作——对于确保测量仪器与生活经验相关并产生共鸣至关重要。本研究旨在通过积极整合生活经验的共同设计过程,开发一份问卷,以捕捉患者对精神卫生保健的偏好,从而提高面孔和内容的效度。方法:问卷的编制分为领域识别、项目生成、内容效度和问题预测四个关键阶段。协同设计方法是整个过程中不可或缺的一部分,在每个阶段都与共同研究人员或共同设计师积极合作。结果:在文献中确定了9个主题,并通过共同设计出现了两个新主题,即“作为一个整体的人”和“有意义的社区联系”,并超越了先前的研究。从242个初步项目,研讨会将调查问卷细化到58个,内容验证进一步将其减少到54个项目,并提出了清晰、简单和匿名回复的建议。问题的预测证实了问卷的可用性和面孔效度。结论:本研究证明了传统的问卷开发可以通过共同设计来支持,以有效地开发在丹麦精神卫生保健背景下既有效又有意义的患者偏好问卷。虽然存在局限性,特别是在群体动态和代表性方面,但该过程为未来的工作奠定了坚实的基础。患者或公众贡献:本研究是与有精神疾病生活经历的个人合作设计的。一位有实际经验的共同研究员参与了研究过程的几个阶段,包括设计和促进研讨会、招募参与者和解释研究结果。另外15名具有实际经验的共同设计师参与了两个研讨会,积极参与问卷项目的生成、改进和验证。他们的洞察力确保了该工具反映了其目标服务对象的价值观和偏好。同行工作者、临床医生和研究人员也支持共同设计过程,帮助促进研讨会并整合经验和学术观点。
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引用次数: 0
Integrating Clinical Perspectives in the Prevention of Teenage Pregnancy 整合预防青少年怀孕的临床观点。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-14 DOI: 10.1111/hex.70570
Erhan Muluk
<p>I read with great interest the article by Malapela et al., titled “Exploring Stakeholder Roles and Strategies for Preventing Teenage Pregnancy: A Comprehensive Analysis in Lepelle-Nkumpi District, South Africa” (2025) [<span>1</span>]. The authors make a very valuable contribution by foregrounding the voices of non-governmental organizations (NGOs) working closely with teenagers in rural communities. Their thematic analysis, highlighting multi-stakeholder collaboration, economic empowerment, nurturing family bonds, information sharing, and extramural activities offers a rich and pragmatic framework for community-level action.</p><p>As an obstetrician working in teenager and maternal health, I would like to offer a complementary perspective relevant to this era. The study deliberately focused on NGO workers; however, obstetricians, midwives, and nurses are also central actors in both the prevention and clinical management of teenage pregnancy. These professionals are often the first to see pregnant teenagers, manage complications, and provide post-pregnancy contraception. Their perspectives can offer valuable guidance for policymakers, communities, and stakeholders.</p><p>In my daily practice as an obstetrician, I have encountered teenagers presenting with complications of early pregnancy or with a second pregnancy within a short interval, despite having previously interacted with health services. Many of these young patients shared that no one had ever discussed effective contraception with them in a clear, nonjudgmental manner after their first pregnancy or abortion. This represents a missed opportunity for prevention. These experiences suggest that hospital- and clinic-based providers are not only treating the consequences of teenage pregnancy but are also uniquely positioned to intervene and prevent repeat pregnancies through timely counselling.</p><p>In a study conducted in socioeconomically deprived neighborhoods with high immigrant populations, a culturally adapted community-based contraceptive counselling program was implemented. Following the intervention, fertility rates among girls aged 15–19 years declined by approximately 40%. The authors concluded that brief, community-based counselling initiatives can significantly reduce adolescent fertility rates [<span>2</span>]. It is likely that if midwives and nurses were assigned community-based roles and supported to conduct such initiatives, similar reductions could be achieved.</p><p>Obstetricians can also allocate additional time within hospital settings to actively focus on preventing repeat pregnancies. The review by Sedlecky and Stanković emphasized that the most effective strategy to prevent repeated unintended adolescent pregnancies is to initiate an effective contraceptive method immediately after abortion. This timing is critical, as motivation for contraception is highest at that moment. Ovulation typically resumes within 3 weeks, and more than half of adolescents resume sexual
我非常感兴趣地阅读了Malapela等人的文章,题为“探索利益相关者的角色和预防少女怀孕的策略:南非Lepelle-Nkumpi地区的综合分析”(2025)[1]。作者通过突出与农村社区青少年密切合作的非政府组织的声音,做出了非常有价值的贡献。他们的专题分析强调多方利益攸关方合作、经济赋权、培育家庭纽带、信息共享和校外活动,为社区一级的行动提供了丰富而务实的框架。作为一名从事青少年和孕产妇健康工作的产科医生,我想提供一个与这个时代相关的补充观点。这项研究有意聚焦于NGO工作者;然而,产科医生、助产士和护士也是青少年怀孕预防和临床管理的核心角色。这些专业人士通常是第一个看到怀孕的青少年,处理并发症,并提供怀孕后的避孕措施。他们的观点可以为决策者、社区和利益相关者提供有价值的指导。在我作为产科医生的日常实践中,我遇到过一些青少年出现早孕并发症或在短时间内第二次怀孕,尽管之前曾与卫生服务机构进行过互动。许多年轻的病人都说,在她们第一次怀孕或流产后,从来没有人以一种清晰、客观的方式与她们讨论过有效的避孕方法。这意味着错过了预防的机会。这些经验表明,以医院和诊所为基础的提供者不仅在治疗少女怀孕的后果,而且在通过及时咨询进行干预和防止重复怀孕方面也处于独特的地位。在一项研究中,在移民人口众多的社会经济贫困社区,实施了一项适应文化的社区避孕咨询计划。干预后,15-19岁女孩的生育率下降了约40%。作者得出结论,以社区为基础的简短咨询举措可以显著降低青少年生育率。如果赋予助产士和护士以社区为基础的角色,并支持他们开展此类行动,很可能也能实现类似的减少。产科医生还可以在医院环境中分配额外的时间,积极关注预防重复怀孕。Sedlecky和stankoviki的综述强调,防止青少年意外怀孕的最有效策略是在堕胎后立即采取有效的避孕措施。这个时机至关重要,因为此时避孕的动机是最高的。排卵通常在3周内恢复,超过一半的青少年在终止妊娠后2周内恢复性活动。作者强调,长效可逆避孕药,如宫内节育器和植入物是最可靠的选择,因为它们的疗效不依赖于使用者。然而,由于长期持续治疗对青少年来说可能具有挑战性,因此不加评判的支持性咨询和定期随访也是必不可少的。如果我们能确定风险最大的青少年,还有其他方法可以避免重复怀孕。Maravilla等人进行了一项系统综述和荟萃分析,分析了26项调查青少年重复怀孕风险和保护因素的流行病学研究。研究结果显示,抑郁会使重复怀孕的可能性增加46%。因此,在医院或诊所就诊期间,这些女孩将受益于获得精神和心理支持。我完全同意提交人的观点,即没有任何一个部门能够孤立地解决少女怀孕问题。我的建议不是批评他们的工作,而是为未来的研究和项目设计提出建议:有意地将非政府组织、学校、教堂、社区和第一线的性健康和生殖健康专业人员(助产士、护士、产科医生)以及精神科医生和心理学家聚集在一起,共同规划和评估。这种综合模式可以提高这项重要研究中如此明确描述的战略的覆盖面和有效性。另一项建议是,只要可能,向青少年提供咨询和避孕服务的保健专业人员最好是女性,因为这可能有助于年轻女孩在提出敏感问题时感到更自在。虽然与一般医疗实践相比,这种优势在妇产科中不那么明显,但患者在与女医生互动时,仍然倾向于更长时间地交谈,分享更多的生物医学和社会心理信息,并且表现得更自信。 总之,青少年应该有机会在社区环境中与助产士和护士见面,了解避孕知识。如果她们怀孕并住院,医生最好在堕胎后立即提供咨询并开始使用避孕方法,因为这仍然是防止重复怀孕的最有力策略。应在医学指示的情况下使用长效避孕药具,而且不应忘记,当患者仍在医院时,也需要解决抑郁症问题。虽然我知道这些建议可能难以实施,特别是在农村地区或获得卫生服务的机会有限的地区,但绘制理想的路线图仍然可以为决策者、社区和利益攸关方提供宝贵的指导。Erhan Muluk:概念化,数据管理,形式分析,可视化,写作-原稿,写作-审查和编辑,项目管理,调查,方法,软件,验证,资金获取,资源。作者没有得到这项工作的特别资助。作者声明无利益冲突。支持本研究结果的数据可根据通讯作者的合理要求提供。
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引用次数: 0
Writing Patient Engagement Effectively Into Grant Applications: Practical Tips for Grant Writers 在拨款申请中有效地写病人参与:给拨款作者的实用技巧。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-14 DOI: 10.1111/hex.70547
Lisa D. Hawke, Katie Upham, Hajar Seiyad, Mary Rose van Kesteren
<p>Engaging people with lived/living experience and caregivers in research (also known as ‘patient engagement’ or ‘patient and public involvement’) has many benefits to research, to the community, and to the people involved in the process [<span>1</span>]. Engagement is increasingly valued by many funding bodies [<span>2, 3</span>] as being best practice when possible. However, funding barriers have been described as getting in the way of authentic engagement [<span>4</span>]. It is therefore important that grant writers optimise their descriptions of the engagement components of their protocols, making engagement a strength of their applications. Researchers have many grant writing recommendations, courses, and professional development materials available to them to support them in their grant-writing endeavours [<span>5, 6</span>]. Yet, there is minimal concrete, specific guidance on how to embed lived/living experience and caregiver engagement into grant applications effectively [<span>7</span>]. With this editorial, we aim to address this gap.</p><p>The engagement description in a grant application serves to clarify the applicants' engagement methods for their own purposes and sets them out to be judged by a team of peer reviewers, who are the gatekeepers to funding. Although rare, some funders include people with lived/living experience and caregivers as peer reviewers [<span>8</span>], who are well positioned to evaluate proposed engagement strategies. Whether lived/living experience peer reviewers are included or not, the way engagement is described in the protocol can influence the funding decision. If the engagement is poorly described and peer reviewers fear tokenistic engagement approaches, the application may be less likely to be funded. Regardless of page limits and tight application requirements, engagement can be well described in any protocol, and should be described together with lived/living experience and caregiver co-applicants or collaborators when possible.</p><p>Through our experience in writing and reviewing grant applications, we have come to recognise when engagement is well described, making it a strength of the application, versus when it is poorly described, raising fears of tokenistic, performative engagement. Based on this experience, we propose a number of recommendations to guide grant writers in effectively describing engagement in their grant applications (see Box 1). These recommendations can be generally followed regardless of the format of the funding call, to the extent possible within the limits of the application guidelines. Below, we describe an overview of how engagement might be described poorly in a grant application, which we contrast with the description of a robustly described engagement plan. In doing so, our goal is to equip researchers to optimise the engagement components of their grant applications to maximise the chances of funding, thereby increasing the amount of patient-engaged research bei
参与过程可能被视为仅仅是一个象征性的复选框,旨在满足资助者的需求,而不是反映申请人团队的合法利益和承诺。在这种情况下,无论资助人的初衷如何,参与都不太可能被评估为支持积极资助决策的应用程序的优势。相比之下,一些拨款申请表达了引人注目和令人兴奋的参与计划。他们强调参与是研究的核心价值,其方式与资助机构的授权、指示和价值观相一致,并使同行审稿人相信参与计划的真实性。参与是前沿和中心,同行评议者可以确信,研究人员有承诺和技能,以一种充实的方式吸引有生活经验的人和照顾者,体现包容、尊重、真诚和有意义的参与。一份写得好的参与计划的拨款申请有很多特点。值得注意的是,参与度贯穿于整个应用程序,并作为核心价值嵌入其中。申请人团队参考并引用参与中的模型、框架或最佳实践,包括资助者提供的任何模型、框架或最佳实践,并承诺遵循这些模型、框架或最佳实践。提供具体的业务结构,包括会议的次数、频率和长度;将参与的有生活经验的人员和护理人员的数量;以及他们将在整个项目过程中完成的具体任务,从开始到结束。该计划在整个项目中是可行的、可信的和一致的。“共同”的语言在整个拨款中使用,拨款作者表明研究工具或产品将共同生产,共同选择或共同创造。参与甚至可以直接嵌入到目标声明中,例如“与有生活经验的人和护理人员直接合作,我们的目标是……”。这延续到影响和相关性陈述以及应用程序的结论。如果赠款包括研究实施阶段,则会聘请相同的生活经历和护理伙伴来帮助将研究结果转化为现实世界的实践。相关的预算表明,承诺为所有会议、演讲和异步工作时间支付有生活经验的人和照顾者的生活工资或更高的工资,加上旅行费用,以鼓励公平,并为计划外的紧急贡献留出一些空间。描述了可访问性和多样性考虑因素。不止一个有生活经验的人可能被包括为知识使用者或合作者,或者提供了支持信,他们反映了资助申请的重点人群。他们的专业知识得到强调和重视。理想情况下,一些最初的参与将已经发生,以完善研究问题,并且生活/生活和护理经验反馈有助于形成资助申请的描述。申请人已经证明他们在参与方面具有专业知识,真正关心确保公平合作,并且真正理解参与过程,或者已经引入了具有这种互补专业知识的可靠团队成员。在同行评审看来,遵循这些建议的资助申请会显得更真诚,展示出一个充实而有意义的参与计划。参与成为应用程序的关键优势,也是促使同行审稿人决定推荐资助的一个因素。我们致力于支持在整个研究过程中嵌入生活/生活经验的研究,从创意产生到知识动员。我们相信,在整个研究部门中嵌入有意义的参与将创造更多相关的研究,为参与人员和研究人员创造更有意义的经验,建立更严格的证据基础,最终建立更强大的医疗保健系统,更能反映他们所服务的人的需求,同时为所有研究团队成员建立能力。然而,为了让参与式研究在健康研究中占据主导地位,它需要得到资助机构的鼓励,并得到成功的资助。我们希望这些建议能帮助申请基金的人强调参与是他们申请的优势。我们进一步希望,这将提高积极参与的研究团队的资助成功率,帮助提高研究标准,使强有力的参与计划成为黄金标准,并最终使卫生系统受益。Lisa D. Hawke:概念化,写作-原稿,资金获取。Katie Upham, Hajar Seiyad, Mary Rose van Kesteren:概念化,写作-评论和编辑。作者没有什么可报告的。
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引用次数: 0
Cultural Competency in Research: A Practical Framework for Use by Researchers, Policymakers, Community Leads and Others When Working With People From Diverse Groups 研究中的文化能力:供研究人员、政策制定者、社区领导和其他人在与来自不同群体的人合作时使用的实用框架。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-13 DOI: 10.1111/hex.70544
Evgenia Stepanova, Matthew Cooper, Anna Robinson-Barella, Vicki Harris, Abbie Rance, Abbie Husband, David Wright, Fabi Lorencatto, Clare Tolley, Wade Tovey, Geoff Wong, Daniel Cowie, Kerry Parker, Elise Crayton, Hamde Nazar
<div> <section> <h3> Background</h3> <p>As researchers strive to conduct culturally competent and equitable research, there remains a lack of actionable guidance across the research lifecycle. Increasingly, funding bodies require evidence of such approaches, yet a clear, practical direction for effective research practice is often lacking.</p> </section> <section> <h3> Aim</h3> <p>To develop a practical framework, grounded in Meleis' cultural competence criteria, to guide all stages of the research lifecycle.</p> </section> <section> <h3> Methods</h3> <p>Databases PsycINFO, ERIC, PubMed, Web of Science Core Collection and Google Scholar were searched (August–October 2025) for English-language publications applying Meleis' framework in research contexts. Narrative and thematic analysis synthesised identified applications into draft recommendations and measures across five research stages. A modified Delphi process with 31 experts (community leads, researchers, policymakers and translators) in two survey rounds and a consensus workshop was then used to refine and finalise items, producing a co-developed framework of actionable, measurable recommendations for culturally competent research with minoritised and/or diverse groups.</p> </section> <section> <h3> Results</h3> <p>The review identified eight studies, yielding 41 applications of Meleis' criteria. These were distilled into 29 draft recommendations and measures, which were further refined through Delphi consensus to 25 recommendations and 25 measures, offering practice-ready guidance across research focus, recruitment, measurement, analysis and dissemination. Contextuality was rated critical in four stages, highlighting how cultural identities shape engagement. Language was strongly prioritised in focus, recruitment and measurement, with emphasis on diverse, well-funded interpretation and transcription strategies. Empowerment and reciprocation were noted as underused but essential for legitimacy and impact, particularly in focus and dissemination. Continuous cultural humility training was endorsed, reinforcing critiques of competence as a static skill. During consensus discussions, recommendations initially framed as optional (‘could’) were reframed as compulsory (‘should’). The final framework is available as an accessible online resource.</p> </section> <section> <h3> Conclusions</h3> <p>Using consensus, an evidence-based, culturally competent research framework was co-designed; it comprised 2
背景:随着研究人员努力进行文化胜任和公平的研究,在整个研究生命周期中仍然缺乏可操作的指导。越来越多的资助机构需要这些方法的证据,然而有效的研究实践往往缺乏一个明确的、实用的方向。目的:开发一个实用的框架,以Meleis的文化能力标准为基础,指导研究生命周期的所有阶段。方法:检索PsycINFO、ERIC、PubMed、Web of Science Core Collection和谷歌Scholar数据库(2025年8 - 10月)中应用Meleis框架进行研究的英文出版物。叙述和专题分析将确定的应用程序综合为五个研究阶段的建议和措施草案。经过修改的德尔菲过程由31位专家(社区领导、研究人员、政策制定者和翻译人员)参与两轮调查和共识研讨会,然后用于完善和最终确定项目,为少数族裔和/或不同群体的文化主管研究提供可操作的、可衡量的建议。结果:本综述确定了8项研究,产生了41项Meleis标准的应用。这些被提炼成29项建议和措施草案,并通过德尔菲共识进一步细化为25项建议和25项措施,为研究重点、招募、测量、分析和传播提供了实践就绪的指导。情境性在四个阶段中被评为关键,突出了文化身份如何塑造参与。语言在重点、招聘和衡量方面被高度重视,并强调多样化、资金充足的口译和转录策略。有人指出,授权和相互作用没有得到充分利用,但对合法性和影响,特别是在重点和传播方面,却是必不可少的。持续的文化谦逊训练得到认可,强化了对能力是一种静态技能的批评。在协商一致的讨论中,最初作为可选(“可能”)的建议被重新定义为强制性(“应该”)。最后的框架作为可访问的在线资源提供。结论:采用共识,共同设计了一个以证据为基础、具有文化竞争力的研究框架;它包括25项建议,可供研究人员、政策制定者、社区领导和其他人采取行动、衡量和适应。这个框架是朝着促进公平和有影响力的研究实践迈出的关键一步。患者或公众贡献:由三名来自少数族裔背景的患者和两名保健专业人员组成的患者和公众参与小组举行了两次会议,审查调查结果,改进组成部分,并就语言、可及性和可用性提供反馈。
{"title":"Cultural Competency in Research: A Practical Framework for Use by Researchers, Policymakers, Community Leads and Others When Working With People From Diverse Groups","authors":"Evgenia Stepanova,&nbsp;Matthew Cooper,&nbsp;Anna Robinson-Barella,&nbsp;Vicki Harris,&nbsp;Abbie Rance,&nbsp;Abbie Husband,&nbsp;David Wright,&nbsp;Fabi Lorencatto,&nbsp;Clare Tolley,&nbsp;Wade Tovey,&nbsp;Geoff Wong,&nbsp;Daniel Cowie,&nbsp;Kerry Parker,&nbsp;Elise Crayton,&nbsp;Hamde Nazar","doi":"10.1111/hex.70544","DOIUrl":"10.1111/hex.70544","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;As researchers strive to conduct culturally competent and equitable research, there remains a lack of actionable guidance across the research lifecycle. Increasingly, funding bodies require evidence of such approaches, yet a clear, practical direction for effective research practice is often lacking.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To develop a practical framework, grounded in Meleis' cultural competence criteria, to guide all stages of the research lifecycle.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Databases PsycINFO, ERIC, PubMed, Web of Science Core Collection and Google Scholar were searched (August–October 2025) for English-language publications applying Meleis' framework in research contexts. Narrative and thematic analysis synthesised identified applications into draft recommendations and measures across five research stages. A modified Delphi process with 31 experts (community leads, researchers, policymakers and translators) in two survey rounds and a consensus workshop was then used to refine and finalise items, producing a co-developed framework of actionable, measurable recommendations for culturally competent research with minoritised and/or diverse groups.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The review identified eight studies, yielding 41 applications of Meleis' criteria. These were distilled into 29 draft recommendations and measures, which were further refined through Delphi consensus to 25 recommendations and 25 measures, offering practice-ready guidance across research focus, recruitment, measurement, analysis and dissemination. Contextuality was rated critical in four stages, highlighting how cultural identities shape engagement. Language was strongly prioritised in focus, recruitment and measurement, with emphasis on diverse, well-funded interpretation and transcription strategies. Empowerment and reciprocation were noted as underused but essential for legitimacy and impact, particularly in focus and dissemination. Continuous cultural humility training was endorsed, reinforcing critiques of competence as a static skill. During consensus discussions, recommendations initially framed as optional (‘could’) were reframed as compulsory (‘should’). The final framework is available as an accessible online resource.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Using consensus, an evidence-based, culturally competent research framework was co-designed; it comprised 2","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"29 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12796843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Designing Meaningful Engagement for Older Adults: An Evaluation of Participation in a Five-Day Co-Design Sprint 为老年人设计有意义的参与:对参与五天共同设计冲刺的评估。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-12 DOI: 10.1111/hex.70555
Susanna Nordin, Aaron Davis, France Légaré, Allyson Jones, Louise Meijering, Marie Elf
<div> <section> <h3> Background</h3> <p>Co-design is increasingly used to involve older adults in the development of digital tools, yet less attention has been given to how to engage them effectively in these processes. Older adults represent a highly diverse population, but co-design practices often overlook this heterogeneity and rely on limited representation. Similarly, co-design approaches vary widely in structure and degree of user involvement. While evaluations often focus on outcomes such as usability and technical performance, fewer studies explore the value of participation itself.</p> </section> <section> <h3> Aim</h3> <p>This study evaluates the process of a 5-day online design sprint where participants, including older adults, healthcare and technology professionals, researchers, facilitators and business representatives, collaborated to develop housing-related digital support tools.</p> </section> <section> <h3> Methods</h3> <p>A hybrid thematic analysis process links process documentation and participant reflections with value-based frameworks to examine how different elements of the process created or inhibited value for participants.</p> </section> <section> <h3> Results</h3> <p>The findings highlight how the structure of the design sprint, together with specific facilitation practices, fostered respectful dialogue, trust, autonomy and a sense of ownership among participants. The evaluation describes how the process satisfied participants' collectively prioritised values, and their individual needs.</p> </section> <section> <h3> Conclusions</h3> <p>The study highlights that co-design is not a neutral method, but a practice with social, ethical and emotional consequences. Effective facilitation is essential to support agency, ensure psychological safety and promote authentic collaboration. Recognising the heterogeneity of older adults and aligning facilitation strategies with participants' values and needs can enhance both the relevance of digital innovations and the meaningfulness of the co-design experience itself.</p> </section> <section> <h3> Patient and Public Contribution</h3> <p>The project was supported by a reference group that was actively involved throughout. The group included, for instance, representatives from the municipality, regional authorities and a pensioners' organisation.</p> </section>
背景:协同设计越来越多地用于让老年人参与数字工具的开发,但如何有效地让他们参与这些过程却很少受到关注。老年人代表着高度多样化的人群,但共同设计实践往往忽视了这种异质性,并依赖于有限的代表性。同样,协同设计方法在结构和用户参与程度上也有很大差异。虽然评估通常侧重于可用性和技术性能等结果,但很少有研究探索参与本身的价值。目的:本研究评估了一个为期5天的在线设计冲刺过程,参与者包括老年人、医疗保健和技术专业人员、研究人员、辅导员和商业代表,他们合作开发了与住房相关的数字支持工具。方法:混合主题分析过程将过程文档和参与者反思与基于价值的框架联系起来,以检查过程的不同元素如何为参与者创造或抑制价值。结果:研究结果强调了设计冲刺的结构,以及具体的促进实践,如何在参与者之间培养尊重的对话、信任、自主和归属感。评估描述了该过程如何满足参与者的集体优先价值,以及他们的个人需求。结论:该研究强调了协同设计不是一种中立的方法,而是一种具有社会、伦理和情感后果的实践。有效的促进对于支持机构、确保心理安全和促进真正的合作至关重要。认识到老年人的异质性,并使促进策略与参与者的价值观和需求保持一致,可以增强数字创新的相关性和共同设计体验本身的意义。患者和公众贡献:该项目得到了一个积极参与的参考小组的支持。例如,该小组包括来自市政当局、地区当局和一个养老金领取者组织的代表。
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引用次数: 0
Theoretically Universal, Practically Unequal: Socio-Economic Inequalities in Healthcare Access for Long Covid-19 Patients in Austria 理论上普遍,实际上不平等:奥地利长期Covid-19患者获得医疗保健的社会经济不平等。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-08 DOI: 10.1111/hex.70553
Peter Gamillscheg-Müllner, Agata Łaszewska, Sophie Diexer, Kathryn Hoffmann, Judit Simon, Susanne Mayer
<div> <section> <h3> Background</h3> <p>Long Covid-19 (LC) patients have substantial treatment and care needs, yet research has shown that the majority of them experience healthcare access barriers. While qualitative studies indicate socio-economic and demographic access inequalities among LC patients, quantitative evidence remains limited. This study aims to assess socio-economic inequalities in healthcare access among LC patients in Austria, focusing on self-perceived barriers, facilitators and unmet healthcare needs.</p> </section> <section> <h3> Methods</h3> <p>Retrospective cross-sectional data were collected from adult LC patients through online and paper-based surveys (10-12/2024), following a prior qualitative study. The survey assessed 47 barriers and 10 facilitators based on Levesque's ‘access to care’ framework, along with unmet healthcare needs overall and related to general practitioner (GP), specialist and hospital care. Overall barrier and facilitator scores were calculated. Inequalities related to gender, age, urbanicity, health-related background through training/employment, complementary private health insurance, and economic situation were examined in linear, logistic and ordered logistic regressions, controlling for clinical and demographic variables.</p> </section> <section> <h3> Results</h3> <p>Overall, 433 LC patients completed the survey. Participants living in urban areas, with complementary private health insurance, or in a good economic situation reported fewer barriers, reflected in statistically significantly lower overall barrier scores. Income-related inequalities emerged particularly in relation to barriers in GP care, including not being taken seriously, attribution of symptoms to mental health conditions, burdensome costs, short consultation times, and limited availability of telemedicine or home visits. Facilitator scores, in contrast, did not differ by socio-economic factors. Living in a rural area was associated with a higher probability of unmet healthcare needs related to GP and specialist care. A poor economic situation was associated with a higher probability of reporting unmet needs related to specialist and hospital care. No evidence of gender-based inequalities was found.</p> </section> <section> <h3> Conclusions</h3> <p>Our findings reveal enhanced inequalities in LC healthcare access in an otherwise universal healthcare system. Contrary to prior research, we find income-related inequalities in GP access. Future policy efforts in Austria should consider that central case management through GP care may no
背景:新型冠状病毒肺炎(LC)患者有大量的治疗和护理需求,但研究表明,他们中的大多数人在获得医疗保健方面存在障碍。虽然定性研究表明LC患者的社会经济和人口准入不平等,但定量证据仍然有限。本研究旨在评估社会经济不平等的医疗保健在奥地利LC患者中,重点关注自我感知的障碍,促进和未满足的医疗保健需求。方法:在先前的定性研究之后,通过在线和纸质调查(10-12/2024)收集成年LC患者的回顾性横断面数据。该调查基于Levesque的“获得护理”框架,评估了47个障碍和10个促进因素,以及与全科医生(GP)、专科医生和医院护理相关的总体未满足的医疗保健需求。计算障碍和促进者的总体得分。在控制临床和人口变量的情况下,通过线性、逻辑和有序逻辑回归,研究了与性别、年龄、城市化、通过培训/就业与健康相关的背景、补充性私人医疗保险和经济状况相关的不平等。结果:总体而言,433例LC患者完成了调查。生活在城市地区、拥有补充性私人医疗保险或经济状况良好的参与者报告的障碍较少,这反映在统计上明显较低的总体障碍得分上。与收入有关的不平等现象尤其出现在全科医生护理方面的障碍方面,包括不被认真对待、将症状归因于精神健康状况、费用负担沉重、咨询时间短以及远程医疗或家访有限。相比之下,促进者得分并没有因社会经济因素而有所不同。生活在农村地区与未满足与全科医生和专科护理相关的医疗保健需求的可能性较高相关。经济状况不佳与报告未满足专家和医院护理需求的可能性较高有关。没有发现基于性别的不平等的证据。结论:我们的研究结果揭示了LC医疗保健访问在其他普遍的医疗保健系统中增强的不平等。与先前的研究相反,我们发现收入相关的GP访问不平等。奥地利未来的政策努力应该考虑到,通过全科医生护理的中心病例管理可能不是最理想的设置,特别是没有改进的信息,培训,支持和专家转诊机会。患者或公众贡献:调查的设计以及关于医疗保健获取障碍和促进因素的假设直接来自于对长期Covid-19 (LC)患者的定性访谈,这些患者分享了他们在诊断、治疗和医疗保健系统导航方面的生活经历。此外,LC患者在调查启动前进行了试点并提供了反馈。患者LC组的代表和个体患者通过在其网络内共享研究材料为参与者招募做出了贡献。
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引用次数: 0
Prescriptions for Connection—Social Prescribing for Older People in Australia: Protocol for a Feasibility Study 联系处方——澳大利亚老年人的社会处方:可行性研究方案。
IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-01-07 DOI: 10.1111/hex.70506
Heather Block, Candice Oster, Suzanne Dawson, Claire Gough, Gregory B. Crawford, Adelaide Boylan, Jan Angelo, Matthew Freeman, Rachel Milte, Helen Exley, Stacey George

Background

Older people are living longer with unmet social needs that impact their health and wellbeing. Social prescribing programs connect individuals with nonclinical services to address these needs. While international programs have shown benefits for quality of life, health and healthcare utilisation, social prescribing research in Australia is limited.

Objective

This study aims to design, implement and evaluate a social prescribing program to address the unmet social needs of older adults in Adelaide, South Australia.

Research Design and Methods

This observational feasibility study will use a multiphase mixed methods process and outcomes evaluation. Prescriptions for Connection, a social prescribing program, will be co-designed and implemented in six primary care practices and three council areas. Implementation outcomes will be evaluated using the Reach, Effectiveness, Adoption, Implementation and Maintenance Framework. Qualitative data collection, via focus groups for health and social care providers and interviews for older people, will be based on the Consolidated Framework for Implementation Research to explore barriers and facilitators, and explain outcomes.

Conclusion

This study will provide novel evidence on the process, outcomes and feasibility of the Prescriptions for Connection program. Scalability, sustainability and modifications to the program will be explored for testing in a larger hybrid effectiveness-implementation trial.

Patient or Public Contribution

Older adults will participate in codesign workshops and provide feedback on the Prescriptions for Connection program. Community members will be recruited as volunteer community connectors to link older people to social activities. The national peak body for older Australians will be represented on the steering group.

Trial Registration: ACTRN12625000664448.

背景:老年人的寿命越来越长,但社会需求未得到满足,这影响了他们的健康和福祉。社会处方计划将个人与非临床服务联系起来,以满足这些需求。虽然国际项目已经显示出对生活质量、健康和医疗保健利用的好处,但澳大利亚的社会处方研究有限。目的:本研究旨在设计、实施和评估社会处方计划,以解决南澳大利亚阿德莱德老年人未满足的社会需求。研究设计和方法:本观察性可行性研究将采用多阶段混合方法,过程和结果评估。“连接处方”是一项社会处方计划,将在六个初级保健实践和三个理事会领域共同设计和实施。实施结果将使用Reach、有效性、采用、实施和维护框架进行评估。通过保健和社会保健提供者焦点小组和对老年人的访谈,定性数据收集将以《实施研究综合框架》为基础,探讨障碍和促进因素,并解释结果。结论:本研究将为“连接处方”项目的实施过程、结果和可行性提供新的证据。该计划的可扩展性、可持续性和修改将在更大的混合有效性-实施试验中进行测试。患者或公众贡献:老年人将参与共同设计研讨会,并对“连接处方”项目提供反馈。将招募社区成员作为志愿者社区联络人,将老年人与社会活动联系起来。澳大利亚老年人的国家最高机构将在指导小组中有代表。试验注册:ACTRN12625000664448。
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Health Expectations
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