支持与无家可归者合作的研究人员:在社区参与式研究中融入创伤认知和复原力建设方法。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-09-30 DOI:10.1177/15248399241275619
Jessica Alway, Jesus Omar Gomez, Phoebe Lee, Jordan Cuby, Deepalika Chakravarty, Maya Vijayaraghavan
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引用次数: 0

摘要

在面临结构性不平等的无家可归者中,创伤经历非常普遍,这可能会影响他们参与研究。与无家可归者合作的研究人员("工作人员")在应对结构性不平等和参与者生活中的创伤方面能力不足,即使他们在研究过程的监管方面接受过良好的培训。参与无家可归者戒烟干预研究的六名工作人员讲述了他们的经历,并强调了培训的领域,以整合创伤知情和复原力建设方法,为现场工作人员和无家可归者提供支持。我们确定了三个主题:(a) 创伤对研究过程的影响;(b) 与社区合作伙伴和参与者接触的重要性;(b) 需要一份现场工作人员指南。据工作人员描述,他们是参与者创伤的承受者,同时也要应对自己的替代性创伤。工作人员认为,实地工作者指南将使他们受益匪浅,该指南包括与社区合作伙伴合作的最佳实践以及创伤知情方法,如创伤知情护理培训和解决替代性创伤的工具。复原力建设方法包括实时汇报,以庆祝成功并解决现场问题。在对无家可归者进行干预研究之前,可以将复原力建设培训作为所有研究人员必须接受的一般培训的一部分。这些方法可能需要机构的支持才能纳入标准研究工作流程。这样做不仅可以保障研究人员和参与者的安全,还可以通过包容、安全和赋权的方式促进研究,使其成为消除不平等的一种手段。
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Supporting Research Staff Working With People Experiencing Homelessness: Integrating Trauma-Informed and Resilience-Building Approaches Into Community-Engaged Research Studies.

Traumatic experiences are highly prevalent among people experiencing homelessness who face structural inequities, which may impact engagement in research. Research staff ("staff") working with people experiencing homelessness are under-equipped to cope with structural inequities and the trauma present in participants' lives, even if they are well-trained in the regulatory aspects of the research process. Six staff involved in tobacco cessation intervention research with people experiencing homelessness described their experiences and highlighted areas of training to integrate trauma-informed and resilience-building approaches to support field staff and people experiencing homelessness. We identified three themes: (a) impact of trauma on the research process; (b) the importance of engagement with community partners and participants; and (b) the need for a field worker's guide. Staff described being the bearers of participants' traumas, while also coping with their own vicarious traumatization. Staff believed they would benefit from a fieldworker's guide that includes best practices for engagement with community partners as well as trauma-informed approaches like training in trauma-informed care and tools to address vicarious traumatization. Resilience-building approaches include real-time debriefing to celebrate successes and troubleshoot problems in the field. Training in resilience-building can be integrated as part of the general training required of all research staff prior to conducting intervention research studies with people experiencing homelessness. These approaches may need institutional support to be integrated into standard research workflows. In doing so, they may not only safeguard research staff and participants but also promote research as a means to dismantle inequities by being inclusive, safe, and empowering.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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