在以社区为基础的参与式研究中建立公平伙伴关系和分享权力的七项核心能力和条件。

IF 7.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMJ Global Health Pub Date : 2024-11-17 DOI:10.1136/bmjgh-2024-015497
Kim Ozano, Wafa Alam, Bachera Aktar, Linet Okoth, Ivy Chumo, Jessica Amegee Quach, Nelly Muturi, Samuel Saidu, Ibrahim Gandi, Neele Wiltgen Georgi, Lilian Otiso, Abu Conteh, Sally Theobald, Laura Dean, Rachel Tolhurst, Robinson Karuga, Jiban Karki, Surekha Garimella, Vinodkumar Rao, Anthony Mwanki, Nazia Islam, Sia Morenike Tengbe, Sweta Dash, Prasanna Subramanya Saligram, Sabina Rashid, Rosie Steege
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引用次数: 0

摘要

公平的健康研究需要社区积极参与新知识的产生,以倡导他们的健康需求。以社区为基础的参与式研究(CBPR)依赖于研究人员、计划实施者和社区合作伙伴共同创造背景知识和基础知识,目的是促进变革行动。提高共同创造能力有助于提高研究质量和有效性。然而,目前还缺乏框架和指导,来强调所有研究伙伴做出有意义和公平贡献所需的理想能力和条件。本文旨在通过阐述七种核心能力和条件,促进个人、社区、组织和系统层面的知识生产、应用和传播中的权力共享,从而推动社区共同研究。能力是通过迭代过程开发出来的,综合了已有的文献和框架,以及来自孟加拉国、印度、肯尼亚、塞拉利昂和英国的研究人员、活动家、实施伙伴和社区研究人员的广泛隐性知识:七项核心能力和条件是:(1) 解释和回应个人及关系身份、联系、独特性和不平等的能力;(2) 社区和合作伙伴以最合适、最包容和最协同的方式开展工作的能力;(3) 为多向知识和技能交流创造安全和包容空间的能力,这种交流超越了研究重点;(4) 民主领导和/或促进方面的专门知识,以平衡相互竞争的优先事项,确保共同决策;(5) 在整个研究过程中分析行动准备情况、成功经验和有待改进之处的能力;(6) 利用宣传、游说或行动主义方法,在制度、政策和实践的政治层面推动可持续变革进程的能力;(7) 解释和传播研究结果和成果的技能,使其易于理解、受到尊重并促进社区自主权。我们介绍了核心能力和条件领域、与能力相关的个人和集体专长、可能取得的成果、活动实例和证据来源。
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Seven core competencies and conditions for equitable partnerships and power sharing in community-based participatory research.

Equitable health research requires actively engaging communities in producing new knowledge to advocate for their health needs. Community-based participatory research (CBPR) relies on the coproduction of contextual and grounded knowledge between researchers, programme implementers and community partners with the aim of catalysing action for change. Improving coproduction competencies can support research quality and validity. Yet, frameworks and guidance highlighting the ideal competencies and conditions needed for all research partners to contribute meaningfully and equitably are lacking. This paper aims to advance CBPR by laying out seven core competencies and conditions that can promote power sharing in knowledge production, application and dissemination at the individual, community, organisational and systems levels.Competencies were developed through an iterative process, that synthesised pre-existing literature and frameworks with a wide range of tacit knowledge from researchers, activists, implementation partners and community researchers from Bangladesh, India, Kenya, Sierra Leone and the UK.The seven core competencies and conditions are: (1) capacity to interpret and respond to individual and relational identity, connection, uniqueness and inequities; (2) ability of communities and partners to work in the most suitable, inclusive and synergistic way; (3) aptitude for generating safe and inclusive spaces for multidirectional knowledge and skills exchange that goes beyond the research focus; (4) expertise in democratic leadership and/or facilitation to balance competing priorities and ensure shared decision-making; (5) capacity to analyse readiness for action, successes and areas for improvements throughout the research process; (6) ability to instigate sustainable change processes within the political dimensions of systems, policies and practices using advocacy, lobbying or activism approaches and (7) skills to interpret and disseminate findings and outputs that are understandable, respectful and promote community ownership. We present core competency and condition areas, individual and collective expertise associated with competencies, likely outcomes, examples of activities and sources of evidence.

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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
期刊最新文献
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