社区参与研究,解决土著残疾妇女的健康差异问题。

Heather J Williamson, Julie S Armin, Ellen Stakely, Bonny Nasimi, Darold H Joseph, Jon Meyers, Julie A Baldwin
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摘要

简介:为了解决服务不足人群的健康差距问题,职业治疗师可以参与社区参与式研究和实践,以改善预防性健康服务的获取:为了解决服务不足人群的健康差距问题,职业治疗师可以参与社区参与式研究和实践,以改善预防性健康服务的获取:本研究采用基础理论和参与观察法,从社区参与研究项目中总结经验教训,以提高有智力和/或发育障碍(IDD)的土著妇女的癌症筛查率。研究采用归纳编码法对社区咨询委员会(AB)会议的录音进行了分析,并与 AB 成员对结果进行了核对。咨询委员会成员(N = 8)参与了全州范围内的土著健康、癌症和残疾活动。八名 AB 成员中有六名自称是土著人:土著研究框架中强调的关键主题包括反思、建立关系、项目规划和项目执行。本阶段研究项目的结果凸显了与土著社区共同设计研究项目的重要性:研究结果对其他研究环境的可移植性有限。不过,本研究强调了未来研究职业治疗师参与社区参与式研究项目的最佳实践的必要性,以解决服务不足人群(如患有 IDD 的土著妇女)的健康差异问题。
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Community-Engaged Research to Address Health Disparities of Indigenous Women With Disabilities.

Introduction: To address health disparities among underserved populations, occupational therapists can participate in community-engaged research and practice to improve access to preventive health services.

Methods: This study used grounded theory and participant observation approaches to identify lessons learned from a community-engaged research project to improve cancer screening rates for Indigenous women with an intellectual and/or developmental disability (IDD). Audio recordings of meetings with a community advisory board (AB) were analyzed with an inductive coding approach, and results were member checked with AB members. The AB members (N = 8) were involved in statewide Indigenous health, cancer, and disability activities. Six of the eight AB members identified as Indigenous.

Results: Key themes highlighted within the Indigenous research framework included reflection, relationship building, project planning, and project execution. Results of this phase of the research project highlight the importance of codesigning research projects with Indigenous communities.

Conclusion: The findings have limited transferability to other research contexts. However, this study highlights the need for future research on best practices for occupational therapists to participate in community-engaged research projects to address health disparities in underserved populations, such as Indigenous women with IDD.

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