Enhancing community participation in intervention research: Farmworkers and agricultural chemicals in North Carolina
Enhancing community participation in intervention research: Farmworkers and agricultural chemicals in North Carolina
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DOI：
10.1177/109019819902600412
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发表时间：
1999-08-01
影响因子：
4.2
通讯作者：
Saavedra, R
中科院分区：
文献类型：
--
作者：
Arcury, TA;Austin, CK;Saavedra, R
受影响社区参与公共卫生干预研究的发展，使项目对社区更有相关性和可接受性，从而提高项目的可持续性和有效性。本文提出了社区参与不同项目组件的多模式、多领域模型方法，它确保了参与的好处，而不需要每个活动或每个社区部门都有相同水平的参与。一个案例研究用于说明该模型，描述了建立和维持农场工人参与制定减少化学品接触的干预措施的程序。农场工人是一个贫穷和服务不足的群体，他们特别需要社区参与的赋权和文化上适当的好处。然而，这一人群对参与性卫生项目提出了挑战：地理分散、种族多样性、缺乏组织、无力感以及通信和交通困难。从这个案例中吸取的教训扩展了社区参与的方法和理论。
The participation of affected communities in the development of public health intervention research improves project sustainability and effectiveness by making projects more relevant and acceptable to the communities. This article presents a multimode, multidomain model approach for community participation in different project components, which ensures the benefits of participation without requiring the same level of participation in every activity or by every community sector. A case study is used to illustrate the model, describing procedures for establishing and maintaining farmworker participation in developing an intervention to reduce exposure to chemicals. Farmworkers are a poor and underserved population for which the empowering and culturally appropriate benefits of community participation are especially needed. However, this population presents challenges for participatory health projects: geographic dispersion, ethnic diversity, lack of organization, sense of powerlessness, and communication and transportation difficulties. The lessons learned in this case extend the method and theory of community participation.