Using Community-based Participatory Research to Assess Health Needs among Migrant and Seasonal Farmworkers
Using Community-based Participatory Research to Assess Health Needs among Migrant and Seasonal Farmworkers
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DOI：
10.1080/19325037.2006.10598916
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发表时间：
2006-01-01
影响因子：
1
通讯作者：
Cooper, Cheryl
中科院分区：
文献类型：
--
作者：
Doyle, Eva;Rager, Robin;Cooper, Cheryl
以社区为基础的参与性研究（CBPR）的原则，适用于移民和季节性农场工人（MSFWs）在七个县地区的得克萨斯州东部。本研究的目的是建立以社区为基础的伙伴关系，CBPR和进行初步的定性评估的感知卫生需求和能力。关键线人访谈和滚雪球技术被用来确定看门人和招募参与者从三个利益相关者群体：医疗保健提供者，社会服务提供者和MSFW。一个修改后的名义组技术（NGT）适用于一系列的五个定性组访谈：一组的医疗保健提供者（n=9），一组的社会服务提供者（n=11），和三组的MSFWs（一个所有男性，n=4;一个所有女性，n=8;一个性别平衡，n=8）。为了提高反应的有效性，在每一次NGT会议中使用的协议进行了调整，以适应每个利益相关者群体的沟通和解决问题的风格。参与者共同确定了行为，心理，环境，社会/经济和卫生服务的获取/治疗因素，认为有助于MSFW社区的健康状况。对各利益攸关方群体的答复进行了初步比较，即所谓的异质性抽样，结果显示，对促成因素和潜在解决办法的看法各不相同。CBPR过程和结果的讨论，并提供具体的干预建议。
Principles of community-based participatory research (CBPR) were applied among migrant and seasonal farmworkers (MSFWs) in a seven-county region of east Texas. The study purpose was to establish community-based partnerships for CBPR and conduct a preliminary qualitative assessment of perceived health needs and capacities. Key informant interviews and a snowballing technique were used to identify gatekeepers and recruit participants from three stakeholder groups: health care providers, social service providers, and MSFWs. A modified nominal group technique (NGT) was applied in a series of five qualitative group interviews: one group of health care providers (n=9), one group of social service providers (n=11), and three groups of MSFWs (one all male, n=4; one all female, n=8; one gender-balanced, n=8). To enhance response validity, the protocols used in each NGT session were adapted to the communication and problem-solving styles of each stakeholder group. The participants collectively identified behavioral, psychological, environmental, social/economic, and health service access/treatment factors believed to contribute to the health status of the MSFW community. A preliminary comparison of responses across stakeholder groups, known as heterogeneity sampling, revealed differing perspectives related to contributing factors and potential solutions. A discussion of the CBPR process and results, and specific intervention recommendations are provided.