Consolidate, conceptualize, contextualise: key learnings for future intervention acceptability research with young people in Africa.
Consolidate, conceptualize, contextualise: key learnings for future intervention acceptability research with young people in Africa.
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DOI：
10.1080/13548506.2022.2108078
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发表时间：
2022-01
影响因子：
3.8
通讯作者：
Desmond, Chris
中科院分区：
文献类型：
--
作者：
Casale, Marisa;Yates, Rachel;Gittings, Lesley;Ronnie, Genevieve Haupt;Somefun, Oluwaseyi;Desmond, Chris
可接受性已成为制定、评估和实施卫生和社会干预措施的一个关键考虑因素。这篇评论文章为非洲青年今后的干预可接受性研究提出了重要的经验教训和建议，旨在支持实现发展目标。它将自2020年年中以来在加速中心内进行的青少年可接受性工作的结果与更广泛的跨学科文献以及当前的区域卫生和社会优先事项联系起来。我们认为，为了加强未来青年可接受性工作的质量和应用价值，我们需要做好三件事。首先，我们需要巩固先前关于干预类型内和干预类型之间可接受性的调查结果，以便为应对当前的公共卫生和社会挑战提供信息，并进一步推进这一领域的概念性工作。其次，我们需要更好地将年轻人的可接受性研究概念化，开发更强大的概念框架，定义可接受性及其结构，并预测其与干预参与的关系。第三，我们需要在更广泛的社会和政治背景下考虑可接受性数据，从而更好地将调查结果与背景联系起来，而这反过来又可以得到更好的概念化的支持。在这篇文章中，我们描述了我们的工作对这三个相互关联的目标中的每一个的贡献，并提出了未来研究人员和实践者可以推进它们的方式。这些措施包括汇总过去干预措施的证据，以突出优先领域当前应对措施的潜在障碍和推动因素；让关键行为者更早、更有意义地参与可接受性研究；进一步开发和测试青年可接受性的行为模式；跨部门协作，为更好地将可接受性研究纳入背景提供方案指导。这一领域的进展将需要一种跨学科的方法，这种方法借鉴了各种文献，如社会生态理论、政治经济学分析、健康行为模型和关于参与性研究方法的文献。
Acceptability has become a key consideration in the development, evaluation and implementation of health and social interventions. This commentary paper advances key learnings and recommendations for future intervention acceptability research with young people in Africa, aimed at supporting the achievement of developmental goals. It relates findings of the adolescent acceptability work conducted within the Accelerate Hub, since mid 2020, to broader inter-disciplinary literatures and to current regional health and social priorities. We argue that, in order to strengthen the quality and applied value of future acceptability work with young people, we need to do three things better. First, we need to consolidate prior findings on acceptability, within and across intervention types, to inform responses to current public health and social challenges and further the conceptual work in this area. Second, we need to better conceptualise acceptability research with young people, by developing stronger conceptual frameworks that define acceptability and its constructs, and predict its relationship with intervention engagement. Third, we need to better contextualise findings by considering acceptability data within a broader social and political context, which in turn can be supported by better conceptualisation. In this paper we describe contributions of our work to each of these three inter-connected objectives, and suggest ways in which they may be taken forward by researchers and practitioners in the future. These include aggregating evidence from past interventions to highlight potential barriers and enablers to current responses in priority areas; involving key actors earlier and more meaningfully in acceptability research; further developing and testing behavioural models for youth acceptability; and working collaboratively across sectors towards programmatic guidance for better contextualisation of acceptability research. Progress in this field will require an inter-disciplinary approach that draws from various literatures such as socio-ecological theory, political economy analysis, health behaviour models and literature on participatory research approaches.
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