Clients or colleagues? Reflections on the process of participatory action research with young injecting drug users
Clients or colleagues? Reflections on the process of participatory action research with young injecting drug users
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DOI：
10.1016/j.drugpo.2004.12.002
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发表时间：
2005-06-01
影响因子：
4.4
通讯作者：
Smith, K
中科院分区：
文献类型：
--
作者：
Coupland, H;Maher, L;Smith, K
很少发表的报告探讨了对注射吸毒者进行参与性行动研究的潜力，这种研究将他们的作用扩展到咨询、促进招募或进行同行驱动的干预措施之外。我们反思了使用定性方法对没有获得毒品卫生服务的年轻吸毒者进行参与性需求评估的过程。本报告利用从包括同行和卫生工作者在内的研究小组获得的正式反馈，以及大学研究人员的非正式观察，来描述实施这一方法所固有的好处和挑战。结果表明，同事对隐藏的注射吸毒者和敏感信息的特权访问提高了数据的质量。PAR方法也有助于改变卫生工作者对注射吸毒者和同行参与服务提供的消极态度，这是迈向有意义的消费者参与的重要第一步。然而，同伴参与的成功与否取决于卫生工作者在多大程度上愿意将注射吸毒者接受为同事而不是客户。我们建议，需要根据基于业绩的标准来判断同行工作者承担这些角色的能力，该标准将其注射吸毒经验视为一种合法的专门知识形式。(C)2005 Elsevier B.V.保留所有权利。
Few published reports have explored the potential for participatory action research (PAR) with injecting drug users (IDUs) that extends their role beyond consultation, facilitating recruitment or conducting peer-driven interventions We reflect on the process of conducting a participatory needs assessment of young IDUs who do not access drug health services using qualitative methods. This report draws on formal feedback obtained from the research teams, which comprised both peer and health workers, and informal observations made by the university researchers, to describe the benefits and challenges inherent in implementing this approach. Results indicate that the privileged access of peer workers to hidden IDUs and sensitive information improved the quality of the data. The PAR approach was also instrumental in changing the negative attitudes of health workers towards IDU and peer involvement in service delivery, an important first step towards meaningful consumer participation. However, the success of peer involvement is dependent on the extent to which health workers are willing to accept IDUs as colleagues rather than clients. We suggest that the capacity of peer workers to undertake these roles needs to be judged according to performance-based criteria that regards their injecting drug use experience as a legitimate form of expertise. (c) 2005 Elsevier B.V. All rights reserved.