Systems thinking for Aboriginal Health: Understanding the value and acceptability of group model building approaches.
Systems thinking for Aboriginal Health: Understanding the value and acceptability of group model building approaches.
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原住民健康的系统思考：理解群体模型构建方法的价值和可接受性。
DOI：
10.1016/j.ssmph.2021.100874
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Backholer K
中科院分区：
文献类型：
--
作者：
Browne J;Walker T;Brown A;Sherriff S;Christidis R;Egan M;Versace V;Allender S;Backholer K
系统思维越来越多地应用于理解和解决复杂健康问题的系统驱动因素。在澳大利亚，群体模型建设是一种来自系统科学的参与性方法，已在各地应用，以使社区参与基于系统的健康促进项目。迄今为止，关于澳大利亚土著社区使用绿色专线小巴的证据有限。这项研究的目的是确定的价值和可接受的群体模型建设（GMB）作为一种方法学的研究与土著社区，并确定任何调整所需的优化其效用。半结构化的采访进行了18个土著卫生和大学的工作人员谁有以前的经验与专线小巴的研究项目。访谈记录进行了归纳分析，使用主题分析和关键主题组织使用土著研究框架。与会者报告说，专线小巴的方法一般与原住民的方式知道，是，和做。与会者重视这一方法的整体性、直观性和协作性，重视分享经验和集体决策。小组模式建设被视为一个有用的工具，可用于确定土著人主导的行动，以解决优先问题和推进自决。我们的研究结果表明，通过汇集原住民和非原住民的知识，绿色专线小巴是一个很有前途的工具，原住民社区可以利用它来探索和解决复杂的问题的方式是符合他们的世界观。在调整群体模型建立方法时，非土著研究人员应力求超越共同设计进程，使土著卫生研究完全由土著人民领导。群体模型构建是研究原住民社区的一种很有前途的方法，通常与原住民世界观一致。群体模式建设可能是一个有用的工具，用于确定解决优先问题和推进土著自决的行动。需要进行能力建设，以便土著人能够领导小组模型建立讲习班，最好是整个研究项目。
Systems thinking is increasingly applied to understand and address systemic drivers of complex health problems. In Australia, group model building, a participatory method from systems science, has been applied in various locations to engage communities in systems-based health promotion projects. To date there is limited evidence regarding GMB use with Australian Aboriginal communities. This study aimed to determine the value and acceptability of group model building (GMB) as a methodological approach in research with Aboriginal communities and identify any adaptations required to optimise its utility. Semi-structured interviews were undertaken with 18 Aboriginal health and university staff who had prior experience with a GMB research project. Interview transcripts were inductively analysed using thematic analysis and key themes were organised using an Indigenous research framework. Participants reported that GMB methods generally aligned well with Aboriginal ways of knowing, being, and doing. Participants valued the holistic, visual and collaborative nature of the method and its emphasis on sharing stories and collective decision-making. Group model building was viewed as a useful tool for identifying Aboriginal-led actions to address priority issues and advancing self-determination. Our findings suggest that by bringing together Aboriginal and non-Aboriginal knowledge, GMB is a promising tool, which Aboriginal communities could utilise to explore and address complex problems in a manner that is consistent with their worldviews. In adapting group model building methods, non-Aboriginal researchers should aspire to move beyond co-design processes and enable Aboriginal health research to be entirely led by Aboriginal people. Group model building is a promising method for research with Aboriginal communities that is generally consistent with Aboriginal worldviews. Group Model Building may be a useful tool for identifying actions to address priority issues and advancing Aboriginal self-determination. Capacity building is required so that Group Model Building workshops, and ideally entire research projects, can be led by Aboriginal people.
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