Bringing together coproduction and community participatory research approaches: Using first person reflective narrative to explore coproduction and community involvement in mental health research
Bringing together coproduction and community participatory research approaches: Using first person reflective narrative to explore coproduction and community involvement in mental health research
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DOI：
10.1111/hex.12908
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发表时间：
2019-08-01
影响因子：
3.2
通讯作者：
Gillard, Steve
中科院分区：
文献类型：
--
作者：
King, Colin;Gillard, Steve
背景越来越多的文献探讨了研究知识的共同生产。精神健康研究中的共同生产障碍已经确定，特别是对边缘化社区的人。有一个既定的参与性研究机构，有可能为心理健康研究中的共同生产提供信息。目的探讨和阐明如何从社区参与式研究方法中学习，使知识共同生产的障碍在精神卫生研究中得以克服。设置一个初级保健心理健康服务的评价，由一位经验丰富的幸存者研究员领导，由一名健康服务研究员支持，并涉及一个社区合作研究人员团队。设计周期的反思性写作（第一人称叙事）的作者，并从合作研究团队的反馈，他们的经验进行评估被用来探索的方式，其中社区行为者，包括那些来自边缘化社区，可能有意义地参与生产研究知识的心理健康服务。创造了一个空间，使社区共同研究人员，包括那些来自传统上被边缘化的社区的共同研究人员，感到安全和有能力超越必要的“服务用户”身份，并为评价带来一系列技能和专业知识。传统大学和社区角色之间的权力重新平衡是有意义的，尽管围绕领导力的问题仍然很复杂，可以做更多的工作来探索我们在种族和心理健康方面的不同经历如何塑造我们的研究。结论潜在的参与性研究方法，以告知共同生产的精神卫生研究，充分反映了身份和经验的多样性的知识。
Background A growing literature explores the coproduction of research knowledge. Barriers to coproduction in mental health research have been identified, especially for the people from marginalized communities. There is an established body of participatory research that has potential to inform coproduction in mental health research. Objectives To explore and articulate how learning from community participatory approaches to research enable barriers to knowledge coproduction to be overcome in mental health research. Setting An evaluation of a primary care mental health service, led by an experienced survivor researcher, supported by a health service researcher and involving a team of community co-researchers. Design Cycles of reflective writing (first-person narrative) by the authors, and feedback from the co-researcher team, on their experiences of undertaking the evaluation were used to explore the ways in which community actors, including those from marginalized communities, might be meaningfully involved in producing research knowledge about mental health services. Results A space was created where community co-researchers, including those from traditionally marginalized communities, felt safe and empowered to move beyond essentialized "service user" identities and bring a range of skills and expertise to the evaluation. There was meaningful rebalancing of power between traditional university and community roles, although the issues around leadership remained complex and more could be done to explore how our different experiences of race and mental health shape the research we do. Conclusions Potential was demonstrated for participatory research approaches to inform coproduction of knowledge in mental health research that fully reflects the diversity of identity and experience.