Addressing antimicrobial resistance through community engagement: a framework for developing contextually relevant and impactful behaviour change interventions.
Addressing antimicrobial resistance through community engagement: a framework for developing contextually relevant and impactful behaviour change interventions.
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DOI：
10.1093/jacamr/dlad124
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发表时间：
2023-12
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
--
作者：
社区参与 (CE) 干预措施通常围绕特定挑战探索和促进行为改变。行为改变的建议应与社区合作共同制定。为了促进这一点，干预措施必须包括通过多种知识来源解开兴趣挑战的关键内容。然而，当社区生活经验和学术证据出现不一致时，CE 的共同生产动态中可能会出现紧张局势。在抗菌素耐药性 (AMR) 的背景下尤其如此，理想的行为常常被特定社区背景下实际或可能的行为所取代。在这里，我们描述了一个框架，用于公平制定适合情境、明确证据的 CE 干预行为目标。该框架探讨了抗微生物药物耐药性知识的不同来源，包括不同利益相关者的潜在竞争观点。该框架允许根据学术证据、情境适当性以及与所选 CE 方法的适合性来选择 AMR 的关键内容。该框架的案例研究举例说明了该框架如何适用于 AMR 之外的一系列环境、CE 方法和 One Health 主题。在CE干预中，学术证据对于开发消息灵通的关键内容至关重要。然而，这项形成性工作还应该让社区成员参与，确保他们的背景知识得到重视。 CE 方法的类型也需要仔细考虑，因为方法上的限制可能会限制干预中可以提供的信息的广度和深度，从而限制关键内容的范围。
Community engagement (CE) interventions often explore and promote behaviour change around a specific challenge. Suggestions for behaviour change should be co-produced in partnership with the community. To facilitate this, it is essential that the intervention includes key content that unpacks the challenge of interest via multiple sources of knowledge. However, where community lived experience and academic evidence appear misaligned, tensions can appear within the co-production dynamic of CE. This is specifically so within the context of antimicrobial resistance (AMR) where ideal behaviours are often superseded by what is practical or possible in a particular community context. Here we describe a framework for the equitable development of contextually appropriate, clearly evidenced behavioural objectives for CE interventions. This framework explores different sources of knowledge on AMR, including the potentially competing views of different stakeholders. The framework allows key content on AMR to be selected based upon academic evidence, contextual appropriateness and fit to the chosen CE approach. A case study of the framework in action exemplifies how the framework is applicable to a range of contexts, CE approaches and One Health topics beyond just AMR. Within CE interventions, academic evidence is crucial to develop well-informed key content. However, this formative work should also involve community members, ensuring that their contextual knowledge is valued. The type of CE approach also needs careful consideration because methodological constraints may limit the breadth and depth of information that can be delivered within an intervention, and thus the scope of key content.
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影响因子：
168.9
作者：
Holmes, Alison H.;Moore, Luke S. P.;Piddock, Laura J. V.
通讯作者：
Piddock, Laura J. V.
影响因子：
2.7
作者：
Chimbari, Moses John
通讯作者：
Chimbari, Moses John
影响因子：
1.2
作者：
Head, Brian W.
通讯作者：
Head, Brian W.
影响因子：
2.1
作者：
Garcia, Alexandra A.;West Ohueri, Chelsi;Tierney, William
通讯作者：
Tierney, William
影响因子：
4.5
作者：
Brunton G;Thomas J;O'Mara-Eves A;Jamal F;Oliver S;Kavanagh J
通讯作者：
Kavanagh J