Prevention Research with Indigenous Communities to Expedite Dissemination and Implementation Efforts.
Prevention Research with Indigenous Communities to Expedite Dissemination and Implementation Efforts.
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DOI：
10.1007/s11121-018-0951-0
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发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
Keawe'aimoku Kaholokula J
中科院分区：
文献类型：
--
作者：
Blue Bird Jernigan V;D'Amico EJ;Keawe'aimoku Kaholokula J
有效地将循证干预措施转化为诊所和社区环境是卫生研究人员日益重视的问题。成功地传播和实施被认为有效的干预措施，可确保美国国立卫生研究院等主要卫生资助者能够证明生物医学和行为研究的投资回报，并确保所有人口从科学发现中获得最大利益。然而，研究有效性试验的产品，即基于证据的干预措施，很少考虑到D&I的设计，使这些干预措施与现实世界的设置根本不一致。此外，虽然一些循证干预措施已成功地适用于土著社区，但很少公布此类实例。关于在土著社区采取和实施循证干预措施的文献很少，对扩大成功干预措施的可行性了解甚少，这可能会扩大健康差距。改善美洲原住民健康的干预研究（IRINAH）合作伙伴正在生成关于社区响应和参与干预措施的功效数据，这些干预措施也旨在促进D&I工作，减少研究与实践之间的时间，以造福土著社区，如果这些干预措施被证明是有效的。在这份手稿中，我们提供了一个概述和D&I科学与土著社区的主要挑战。然后，我们使用IRINAH的案例研究，以突出IRINAH的合作伙伴正在使用的计划，扩大规模和实施的研究战略。最后，我们提出建议，为IRINAH下一阶段的研究工作提供信息。
Effectively translating evidence-based interventions into clinic and community settings is an increasing priority for health researchers. The successful dissemination and implementation (D&I) of interventions found efficacious ensures that major health funders such as the National Institutes of Health can demonstrate a return on investment in biomedical and behavioral research and that all populations receive maximum benefit from scientific discoveries. However, the products of research efficacy trials, the evidence-based interventions, are rarely designed with D&I in mind, rendering these interventions fundamentally misaligned with real-world settings. Further, while some evidence-based interventions have been successfully adapted for implementation in indigenous communities, few such examples have been published. Literature regarding the adoption and implementation of evidence-based interventions in indigenous communities is scarce, and the feasibility of scaling up successful interventions is poorly understood, potentially widening health disparities. The Intervention Research to Improve Native American Health (IRINAH) partners are generating efficacy data on community-responsive and engaged interventions that are also designed to facilitate D&I efforts, reducing the time between research to practice to benefit indigenous communities, should these interventions prove effective. In this manuscript, we provide an overview and key challenges of D&I science with indigenous communities. We then use IRINAH case studies to highlight strategies that IRINAH partners are using to plan for the scale-up and implementation of the studies. We conclude with recommendations to inform the next phase of IRINAH research efforts.
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