Engaging communities in health intervention research/practice.

Engaging communities in health intervention research/practice.
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DOI:
10.1080/09581590701771725
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发表时间:
2008-01-01
影响因子:
2.8
通讯作者:
Chiu, L. F.
Chiu, L. F.
中科院分区:
医学3区
文献类型:
--
作者:
Chiu LaiFong, Chiu LaiFong;Chiu, L. F.

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要求社区参与健康干预是公共卫生和健康促进中越来越受欢迎的策略。社区健康教育模式,通过一系列的干预行动研究(PAR)项目在英国癌症筛查在20世纪90年代,是一个参与式的健康干预模式,强调社区参与。虽然该模型已被英国许多卫生区采用,但其拨款的有效性知之甚少;至关重要的是,研究人员/从业人员如何与社区合作很少有报道。本文介绍了作者的反思,她的经验,在开发一套社区组织工具,以回应社区在实践中发现的多样性。它表明,如果能够更好地理解“族裔”和“社区”概念在真实的世界中的偶然性和建构性,就可以加强参与。研究人员和实践者需要培养对差异和模糊性的宽容,以便谈判不断变化的参与边界。
Asking communities to participate in heath intervention is an increasingly popular strategy in public health and health promotion. The Community Health Educator Model, developed through a series of Participatory Action Research (PAR) projects in cancer screening in the UK during the 1990s, is a participatory health intervention model that emphasises community engagement. Although the model has been adopted by many health districts in the UK, little is known about the effectiveness of its appropriation; crucially, how researchers/practitioners engage with communities has seldom been reported. This paper presents the author's reflection on her experience in developing a set of community organising tools to respond to the diversity found in communities in practice. It suggests that engagement can be enhanced if the contingent and constructed nature of the concepts of 'ethnicity' and 'community' in the real world can be better understood. Researchers and practitioners need to cultivate a tolerance to difference and ambiguity so as to negotiate the ever-shifting boundary of engagement.