Scoping review of community health participatory research projects in Ghana.

Scoping review of community health participatory research projects in Ghana.
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DOI:
10.1080/16549716.2022.2122304
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发表时间:
2022-12-31
影响因子:
2.6
通讯作者:
Aikins, Ama De-Graft
Aikins, Ama De-Graft
中科院分区:
医学3区
文献类型:
--
作者:
Kretchy, Irene A.;Okoibhole, Lydia O.;Sanuade, Olutobi Adekunle;Jennings, Hannah;Strachan, Daniel Ll;Blandford, Ann;Agyei, Francis;Asante, Paapa;Todowede, Olamide;Kushitor, Mawuli;Adjaye-Gbewonyo, Kafui;Arhinful, Daniel;Baatiema, Leonard;Dankyi, Ernestina;Grijalva-Eternod, Carlos S.;Fottrell, Edward F.;Aikins, Ama De-Graft

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社区卫生参与是卫生研究和管理的一个重要工具,社区成员、研究人员和其他相关利益攸关方可参与决策进程。虽然社区参与过程可能是复杂和具有挑战性的,但以往研究的证据表明,社区参与社区卫生项目具有重要价值。确定加纳社区卫生参与性研究(CHPR)项目中社区参与的性质和程度,并为阿克拉的糖尿病干预新项目(称为背景意识响应和评估(CARE)糖尿病项目)的参与性设计吸取经验教训。对关于加纳CHPR项目的相关出版物进行了范围审查,这些项目具有参与性。PubMed、PsycINFO、African Journal Online、Health Source:Nursing/Academic Edition、Humanities International Complete和Google Scholar检索了1950年1月至2021年10月期间发表的文章。Levac等人“使用了s(2010年)的范围界定审查方法框架来选择、整理和归纳数据。本次审查包括来自多个学科的CHPR项目的15项研究。与会者包括社区卫生工作者、病人、护理人员、决策者、社区团体、服务使用者和提供者。根据漂亮的参与类型,确定了几个主题的参与者在确定的研究。参与程度最高的是项目诊断阶段的两项研究、项目制定阶段的四项研究、项目执行阶段的五项研究和项目评价阶段的三项研究。所有研究的社区参与度总体上被评估为低。这项审查表明,社区参与对于加纳研究项目的可接受性和可行性至关重要,并突出了社区参与在项目的诊断、制定、执行和评价阶段的作用。在CARE糖尿病项目的开发、实施和未来评估中,将考虑这次审查的经验教训。
Community health participation is an essential tool in health research and management where community members, researchers and other relevant stakeholders contribute to the decision-making processes. Though community participation processes can be complex and challenging, evidence from previous studies have reported significant value of engaging with community in community health projects. To identify the nature and extent of community involvement in community health participatory research (CHPR) projects in Ghana and draw lessons for participatory design of a new project on diabetes intervention in Accra called the Contextual Awareness Response and Evaluation (CARE) diabetes project. A scoping review of relevant publications on CHPR projects in Ghana which had a participatory component was undertaken. PubMed, PsycINFO, African Journal Online, Health Source: Nursing/Academic Edition, Humanities International Complete and Google Scholar were searched for articles published between January 1950 and October 2021. Levac et al.’s (2010) methodological framework for scoping reviews was used to select, collate and characterise the data. Fifteen studies were included in this review of CHPR projects from multiple disciplines. Participants included community health workers, patients, caregivers, policymakers, community groups, service users and providers. Based on Pretty’s participation typology, several themes were identified in relation to the involvement of participants in the identified studies. The highest levels of participation were found in two studies in the diagnosis, four in the development, five in the implementation and three in the evaluation phases of projects. Community participation across all studies was assessed as low overall. This review showed that community participation is essential in the acceptability and feasibility of research projects in Ghana and highlighted community participation’s role in the diagnosis, development, implementation and evaluation stages of projects. Lessons from this review will be considered in the development, implementation, and future evaluation of the CARE diabetes project.
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