What do we know about health-related knowledge translation in the Circumpolar North? Results from a scoping review.

What do we know about health-related knowledge translation in the Circumpolar North? Results from a scoping review.
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DOI:
10.3402/ijch.v75.31223
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发表时间:
2016
影响因子:
1.3
通讯作者:
Harper SL
Harper SL
中科院分区:
医学4区
文献类型:
--
作者:
McDonald ME;Papadopoulos A;Edge VL;Ford J;IHACC Research Team;Sumner A;Harper SL

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卫生研究知识转化(KT)对改善人群健康结果具有重要意义。考虑到社会、地理和文化背景,因努伊特社区的知识传授往往需要与非因努伊特人口通常使用的方法不同的方法。研究因努伊特社区与健康有关的KT文献的程度、范围和性质。进行了范围界定审查。2015年3月12日,使用检索字符串检索2个英文聚合数据库ProQuest和EBSCOhost。研究选择由2名独立评审员使用入选和排除标准进行。要被纳入,研究必须明确指出,KT方法被用于分享北极圈因纽特人社区的人类健康研究成果。对评价或评估KT方法的文章进行了专题分析,以确定和描述有助于KT成功或挑战的要素。在初始检索中识别出的680条唯一记录中,39条符合纳入标准,并保留用于分析。在这39篇文章中,有17篇评价了KT方法;专题分析在这17篇文章中确定了3个主题:社区利益相关者作为研究过程中积极成员的价值;当地背景在定制KT战略和信息方面的重要性;以及KT中不同和矛盾的健康信息的挑战。然而,文献中的一个横向差距包括缺乏对社区参与研究的关键评估。该综述还确定了文献中KT评估的差距。研究主要集中在KT方法是否反映了当地文化和社区的需求。评估很少侧重于KT是否成功地引起了预期的行动。这篇评论综合了一个小而新兴的研究领域。社区参与对于成功的KT很重要;然而,有必要就紧张局势、挑战和改进机会进行更多的讨论和讨论。
Health research knowledge translation (KT) is important to improve population health outcomes. Considering social, geographical and cultural contexts, KT in Inuit communities often requires different methods than those commonly used in non-Inuit populations. To examine the extent, range and nature of literature about health-related KT in Inuit communities. A scoping review was conducted. A search string was used to search 2 English aggregator databases, ProQuest and EBSCOhost, on 12 March 2015. Study selection was conducted by 2 independent reviewers using inclusion and exclusion criteria. To be included, studies had to explicitly state that KT approaches were used to share human health research results in Inuit communities in the Circumpolar North. Articles that evaluated or assessed KT approaches were thematically analysed to identify and characterize elements that contributed to KT success or challenges. From 680 unique records identified in the initial search, 39 met the inclusion criteria and were retained for analysis. Of these 39 articles, 17 evaluated the KT approach used; thematic analysis identified 3 themes within these 17 articles: the value of community stakeholders as active members in the research process; the importance of local context in tailoring KT strategies and messaging; and the challenges with varying and contradictory health messaging in KT. A crosscutting gap in the literature, however, included a lack of critical assessment of community involvement in research. The review also identified a gap in assessments of KT in the literature. Research primarily focused on whether KT methods reflected the local culture and needs of the community. Assessments rarely focused on whether KT had successfully elicited its intended action. This review synthesized a small but burgeoning area of research. Community engagement was important for successful KT; however, more discussion and discourse on the tensions, challenges and opportunities for improvement are necessary.