All systems are interrelated: Multilevel interventions with indigenous communities.
All systems are interrelated: Multilevel interventions with indigenous communities.
复制标题
所有系统都是相互关联的：与土著社区的多层次干预。
DOI：
10.1016/j.cct.2022.107013
复制
发表时间：
2023
影响因子：
2.2
通讯作者：
Moore,RolandS
中科院分区：
文献类型：
--
作者：
Johnson-Jennings,MichelleD;Rink,Elizabeth;Stotz,SarahA;Magarati,Maya;Moore,RolandS
殖民历史创伤和持续的结构性种族主义影响了几代土著人民，并解释了持续的健康差距。然而，土著人民一直在与土著和相关研究科学家进行多层次的临床试验干预，取得了可喜的成功。在这篇论文中，美国国立卫生研究院资助的土著健康领域的科学家试图描述跨土著社区的多层次干预的效用和需求（Jernigan等人，2020年）。我们克服了现有的社会生态，多层次框架的局限性，并提出了一个动态的，相互关联的启发式框架，它侧重于环境中的集体和个人的中心的相互关系。最后，我们确定了多层次临床试验研究中的行动要求。
Colonial historical trauma and ongoing structural racism have impacted Indigenous peoples for generations and explain the ongoing health disparities. However, Indigenous peoples have been engaging in multilevel, clinical trial interventions with Indigenous and allied research scientists resulting in promising success. In this paper, National Institutes of Health funded scientists in the field of Indigenous health have sought to describe the utility and need for multilevel interventions across Indigenous communities (Jernigan et al., 2020). We posit limitations to the existing socioecological, multilevel frameworks and propose a dynamic, interrelated heuristic framework, which focuses on the inter-relationships of the collective within the environment and de-centers the individual. We conclude with identified calls for action within multilevel clinical trial research.