Co-construction and exchange of dental service-related knowledge in a Merseyside neighbourhood: an ethnography and visual methods study of inter-gener

默西塞德郡社区牙科服务相关知识的共建和交流：跨代人种学和视觉方法研究

• 批准号: 2752493
• 金额: --
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2752493
• 关键词: Co; construction; exchange; dental; service

Title: Co-construction and exchange of dental service-related knowledge in a Merseyside neighbourhood: an ethnography and visual methods study of inter-generational knowledge practices in a community settingAbstract:Introduction and background: Dental service utilization shows a strong socioeconomic gradient with the poorest least likely to use services regularly (Reda et al 2018; Wu 2007). There are geographical differences, as well as a social patterning in local areas (Reda et al 2018; Exley 2009). Knowledge about dental services has a role to play and this can be divided into 1) scientific knowledge of healthcare professionals and others who support individuals or communities to enable them to access care and 2) Local knowledge, encompassing various forms of knowledge, cultural beliefs and norms possessed by the local communities; gained from diverse sources either from social interactions between families, friends and others across generations, lived experiences or from various sources of information-online, electronic or print media (Samerski 2019; WHO 2022). This thesis explores the second type of knowledge with a lens on a local Liverpool community group in a deprived area. Several studies (Kirkegaard 2022; Schaefer et al 2013, Woudstra 2019; Gage et al 2013) report that there is limited study on the role of healthcare knowledge exchange through social interactions influencing healthcare service utilization. The information is further limited on dental service utilization which is the gap this thesis addresses.Aim: To explore local knowledge practices relating to dental service utilization in a community across different generations.Objectives: (1). To explore how local knowledge practices converge, diverge and interact among people influencing dental service utilization in a deprived community; (2).To explore inter-generational healthcare knowledge practices; (3.) To use visual participatory methods to stimulate conversation, create new insights, encourage inclusion and aid triangulation with other qualitative approaches.Methods: First, a scoping review mapping literature on how knowledge and beliefs are constructed, exchanged and adapted in local communities influencing the decision-making of people to help themselves, their families and community members to access healthcare services. Second, empirical work will then involve several qualitative methods used and integrated together: ethnography including observation, interviews, documentary analysis and visual methods (e.g. photographs taken by the researcher and community participants), and participatory workshops. The setting will be Netherton Feelgood Factory, a community group. The gatekeeper (on the supervisory panel) will facilitate access to the study field. Participants for workshops and interviews will be recruited by purposive sampling coupled with snowballing. (A). Data collection: Ethnography (Hammersley and Atkinson 2007) and participatory workshops for 1 year (2023-24). Ethnography will be followed by 5 participatory workshops which will be organised in different ways (Watson et al 2023) as group discussions, combined with the photo-elicitation process using images obtained in participant observation. (B) Data analysis: Thematic analysis, concurrent with data collection (Braun and Clark, 2006). Field-notes, transcripts and images will be analysed iteratively. Visual data analysis will involve selecting relevant images and interpreting the narrative attached to the images (Close 2007; Thorne 2000; Wang et al 1998). Results (anticipated): This study will report the dynamics of knowledge practices, various sources and potential actors engaged in knowledge exchange or co-production around dental service utilisation in Netherton feelgood factory and surrounding localities; focusing particularly on intergenerational knowledge practices.

职务名称：默西塞德郡社区牙科服务相关知识的共建和交流：社区环境中代际知识实践的人种学和视觉方法研究摘要：介绍和背景：牙科服务利用率显示出强烈的社会经济梯度，最贫困的人最不可能定期使用服务（Reda等人2018; Wu 2007）。存在地理差异，以及当地的社会模式（Reda et al 2018; Exley 2009）。有关牙科服务的知识可以发挥作用，这可以分为1）医疗保健专业人员和其他支持个人或社区的人的科学知识，使他们能够获得护理和2）当地知识，包括当地社区拥有的各种形式的知识，文化信仰和规范;从不同的来源获得，无论是从家庭，朋友和其他人之间的社会互动跨越几代人，生活经验或从各种信息来源在线，电子或印刷媒体（Samerski 2019; WHO 2022）。本论文以一个贫困地区的利物浦社区群体为透镜，探讨第二类知识。几项研究（Kirkegaard 2022; Schaefer et al 2013，Woudstra 2019; Gage et al 2013）报告称，通过社会互动影响医疗服务利用的医疗保健知识交流的作用研究有限。研究目的：探讨不同世代社区牙科服务利用的地方性知识实践。研究目的：（1）.探讨贫困社区中影响牙科服务利用的人群之间的地方知识实践如何趋同、分歧和相互作用;（2）探讨代际医疗保健知识实践;（3）使用视觉参与的方法，以刺激对话，创造新的见解，鼓励包容和援助三角与其他定性approaches.Methods：第一，一个范围审查映射文献的知识和信仰是如何构建，交换和适应当地社区影响决策的人，以帮助自己，他们的家庭和社区成员获得医疗服务。第二，实证工作将涉及几种定性方法的使用和整合：人种学，包括观察，访谈，文献分析和视觉方法（如研究人员和社区参与者拍摄的照片），以及参与性讲习班。设置将是内瑟顿感觉良好的工厂，一个社区团体。看门人（在监督面板上）将为进入研究区域提供便利。参加讲习班和面试的人员将通过有目的的抽样和滚雪球的方式招募。（一）.数据收集：民族志（哈默斯利和阿特金森2007年）和参与式研讨会1年（2023-24）。民族志之后将有5个参与式研讨会，这些研讨会将以不同的方式组织（沃森等人，2023年），作为小组讨论，结合使用参与者观察中获得的图像的照片启发过程。(B)数据分析：专题分析，与数据收集同时进行（Braun和Clark，2006年）。将反复分析实地记录、文字记录和图像。视觉数据分析将涉及选择相关图像并解释图像所附的叙述（Close 2007; Thorne 2000; Wang et al 1998）。结果（预期）：本研究将报告知识实践的动态，各种来源和潜在的演员从事知识交流或合作生产周围的牙科服务利用在内瑟顿感觉良好的工厂和周边地区，特别注重代际知识的做法。