Engaging communities in non-communicable disease research and interventions in low- and middle-income countries: a realist review protocol.
Engaging communities in non-communicable disease research and interventions in low- and middle-income countries: a realist review protocol.
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DOI：
10.1136/bmjopen-2021-050632
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发表时间：
2021-07-21
期刊：
影响因子：
2.9
通讯作者：
Mukumbang FC
中科院分区：
文献类型：
--
作者：
Klingberg S;Adhikari B;Draper CE;Bosire EN;Tiigah P;Nyirenda D;Mukumbang FC
建议的做法是让社区和预期受益者参与卫生研究的各个阶段。社区参与对低收入和中等收入国家非传染性疾病研究的贡献尚未得到广泛研究或综合。本议定书描述了采用现实主义审查方法在非传染性疾病研究、预防和促进健康方面促进对社区参与的理解的步骤。现实主义的视角能够在捕捉复杂性的同时，对因果关系提供丰富的解释方法，并对多种结果（包括意想不到的后果）持开放态度。因此，审查将发展对社区参与的理解，而不假设这种做法会导致更多的伦理研究或有效的干预。我们提出了一种现实主义的方法，旨在研究社区参与如何、为什么、在什么情况下以及对谁起作用或不起作用。迭代评审步骤包括澄清评审范围；寻找证据；评价研究和提取数据；综合证据并得出结论；传播、实施和评估调查结果。采用元叙事审查原则（实用主义、多元主义、历史性、争论性、反思性和同行审查）来确保实际可行和情境化的审查产出。拟议的审查将借鉴特定疾病或环境之外的理论和实证文献，但重点是为低收入和中等收入国家的非传染性疾病研究和干预措施提供信息。现有文献的综合将辅以定性现实主义访谈和利益相关者咨询。通过利用多种类型的证据以及专家和预期受益人的意见，该审查将为低收入和中等收入国家的研究和社区参与提供关键和务实的见解。已获得威特沃特斯兰德大学的伦理批准。传播将包括传统的学术渠道、机构沟通、社交媒体以及与广泛利益相关者的讨论。
Engaging communities and intended beneficiaries at various stages of health research is a recommended practice. The contribution of community engagement to non-communicable disease research in low- and middle-income countries has not yet been extensively studied or synthesised. This protocol describes the steps towards generating an understanding of community engagement in the context of non-communicable disease research, prevention and health promotion using a realist review approach. A realist lens enables a rich explanatory approach to causation while capturing complexity, and an openness to multiple outcomes, including unintended consequences. The review will thus develop an understanding of community engagement without assuming that such practices result in more ethical research or effective interventions. We propose a realist approach aiming to examine how, why, under what circumstances and for whom community engagement works or does not work. The iterative review steps include clarifying the review scope; searching for evidence; appraising studies and extracting data; synthesising evidence and drawing conclusions; and disseminating, implementing and evaluating the findings. Principles of meta-narrative review (pragmatism, pluralism, historicity, contestation, reflexivity and peer review) are employed to ensure practicable and contextualised review outputs. The proposed review will draw on theoretical and empirical literature beyond specific diseases or settings, but with a focus on informing non-communicable disease research and interventions in low- and middle-income countries. The synthesis of existing literature will be complemented by qualitative realist interviews and stakeholder consultation. Through drawing on multiple types of evidence and input from both experts and intended beneficiaries, the review will provide critical and pragmatic insights for research and community engagement in low- and middle-income countries. Ethical approval has been obtained from the University of the Witwatersrand. Dissemination will include traditional academic channels, institutional communications, social media and discussions with a wide range of stakeholders.
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影响因子：
2.2
作者：
Bosire E;Mendenhall E;Omondi GB;Ndetei D
通讯作者：
Ndetei D
影响因子：
2.8
作者：
Draper, C. E.;Bosire, E.;Norris, S. A.
通讯作者：
Norris, S. A.
DOI：
10.1080/11287462.2019.1703504
发表时间：
2020-01-01
期刊：
Global bioethics = Problemi di bioetica
影响因子：
--
作者：
Adhikari, Bipin;Pell, Christopher;Cheah, Phaik Yeong
通讯作者：
Cheah, Phaik Yeong
影响因子：
2.9
作者：
Abrams R;Wong G;Mahtani KR;Tierney S;Boylan AM;Roberts N;Park S
通讯作者：
Park S
影响因子：
5.4
作者：
De Weger, E.;Van Vooren, N. J. E.;Baan, C. A.
通讯作者：
Baan, C. A.