关键词: complementary therapies research methods research paradigms scoping review traditional medicine

来  源:   DOI:10.3389/fmed.2024.1409392   PDF(Pubmed)

Abstract:
UNASSIGNED: The World Health Organization (WHO) has called for the evidence-informed integration of traditional medicine (TM) into health systems. Research rigor requires a good \"fit\" between research designs and what is being studied. The expectation that TM research fully adheres to biomedical evidentiary norms potentially creates tensions, as TM paradigms have their own distinct features. A scoping review will be conducted to describe and characterize the research approaches used in TM and their paradigmatic alignment with the TM being studied.
UNASSIGNED: This scoping review protocol was informed by Joanna Briggs Institute (JBI) methods. This protocol outlines an a priori conceptual framework, provisionally termed \"paradigmatic alignment.\" The review will include all populations, TM types, research approaches (i.e., methods, methodologies, frameworks, strategies), cultural contexts, and health care settings. Up to 38 English and non-English language databases will be searched sequentially for both published and gray literature until reaching data saturation across relevant concepts and contexts. Analysis will begin deductively, using a pre-piloted data extraction template to describe the TM research approaches. A basic qualitative content analysis of a sample of evidence sources will explore how research approaches are applied or modified to align with the TM therapeutic paradigm, and the manner in which they co-exist, contrast, complement or align with established biomedical research approaches. The findings will be narrated and summarized in charting tables and figures. The review will be reported according to the PRISMA scoping review extension. Consultative engagement with knowledge users across all review stages is planned.
UNASSIGNED: Aligned with the principle of Two-Eyed Seeing (Etuaptmumk), wherein Indigenous/traditional and biomedical knowledges may equitably co-exist, this review promises to advance scholarly insights of critical value in an increasingly pluralistic, globalized world.Clinical trial registration: https://clinicaltrials.gov/, identifier INPLASY2023110071.
摘要:
世界卫生组织(WHO)呼吁将传统医学(TM)纳入卫生系统。研究的严谨性要求研究设计和正在研究的内容之间有一个良好的“契合”。TM研究完全遵守生物医学证据规范的期望可能会造成紧张局势,因为TM范式有自己独特的特征。将进行范围审查,以描述和表征TM中使用的研究方法及其与正在研究的TM的范式对齐。
此范围审查方案由JoannaBriggsInstitute(JBI)方法通知。该协议概述了一个先验的概念框架,暂时称为“范式对齐”。“审查将包括所有人群,TM类型,研究方法(即,方法,方法论,框架,策略),文化背景,和医疗保健环境。将按顺序搜索多达38个英语和非英语语言数据库,以查找已发布和灰色文献,直到相关概念和上下文达到数据饱和为止。分析将以演绎方式开始,使用预先试点的数据提取模板来描述TM研究方法。对证据来源样本的基本定性内容分析将探讨如何应用或修改研究方法以与TM治疗范式保持一致。以及它们共存的方式,对比,补充或与既定的生物医学研究方法保持一致。调查结果将在图表和图表中进行叙述和总结。审查将根据PRISMA范围审查扩展进行报告。计划在所有审查阶段与知识用户进行协商。
符合两眼观察原理(Etuaptmumk),其中土著/传统和生物医学知识可以公平共存,这篇评论有望在日益多元化的环境中推进对关键价值的学术见解,全球化的世界。临床试验注册:https://clinicaltrials.gov/,标识符INPLASY2023110071。
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