背景:尽管在与健康相关的项目中广泛使用了基于社区的参与式研究(CBPR),关于CBPR流程如何产生结果的工作有限,特别是在家庭和环境空气污染(HAAP)研究中。本研究探讨了关键信息提供者对影响HAAP项目中CBPR实施和结果的因素的思考。
方法:我们对13个主要利益相关者进行了半结构化访谈,包括学术研究人员,非政府组织管理人员,一个决策者,和社区成员。所有受访者都有CBPR项目的经验。访谈采用框架分析法进行分析,并将研究结果映射到Wallerstein等人。CBPR概念模型,它由四个结构组成:上下文,伙伴关系进程,干预和研究,和结果。
结果:研究结果主要分为两大类:“参与障碍”和“有效CBPR设计和实施的良好做法”。相关子类别是结构性障碍,研究,社区,和个人水平。关于良好做法的建议包括尊重、文化谦逊,信任,有效沟通,适当和负担得起的干预措施,如改进炉灶,适当的参与性研究工具,为社区的时间和小费。
结论:关键信息提供者的观点确定了CBPR模型支持的因素,为CBPR方法的设计和实施提供了信息。一些模型因素的附加组件,例如社区内动态,为信息提供者的知识提供价值,以支持社区研究伙伴关系并改善HAAP干预项目的结果。在设计阶段解决这些因素并报告CBPR评估可以加深对社区研究伙伴关系的理解。
BACKGROUND: Despite the extensive use of community-based participatory research (CBPR) in health-related projects, there is limited work on how CBPR processes result in outcomes, especially in household and ambient air pollution (HAAP) research. This study explores the reflections of key informants on factors that shape the implementation and outcomes of CBPR in HAAP projects.
METHODS: We conducted semi-structured interviews with 13 key stakeholders, including academic researchers, non-governmental organisation administrators, a policymaker, and community members. All interviewees have experience in CBPR projects. Interviews were analysed using framework analysis, and findings were mapped to Wallerstein et al.\'s CBPR conceptual model, which consists of four constructs: context, partnership processes, intervention and research, and outcomes.
RESULTS: The findings are described under two main categories: \'barriers to participation\' and \'good practices for effective CBPR design and implementation\'. Relevant sub-categories were barriers at the structural, research, community, and individual levels. Suggestions for good practices included respect, cultural humility, trust, effective communication, suitable and affordable interventions such as improved cookstoves, appropriate participatory research tools, and gratuity for the community\'s time.
CONCLUSIONS: Key informants\' perspectives identified factors supported by the CBPR model to inform the design and implementation of the CBPR approach. The add-ons to some of the model\'s factors, such as intra-community dynamics, give value to the informants\' knowledge to support community-research partnerships and improve outcomes in HAAP intervention projects. Addressing these factors at the design stage and reporting CBPR evaluation could deepen the understanding of community-research partnerships.