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Strategies for Meaningful Engagement between Community-Based Health Researchers and First Nations Participants

机译:基于社区的卫生研究人员与原住民参与者之间有意义互动的策略

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The Baby Teeth Talk Study (BTT) is a partnership-based research project looking at interventions to prevent early childhood caries (ECC) in First Nations populations in Canada. Community-based researchers (CBRs) conducted preventive and behavioral interventions that targeted expectant mothers and their newborns, over a 3-year period. The work of the CBRs requires a great deal of training and skills to administer the interventions. It also requires a broad set of strategies to meaningfully engage participants to make health-promoting changes in their behavior to prevent ECC in their children. After implementing the intervention, BTT CBRs participated in interviews to explore the strategies they employed to engage participants in the prevention of ECC. CBRs perceived two key strategies as essential for meaningful engagement with BTT participants. First, CBRs indicated that their shared experiences through motherhood, First Nations identity, age, and childhood experience provided a positive foundation for dialog with participants that lead to build trust and rapport. Second, supportive interpersonal and culturally based communication skills of the CBR provided further foundation to engage with participants from a strength-based approach. For example, the CBRs knew how to effectively communicate in ways such as being gentle, non-intrusive, and avoiding any perception of judgment when discussing oral health behavior. In First Nations health research, CBRs can provide an essential link in engaging participants and the community for improvements in health. Researchers should carefully consider characteristics such as shared experience and ability to understand cultural communication styles when hiring CBRs in order to build a solid foundation of trust with research participants.
机译:婴儿牙齿谈话研究(BTT)是一项基于合作伙伴关系的研究项目,旨在研究干预措施,以预防加拿大原住民的幼儿龋齿(ECC)。以社区为基础的研究人员(CBR)在三年内针对孕妇和新生儿进行了预防和行为干预。社区康复的工作需要大量的培训和技能来管理干预措施。它还需要一系列广泛的策略来有意义地吸引参与者,使其行为改变健康,从而防止其孩子发生ECC。实施干预措施后,BTT社区康复人员参加了访谈,以探讨他们采取的使参与者参与预防ECC的策略。社区康复者认为,有两种关键策略对于与BTT参与者进行有意义的互动至关重要。首先,社区康复者表示,他们在母亲,原住民身份,年龄和童年经历方面的共享经验为与参与者进行对话提供了积极的基础,从而建立了信任和融洽的关系。其次,社区康复的人际支持和基于文化的沟通技巧为基于力量的方法与参与者互动提供了进一步的基础。例如,社区康复者知道如何在讨论口腔健康行为时以温和,无干扰和避免任何判断力的方式进行有效沟通。在原住民健康研究中,社区康复可以提供一个必不可少的链接,让参与者和社区参与以改善健康状况。研究人员在雇用社区康复者时应仔细考虑诸如共享经验和理解文化交流方式的能力等特征,以建立与研究参与者之间信任的坚实基础。

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