Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review.

Autor: Zhang Y; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.; Cardiology Department, The Affiliated Hospital of Qingdao University, Qingdao, China., Xie YJ; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China. grace.yj.xie@polyu.edu.hk.; Research Centre for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China. grace.yj.xie@polyu.edu.hk., Yang L; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.; Research Centre of Textile for Future Fashion, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China., Cheung K; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China., Zhang Q; Musketeers Foundation Institute of Data Science, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.; Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China., Li Y; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China., Hao C; Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China., Wang HH; Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.; Usher Institute, Deanery of Molecular, Genetic & Population Health Sciences, The University of Edinburgh, Edinburgh, UK., Zhou Q; Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, China., Leung AYM; School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.; Research Institute for Smart Aging, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.; WHO Collaborating Centre for Community Health Service, School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.
Jazyk: angličtina
Zdroj: International journal for equity in health [Int J Equity Health] 2024 Nov 05; Vol. 23 (1), pp. 227. Date of Electronic Publication: 2024 Nov 05.
DOI: 10.1186/s12939-024-02278-1
Abstrakt: Background: Community-based participatory research (CBPR) is a collaborative research approach that engages academic researchers and community stakeholders as equal partners in all research steps to address community concerns and achieve health equity. The CBPR approach has been widely used in vaccination promotion programmes. However, the elements and steps of CBPR-based programmes varied among studies. The purpose of this scoping review was to synthesize the elements and steps, and establish an implementation framework to guide the utilisation of CBPR approaches in vaccination promotion.
Methods: This scoping review was performed in accordance with Arksey and O'Malley's five-stage framework. A systematic search was conducted on a set of electronic databases and grey literature sources. The retrieved articles were screened according to the criteria of CBPR and vaccination promotion, and data were extracted and recorded on a calibrated and predefined form in terms of study characteristics and CBPR components. Two authors worked independently to complete literature search, study selection, and data extraction. A narrative summary was used in categorising characteristics, and the contents of the included studies were summarised through qualitative analysis.
Results: A total of 8557 publications were initially screened, and 23 articles were finally included. According to the CBPR conceptual model, the elements in each CBPR component specifically for vaccination promotion included (1) the establishment of community-academic partnership (CAP)s, (2) community capacity building by partner training vaccination knowledge, research literacy, and service abilities and skills, (3) development and implementation of community-based intervention and (4) Outcome evaluation. A CAP was established between academic researchers or institutes and eight types of partners, including community service organisation-related non-government organisations (NGOs), health service institution-related NGOs, religious organisations, government agencies, educational institutions, media agencies, business agencies, and community representatives. The maintenance of CAP was achieved with four key strategies, namely, strengthening communication, forming management groups, sharing resources and information, and providing incentives. Twelve studies provided comprehensive insights into the strategies employed for intervention development, utilising either quantitative surveys, qualitative methods or a combination of both approaches. The contents of interventions included health service supports, health education activities, social marketing campaigns, community mobilisation, interactive discussions, vaccination reminders and incentives. As for outcome evaluation, vaccination rate and the effectiveness of interventions were assessed. A considerable increase was observed in 95.7% of the included studies (22/23), and the highest increase (92.9%) was attained after the intervention. An implementation framework was generated to summarise the elements and steps of CBPR approaches for vaccination promotion.
Conclusions: This review summarised current evidence and generated an implementation framework to elucidate the elements and steps in the development and application of CBPR approaches in vaccination promotion. CBPR approaches are recommended for future vaccination promotion programmes, involving community stakeholders and research professionals, to ensure equitable access to vaccinations across diverse populations.
(© 2024. The Author(s).)
Databáze: MEDLINE
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