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采用基于社区的参与式研究方法来研究有难民生活经历的老年人的心理健康。

Using a Community-Based Participatory Research Approach to Study the Mental Health of Older Adults with a Refugee Life Experience.

作者信息

Frounfelker Rochelle L, Thapa Puja, Mishra Tej

机构信息

Department of Population Health, College of Health, Lehigh University, Bethlehem, PA 18015, USA.

Bhutanese Community in Harrisburg, Harrisburg, PA 17112, USA.

出版信息

Int J Environ Res Public Health. 2025 Aug 20;22(8):1303. doi: 10.3390/ijerph22081303.

Abstract

Older adults with a refugee life experience have a disproportionate burden of mental health problems compared to non-refugee aging populations. Community-based participatory research (CBPR) is a promising approach to identify the challenges and strengths of older refugee adults and identify solutions to mental health disparities. We present a case study of one such CBPR program of research with older ethnic Nepali Bhutanese adults resettled in North America, Project Bhalakushari. We highlight the many opportunities to integrate older adults and members of the broader Bhutanese community in activities throughout the research process, starting with forming academic-community partnerships, identifying the needs and strengths of the community, conducting research, and sharing study findings with a broad audience of community members, health practitioners, policy-makers, and academics. Our case study emphasizes that a successful, culturally informed partnership should consider the involvement of the entire community, regardless of age, in the initiative to secure buy-in and support and maximize the positive impact of the work. We identify concrete strategies to overcome challenges specific to conducting research, with a focus on recruitment, outreach, and data collection.

摘要

与非难民老年人群相比,有难民生活经历的老年人承受着不成比例的心理健康问题负担。基于社区的参与性研究(CBPR)是一种很有前景的方法,可用于识别老年难民的挑战与优势,并找出解决心理健康差异问题的办法。我们介绍了一个针对重新安置在北美的尼泊尔不丹族老年成年人开展的此类CBPR研究项目——“巴拉库沙里项目”的案例研究。我们强调了在整个研究过程中让老年人和更广泛的不丹社区成员参与活动的诸多机会,从建立学术-社区伙伴关系、确定社区的需求和优势、开展研究,到与广大社区成员、医疗从业者、政策制定者和学者分享研究结果。我们的案例研究强调,一个成功的、考虑文化因素的伙伴关系应让整个社区,不分年龄,参与到这项活动中,以确保获得认可和支持,并使工作的积极影响最大化。我们确定了克服研究中特定挑战的具体策略,重点是招募、宣传和数据收集。

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