This study aims to contribute to the development of community-responsive research approaches by describing the research methods used in the RxHL study and the interprofessional and community-based collaboration that produced them. The mixed-method RxHL study was developed in close consultation with staff and providers at our research site, a federally qualified health center in Springfield, MA. We utilized quantitative methods including chart review, manual pill counts and self-report surveys to assess factors associated with medication adherence in a diverse population of low-income patients with chronic disease. We triangulated these results with findings from qualitative methods that included in-depth interviews, home visits and chronic disease diaries. We used the constant comparison method and interdisciplinary, participatory team meetings to integrate quantitative and qualitative findings. A community-responsive approach facilitated the recruitment and retention of a diverse sample of patients. Self-report surveys revealed the widespread scope of barriers to care such as medication costs and transportation, and limited health literacy among diverse groups. Qualitative research methods offered a deeper understanding of the social and environmental contexts in which medication adherence takes place. Prioritizing the needs of community partners and research participants facilitates rigorous data collection in clinical settings with maximum participation from community partners.

中文翻译：

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RxHL研究：社区反应性研究，以探索药物依从性的障碍。

本研究旨在通过描述RxHL研究中使用的研究方法以及产生这些结果的专业间和基于社区的合作，为社区响应性研究方法的发展做出贡献。混合方法RxHL研究是在马萨诸塞州斯普林菲尔德市获得联邦认证的健康中心的研究地点，与员工和提供者密切协商后开发的。我们使用了定量方法，包括图表审查，手动药丸计数和自我报告调查，以评估与不同的低收入慢性病患者群体中药物依从性相关的因素。我们用定性方法的发现对这些结果进行了三角剖分，这些方法包括深度访谈，家访和慢性病日记。我们使用了常数比较法和跨学科的方法，参加小组会议以整合定量和定性研究结果。社区响应的方法有助于招募和保留各种患者。自我报告调查显示，护理障碍的范围很广，例如药物成本和运输，以及不同群体之间的健康素养有限。定性研究方法使人们对药物依从性的社会和环境有了更深入的了解。优先考虑社区合作伙伴和研究参与者的需求有助于在社区合作伙伴最大程度参与的情况下在临床环境中严格收集数据。自我报告调查显示，护理障碍的范围很广，例如药物成本和运输，以及不同群体之间的健康素养有限。定性研究方法使人们对药物依从性的社会和环境有了更深入的了解。优先考虑社区合作伙伴和研究参与者的需求有助于在社区合作伙伴最大程度参与的情况下在临床环境中严格收集数据。自我报告调查显示，护理障碍的范围很广，例如药物成本和运输，以及不同群体之间的健康素养有限。定性研究方法使人们对药物依从性的社会和环境有了更深入的了解。优先考虑社区合作伙伴和研究参与者的需求有助于在社区合作伙伴最大程度参与的情况下在临床环境中严格收集数据。