BACKGROUND Chronic musculoskeletal (MSK) diseases are an important cause of disability in the Mayan community of Chankom in Yucatán, Mexico. OBJECTIVE To understand a community-based participatory research (CBPR) strategy implemented in Chankom to design a community-based rehabilitation (CBR) program for people living with MSK diseases. METHODS Qualitative descriptive thematic analysis from an ethnographic work conducted in Chankom, during the implementation of a CBPR strategy from 2014 to 2017. RESULTS Four main themes describe the main processes that formed our CBPR strategy: 1) forming and maintaining an alliance between academic and community members, 2) prioritizing community needs, 3) integrating local and global knowledge and 4) shared-decision-making. This CBPR strategy allowed the design of a CBR program formed by six main interventions: 1) health services coordination, 2) personal support, 3) community venous blood sampling services, 4) community specialized services, 5) health promotion, and 6) health transportation services. CONCLUSIONS Co-designing a CBR program for people living with chronic MSK diseases in Chankom was possible through an extensive community engagement work structured around four main processes, including the essential principles of CBPR. The designed CBR program includes culturally sensitive interventions aimed at improving the quality, availability, accessibility, and acceptability of health care services. Moreover, the program mainly addressed the "health" component of the World Health Organization-CBR matrix, suggesting a need for a new CBPR cycle after it is implemented and evaluated in the future.

中文翻译：

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共同设计以社区为基础的康复计划，以减少玛雅-尤卡坦科市的肌肉骨骼残疾。

背景技术慢性肌肉骨骼（MSK）疾病是墨西哥尤卡坦州昌科姆玛雅社区残疾的重要原因。目标 了解 Chankom 实施的基于社区的参与性研究 (CBPR) 策略，为 MSK 疾病患者设计基于社区的康复 (CBR) 计划。方法 对 2014 年至 2017 年 CBPR 战略实施期间在 Chankom 进行的民族志工作进行定性描述性主题分析。 结果 四个主题描述了形成我们 CBPR 战略的主要过程： 1) 形成和维持学术界与社区之间的联盟成员，2) 优先考虑社区需求，3) 整合本地和全球知识，4) 共同决策。该 CBPR 策略允许设计由六项主要干预措施组成的 CBR 计划：1) 卫生服务协调，2) 个人支持，3) 社区静脉血采样服务，4) 社区专业服务，5) 健康促进，6) 健康交通服务。结论 通过围绕四个主要流程（包括 CBPR 的基本原则）开展广泛的社区参与工作，为 Chankom 慢性 MSK 疾病患者共同设计 CBR 计划是可能的。设计的社区康复计划包括文化敏感的干预措施，旨在提高医疗保健服务的质量、可用性、可及性和可接受性。此外，该计划主要涉及世界卫生组织-CBR矩阵中的“健康”部分，表明未来实施和评估后需要一个新的CBPR周期。