A primer on participatory research for health professional education
DOI:
https://doi.org/10.11157/fohpe.v25i3.860Keywords:
participatory research; research design; co-researchers; methodology; collaborative researchAbstract
Participatory research methodologies are gaining traction in health professional education research (HPER) due to their ability to foster collaboration and inclusivity with communities involved in or affected by the issues being studied. This paper provides an introduction for researchers new to participatory research in HPER. It aims to guide researchers in the thoughtful integration of participatory methods into their research practices. We define participatory research as a diverse approach that engages health professionals, students, patients and other community members as co-researchers actively involved in shaping the research process. Drawing on examples from the field, we explore the potential benefits of participatory research, including the co-production of knowledge, improved relevance of findings and enhanced impact on practice. However, we also acknowledge the complexities and challenges, including the need for researcher flexibility, ethical considerations and appropriate levels of participation, depending on project goals and funding constraints. To support researchers, we outline key questions that prompt critical deliberation when considering participatory approaches. Ultimately, this paper encourages researchers to reflect on the epistemic shifts required to adopt participatory methodologies and to consider how these approaches can foster more inclusive, collaborative and meaningful contributions to health professional education and research.
References
Aboelela, S. W., Larson, E., Bakken, S., Carrasquillo, O., Formicola, A., Glied, S. A., Haas, J., & Gebbie, K. M. (2007). Defining interdisciplinary research: Conclusions from a critical review of the literature. Health Services Research, 42(1), 329–346. https://doi.org/10.1111/j.1475-6773.2006.00621.x
Aiyegbusi, O. L., McMullan, C., Hughes, S. E., Turner, G. M., Subramanian, A., Hotham, R., Davies, E. H., Frost, C., Alder, Y., & Agyen, L. (2023). Considerations for patient and public involvement and engagement in health research. Nature Medicine, 29(8), 1922–1929. https://doi.org/10.1038/s41591-023-02445-x
Amabile, T. M., Patterson, C., Mueller, J., Wojcik, T., Odomirok, P. W., Marsh, M., & Kramer, S. J. (2001). Academic–practitioner collaboration in management research: A case of cross-profession collaboration. Academy of Management Journal, 44(2), 418–431. https://www.hbs.edu/faculty/Pages/item.aspx?num=8693
Barry, C. A., Britten, N., Barber, N., Bradley, C., & Stevenson, F. (1999). Using reflexivity to optimize teamwork in qualitative research. Qualitative Health Research, 9(1), 26–44. https://doi.org/10.1177/104973299129121677
Bergold, J., & Thomas, S. (2012). Participatory research methods: A methodological approach in motion. Forum Qualitative Sozialforschung [Forum: Qualitative Social Research], 4(37), 191–222. https://doi.org/10.17169/fqs-13.1.1801
Blomkamp, E. (2022). Systemic design practice for participatory policymaking. Policy Design and Practice, 5(1), 12–31. https://doi.org/10.1080/25741292.2021.1887576
Bolton, J., Remedios, L., & Andrews, S. (2023). Enriching research practices through knowledge about Indigenous research methodologies. Focus on Health Professional Education: A Multi-Professional Journal, 24(2), 163–175. https://doi.org/10.11157/fohpe.v24i2.758
Bradbury, H. (2015). The Sage handbook of action research. Sage. https://doi.org/10.4135/9781473921290
Cornwall, A., & Jewkes, R. (1995). What is participatory research? Social Science & Medicine, 41(12), 1667–1676. https://doi.org/10.1016/0277-9536(95)00127-S
Denniston, C. (2023). Sharpening reflexive practice in health professional education research. Focus on Health Professional Education: A Multi-Professional Journal, 24(1), 85–94. https://doi.org/10.11157/fohpe.v24i1.734
Derrick, E. G., Falk-Krzesinski, H. J., Roberts, M. R. (Eds.), & Olson, S. (2011). Facilitating interdisciplinary research and education: A practical guide. Report from the “Science on FIRE: Facilitating Interdisciplinary Research and Education” workshop of the American Association for the Advancement of Science.
Dusenberry, L., & Robinson, J. (2020). Building psychological safety through training interventions: Manage the team, not just the project. IEEE Transactions on Professional Communication, 63(3), 207–226. https://doi.org/10.1109/TPC.2020.3014483
Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383. https://doi.org/10.2307/2666999
Edmondson, A. C., & Besieux, T. (2021). Reflections: Voice and silence in workplace conversations. Journal of Change Management, 21(3), 269–286. https://doi.org/10.1080/14697017.2021.1928910
Han, H., Youm, J., Tucker, C., Teal, C. R., Rougas, S., Park, Y. S., Mooney, C. J., Hanson, J. L., & Berry, A. (2022). Research methodologies in health professions education publications: Breadth and rigor. Academic Medicine, 97(11S), S54–S62.
https://doi.org/10.1097/acm.0000000000004911
Hudon, C., Loignon, C., Grabovschi, C., Bush, P., Lambert, M., Goulet, É., Boyer, S., De Laat, M., & Fournier, N. (2016). Medical education for equity in health: A participatory action research involving persons living in poverty and healthcare professionals. BMC Medical Education, 16, Article 106. https://doi.org/10.1186/s12909-016-0630-4
Iniesto, F., Charitonos, K., & Littlejohn, A. (2022). A review of research with co-design methods in health education. Open Education Studies, 4(1), 273–295. https://doi.org/10.1515/edu-2022-0017
Islam, M. R. (2022). Participatory research. In M. R. Islam, N. A. Khan, & R. Baikady (Eds.), Principles of social research methodology (pp. 291–311). Springer. https://doi.org/10.1007/978-981-19-5441-2
Karlsson, A. W., Kragh-Sørensen, A., Børgesen, K., Behrens, K. E., Andersen, T., Kidholm, M. L., Rothmann, M. J., Ketelaar, M., & Janssens, A. (2023). Roles, outcomes, and enablers within research partnerships: A rapid review of the literature on patient and public involvement and engagement in health research. Research Involvement and Engagement, 9(1), Article 43. https://doi.org/10.1186/s40900-023-00448-z
London, J. K., Haapanen, K. A., Backus, A., Mack, S. M., Lindsey, M., & Andrade, K. (2020). Aligning community-engaged research to context. International Journal of Environmental Research and Public Health, 17(4), Article 1187. https://doi.org/10.3390/ijerph17041187
Luong, V., Ajjawi, R., Burm, S., Olson, R., & MacLeod, A. (2024). Unravelling epistemic injustice in medical education: The case of the underperforming learner. Medical Education. Advance online publication. https://doi.org/10.1111/medu.15410
Lyons, K. M., Lobczowski, N. G., Greene, J. A., Whitley, J., & McLaughlin, J. E. (2021). Using a design-based research approach to develop and study a web-based tool to support collaborative learning. Computers & Education, 161, Article 104064. https://doi.org/10.1016/j.compedu.2020.104064
McIntyre, A. (2008). Participatory action research. Sage. https://doi.org/10.4135/9781483385679
Meeuwissen, S. N., Gijselaers, W. H., Wolfhagen, I. H., & Oude Egbrink, M. G. (2020). When I say… team learning. Medical Education, 54(9), 784–785. https://doi.org/10.1111/medu.14174
Morris, C., Reid, A.-M., Ledger, A., & Teodorczuk, A. (2021). Expansive learning in medical education: Putting Change Laboratory to work. Medical Teacher, 43(1), 38–43. https://doi.org/10.1080/0142159x.2020.1796948
Murtagh, M. J., Minion, J. T., Turner, A., Wilson, R. C., Blell, M., Ochieng, C., Murtagh, B., Roberts, S., Butters, O. W., & Burton, P. R. (2017). The ECOUTER methodology for stakeholder engagement in translational research. BMC Medical Ethics, 18, Article 24. https://doi.org/10.1186/s12910-017-0167-z
O’Sullivan, P. S., Stoddard, H. A., & Kalishman, S. (2010). Collaborative research in medical education: A discussion of theory and practice. Medical Education, 44(12), 1175–1184. https://doi.org/10.1111/j.1365-2923.2010.03768.x
Olmos-Vega, F. M., Stalmeijer, R. E., Varpio, L., & Kahlke, R. (2023). A practical guide to reflexivity in qualitative research: AMEE Guide No. 149. Medical Teacher, 45(3), 241–251. https://doi.org/10.1080/0142159X.2022.2057287
Sanders, E. B.-N., & Stappers, P. J. (2008). Co-creation and the new landscapes of design. Co-design, 4(1), 5–18. https://doi.org/10.1080/15710880701875068
Schmutz, J. B., & Eppich, W. J. (2017). Promoting learning and patient care through shared reflection: A conceptual framework for team reflexivity in health care. Academic Medicine, 92(11), 1555–1563. https://doi.org/10.1097/ACM.0000000000001688
Skipper, M., Nøhr, S. B., & Engeström, Y. (2021). The change laboratory in medical education: Two examples of tackling contradictory challenges. Medical Education, 55(1), 93–100. https://doi.org/10.1111/medu.14298
Slattery, P., Saeri, A. K., & Bragge, P. (2020). Research co-design in health: A rapid overview of reviews. Health Research Policy and Systems, 18, Article 17. https://doi.org/10.1186/s12961-020-0528-9
Stokols, D., Misra, S., Moser, R. P., Hall, K. L., & Taylor, B. K. (2008). The ecology of team science: Understanding contextual influences on transdisciplinary collaboration. American Journal of Preventive Medicine, 35(2), S96–S115. https://doi.org/10.1016/j.amepre.2008.05.003
Vaughn, L. M., & Jacquez, F. (2020). Participatory research methods: Choice points in the research process. Journal of Participatory Research Methods, 1(1). https://doi.org/10.35844/001c.13244
Wilson, E., Kenny, A., & Dickson-Swift, V. (2018). Ethical challenges in community-based participatory research: A scoping review. Qualitative Health Research, 28(2), 189–199. https://doi.org/10.1177/1049732317690721
Wolcott, M. D., Lobczowski, N. G., Lyons, K., & McLaughlin, J. E. (2019). Design-based research: Connecting theory and practice in pharmacy educational intervention research. Currents in Pharmacy Teaching and Learning, 11(3), 309–318. https://doi.org/10.1016/j.cptl.2018.12.002
Yang, M., Schloemer, H., Zhu, Z., Lin, Y., Chen, W., & Dong, N. (2020). Why and when team reflexivity contributes to team performance: A moderated mediation model. Frontiers in Psychology, 10, Article 3044. https://doi.org/10.3389/fpsyg.2019.03044
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