scholarly journals Participatory action research: why sharing power is needed to improve public health research

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Dorant
Keyword(s):  
Public Health ◽  
Life Cycle ◽  
Action Research ◽  
Participatory Action Research ◽  
Health Research ◽  
Public Health Research ◽  
Public Health Issue ◽  
Participatory Action ◽  
Organizational System ◽  
Academic Researchers

Abstract Action research is a qualitative research method well-known for its purpose: to bring transformative change through the simultaneous process of taking action and doing research. It typically employs a cyclical approach of observation, reflection and action. Participatory Action Research (PAR) builds on active collaboration with professionals, practitioners and end–users (stakeholders) working in the system or setting, for instance within a health care setting like a hospital, or within an broader organizational system addressing a public health issue. It seeks to democratize knowledge production and foster opportunities for empowerment by those involved. Especially in public health research, where different organizational systems or levels are interconnected, stakeholder involvement needs to be considered early in the research process. Stakeholders possess expert and insider -experiential- knowledge, and therefore power. PAR advocates for power to be shared between academic researchers and stakeholders, already in the ideation phase of a new research project, but also in the later phases in its life cycle. However, dilemmas have to be solved, like: when in the project's life cycle is the optimal phase to involve stakeholders?how much, at what level or grade, should or could stakeholders be involved, and how much power can be shared between academic researchers and these external stakeholders?Is it worthwhile to involve stakeholders in terms of resources, and who pays the bill?can an academic researcher take the risk of not involving them?

scholarly journals 4.B. Skills building seminar: Participatory action research: sharing power to improve public health research outcomes

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Action Research ◽  
Participatory Action Research ◽  
Health Professionals ◽  
Health Research ◽  
Real Life ◽  
Public Health Research ◽  
Participatory Action ◽  
Care Programme ◽  
Caregiver Support

Abstract This skills building seminar addresses the use of Participatory Action Research (PAR) as strategy to involve professionals and practitioners from (non-academic) health organizations in public health research. These so-called stakeholders possess external -experiential practice-based- knowledge important for a successful realization of a public health research project. After a short introduction on the why and when of PAR as a suitable strategy in public health research, and the why and when in a project's life cycle stakeholders can or must join, levels of participatory practices will be discussed, as well as consequences of transfer of power from academic researchers to professionals and practitioners in the field. The first part of the seminar will be followed by two real life examples from two projects in Germany: 1) a psycho-oncological care project -hospital-based-, where alarm bells went off during the external prospective evaluation of the new care programme. In the development phase of this new programme,key stakeholders had not been involved yet; and 2) the optimization, by inserting PAR cycles, of a stroke family caregiver support programme before implementation in a public health care system. The audience is invited to discuss research dilemmas, as well as pros and cons of the PAR strategy Key messages Participatory action research is about active collaboration between academics and health professionals to bring transformative change through the process of taking action and doing research. Sharing power between academics and health professionals is vital to improve public health research.

scholarly journals Co-designing obesity prevention interventions together with children: intervention mapping meets youth-led participatory action research

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Manou Anselma ◽  
Teatske M. Altenburg ◽  
Helga Emke ◽  
Femke van Nassau ◽  
Merlin Jurg ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Time Management ◽  
Water Policy ◽  
Expert Panel ◽  
Intervention Mapping ◽  
Professional Community ◽  
Success Factor ◽  
Participatory Action ◽  
Academic Researchers

Abstract Background Youth-led Participatory Action Research (YPAR) involves children throughout the process of developing and implementing interventions. Combining YPAR with a structural approach for designing and planning interventions, such as Intervention Mapping (IM), may further improve implementation and effectiveness of interventions. This paper describes how YPAR and IM were combined in the Kids in Action study. Methods The Kids in Action study aims to improve health behaviors of 9–12-year old children living in a low socioeconomic neighborhood in Amsterdam, by co-designing interventions with these children. At each of four schools 6–8 children (N = 18–24 total per year) and two academic researchers formed participatory groups that met weekly or every fortnight during two school years. An IM expert panel advised the participatory groups on the application of IM. Results Following the IM protocol, we conducted a participatory needs assessment with children, parents and professionals, in IM-step 1. In IM-step 2, the IM expert panel constructed matrices of program objectives, and the children provided feedback. In collaboration with children programs were designed and produced using an iterative process during IM-steps 3–4. In IM-step 5, the participatory groups and professional community partners designed the implementation plan. Finally, in IM-step 6, the protocol of the process and effect evaluation – executed by academic researchers with input from children – was developed. Conclusions By combining YPAR and IM, several interventions have been developed and implemented, varying from a school water policy to extracurricular sports activities. Sharing responsibility with children was challenging when combining IM with YPAR. In YPAR children are given as much autonomy as possible, while traditional IM development work is primarily done by academic researchers. Strengths in combining IM and YPAR include the involvement of the end-users - children - throughout the process while at the same time developing interventions based on existing evidence. Time-management, a multidisciplinary team, and flexibility are important conditions when combining IM with YPAR. A strong community project group, with professionals who were willing to help children develop and execute their ideas, was an important success factor. This study can serve as an example to other YPAR studies developing interventions using the IM protocol.

scholarly journals Participatory action research and oral history as natural allies in mental health research

2021 ◽  
pp. 146879412110399
Author(s):  
Verusca Calabria ◽  
Di Bailey
Keyword(s):  
Mental Health ◽  
Action Research ◽  
Participatory Action Research ◽  
Oral History ◽  
Health Research ◽  
Mental Health Research ◽  
Participatory Action ◽  
Mental Health Settings ◽  
Methodological Approaches ◽  
The Uk

This article explores the similarities and differences between oral history and participatory action research (PAR) as two qualitative research methods that both accord with an interpretivist paradigm. It examines how combining these two methodologies can benefit mental health research, offering opportunities for reflection and reciprocity. Drawing from the authors’ respective knowledge and experience of using oral history and PAR methods within social care and mental health settings in the UK, the article considers these opportunities in relation to key concepts, namely, the sharing of power, reciprocity and positionality that are inherent in both methodological approaches. The article concludes that PAR-led oral history offers a trans-disciplinary methodology that can offer fresh insights for improving practices and social outcomes and for reducing inequalities.

Witnesses to Hunger: Methods for Photovoice and Participatory Action Research in Public Health

2015 ◽  
Vol 74 (3) ◽  
pp. 255-265 ◽  
Author(s):  
Molly Knowles ◽  
Jenny Rabinowich ◽  
Tianna Gaines-Turner ◽  
Mariana Chilton
Keyword(s):  
Public Health ◽  
Action Research ◽  
Participatory Action Research ◽  
Participatory Action

scholarly journals Participatory Action Research on the Impact of Community Gardening in the Context of the COVID-19 Pandemic: Investigating the Seeding Plan in Shanghai, China

2021 ◽  
Vol 18 (12) ◽  
pp. 6243
Author(s):  
Huaiyun Kou ◽  
Sichu Zhang ◽  
Wenjia Li ◽  
Yuelai Liu
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Action Research ◽  
Participatory Action Research ◽  
Research Approach ◽  
Participatory Action ◽  
Community Gardening ◽  
Group A ◽  
Group B ◽  
The Impact

This study aims to examine the impacts of community gardening on the daily life of residents and the management organisation of pandemic prevention in the context of the COVID-19 pandemic, a major public health scourge in 2020. The research team applied a participatory action research approach to work with residents to design and implement the Seeding Plan, a contactless community gardening program. The authors carried out a study to compare the everyday conditions reflecting residents’ mental health of the three subject groups during the pandemic: the participants of the Seeding Plan (Group A), the non-participants living in the same communities that had implemented the Seeding Plan (Group B), and the non-participants in other communities (Group C). According to the results, group A showed the best mental health among the three; Group B, positively influenced by seeding activities, was better than Group C. The interview results also confirmed that the community connections established through gardening activities have a significant impact on maintaining a positive social mentality under extraordinary circumstances. From this, the study concluded that gardening activities can improve people’s mental health, effectively resist negative impacts, and it is a convenient tool with spreading influence on the entire community, so as to support the collective response to public health emergencies in a bottom-up direction by the community.

scholarly journals International health research monitoring: exploring a scientific and a cooperative approach using participatory action research

BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004104 ◽  
Author(s):  
Tracey Chantler ◽  
Phaik Yeong Cheah ◽  
George Miiro ◽  
Viriya Hantrakum ◽  
Annet Nanvubya ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Health Research ◽  
International Health ◽  
Participatory Action ◽  
Cooperative Approach

scholarly journals Peran Dinas Kesehatan Provinsi dan Kabupaten/Kota dalam Implementasi Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) di Lima Provinsi, Indonesia

2020 ◽  
pp. 13-22
Author(s):  
Made Dewi Susilawati ◽  
Eva Sulistiowati ◽  
Nova Sri Hartati
Keyword(s):  
Public Health ◽  
Action Research ◽  
Participatory Action Research ◽  
Success Factors ◽  
Monitoring And Control ◽  
Participatory Action ◽  
The Public ◽  
Family Approach ◽  
The Family ◽  
External Sector

Abstrak Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) bertujuan untuk meningkatkan akses pelayanan komprehensif dan skrining kesehatan, mencapai standar pelayanan minimal (SPM), mendukung pelaksanaan jaminan kesehatan nasional (JKN) dengan meningkatkan kesadaran menjadi peserta JKN. Peran dinas kesehatan (dinkes) provinsi, kabupaten/kota yaitu pengembangan sumber daya, koordinasi dan bimbingan, serta pemantauan dan pengendalian. Keberhasilan dalam implementasi PIS-PK di puskesmas tidak terlepas dari peran dinkes kabupaten/kota dan provinsi. Penelitian ini bertujuan untuk memberikan gambaran peran dinkes dalam memfasilitasi, mengoordinasi, membimbing, memonitor dan mengevaluasi pelaksanaan PIS-PK di wilayahnya. Metode penelitian ini adalah kualitatif dengan pendekatan Parcipatory Action Research (PAR) melalui wawancara mendalam dan observasi. Informan adalah penanggung jawab PIS-PK di dinkes provinsi dan kabupaten/kota. Lokus penelitian dilakukan di Dinkes Provinsi Lampung, Jawa Tengah, Kalimantan Selatan, Sulawesi Tengah dan Nusa Tenggara Timur tahun 2018. Sementara untuk dinkes kota/kabupaten dilakukan di Kabupaten Lampung Selatan, Kabupaten Banjarnegara, Kabupaten Tanah Bumbu, Kota Palu dan Kabupaten Sumba Barat. Hasil penelitian menunjukkan peran dinkes dalam pengembangan sumber daya, koordinasi, bimbingan dan monev sudah dilaksanakan sesuai dengan Permenkes No 39 Tahun 2016. Beberapa dinkes telah melakukan upaya inovatif untuk mengatasi keterbatasan anggaran, tenaga dan sarana yang terjadi selama implementasi PIS-PK. Namun dapat lebih optimal jika telah ada persamaan persepsi di internal dinas, integrasi lintas program dan lintas sektor yang mengarah pada pencapaian tujuan PIS-PK. Kata kunci: dinas kesehatan, program Indonesia sehat dengan Pendekatan Keluarga (PIS-PK), Parcipatory Action Research (PAR) Abstract The purpose of the Healthy Indonesia Program with the Family Approach (PIS-PK) is to improve access to comprehensive services and health screening, achieve minimum service standards (SPM), support the implementation of national health insurance (JKN) by increasing awareness of being JKN participants. Resource development, coordination, and guidance, monitoring, and control are the roles of provincial and district/city health offices in implementing PIS-PK. The involvement of the regional health offices is one of the success factors of the implementation of PISPK in the public health center. The research method is qualitative with Participatory Action Research (PAR) and was done by in-depth interviews and observation. The informants were pic of PIS-PK in the public health office. The research site was provincial of health office i.e Lampung, Jawa Tengah, Kalimantan Selatan, Sulawesi Tengah dan Nusa Tenggara Timur in 2018. It also was done in district/city of health office i.e Lampung Selatan, Banjarnegara, Tanah Bumbu, Sumba Barat, and Palu city. The result shows that the role of public health offices monthly have been performed thoroughly according to the regulation of health ministry number 3 in 2016. On the other side, several health offices have made an innovative program to overcome the limitations of the budget, personnel, and facilities that occur during the implementation of PIS-PK. However, it could be optimum to reach PISPK objectives if there was the same perception in internal of health office, integration of health program in the internal and external sector. Keywords: health office, Healthy Indonesia Program with the Family Approach, Participatory Action Research (PAR)

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