Reflections on Participatory Action Research: The Case of Low-Income Women Accessing Local Physical Activity services

1997 ◽  
Vol 11 (1) ◽  
pp. 8-28 ◽  
Author(s):  
Wendy Frisby ◽  
Susan Crawford ◽  
Therese Dorer

In contrast to traditional approaches to research, participatory action research calls for the active involvement of the community—including both the beneficiaries and providers of sport services—in defining research problems, executing interventions, interpreting results, and designing strategies to change existing power structures. The purpose of this paper was to analyze a participatory action research project designed to increase the access of women living below the poverty line and their families to local physical activity services. A framework developed by Green et al. (1995) formed the basis of the analysis. To place the analysis in context, the historical origins and theoretical assumptions underlying participatory action research were addressed. The case of the Women's Action Project demonstrated how the process can result in a more inclusive local sport system and, at the same time, provide a rich setting for examining organizational dynamics including collaborative decision-making, community partnerships, power imbalances, resource control, resistance to change, and nonhierarchical structures.

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025584 ◽  
Author(s):  
Manou Anselma ◽  
Teatske Altenburg ◽  
Mai Chinapaw

IntroductionIn this study, researchers collaborate with children from a low socioeconomic neighbourhood in Amsterdam in developing, implementing and evaluating interventions targeting their health behaviours. This Youth Participatory Action Research project focuses on the promotion of physical activity and healthy dietary behaviour.Methods and analysisThis study is a controlled trial using participatory methods to develop interventions together with children aged 9–12 years. At four primary schools in a low socioeconomic neighbourhood in Amsterdam, an ‘Action Team’ is installed: a group of six to eight children who actively participate as co-researchers in developing, implementing and evaluating interventions. An academic researcher facilitates the participatory process. Four control schools, also located in low socioeconomic areas in and around Amsterdam, continue with their regular curriculum and do not participate in the participatory process. For the effect evaluation, physical activity and sedentary behaviour are assessed using accelerometers and self-reporting; dietary behaviour using self-reporting and motor fitness (strength, flexibility, coordination, speed and endurance) using the motor performance fitness test. Effectiveness of the interventions is evaluated by multilevel regression analysis. The process of co-creating interventions and the implemented interventions is continually evaluated during meetings of the Action Teams and with children participating in the interventions. Empowerment of children is evaluated during focus groups. Summaries and transcripts of meetings are coded and analysed to enrich children’s findings.Ethics and disseminationThe Medical Ethics Committee of the VU Medical Center approved the study protocol (2016.366).Trial registration numberTC=6604.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049564
Author(s):  
Mary Abboah-Offei ◽  
Akosua Gyasi Darkwa ◽  
Andrews Ayim ◽  
Adelaide Maria Ansah-Ofei ◽  
Delanyo Dovlo ◽  
...  

IntroductionWith rapid urbanisation in low-income and middle-income countries, health systems are struggling to meet the needs of their growing populations. Community-based Health Planning and Services (CHPS) in Ghana have been effective in improving maternal and child health in rural areas; however, implementation in urban areas has proven challenging. This study aims to engage key stakeholders in urban communities to understand how the CHPS model can be adapted to reach poor urban communities.Methods and analysisA Participatory Action Research (PAR) will be used to develop an urban CHPS model with stakeholders in three selected CHPS zones: (a) Old Fadama (Yam and Onion Market community), (b) Adedenkpo and (c) Adotrom 2, representing three categories of poor urban neighbourhoods in Accra, Ghana. Two phases will be implemented: phase 1 (‘reconnaissance phase) will engage and establish PAR research groups in the selected zones, conduct focus groups and individual interviews with urban residents, households vulnerable to ill-health and CHPS staff and key stakeholders. A desk review of preceding efforts to implement CHPS will be conducted to understand what worked (or not), how and why. Findings from phase 1 will be used to inform and co-create an urban CHPS model in phase 2, where PAR groups will be involved in multiple recurrent stages (cycles) of community-based planning, observation, action and reflection to develop and refine the urban CHPS model. Data will be managed using NVivo software and coded using the domains of community engagement as a framework to understand community assets and potential for engagement.Ethics and disseminationThis study has been approved by the University of York’s Health Sciences Research Governance Committee and the Ghana Health Service Ethics Review Committee. The results of this study will guide the scale-up of CHPS across urban areas in Ghana, which will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content. This study is also funded by the Medical Research Council, UK.


KWALON ◽  
2020 ◽  
Vol 25 (3) ◽  
Author(s):  
Famke van Lieshout ◽  
Gaby Jacobs ◽  
Shaun Cardiff

Action research in lifestyle research is no sinecure. Response to Kromme et al.: ‘Changing together is learning together’, a participatory action research project This is a reply to the contribution entitled: ‘Learning together is changing together: A participatory action research project on the role of the internist in promoting a healthy lifestyle’. Here the authors highlight the complexity of facilitating participatory action research (PAR) in a clinical practice setting and reflect on the first three stages of their research through eight principles that could guide PAR, as described by Van Lieshout et al. (2017). As we developed these principles, we explain the principles of participation, reflexivity, contextuality and transformation in greater detail in relation to the context of this study. The authors made suggestions to change the five-phased model of PAR to get a better grip on the process. The authors rightly highlighted some limitations in the labeling of some phases. However, it is the reflexivity on the multiple perspectives that facilitators encounter and the relationships they engage with during the process, as well as acknowledging the iterative process of PAR, which needs to be embraced and experienced during the entire process of study.


2019 ◽  
Vol 3 (1) ◽  
pp. 7-29
Author(s):  
Brunilda Pali

The epistemology of participatory action research sets a high agenda for pursuing and engendering change oriented towards social justice. This article is based on a participatory action research project, anchored both in the principles of restorative justice and action research. The project aimed at mobilizing local participation, knowledge and resources and creating restorative dialogue and encounters in handling social conflicts in intercultural settings in four different countries. Restorative justice and action research are highly compatible in terms of some of their core principles, but the project revealed important tensions that this article will reflect upon. Zooming into a town in Hungary – one of the four action research sites – the article addresses these tensions by focusing on two central themes. The first theme, encountering the silence and micropolitics, relates to the challenges created in the site, due to our encounter with its micropolitics and the existing ‘culture of silence’ about social conflicts. How should researchers enter a site, how far should they stir the depths of conflicts and disturb the silence and status quo in order to unearth injustices, multiply narratives, and stage different perspectives? The second theme, rethinking conflict participation, relates to the tension created between a more naïve idea of participation and a more antagonistic one. In restorative justice, it is often assumed that if everybody were included and participated in restorative processes, staging their different perspectives, then consensus could be reached. But considering the possibility that different views cannot be reconciled, and power relations cannot be suspended, we need to rethink the meaning of conflict participation in restorative praxis. 


2014 ◽  
Vol 34 (4) ◽  
Author(s):  
Andrea Gossett Zakrajsek ◽  
Mansha Mirza ◽  
Nathan Kai-Cheong Chan ◽  
Tom Wilson ◽  
Mark Karner ◽  
...  

<p><span>Despite preference for community-based living, large numbers of people with psychiatric disabilities live in nursing homes throughout the US. Community-based services for this population are limited by public policy and service system barriers. This paper summarizes these barriers and presents the second phase of a participatory action research project jointly developed by university-based researchers and two Centers for Independent Living. A qualitative case study methodology was used to understand the experiences of three individuals with psychiatric disabilities reintegrating into the community from nursing homes. Findings revealed themes of social isolation, participation in virtual communities, variability of impairment experiences and unmet needs for community supports. In addition to thematic findings, action products were generated for the benefit of community partners. These products included national best practice resources and a needs assessment survey tool. Study findings and products point to specific systems change and policy recommendations to better support community reintegration for this population. These recommendations are discussed in light of U.S. healthcare reform and broader disability advocacy efforts.</span></p>


2018 ◽  
Vol 32 (2) ◽  
pp. 74-85
Author(s):  
Stuart Wood ◽  
Fiona Crow

This article presents a small Participatory Action Research project involving music therapists working in a care home company, creating a documentation tool (The Music Matrix) that is fit for purpose. The project emerged out of a commonly held dissatisfaction with existing documentation among the Music Therapists in the care home company’s national team. The Music Matrix tool uses graphic notation to record observations of client participation, systematised into 10 dimensions of activity. The tool was developed in a cycle of practice and reflection between members of the music therapy team and stakeholders in the wider organisation. This was systematised in a three-stage trial process of profiling, peer review and thematic synthesis of feedback. Findings suggest that the tool was viewed to be useful in a number of aspects. First, it enabled insights for Music Therapists, in seeing patterns and recognising unacknowledged habits in their own practice. It helped show complex experience in an immediate graphic way. This was useful for reporting to stakeholders and was flexible in applying to numerous formats of practice. However, this flexibility also created a level of uncertainty for some research respondents, as the tool’s wide applicability does not have the appearance of objectivity afforded by other methods. Stakeholders saw applications beyond music therapy, particularly for non-musical care work and activities. Insights emerged regarding how Music Therapists can usefully meet the many demands that care documentation serves.


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