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      Material practices for meaningful engagement: An analysis of participatory learning and action research techniques for data generation and analysis in a health research partnership

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          Abstract

          Background

          The material practices which researchers use in research partnerships may enable or constrain the nature of engagement with stakeholder groups. Participatory learning and action ( PLA) research approaches show promise, but there has been no detailed analysis of stakeholders’ and researchers’ experiences of PLA techniques for data generation and co‐analysis.

          Objectives

          To explore stakeholders’ and researchers’ experiences of PLA techniques for data generation and co‐analysis.

          Design

          The EU RESTORE implementation science project employed a participatory approach to investigate and support the implementation of guidelines and training initiatives ( GTIs) to enhance communication in cross‐cultural primary care consultations. We developed a purposeful sample of 78 stakeholders (migrants, general practice staff, community interpreters, service providers, service planners) from primary care settings in Austria, England, Greece, Ireland and The Netherlands. We used speed evaluations and participatory evaluations to explore their experiences of two PLA techniques—Commentary Charts and Direct Ranking—which were intended to generate data for co‐analysis by stakeholders about the GTIs under analysis. We evaluated 16 RESTORE researchers’ experiences using interviews. We conducted thematic and content analysis of all evaluation data.

          Results

          PLA Commentary Charts and Direct Ranking techniques, with their visual, verbal and tangible nature and inherent analytical capabilities, were found to be powerful tools for involving stakeholders in a collaborative analysis of GTIs. Stakeholders had few negative experiences and numerous multifaceted positive experiences of meaningful engagement, which resonated with researchers’ accounts.

          Conclusion

          PLA techniques and approaches are valuable as material practices in health research partnerships.

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          Most cited references43

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          The origins and practice of participatory rural appraisal

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            Qualitative research and evaluation methods.

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              The value and challenges of participatory research: strengthening its practice.

              The increasing use of participatory research (PR) approaches to address pressing public health issues reflects PR's potential for bridging gaps between research and practice, addressing social and environmental justice and enabling people to gain control over determinants of their health. Our critical review of the PR literature culminates in the development of an integrative practice framework that features five essential domains and provides a structured process for developing and maintaining PR partnerships, designing and implementing PR efforts, and evaluating the intermediate and long-term outcomes of descriptive, etiological, and intervention PR studies. We review the empirical and nonempirical literature in the context of this practice framework to distill the key challenges and added value of PR. Advances to the practice of PR over the next decade will require establishing the effectiveness of PR in achieving health outcomes and linking PR practices, processes, and core elements to health outcomes.
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                Author and article information

                Contributors
                Anne.macfarlane@ul.ie
                Journal
                Health Expect
                Health Expect
                10.1111/(ISSN)1369-7625
                HEX
                Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
                John Wiley and Sons Inc. (Hoboken )
                1369-6513
                1369-7625
                25 August 2017
                February 2018
                : 21
                : 1 ( doiID: 10.1111/hex.2018.21.issue-1 )
                : 159-170
                Affiliations
                [ 1 ] Discipline of General Practice National University of Ireland Galway Ireland
                [ 2 ] Centre for Participatory Strategies Galway Ireland
                [ 3 ] General Practice and Primary Care University of Glasgow Glasgow UK
                [ 4 ] Clinic of Social and Family Medicine Faculty of Medicine University of Crete Heraklion Greece
                [ 5 ] University of Liverpool Liverpool UK
                [ 6 ] Centre for Public Health Medical University of Vienna Wien Austria
                [ 7 ] Department of Primary and Community Care Radboud University Nijmegen Medical Centre Nijmegen Gelderland Netherlands
                [ 8 ] Graduate Entry Medical School and Health Research Institute University of Limerick Limerick Ireland
                Author notes
                [*] [* ] Correspondence

                Anne MacFarlane, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

                Email: Anne.macfarlane@ 123456ul.ie

                Author information
                http://orcid.org/0000-0002-9708-5025
                Article
                HEX12598
                10.1111/hex.12598
                5750692
                28841753
                b37da7c5-28cc-4d0a-817f-4de9616e939b
                © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd

                This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 June 2017
                Page count
                Figures: 2, Tables: 3, Pages: 12, Words: 9414
                Funding
                Funded by: EU Seventh Framework Programme
                Award ID: 257258
                Funded by: University of Limerick, Ireland
                Categories
                Original Research Paper
                Original Research Papers
                Custom metadata
                2.0
                hex12598
                February 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.2.8 mode:remove_FC converted:15.01.2018

                Health & Social care
                health research partnerships,migrant health,participatory research,public and patient involvement

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