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You want to deal with power while riding on power

2021-11-11Artigo científico Acesso aberto
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dc.contributor.authorEgid, Beatrice R.
dc.contributor.authorRoura, Mariá
dc.contributor.authorAktar, Bachera
dc.contributor.authorAmegee Quach, Jessica
dc.contributor.authorChumo, Ivy
dc.contributor.authorDias, Sónia
dc.contributor.authorHegel, Guillermo
dc.contributor.authorJones, Laundette
dc.contributor.authorKaruga, Robinson
dc.contributor.authorLar, Luret
dc.contributor.authorLópez, Yaimie
dc.contributor.authorPandya, Apurvakumar
dc.contributor.authorNorton, Theresa C.
dc.contributor.authorSheikhattari, Payam
dc.contributor.authorTancred, Tara
dc.contributor.authorWallerstein, Nina
dc.contributor.authorZimmerman, Emily
dc.contributor.authorOzano, Kim
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblBMJ Publishing Group
dc.date.accessioned2022-06-06T22:22:31Z
dc.date.available2022-06-06T22:22:31Z
dc.date.issued2021-11-11
dc.descriptionFunding Information: Funding This research was supported through the GCRF Accountability for Informal Urban Equity Hub (ARISE), a UKRI Collective Fund award with reference ES/S00811X/1, and The COUNTDOWN programme, funded by UKAID, part of the Foreign, Commonwealth and Development Office (FCDO) with award reference PO 6407. Publisher Copyright: © 2021 BMJ Publishing Group. All rights reserved.
dc.description.abstractIntroduction Power relations permeate research partnerships and compromise the ability of participatory research approaches to bring about transformational and sustainable change. This study aimed to explore how participatory health researchers engaged in co-production research perceive and experience power', and how it is discussed and addressed within the context of research partnerships. Methods Five online workshops were carried out with participatory health researchers working in different global contexts. Transcripts of the workshops were analysed thematically against the Social Ecology of Power' framework and mapped at the micro (individual), meso (interpersonal) or macro (structural) level. Results A total of 59 participants, with participatory experience in 24 different countries, attended the workshops. At the micro level, key findings included the rarity of explicit discussions on the meaning and impact of power, the use of reflexivity for examining assumptions and power differentials, and the perceived importance of strengthening co-researcher capacity to shift power. At the meso level, participants emphasised the need to manage co-researcher expectations, create spaces for trusted dialogue, and consider the potential risks faced by empowered community partners. Participants were divided over whether gatekeeper engagement aided the research process or acted to exclude marginalised groups from participating. At the macro level, colonial and traditional' research legacies were acknowledged to have generated and maintained power inequities within research partnerships. Conclusions The Social Ecology of Power' framework is a useful tool for engaging with power inequities that cut across the social ecology, highlighting how they can operate at the micro, meso and macro level. This study reiterates that power is pervasive, and that while many researchers are intentional about engaging with power, actions and available tools must be used more systematically to identify and address power imbalances in participatory research partnerships, in order to contribute to improved equity and social justice outcomes.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent380413
dc.identifier.doi10.1136/bmjgh-2021-006978
dc.identifier.issn2059-7908
dc.identifier.otherPURE: 44478255
dc.identifier.otherPURE UUID: 0b2f01b2-54ea-4610-802e-a573177067f2
dc.identifier.otherScopus: 85119870544
dc.identifier.otherWOS: 000718986300002
dc.identifier.otherPubMed: 34764147
dc.identifier.otherPubMedCentral: PMC8587355
dc.identifier.otherORCID: /0000-0001-5085-0685/work/131110344
dc.identifier.urihttp://hdl.handle.net/10362/139552
dc.identifier.urlhttps://www.scopus.com/pages/publications/85119870544
dc.language.isoeng
dc.peerreviewedyes
dc.subjectpublic Health
dc.subjectqualitative study
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleYou want to deal with power while riding on poweren
dc.title.subtitleglobal perspectives on power in participatory health research and co-production approachesen
dc.typejournal article
degois.publication.issue11
degois.publication.titleBMJ Global Health
degois.publication.volume6
dspace.entity.typePublication
rcaap.rightsopenAccess

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