Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Public and Occupational Health, Amsterdam University Medical Centre, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Health Res Policy Syst. 2024 Aug 23;22(1):117. doi: 10.1186/s12961-024-01210-x.
Mutual learning and shared decision-making are key elements of Participatory Action Research (PAR), highlighting the important role of the facilitator to support this. This study aims to illustrate how a facilitator can contribute to successful PAR sessions based on the reflection of three PAR projects.
Participatory sessions took place with adolescents for 3-4 school years. After each session (n = 252 sessions across three projects), facilitators filled in a reflection form that assessed the group process and their facilitating role. Facilitators independently coded a selection of 135 reflection forms partly deductive and partly inductive based on core PAR principles derived from a pragmatic literature search.
A well-prepared session - for example, including active and creative participatory methods and a clearly stated goal - contributed to efficiency and the necessary flexibility. Making agreements, making sure everyone is heard and taking 'fun-time' appeared important for creating and maintaining a safe, functional and positive atmosphere. Finally, facilitators needed to encourage co-researchers to take the lead and adapt to the group dynamics, to ensure ownership and shared decision-making.
In-depth qualitative analyses of a standardized reflection form used in three different PAR projects resulted in various lessons to support facilitators in collaborating with co-researchers in PAR projects.
互助学习和共同决策是参与式行动研究(PAR)的关键要素,突出了促进者在支持这一点上的重要作用。本研究旨在通过三个 PAR 项目的反思来说明促进者如何基于成功的 PAR 会议做出贡献。
青少年参与了为期 3-4 学年的参与式会议。每次会议后(三个项目共 252 次会议),促进者都会填写一份反映小组过程和他们促进作用的反思表。促进者根据从实用主义文献搜索中得出的核心 PAR 原则,对 135 份反思表中的一部分进行了独立的编码,部分是演绎的,部分是归纳的。
精心准备的会议——例如,包括积极和创造性的参与式方法以及明确的目标——有助于提高效率和必要的灵活性。达成协议、确保每个人都被听到并留出“娱乐时间”,对于营造和维护安全、有效的积极氛围非常重要。最后,促进者需要鼓励共同研究者发挥主导作用并适应小组动态,以确保所有权和共同决策。
对三个不同 PAR 项目中使用的标准化反思表进行深入的定性分析,得出了各种经验教训,以支持促进者在 PAR 项目中与共同研究者合作。