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Exploring the Relationship (and Power Dynamic) Between Researchers and Public Partners Working Together in Applied
1School of Health and Social Care, University of Essex, Colchester, United Kingdom.
Frontiers in Sociology
|April 19, 2021
Summary
Public involvement in applied health research is valued but often tokenistic. True co-production requires researchers and public partners to share power equally, challenging current research hierarchies and paradigms.
Area of Science:
- Health Services Research
- Public and Patient Involvement (PPI)
- Participatory Research Methods
Background:
- Public involvement in UK applied health research is now a funding prerequisite, yet often criticized as tokenistic with an unequal power dynamic.
- Participatory methods like co-production aim to address imbalances, integrating public and scientific knowledge on an equal footing.
Purpose of the Study:
- To explore the relationship and power dynamics between researchers and public partners in co-produced applied health research.
- To identify barriers and facilitators to establishing equal partnerships and power-sharing in research.
Main Methods:
- Thematic analysis of interviews with fourteen researchers and six public contributors involved in co-produced research projects.
- Focus on projects exhibiting features of inclusive co-produced research.
Main Results:
- Public involvement was valued, but integrating scientific and lay knowledge equally proved problematic.
- 'Co-opted relationships,' where public partners filled researcher-defined roles, were most common.
- Some equal partnerships emerged, including research initiated by public partners, but faced constraints from research hierarchies and paradigms.
Conclusions:
- Hierarchical structures and the predominance of positivist paradigms in applied health research create barriers to valuing experiential knowledge and sharing power.
- A transformation in research practices, culture, and hierarchies is necessary for genuine power-sharing.
- Adopting democratic participatory approaches, like those from the service user movement, can facilitate greater power-sharing for public partners.
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