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Published on: January 12, 2018
Critical Dialogues for Action: A Research Methodology for Transforming Engagement into Impact
Lyn K Sonnenberg1,2, Ming-Ka Chan1,3, David Wiljer1,4
1Equity in Health Systems, Bruyère Health Research Institute, Ottawa, Canada.
Abstract:
Critical Dialogues for Action (CDFA) is a structured, equity-centered methodology designed to transform dialogue into systemic change in health professions education and health systems. Developed over five years, it integrates lived expertise, structured facilitation, and implementation science into the dialogue process. CDFA operates through three levels: Foundational Elements, Process and Engagement, and Action and Impact. These levels establish conditions to foster connection, disrupt power dynamics, and generate actionable outcomes. This paper outlines the model's theoretical evolution, compares it with other participatory approaches, and illustrates its application across institutional, educational, and policy contexts for transforming engagement into measurable, enduring impact.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s40670-026-02727-2.
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