Developing a toolkit for engagement practice : Sharing power with communities in priority-setting for global health research projects

Journal article

Pratt, Bridget. (2020). Developing a toolkit for engagement practice : Sharing power with communities in priority-setting for global health research projects. BMC Medical Ethics. 21(1), pp. 1-14. https://doi.org/10.1186/s12910-020-0462-y
AuthorsPratt, Bridget
Abstract

Background
Communities’ engagement in priority-setting is a key means for setting research topics and questions of relevance and benefit to them. However, without attention to dynamics of power and diversity, their engagement can be tokenistic. So far, there remains limited ethical guidance on how to share power with communities, particularly those considered disadvantaged and marginalised, in global health research priority-setting. This paper generates a comprehensive, empirically-based “ethical toolkit” to provide such guidance, further strengthening a previously proposed checklist version of the toolkit. The toolkit places community engagement and power-sharing at the heart of priority-setting for global health research projects.

Methods
A two part method was used to generate a revised toolkit. Part one was conceptual, consisting of novel analysis of empirical data (previously collected as part of the same overall project) to identify additional concepts relevant to power-sharing between researchers and communities in global health research priority-setting. Part two was empirical, seeking feedback on the initial checklist version of the toolkit in interviews with researchers, ethicists, community engagement practitioners, and community organisation staff.

Results
The conceptual process identified two additional components of engagement and six additional features that affect who defines, who participates, and who is heard in research priority-setting. New ethical considerations related to sharing power in global health research priority-setting are articulated in relation to those components and features. Interviewees provided suggestions for revising the toolkit’s content and language. The implications of these suggestions and the analytic process for the toolkit are described.

Conclusions
The resultant toolkit is a reflective project planning aid for researchers and their community partners to employ before priority-setting is undertaken for global health research projects. It consists of three worksheets (to be completed collectively) and a companion document detailing how to use them. It is more comprehensive than the initial toolkit, as worksheet questions for discussion cover all phases of priority-setting.

Keywordsethics; power; global health; engagement; participation; justice; priority-setting; research
Year2020
JournalBMC Medical Ethics
Journal citation21 (1), pp. 1-14
PublisherBiomed Central Ltd
ISSN1472-6939
Digital Object Identifier (DOI)https://doi.org/10.1186/s12910-020-0462-y
Scopus EID2-s2.0-85081744742
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-14
FunderAustralian Research Council (ARC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online14 Mar 2020
Publication process dates
Accepted04 Mar 2020
Deposited21 Oct 2021
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDARC/DE170100414
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