Abstract
BackgroundSuccessful community-engaged research depends on the quality of the collaborative partnerships between community -members and academic researchers and may take several forms depending on the purpose which dictates the degree to which power dynamics are handled within the collaborative arrangement.MethodsTo understand the power dynamics and related concepts within community-engaged research arrangements, a secondary analysis of an existing qualitative data set was undertaken. Two models of community-engaged research, a review of literature, and the applied experiences of researchers familiar with community engagement practices confirmed the power dynamics concepts used to carry out the analysis of the qualitative data set according to the principles of directed content analysis. This analysis yielded quotes on power dynamics and related issues. Tools to address the power dynamics exposed by the quotes were selected using the literature and lived experience of the researchers. Finally, to ensure trustworthiness, the selected quotes on power dynamics and the recommended tools were subjected to naturalistic treatment using peer debriefings and triangulation.ResultsAnalysis of existing qualitative data made clear that community-engaged research between health practitioners and communities may take several forms depending on the purpose and dictate how power dynamics, including inequities, biases, discrimination, racism, rank and privilege, are handled within the collaborative arrangement. Three tools including implicit bias training, positionality, and structural competency may be used to address power dynamics and related concepts.ConclusionAnalysis of the qualitative data set highlighted the power dynamics within different community-engaged research models and the tools that may be used to address inequitable power dynamics including implicit bias training, positionality, and structural competency.
Highlights
Successful community-engaged research depends on the quality of the collaborative partnerships between community -members and academic researchers and may take several forms depending on the purpose which dictates the degree to which power dynamics are handled within the collaborative arrangement
Bias may emanate in community engagement from both ends of the community-researcher partnership based on preconceived notions and stereotyping
These partnerships subsequently highlight the intrinsic power dynamics that exist when academic researchers representing centers of power, privilege, and status engage with communities that have been shaped by a history of structural, socio-economic, and racial/ethnic inequities
Summary
Successful community-engaged research depends on the quality of the collaborative partnerships between community -members and academic researchers and may take several forms depending on the purpose which dictates the degree to which power dynamics are handled within the collaborative arrangement. As a foundation for this paper on power dynamics in community engaged research, we compared two models of community engaged research including community -based participatory research (CBPR) and communityacademic partnerships. While community-academic partnerships incorporate some aspects of CBPR, the form that these clinical research partnerships use to further their purpose, (i.e., translating research findings to physicians and patients) does not include all aspects of Andress et al Journal of Patient-Reported Outcomes. To see how purpose and form dictate concepts of power within community engaged research, Table 1 analyzes similarities and differences in CBPR and community-academic research partnerships. Communityacademic partnerships conduct translational research with the aim of moving findings from “bench to bedside to curbside.” [1, 9, 10]
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