Participatory research in education: Epistemological, methodological and ethical challenges

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Abstract
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This special issue of Theory and Research in Education examines participatory research as a political and methodological project that raises fundamental epistemological questions about knowledge, legitimacy, and authority in educational inquiry. Seeking to democratize knowledge production, participatory research engages those historically excluded—such as children and disabled people—as co-researchers and challenges hierarchical structures of expertise. Rooted in liberation pedagogy, feminist and decolonial epistemologies, and disability studies, it explores how research can become a site of shared meaning-making and social transformation. The special issue brings together three theoretical and epistemological contributions with two empirical studies, showing how participatory research redefines both the methodology and the politics of educational practice, linking epistemic justice with democratic renewal in education.

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PurposeThe literature review explores how multidisciplinary approaches based on critical pedagogy and participatory research can provide frameworks for equitable partnerships and genuine participation in educational design and research practices. Additionally, the essay aims to expand understandings of equitable engagement within educational research and design based on principles from critical pedagogy.Design/methodology/approachThe essay draws from diverse literature in the learning sciences, health informatics, industrial design, disability studies, ethnic studies, rehabilitation science, and to a lesser extent HCI research to understand how critical pedagogy and participatory research methods can provide useful frameworks for disabled peoples' equitable engagement and genuine participation in educational research and design. The literature reviewed in the paper concern topics such as participatory approaches to community development with disabled adults, the implementation of university-initiated community partnerships, participatory research with students and disabled people, and the importance of culturally-responsive research practices. The design literature in this review explores various arenas such as the co-design of assistive technologies with disabled children and adults and the design of curricula for students with and without disabilities. This review focuses on research practices that engender disabled peoples' participation in educational research and design, with focus on developing multidisciplinary frameworks for such research.FindingsThe literature review concludes that participatory research methods and critical pedagogy provide useful frameworks for disabled peoples’ participation in educational design and research practices. Critical pedagogy and participatory design allow for the genuine participation of disabled people in the research process.Social implicationsEmphases on collaboration and collective knowledge-building in social transformation are present in scholarship concerning critical pedagogy, participatory research, and disability studies. However, these connections have been routinely underexplored in the literature. This paper aims to underscore these integral connections as a means to build solidarity between disabled and other marginalized people.Originality/valueThe connections between participatory research methods, critical pedagogy, and disability studies have been previously underexplored. The literature review proposes a combined approach, which has the potential to radically transform multiple realms of research beyond the learning and information sciences.

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Preferences of older adults with cancer for involvement in decision-making about research participation.
  • Jun 1, 2014
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  • Julien Mancini + 5 more

To the Editor: Older adults remain underrepresented in cancer clinical trials because of frequent comorbidities and related trial ineligibility but also because physicians are less likely to discuss this option with them.1, 2 Physicians might perceive that older adults are less able to provide consent because they tend to be less actively involved in decision-making than their younger counterparts.3 The lower health literacy levels of older adults may also play a role.4 To the knowledge of the authors, no study focused on older adults' decision-making regarding research participation. The aim of the current study was to compare the desire for involvement regarding research participation of older (≥65) and younger individuals with cancer, controlling for education level and research literacy. A questionnaire was mailed to 745 individuals treated for colorectal cancer, breast cancer, or a hematological malignancy at a French regional cancer center.5 A logistic model was used to study the factors associated with a wish for completely passive involvement ("I would let the doctor make the decision alone") in a hypothetical decision to participate in a medical research.6 Subjects' research literacy was estimated using a single question about basic knowledge of clinical trial procedures ("Do you think French law makes signed consent necessary for patient participation in a clinical trial?"). Of 574 respondents (aged 20–89), 190 (33.1%) were aged 65 and older (65–74, 21.4%; 75–84, 10.3%; ≥85, 1.4%). Older adults were more likely to be male, to have been treated for colorectal cancer, and have lower education and research literacy levels (Table 1). There were no age differences in self-reported participation in treatment trials (≥65, 5.5% vs <65, 7.6%, P = .35). Older adults would more frequently let their physician decide alone about their participation in hypothetical medical research (10.5%, vs 5.4% for younger, P = .03), although after adjustment for education or research literacy level, older age was no longer significantly associated with a wish for completely passive involvement (Table 1). The majority of participants wanted to be involved in decision-making about research participation, although one in 10 older adults would prefer that their doctor make a decision for them. This wish for a passive role is likely to be an effect of lower health literacy rather than age, because the age effect disappeared after controlling for education or research literacy level. Improving older adults' knowledge of research and clinical trials might empower them to be more involved in the decision-making process. Although some older adults may initially not want to be actively involved and would rather defer the decision to participate in research to their trusted doctor, it is important to discuss the options with them and explain why participation in research is a personal decision. Increasing involvement, even when it is not explicitly desired, has been associated with greater satisfaction,7 and lack of involvement in the decision to participate in a trial might cause decisional regret.6 A recent study examined older adults' (≥80) participation in health decisions and found that barriers to greater participation in decision-making could potentially be removed by spending additional time eliciting their values, goals, and preferences,8 and decision support tools may need to be developed to achieve this.9 Other factors significantly associated with less involvement in decision-making were a diagnosis of hematological malignancy and not being in a relationship (Table 1). The complexity of hematological disease might overwhelm individuals and explain why they might not feel ready to be involved in decision-making. Individuals living alone were more likely to let their physician decide regardless of their age. Even if families of older adults might be opposed to their participation in research,1 the presence of a companion has been shown to positively affect the involvement of older adults in consultations.10 The current study included only older adults able to respond to a questionnaire, which are likely to be the fittest older adults, relied on the measurement of preferences regarding a hypothetical decision, and did not include a standardized measure of health or research literacy. Despite its limitations, it highlights that older adults would like to be involved in decision-making about research participation. The involvement of older adults with lower levels of education and health literacy in decision-making about research participation could potentially be improved by informing them better about medical research and trial procedures. Lack of knowledge and understanding should not be a barrier to participation in medical research, and as soon as they are eligible, older adults should be invited to participate. This survey was partly supported by Institut Paoli-Calmettes and by a Programme Hospitalier de Recherche Clinique from French Ministry of Health (Grant PHRC 2006 24.17) to CC. JM's collaboration with JJ (CeMPED) was made possible by Professor Phyllis Butow and supported through mobility grants by Fondation ARC, Fondation de France, and ADEREM. JJ is funded by a National Health and Medical Research Council early career fellowship (n° 1037028). Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. Author Contributions: Study concept and design: Mancini, Julian-Reynier, Chabannon. Acquisition of subjects and data: Mancini, Julian-Reynier, Bechlian, Vey, Chabannon. Analysis and interpretation of data: Mancini, Jansen, Julian-Reynier, Bechlian, Vey, Chabannon. Statistical analysis: Mancini. Funding and supervision: Mancini, Julian-Reynier, Chabannon. Drafting of manuscript: Mancini, Jansen. Critical revision of manuscript for important intellectual content: Julian-Reynier, Bechlian, Vey, Chabannon. Sponsor's Role: None.

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Mapping key issues and useful theory to address remaining ethical, practical and political challenges in participatory research in health.
  • Aug 4, 2025
  • Wellcome open research
  • Robin Vincent + 6 more

Participation is recognised as having a key role in health, for increasing the relevance and effectiveness of health interventions, for the health promoting benefits of community empowerment and as an ethical imperative. Participatory approaches to health research are also increasingly valued for bringing the insights of lived experience, and more relevant research and action. In this paper, we explore key remaining issues in participatory action research highlighted by scholars, practitioners and published literature, and highlight some useful conceptual resources which help to better understand them. We distinguish participatory action research as a paradigm involving those most affected throughout the research process, contrasting it with the more limited use of participatory tools and methods. We outline several aspects of participatory action research in health that would benefit from further theoretical and practical development, including: shifting power in the research process; the compatibility of participatory research with biomedical research; linking local inquiry and action to broader changes in policy and practice; and working with experiential knowledge in a rigorous research process. We highlight useful theory from a range of disciplines (including beyond the participatory research literature) that helps to understand some of the key processes and dynamics implicated in the issues highlighted and how this affects the outcomes achieved. We outline and share these conceptual/theoretical resources, identified as part of preparation for conducting a realist review on participatory action research in health, to contribute to ongoing reflection and development in the field.

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