Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness

Introduction Participatory research is a study method that engages patients in research programs, ideally from study design through to dissemination. It is not commonly used in diabetes health services research. Our objectives were to describe the process and challenges of conducting a participatory...

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Main Authors: Gillian L Booth, Stephen W Hwang, Kerry McBrien, David J T Campbell, Rachel B Campbell, Anna DiGiandomenico, Matthew Larsen, Marleane A Davidson
Format: Article
Language:English
Published: BMJ Publishing Group 2021-03-01
Series:BMJ Open Diabetes Research & Care
Online Access:https://drc.bmj.com/content/9/1/e002154.full
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author Gillian L Booth
Stephen W Hwang
Kerry McBrien
David J T Campbell
Rachel B Campbell
Anna DiGiandomenico
Matthew Larsen
Marleane A Davidson
author_facet Gillian L Booth
Stephen W Hwang
Kerry McBrien
David J T Campbell
Rachel B Campbell
Anna DiGiandomenico
Matthew Larsen
Marleane A Davidson
author_sort Gillian L Booth
collection DOAJ
description Introduction Participatory research is a study method that engages patients in research programs, ideally from study design through to dissemination. It is not commonly used in diabetes health services research. Our objectives were to describe the process and challenges of conducting a participatory research project and to highlight the experiences of both patient co-researchers and academic researchers.Research design and methods We recruited people with lived experience of homelessness (PWLEH) and diabetes in Toronto, Canada to become patient co-researchers. They were asked to commit to attending biweekly meetings. We undertook two major research projects: concept mapping to choose a research focus; and photovoice to explore accessing healthy food while homeless. We used a convergent mixed-methods design to evaluate their experience.Results A diverse group of eight PWLEH had an average attendance of 82% over 21 meetings—despite this success, we encountered a number of challenges of conducting this research: funding, ethics approval and recruitment were particularly difficult. Group members reported that participation improved their ability to self-advocate in their diabetes care and provided them with tangible skills and social benefits. Group members stated that they valued being involved in all aspects of the research, in particular knowledge translation activities, including advocating for nutritious food at shelters; presenting to stakeholders; and meeting with policymakers.Conclusions The use of participatory research methods enables academic researchers to support community members in pursuing research that is pertinent to them and which has a positive impact. In our study, co-researchers contributed in meaningful ways and also valued the experience.
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spelling doaj-art-997f3c238fbe411191db6015937f2b802025-08-20T01:58:55ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972021-03-019110.1136/bmjdrc-2021-002154Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessnessGillian L Booth0Stephen W Hwang1Kerry McBrien2David J T Campbell3Rachel B Campbell4Anna DiGiandomenico5Matthew Larsen6Marleane A Davidson7ICES, Toronto, ON, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaDepartment of Family Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, CanadaDepartment of Cardiac Sciences, University of Calgary, Calgary, Alberta, CanadaDepartment of Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, CanadaPatient Partners, Toronto, Ontario, CanadaDepartment of Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, CanadaPatient Partners, Toronto, Ontario, CanadaIntroduction Participatory research is a study method that engages patients in research programs, ideally from study design through to dissemination. It is not commonly used in diabetes health services research. Our objectives were to describe the process and challenges of conducting a participatory research project and to highlight the experiences of both patient co-researchers and academic researchers.Research design and methods We recruited people with lived experience of homelessness (PWLEH) and diabetes in Toronto, Canada to become patient co-researchers. They were asked to commit to attending biweekly meetings. We undertook two major research projects: concept mapping to choose a research focus; and photovoice to explore accessing healthy food while homeless. We used a convergent mixed-methods design to evaluate their experience.Results A diverse group of eight PWLEH had an average attendance of 82% over 21 meetings—despite this success, we encountered a number of challenges of conducting this research: funding, ethics approval and recruitment were particularly difficult. Group members reported that participation improved their ability to self-advocate in their diabetes care and provided them with tangible skills and social benefits. Group members stated that they valued being involved in all aspects of the research, in particular knowledge translation activities, including advocating for nutritious food at shelters; presenting to stakeholders; and meeting with policymakers.Conclusions The use of participatory research methods enables academic researchers to support community members in pursuing research that is pertinent to them and which has a positive impact. In our study, co-researchers contributed in meaningful ways and also valued the experience.https://drc.bmj.com/content/9/1/e002154.full
spellingShingle Gillian L Booth
Stephen W Hwang
Kerry McBrien
David J T Campbell
Rachel B Campbell
Anna DiGiandomenico
Matthew Larsen
Marleane A Davidson
Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
BMJ Open Diabetes Research & Care
title Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
title_full Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
title_fullStr Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
title_full_unstemmed Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
title_short Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
title_sort using a community based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness
url https://drc.bmj.com/content/9/1/e002154.full
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