{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T17:42:44Z","timestamp":1775756564115,"version":"3.50.1"},"reference-count":100,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"The COUNTDOWN programme, funded by UKAID, part of the Foreign, Commonwealth and Development Office (FCDO).","award":["PO 6407"],"award-info":[{"award-number":["PO 6407"]}]},{"name":"GCRF Accountability for Informal Urban Equity Hub (ARISE), a UKRI Collective Fund award","award":["ES\/S00811X\/1"],"award-info":[{"award-number":["ES\/S00811X\/1"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2021,10,23]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Power relations permeate research partnerships and compromise the ability of participatory research approaches to bring about transformational and sustainable change. This study aimed to explore how participatory health researchers engaged in co-production research perceive and experience \u2018power\u2019, and how it is discussed and addressed within the context of research partnerships.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Five online workshops were carried out with participatory health researchers working in different global contexts. Transcripts of the workshops were analysed thematically against the \u2018Social Ecology of Power\u2019 framework and mapped at the micro (individual), meso (interpersonal) or macro (structural) level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 59 participants, with participatory experience in 24 different countries, attended the workshops. At the micro level, key findings included the rarity of explicit discussions on the meaning and impact of power, the use of reflexivity for examining assumptions and power differentials, and the perceived importance of strengthening co-researcher capacity to shift power. At the meso level, participants emphasised the need to manage co-researcher expectations, create spaces for trusted dialogue, and consider the potential risks faced by empowered community partners. Participants were divided over whether gatekeeper engagement aided the research process or acted to exclude marginalised groups from participating. At the macro level, colonial and \u2018traditional\u2019 research legacies were acknowledged to have generated and maintained power inequities within research partnerships.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The \u2018Social Ecology of Power\u2019 framework is a useful tool for engaging with power inequities that cut across the social ecology, highlighting how they can operate at the micro, meso and macro level. This study reiterates that power is pervasive, and that while many researchers are intentional about engaging with power, actions and available tools must be used more systematically to identify and address power imbalances in participatory research partnerships, in order to contribute to improved equity and social justice outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjgh-2021-006978","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T12:30:13Z","timestamp":1636633813000},"page":"e006978","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":85,"title":["\u2018You want to deal with power while riding on power\u2019: global perspectives on power in participatory health research and co-production approaches"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8206-8903","authenticated-orcid":false,"given":"Beatrice R","family":"Egid","sequence":"first","affiliation":[{"name":"Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK"}]},{"given":"Mar\u00eda","family":"Roura","sequence":"additional","affiliation":[{"name":"School of Public Health, University College Cork, Cork, Ireland"}]},{"given":"Bachera","family":"Aktar","sequence":"additional","affiliation":[{"name":"James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh"}]},{"given":"Jessica","family":"Amegee Quach","sequence":"additional","affiliation":[{"name":"Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK"}]},{"given":"Ivy","family":"Chumo","sequence":"additional","affiliation":[{"name":"Urbanisation and Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya"}]},{"given":"S\u00f3nia","family":"Dias","sequence":"additional","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, Universidade Nova de Lisboa and Comprehensive Health Research Centre, Lisboa, Portugal"}]},{"given":"Guillermo","family":"Hegel","sequence":"additional","affiliation":[{"name":"INCAP Research Center for Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala"}]},{"given":"Laundette","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Maryland, Baltimore, Maryland, USA"}]},{"given":"Robinson","family":"Karuga","sequence":"additional","affiliation":[{"name":"Department of Research and Strategic Information, LVCT Health, Nairobi, Kenya"}]},{"given":"Luret","family":"Lar","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, University of Jos, Jos, Nigeria"}]},{"given":"Yaimie","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK"}]},{"given":"Apurvakumar","family":"Pandya","sequence":"additional","affiliation":[{"name":"Parul Institute of Public Health, Faculty of Medicine, Parul University, Vadodara, Gujarat, India"}]},{"given":"Theresa C","family":"Norton","sequence":"additional","affiliation":[{"name":"Independent Researcher, Baltimore, Maryland, USA"}]},{"given":"Payam","family":"Sheikhattari","sequence":"additional","affiliation":[{"name":"School of Community Health and Policy, Prevention Sciences Research Center, Morgan State University, Baltimore, Maryland, USA"}]},{"given":"Tara","family":"Tancred","sequence":"additional","affiliation":[{"name":"Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK"}]},{"given":"Nina","family":"Wallerstein","sequence":"additional","affiliation":[{"name":"Center for Participatory Research, College of Population Health, University of New Mexico, Albuquerque, New Mexico, USA"}]},{"given":"Emily","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Center on Society and Health, Virginia Commonwealth University, Richmond, Virginia, USA"}]},{"given":"Kim","family":"Ozano","sequence":"additional","affiliation":[{"name":"Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK"}]}],"member":"239","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"2025073013323109000_6.11.e006978.1","unstructured":"ICPHR . 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