Evidence map›Paper›PMID 34764147›Full record

ArticleBMJ global health2021

'You want to deal with power while riding on power': global perspectives on power in participatory health research and co-production approaches.

Beatrice R Egid, María Roura, Bachera Aktar, Jessica Amegee Quach, Ivy Chumo, Sónia Dias, Guillermo Hegel, Laundette Jones, Robinson Karuga, Luret Lar and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. What Do We Know About Sharing Power in Co-Production in Mental Health Research? A Systematic Review and Thematic Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Article
  3. Embedding Multiperspective Reflections in Co-Producing a Training Intervention for Care Home Staff: Understanding Group Members' Journeys and Impacts.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Cultivating Authentic Partnership: Cooperative Development of a Toolkit to Mitigate Group Harm in Biorepository-Enabled Research.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Co-Production With Mental Health Family Carers: The Value, Outcomes and Benefits for Family Carers and Academic Researchers.Health expectations : an international journal of public participation in health care and health policy · 2026
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  14. 'Co-Production Is Caring': Young People's Reflections on Responsible and Dialogic Co-Production in Youth Mental Health.Health expectations : an international journal of public participation in health care and health policy · 2025
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  17. The Role of Power in Co-Approaches to Health Research: Insights From Spain and the United Kingdom With a Rapid Review of Reviews.Health expectations : an international journal of public participation in health care and health policy · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 11 countries.

Beatrice R EgidDepartment of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK 194711@lstmed.ac.uk.ORCID 0000-0001-8206-8903
María RouraSchool of Public Health, University College Cork, Cork, Ireland.
Bachera AktarJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Jessica Amegee QuachDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Ivy ChumoUrbanisation and Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.
Sónia DiasNOVA National School of Public Health, Public Health Research Centre, Universidade Nova de Lisboa and Comprehensive Health Research Centre, Lisboa, Portugal.
Guillermo HegelINCAP Research Center for Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala.
Laundette JonesSchool of Medicine, University of Maryland, Baltimore, Maryland, USA.
Robinson KarugaDepartment of Research and Strategic Information, LVCT Health, Nairobi, Kenya.
Luret LarDepartment of Community Medicine, University of Jos, Jos, Nigeria.
Yaimie LópezDepartment of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK.
Apurvakumar PandyaParul Institute of Public Health, Faculty of Medicine, Parul University, Vadodara, Gujarat, India.
Theresa C NortonIndependent Researcher, Baltimore, Maryland, USA.
Payam SheikhattariSchool of Community Health and Policy, Prevention Sciences Research Center, Morgan State University, Baltimore, Maryland, USA.
Tara TancredDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Nina WallersteinCenter for Participatory Research, College of Population Health, University of New Mexico, Albuquerque, New Mexico, USA.
Emily ZimmermanCenter on Society and Health, Virginia Commonwealth University, Richmond, Virginia, USA.
Kim OzanoDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Liverpool School of Tropical Medicine · GBAfrican Population and Health Research Center · KEInstitute of Nutrition of Central America and Panama · GTInstitute of Public Health Bengaluru · INLVCT Health · KEMorgan State University · USNational School of Public Health · GRUniversity College Cork · IEUniversity of Jos · NGUniversity of Maryland, Baltimore · USUniversity of New Mexico · USVirginia Commonwealth University · USWilliam James College · US

Funding

Wastewater surveillance for addressing environmental health disparitiesU54MD013376 · NIMHD · MORGAN STATE UNIVERSITY · PI Timothy J Meeker · 2019 to 2026
$33.5M
Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
NCATS NIH HHS UL1 TR002649NIMHD NIH HHS U54 MD013376
6 · The paper itself

Abstract

introductionPower 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 'power', and how it is discussed and addressed within the context of research partnerships.

methodsFive online workshops were carried out with participatory health researchers working in different global contexts. Transcripts of the workshops were analysed thematically against the 'Social Ecology of Power' framework and mapped at the micro (individual), meso (interpersonal) or macro (structural) level.

resultsA 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 'traditional' research legacies were acknowledged to have generated and maintained power inequities within research partnerships.

conclusionsThe 'Social Ecology of Power' 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.

Indexed as

Community-Based Participatory ResearchResearch PersonnelHumansSocial Environmentpublic Healthqualitative study

Identifiers

PMID34764147
PMCPMC8587355
OpenAlexW3212674888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.