4.5 Article

The ethical challenges and opportunities of implementing engagement strategies in health research

Journal

ANNALS OF EPIDEMIOLOGY
Volume 59, Issue -, Pages 37-43

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.annepidem.2021.04.009

Keywords

Ethics; Stakeholder engagement; Patient engagement; Community health; Partnership models

Ask authors/readers for more resources

The paper examines the opportunities and ethical challenges of stakeholder engagement in epidemiology and community health, highlights the importance of a unifying framework and community-partnered participatory research, and emphasizes the need for broader dialogue and understanding of stakeholder engagement.
Purpose: The American College of Epidemiology (ACE) held its 2019 Annual Meeting in Pasadena, Cali-fornia, September 7-10 with a theme of Real-World Epidemiologic Evidence in Policy and Practice. The ACE Ethics Committee hosted a symposium session at the annual meeting on the ethical challenges of stakeholder engagement in the health research setting. The purpose of this paper is to further examine the design and conduct of stakeholder engagement and reflect on the ethical challenges with the goal of offering best practices and identifying areas where future guidance, critical reflection and teaching may be needed. Methods: Three speakers with diverse affiliations were selected to present on the opportunities and ethical challenges of stakeholder engagement in epidemiology and community health. Dr. K Coleman presented an Overview of Stakeholder-Engaged Research Strategies and Engaging Stakeholders in Ret-rospective Observational Studies; Dr. J Salerno presented on An Ethical Perspective to Optimize En-gagement Strategies; and Ms. F Jones presented on the Structure of Community-Partnered Participatory Research. Results: Three main insights were identified: (1) the need for a unifying framework of ethical principles for the implementation of stakeholder engagement, (2) an expanded set of research activities for stake-holders aligned with their engagement in epidemiology studies, and (3) strengths of a community-based partnership model of stakeholder engagement in community health, known as community-partnered par-ticipatory research (CPPR). Conclusions: There is a need to broaden the dialogue and understanding of stakeholder engagement for researchers who are increasingly faced with the ethical challenges of implementing approaches and strategies to engage patients, communities, policy makers and the public as stakeholders. To address current challenges, we offered a unifying framework to guide best practices of stakeholder engagement by integrating the core ethical principles of research conduct involving human subjects with the guid-ing principles of patient engagement. We shared 2 model overviews of implementing stakeholder en-gagement: (1) a 4-staged model when implementing stakeholder engagement using an epidemiological study design, (2) a stakeholder engagement model rooted in authentic academic-community partnerships, known as community-partnered participatory research (CPPR) to address depression disparities. By criti-cally reflecting on stakeholder engagement across disciplines and appraising the opportunities and ethi-cal challenges of implementing stakeholder engagement in health research, we have provided insights on how to operationalize, conduct and implement stakeholder engagement and have contributed to moving this important field forward. (c) 2021 Elsevier Inc. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available