Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach

Crabtree, Benjamin F, Miller, William L, Gunn, Jane M, Hogg, William E, Scott, Cathie M, Levesque, Jean-Frederic, Harris, Mark F, Chase, Sabrina M, Advocat, Jenny R, Halma, Lisa M and Russell, Grant M 2018, Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach, Family practice, vol. 35, no. 3, pp. 266-275, doi: 10.1093/fampra/cmx091.

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Title Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach
Author(s) Crabtree, Benjamin F
Miller, William L
Gunn, Jane M
Hogg, William E
Scott, Cathie M
Levesque, Jean-Frederic
Harris, Mark F
Chase, Sabrina M
Advocat, Jenny R
Halma, Lisa M
Russell, Grant M
Journal name Family practice
Volume number 35
Issue number 3
Start page 266
End page 275
Total pages 10
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2018-06
ISSN 0263-2136
1460-2229
Keyword(s) evaluation studies
health care reform
interprofessional relations
policy
primary health care
qualitative research
research methodology
Summary Background: Meta-analysis and meta-synthesis have been developed to synthesize results across published studies; however, they are still largely grounded in what is already published, missing the tacit 'between the lines' knowledge generated during many research projects that are not intrinsic to the main objectives of studies. Objective: To develop a novel approach to expand and deepen meta-syntheses using researchers' experience, tacit knowledge and relevant unpublished materials. Methods: We established new collaborations among primary health care researchers from different contexts based on common interests in reforming primary care service delivery and a diversity of perspectives. Over 2 years, the team met face-to-face and via tele- and video-conferences to employ the Collaborative Reflexive Deliberative Approach (CRDA) to discuss and reflect on published and unpublished results from participants' studies to identify new patterns and insights. Results: CRDA focuses on uncovering critical insights, interpretations hidden within multiple research contexts. For the process to work, careful attention must be paid to ensure sufficient diversity among participants while also having people who are able to collaborate effectively. Ensuring there are enough studies for contextual variation also matters. It is necessary to balance rigorous facilitation techniques with the creation of safe space for diverse contributions. Conclusions: The CRDA requires large commitments of investigator time, the expense of convening facilitated retreats, considerable coordination, and strong leadership. The process creates an environment where interactions among diverse participants can illuminate hidden information within the contexts of studies, effectively enhancing theory development and generating new research questions and strategies.
Language eng
DOI 10.1093/fampra/cmx091
Field of Research 1117 Public Health And Health Services
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2017, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30116072

Document type: Journal Article
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