RT Journal Article
SR Electronic
T1 Case Study With a Participatory Approach: Rethinking Pragmatics of Stakeholder Engagement for Implementation Research
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 540
OP 546
DO 10.1370/afm.2717
VO 19
IS 6
A1 Hudon, Catherine
A1 Chouinard, Maud-Christine
A1 Bisson, Mathieu
A1 Danish, Alya
A1 Karam, Marlène
A1 Girard, Ariane
A1 Bossé, Pierre-Luc
A1 Lambert, Mireille
YR 2021
UL http://www.annfammed.org/content/19/6/540.abstract
AB The case study design is particularly useful for implementation analysis of complex health care innovations in primary care that can be influenced by the context of dynamic environments. Case studies may be combined with participatory approaches where academics conduct joint research with nonacademic stakeholders, to foster translation of findings results into practice. The aim of this article is to clarify epistemological and methodological considerations of case studies with a participatory approach. It also aims to propose best practice recommendations when using this case study approach. We distinguish between the participatory case study with full co-construction and co-governance, and the case study with a participatory approach whereby stakeholders are consulted in certain phases of the research. We then compare the epistemological posture of 3 prominent case study methodologists, Yin, Stake, and Merriam, to present the epistemological posture of case studies with a participatory approach. The relevance, applications, and procedures of a case study with a participatory approach methodology are illustrated through a concrete example of a primary care research program (PriCARE). We propose 12 steps for designing and conducting a case study with a participatory approach that may help guide researchers in the implementation analysis of complex health care innovations in primary care.