Uncovering the wisdom hidden between the lines

the Collaborative Reflexive Deliberative Approach

Benjamin F Crabtree, William L Miller, Jane M Gunn, William E Hogg, Cathie M Scott, Jean-Frederic Levesque, Mark F Harris, Sabrina M Chase, Jenny R Advocat, Lisa M Halma, Grant M Russell

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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a novel approach to expand and deepen meta-syntheses using researchers’ experience, tacit knowledge and relevant unpublished materials.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to employ the Collaborative Reflexive Deliberative Approach (CRDA) to discuss and reflect on published and unpublished results from participants’ studies to identify new patterns and insights.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.
Original languageEnglish
Article numbercmx091
Pages (from-to)266-275
Number of pages10
JournalFamily Practice
Volume35
Issue number3
DOIs
Publication statusPublished - Jun 2018

Cite this

Crabtree, B. F., Miller, W. L., Gunn, J. M., Hogg, W. E., Scott, C. M., Levesque, J-F., ... Russell, G. M. (2018). Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach. Family Practice, 35(3), 266-275. [cmx091]. https://doi.org/10.1093/fampra/cmx091
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. / Uncovering the wisdom hidden between the lines : the Collaborative Reflexive Deliberative Approach. In: Family Practice. 2018 ; Vol. 35, No. 3. pp. 266-275.
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abstract = "BackgroundMeta-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.ObjectiveTo develop a novel approach to expand and deepen meta-syntheses using researchers’ experience, tacit knowledge and relevant unpublished materials.MethodsWe 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.ResultsCRDA 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.ConclusionsThe 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.",
author = "Crabtree, {Benjamin F} and Miller, {William L} and Gunn, {Jane M} and Hogg, {William E} and Scott, {Cathie M} and Jean-Frederic Levesque and Harris, {Mark F} and Chase, {Sabrina M} and Advocat, {Jenny R} and Halma, {Lisa M} and Russell, {Grant M}",
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Crabtree, BF, Miller, WL, Gunn, JM, Hogg, WE, Scott, CM, Levesque, J-F, Harris, MF, Chase, SM, Advocat, JR, Halma, LM & Russell, GM 2018, 'Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach', Family Practice, vol. 35, no. 3, cmx091, pp. 266-275. https://doi.org/10.1093/fampra/cmx091

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; Russell, Grant M.

In: Family Practice, Vol. 35, No. 3, cmx091, 06.2018, p. 266-275.

Research output: Contribution to journalArticleResearchpeer-review

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T2 - the Collaborative Reflexive Deliberative Approach

AU - Crabtree, Benjamin F

AU - Miller, William L

AU - Gunn, Jane M

AU - Hogg, William E

AU - Scott, Cathie M

AU - Levesque, Jean-Frederic

AU - Harris, Mark F

AU - Chase, Sabrina M

AU - Advocat, Jenny R

AU - Halma, Lisa M

AU - Russell, Grant M

PY - 2018/6

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N2 - BackgroundMeta-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.ObjectiveTo develop a novel approach to expand and deepen meta-syntheses using researchers’ experience, tacit knowledge and relevant unpublished materials.MethodsWe 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.ResultsCRDA 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.ConclusionsThe 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.

AB - BackgroundMeta-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.ObjectiveTo develop a novel approach to expand and deepen meta-syntheses using researchers’ experience, tacit knowledge and relevant unpublished materials.MethodsWe 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.ResultsCRDA 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.ConclusionsThe 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.

U2 - 10.1093/fampra/cmx091

DO - 10.1093/fampra/cmx091

M3 - Article

VL - 35

SP - 266

EP - 275

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 3

M1 - cmx091

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Crabtree BF, Miller WL, Gunn JM, Hogg WE, Scott CM, Levesque J-F et al. Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach. Family Practice. 2018 Jun;35(3):266-275. cmx091. https://doi.org/10.1093/fampra/cmx091