Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations

Abstract Background Implementation Science research completed with equity-deserving populations is not well understood or explored. The current opioid epidemic challenges healthcare systems to improve existing practices through implementation of evidence-based interventions. Pregnant persons diagnos...

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Main Authors: Sarah Madeline Gallant, Cynthia Mann, Britney Benoit, Megan Aston, Janet Curran, Christine Cassidy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Implementation Science Communications
Subjects:
Online Access:https://doi.org/10.1186/s43058-025-00695-z
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author Sarah Madeline Gallant
Cynthia Mann
Britney Benoit
Megan Aston
Janet Curran
Christine Cassidy
author_facet Sarah Madeline Gallant
Cynthia Mann
Britney Benoit
Megan Aston
Janet Curran
Christine Cassidy
author_sort Sarah Madeline Gallant
collection DOAJ
description Abstract Background Implementation Science research completed with equity-deserving populations is not well understood or explored. The current opioid epidemic challenges healthcare systems to improve existing practices through implementation of evidence-based interventions. Pregnant persons diagnosed with opioid use disorder (OUD) is an equity-deserving population that continues to experience stigmatization within our healthcare system. Efforts are being made to implement novel approaches to care for this population; however, the implementation research continues to leave the voices of pregnant persons unheard, compounding the existing stigma and marginalization experienced. Methods This debate paper highlights a specific case that explores the implementation of the Eat, Sleep, Console (ESC) model of care, a function-based empowerment model used to guide the care for pregnant persons diagnosed with OUD and their infants. We establish our debate within the conceptual discussion of Nguyen and colleagues (2020), and critically analyze the collaborative research approaches, engaged scholarship, Mode 2 research, co-production, participatory research and IKT, within the context of engaging equity-deserving populations in research. We completed a literature search in CINAHL, Google Scholar, PubMed and Embase using keywords including collaborative research, engagement, equity-deserving, marginalized populations, birthparents, substance use and opioid use disorder with Boolean operators, to support our debate. Discussion IKT and Community Based Participatory Action Research (CBPR) were deemed the most aligned approaches within the case, and boast many similarities; however, they are fundamentally distinct. Although CBPR’s intentional methods to address social injustices are essential to consider in research with pregnant persons diagnosed with OUD, IKT aligned best within the implementation science inquiry due to its neutral philosophical underpinning and congruent aims in exploring complex implementation science inquiries. A fundamental gap was noted in IKT’s intentional considerations to empowerment and equitable engagement of equity-deserving populations in research; therefore, we proposed informing an IKT approach with Edelman’s Trauma and Resilience Informed Research Principles and Practice (TRIRPP) Framework.
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spelling doaj-art-5c066964c9c549e8aab8a86cad7d3c3e2025-01-26T12:36:00ZengBMCImplementation Science Communications2662-22112025-01-016111210.1186/s43058-025-00695-zLet us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populationsSarah Madeline Gallant0Cynthia Mann1Britney Benoit2Megan Aston3Janet Curran4Christine Cassidy5IWK Health and Dalhousie UniversityIWK Health and Dalhousie UniversitySaint Francis Xavier UniversityDalhousie UniversityIWK Health and Dalhousie UniversityIWK Health and Dalhousie UniversityAbstract Background Implementation Science research completed with equity-deserving populations is not well understood or explored. The current opioid epidemic challenges healthcare systems to improve existing practices through implementation of evidence-based interventions. Pregnant persons diagnosed with opioid use disorder (OUD) is an equity-deserving population that continues to experience stigmatization within our healthcare system. Efforts are being made to implement novel approaches to care for this population; however, the implementation research continues to leave the voices of pregnant persons unheard, compounding the existing stigma and marginalization experienced. Methods This debate paper highlights a specific case that explores the implementation of the Eat, Sleep, Console (ESC) model of care, a function-based empowerment model used to guide the care for pregnant persons diagnosed with OUD and their infants. We establish our debate within the conceptual discussion of Nguyen and colleagues (2020), and critically analyze the collaborative research approaches, engaged scholarship, Mode 2 research, co-production, participatory research and IKT, within the context of engaging equity-deserving populations in research. We completed a literature search in CINAHL, Google Scholar, PubMed and Embase using keywords including collaborative research, engagement, equity-deserving, marginalized populations, birthparents, substance use and opioid use disorder with Boolean operators, to support our debate. Discussion IKT and Community Based Participatory Action Research (CBPR) were deemed the most aligned approaches within the case, and boast many similarities; however, they are fundamentally distinct. Although CBPR’s intentional methods to address social injustices are essential to consider in research with pregnant persons diagnosed with OUD, IKT aligned best within the implementation science inquiry due to its neutral philosophical underpinning and congruent aims in exploring complex implementation science inquiries. A fundamental gap was noted in IKT’s intentional considerations to empowerment and equitable engagement of equity-deserving populations in research; therefore, we proposed informing an IKT approach with Edelman’s Trauma and Resilience Informed Research Principles and Practice (TRIRPP) Framework.https://doi.org/10.1186/s43058-025-00695-zCollaborative research approachesIntegrated knowledge translationMarginalized populationsSubstance use disorderImplementation research
spellingShingle Sarah Madeline Gallant
Cynthia Mann
Britney Benoit
Megan Aston
Janet Curran
Christine Cassidy
Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
Implementation Science Communications
Collaborative research approaches
Integrated knowledge translation
Marginalized populations
Substance use disorder
Implementation research
title Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
title_full Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
title_fullStr Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
title_full_unstemmed Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
title_short Let us be heard: critical analysis and debate of collaborative research approaches used in implementation science research with equity-deserving populations
title_sort let us be heard critical analysis and debate of collaborative research approaches used in implementation science research with equity deserving populations
topic Collaborative research approaches
Integrated knowledge translation
Marginalized populations
Substance use disorder
Implementation research
url https://doi.org/10.1186/s43058-025-00695-z
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