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

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    Author
    Crabtree, BF; Miller, WL; Gunn, JM; Hogg, WE; Scott, CM; Levesque, J-F; Harris, MF; Chase, SM; Advocat, JR; Halma, LM; ...
    Date
    2018-06-01
    Source Title
    Family Practice
    Publisher
    OXFORD UNIV PRESS
    University of Melbourne Author/s
    Gunn, Jane
    Affiliation
    Medicine Dentistry & Health Sciences
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Crabtree, B. F., Miller, W. L., Gunn, J. M., Hogg, W. E., Scott, C. M., Levesque, J. -F., Harris, M. F., Chase, S. M., Advocat, J. R., Halma, L. M. & Russell, G. M. (2018). Uncovering the wisdom hidden between the lines: the Collaborative Reflexive Deliberative Approach. FAMILY PRACTICE, 35 (3), pp.266-275. https://doi.org/10.1093/fampra/cmx091.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257399
    DOI
    10.1093/fampra/cmx091
    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a novel approach to expand and deepen meta-syntheses using researchers' experience, tacit knowledge and relevant unpublished materials.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to employ the Collaborative Reflexive Deliberative Approach (CRDA) to discuss and reflect on published and unpublished results from participants' studies to identify new patterns and insights.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.

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