exchanges of knowledges: implementation with community for community workshop facilitated by peter...

Exchanges of Knowledges: implementation with community

for community

Workshop facilitated by Peter Levesque

Annual NICE Knowledge Exchange 2010University of Toronto, Toronto, Ontario

June 28 & 29, 2010

www.knowledgemobilization.net 2

Agenda

Introductions

Part 1:

community based participatory research

Part 2:

fundamentals of knowledge exchange and mobilization

Part 3: conversations and their component parts

Part 4:managing the value chain

Part 5:ethics and empathy as equal partners with logic and technique

Summary and discussion


Introductions

In 10 Seconds:

1. Your Name

2. Your Organization

3. Your Position

Example: 1. Peter Levesque

2. Knowledge Mobilization Works

3. Director


Part 1:

Community based participatory research

• Definition(s)• Community• Social Action• Community Building• Community Assessment• Understanding Coalitions• Using the Arts• Internet


Definition(s)

• Community based participatory researchRoots in 3 fields:– Popular education– International development– Shop floor democracy

• Also known as:– Participatory action research– Community-university research– Action research– Community organizing– Asset based community

development

• Community-based participatory research (CBPR) is a collaborative approach to research that combines methods of inquiry with community capacity-building strategies to bridge the gap between knowledge produced through research and what is practiced in communities to improve health. Interest is growing rapidly for academic institutions, health agencies, and communities to form research partnerships; few agreed-upon guidelines describe how to develop or evaluate CBPR proposals or what resources are required to promote successful collaborative research efforts.

• http://ahrq.gov/downloads/pub/evidence/pdf/cbpr/cbpr.pdf


Community

• Community is typically seen in geographic terms

• Can be based on shared interests or characteristics (ethnicity, sexual orientation, occupation) [Fellin 2001]

Community defined as:1. Functional spatial units that

meet basic needs for sustenance

2. Units of patterned social interaction

3. Symbolic units of collective identity [Hunter 1975]

4. People coming together to act politically and make changes [Eng and Parker 1994]


Social Action

• Classic social action is grassroots based, conflict oriented, with a focus on direct action, and geared to organizing the disadvantaged or aggrieved to take action on their own behalf [Fisher 2005]


Community Building

• Community building practice seeks to engage multiple dimensions of community, recognizing the range of perspectives and relationships that exist and integrating diverse strategies and methods of practice. [Walter 2005]


Community Assessment

• Why do community assessment?– Measure, describe and

understand community lifestyles

– Assess community resources to lessen external dependency

– Return needs assessment data to facilitate decision-making

– Provide skill training, leadership, and organizational skills

– Facilitate collective activities and group mobilization

– Enable consciousness raising

• Information for change has 3 purposes:– To stimulate change or action– To monitor change or action– To assess the impact of

change or action


Understanding Coalitions

• Coalitions, partnerships, and consortia are popular strategies for dealing with complex health and social issues - they are hard work

[Wandersman, Goodman, Butterfoss, 2005]

• Inter-organizational, cooperative, synergistic alliances - from latin: to grow together/union

Benefits of coalition• New and broader issues• Demonstrate wide support• Maximize power of individuals

and organizations• Minimize duplication of efforts

and services• Mobilize talent, resources, and

influence• Recruit from diverse

constituencies• Exploit new resources as

conditions change


Using the Arts

• Literature, music, video, painting, photography and other forms of artistic expression are powerful tools for community organizing [McDonald 1998]

• Taps into visceral forms of knowing and reacting to the world and carries a great deal of meaning [Riley 2001]


Internet

• Has expanded access to information - but not for every project or community effort.

• Best Uses:– Assessing public

health issues– Assessing the

political context– Assessing allies

– Assessing opposition– Assessing the news coverage– Conducting policy research– Community building

• E.G.:Community Tool Box http://ctb.ku.edu


Part 2:

Fundamentals of knowledge exchange and mobilization

• Definition(s)• Modes• Professional Revolution• Goal• History lesson a la New

Yorker


Definition(s)

• Knowledge Mobilization– is the complex process of making what we know ready for

service or action to build value.– Getting the right information to the right people in the right

format at the right time to influence decision-making

– Never in human history have we hunted for so much data, information and knowledge.

– Never in human history have we gathered so much that is

useful but not used.

– Growing feeling of being “overfed” with information?

Modes of KMb



Professional Revolution

• Knowledge Management• Knowledge Transfer• Knowledge Exchange• Knowledge Mobilization• Knowledge Translation

• Evidence-based practice• Evidence-based decision-making• Evidence-informed policy• Evidence-informed practice


But what is the goal?

To do the best

for those we care about


Publish or PerishNew Yorker: Mischa Richter 1966


Plain languageNew Yorker: Dana Fradon 1975


Use of evidenceNew Yorker: Mick Stevens 1989


ImpactNew Yorker: Sam Gross 1991


AccessNew Yorker: John Caldwell 2000


Part 3:

Conversations and their component parts

• Definition• Core considerations• Relationships of all content

sources• Dissemination• Accessibility• Diversity


Core KMb Considerations

Conversations

Conversations


Content: Relationships between all sources

Philip Davies, Is Evidence-Based Government Possible?Jerry Lee Lecture 2004, Washington, DC

www.knowledgemobilization.net26

26

KMb practice to avoid!


Dissemination

• Scattering of seeds• Spread widely

– How do we prepare the soil to receive the seeds?

– How do we nurture the growth of these seeds?

– What does the harvest look like?– What happens in the marketplace?


Accessibility

• Access– Physical

• Increasing access to findings published in Journals, on-line, open access, systematic reviews

– Conceptual• What does this mean for my practice,

location, context, culture


Systems need Diversity• The challenge with herding cats is that

the cats may have interests that are non-standard.

• How to support BOTH the utilization of standards and the exploration of the new?

• Managing for diversity provides the potential to learn and create resilience.


Part 4:

Managing the value chain

• Definition• Traumatic information?• What is research

knowledge?• Think of a value chain?• Exchange• Networks


Value Chain

• The value chain, also known as value chain analysis, is a concept from business management that was first described and popularized by Michael Porter in his 1985 best-seller, Competitive Advantage: Creating and Sustaining Superior Performance.

• The sequential set of primary and support activities that an enterprise performs to turn inputs into value-added outputs for its external customers.

• Hybrid Value Chain


Richard HeinbergTaking in traumatic information and transmuting it into life-affirming action may turn out to be the most advanced and meaningful spiritual practice of our time.

http://globalpublicmedia.com/how_do_you_like_the_collapse_so_far


…what is Research Knowledge?– Hierarchy of Knowledge, Dave Sackett:

• Systematic reviews/ meta-analyses• RCTs • Experimental designs• Cohort control studies • Case-control studies• Consensus conference • Expert opinion • Observational study • Other types of study eg. Interview based, local

audit• Quasi-experimental, qualitative design• Personal communication

36

Thinking of a Value Chain

Now What: Decisions,

Directions, Actions

So What: Meaning,

Analysis, Interpretation

What: Data, Information, Description, Stories

MULTIPLE INPUTS FROM RESEARCH, PRACTICE, EXPERIENCE, CULTURE

Innovation

SupportingInfrastructure

Initiatives

Incentives to Share betweenLevels

Value Creation

ProgramsPoliciesPrioritiesProcessesPractice

ProductsPerspectivesProceduresPossibilitiesPeople Skills


Exchange


Network Images: Collaboration of Physicists

http://www-personal.umich.edu/~mejn/networks/collab.gif


Network Images:Characters from Les Misérables

http://www-personal.umich.edu/~mejn/networks/lesmis.gif


Networks


Part 5 - brief:

Ethics and empathy as equal partners with logic and technique


Summary & Discussion

– Community engaged research is fundamentally about mobilizing knowledge

– Knowledge comes in multiple forms: scientific, traditional, experiential, explicit, tacit

– Working “with” is very different from working “on” or “for”.

– When working with any vulnerable population consider the person within their network.

– There are many layers to the work, they are interconnected and emergent

– The internet is a great tool for access and assessment but limited.

– Value is always created from exchange

– Whole systems are more than the sum of parts.

4x4 Exercise - time permitting

• Find a discussion partner• 5 minutes for each conversation• Produce key words or short phrase from each conversation (2 minutes)• Move to next conversation with a different partner

Questions

1. What has been your key experience from working with community on research?

2. What are the core skills needed?

3. How do you think about networks?

4. What will you do next to improve your ability to engage with community?


Questions & Comments



Contact Information

exchanges of knowledges: implementation with community for community workshop facilitated by peter...

Documents

community community

community resources

community workshop

community lifestyles

community capacity

participatory research

research partnerships

discussion slide