There are a few potential root causes of power imbalances between research organisations and communities:
Structural inequalities: Structural inequalities, such as health inequalities, socio-economic, gender, racial inequality or otherwise, may influence the power imbalance between your organisation, the health and care research system, and the community.
Research funding, resources and processes: Research funding, knowledge, resources and processes are still predominantly held, controlled and conducted by research organisations and institutions.
Academic/technical language: Academic or technical language used in health and social care research is another form of power that can reinforce hierarchies and power imbalances between research organisations and communities. By using language that is inaccessible to those who don’t work in research, we alienate them and make it an exclusive form of knowledge.
Professional experience and position in research: By working in research, we automatically have an advantage over our community peers. We are paid for our time to work on research projects within our usual working hours. For community organisations or individuals, we may be asking them to work or dedicate voluntary time to projects outside of or in addition to their existing work and commitments. This can impact the amount of time each person or organisation is able to dedicate to your project and inequalities in terms of the burden or sacrifice this may lead to for that person. For example, if they are having to juggle several different commitments, sacrifice free time, or commit already-limited staff time to an additional piece of work.
There are a number of steps you can take to address these power dynamics between you/your organisation and the community.
(i) Structural inequalities
Practice cultural humility (check the cultural humility section of this toolkit for more information on this).
Check and acknowledge your own power, privilege, biases and prejudices. This can be an uncomfortable but important process for creating a transparent dialogue and relationship with your communities, and for helping you to create an equitable, fair process. The NIHR CRN is currently piloting and developing some unconscious bias training, so keep an eye out for this. Also check what unconscious bias, cultural humility, and other equality, diversity and inclusion training and resources are available to you within your area and organisation.
The further resources section on this page provides resources and templates you can use to help you understand power and privilege dynamics that you may need to be aware of and take steps to redress within your engagement or projects.
An Equality Impact Assessment is a tool that helps us to ensure our activities are fair and do not present barriers to participation or disadvantage any protected groups. They also identify early opportunities to mitigate negative impacts and advance inclusion. NIHR’s Research Inclusion team has developed an Equality Impact Assessment Form and Equality Impact Assessment guidance notes to support you in completing the form. Completing one of these with your team is recommended for any engagement projects. Conducting an Equality Impact Assessment can be done by anyone, you do not need to be an expert in inclusion. They are a living document that should be reviewed throughout your engagement.
Research funding, knowledge, resources and processes
Pay your partner organisations and members of the community who are involved in your project’s core activities. They should never be out of pocket for working in partnership with you.
One way to redress power imbalances related to funding is to give more decision-making power to partner organisations over how the funding you provide is used. For example, moving towards a microgrant model of funding, where partner organisations decide how the resources provided are used, rather than your organisation dictating or requesting in advance the specific activities and funding amounts to be dedicated to them.
It is crucial for building trust and power equity, to develop processes that are flexible and adaptive to the needs and preferences of community members and partner organisations. This is the case, for example, with payment processes. Part of this requires speaking to colleagues who are in a position of governance and power when it comes to your internal processes and ways of working.
Academic/technical language:
Deconstruct the language you use, keeping it jargon-free and as simple to understand as possible.
Don’t assume that the language you are using is pitched at the right level - ask! Check with partner organisations and individuals that the language you are using is clear, easy to understand and appropriate.
Where possible, co-design any written materials or spoken presentations with partner organisations or members of the community.
Professional experience and position in research
Offer free training and development opportunities to individuals and partner organisations, for example, related to the topic of the project you are working on, or on topics they are interested in and would like to build their knowledge and skills in.
Consider other forms of development and training support, such as mentoring, providing work experience or work shadowing placements for members of the community within your organisation or the research system.
As well as power dynamics between our own organisations and the community, we need to be mindful of potential power dynamics within the community. We need to develop an understanding of who does or doesn’t have power and influence within the community, and whether there are gatekeepers or opinion leaders. No community is a homogenous group.
If we don’t develop an understanding of this during our engagement and respond appropriately, we can risk reproducing these power dynamics through our engagement. Understanding these dynamics can help us make sure our engagement process is inclusive. We may also risk only hearing or promoting the views of a few people or groups that do not represent those of the whole community or others in the community.
For example, if we only engage with opinion leaders or 'gatekeepers' and take their views as representative of the community’s views, we may misrepresent the views of others who haven’t had the opportunity to share what they think. It may prevent us from developing a holistic and nuanced understanding of the community.
There are a number of steps we can take to help understand and respond to some of the potential power dynamics within communities. Building our understanding of these dynamics can help us better understand how people may view or engage with health and social care research differently, and how we might need to adapt our approach depending on who we are engaging. It can also help us to understand different needs and priorities, such as research priorities within communities.
To learn about potential power dynamics in the community, we can:
Ask questions - As part of your initial engagement, you can ask people questions, such as:
Which people in your community have the greatest power and influence?
How about when it comes to issues relating to people’s health and care?
Are there people who hold less power and influence? Who are they?
Observation - Being present in the community and observing how people interact, for example, at group meetings, events, or in conversation, can also help in learning about power dynamics. For example, you may notice that some people/groups don’t attend certain community events or spaces and that it may be more effective to engage with them in other ways or places. Equally, you may notice at community events or meetings that some voices carry more weight than others, that organising one open community workshop or meeting would not be inclusive of all voices, and that other forms of engagement might also be needed.
Try to spend some time in the community and, if appropriate, talk to people you meet and ask them some of the above questions. Could you, for example, spend one day a week or fortnight working from a location in the community, for example, at the local library, at a local charity’s office, or at a food bank or community centre?
If you become aware of power dynamics within the community, there are a number of steps you can take:
Ask partners - Ask partner organisations or members of the community you are working with how community events normally work, if there are any dynamics you need to be aware of, and how conflict or disagreement is usually dealt with.
Notice who isn’t participating - Pay attention to people who speak less in discussions. Provide opportunities to share their views by asking if they have anything they would like to add or by asking the group “Is there anything else people would like to add if they haven’t already?”. Use different methods of engagement and facilitation to provide space for people to share their thoughts, for example, by getting people to write down ideas individually on post-it notes, and organising breakout discussions in a range of group sizes and pairs. Also, take note of who doesn’t attend or participate in the activities you organise. Are there particular groups or people that aren’t represented in the discussion? Speak to your community partners about why this might be and how you can hear from them.
Establish ground rules - Ground rules are an excellent way to frame any community event or discussion. They set out the parameters for acceptable and unacceptable behaviour during the discussion. By asking attendees to suggest ground rules and drawing up a shared agreement of the rules everyone will follow during the discussion, you can create buy-in and ownership for them as a way of working together in that space. By everyone agreeing to follow this way of working together, you can remind people of the behaviours they agreed to at the beginning of the event, if anyone acts in a challenging or confrontational way.
Establish common ground - At the beginning of your engagement activity or process, it can be useful to help people find common ground. This can help people build positive relationships and feel encouraged to treat each other with respect and listen to each other’s views. You can do this by starting with icebreakers that build common ground and facilitating the group to find or prioritise common themes or topics from their discussion.
If a conflict does arise:
Stay calm;
Intervene early and be kind but firm in your approach;
Remind people of the purpose of your discussion and the agreed ground rules. Remind people you are here for a shared purpose;
Gently encourage a move towards hearing other people’s ideas, but with care and respect for those involved in the conflict, so that you avoid feelings of embarrassment or dismissal.
Maya Goodwill, Power Literacy. The Field Guide: A Social Designer's Field Guide to Power Literacy. This practical guide is designed to build up your awareness of, sensitivity to and understanding of the impact of power and systemic oppression in participatory design processes. You will gain a holistic understanding of power while examining the role you play in reproducing inequity—however unintentional—and what you can do to change this. The guide includes an introduction to power literacy, five forms of power and tips on conducting power checks in your project. It also includes nine worksheet activities to be filled out during different phases of a participatory project.
Gill Green and Tracey Johns. (2019). Exploring the Relationship (and Power Dynamic) Between Researchers and Public Partners Working Together in Applied Health Research Teams. This paper explores the relationship and power dynamic between researchers and public partners. It does this through the thematic analysis of interviews with fourteen researchers and six public contributors who were involved in projects that were identified as having many features associated with inclusive co-produced research.
Child Resilience Alliance. Understanding Power Dynamics in the Community. Guidance exploring why inclusive dialogue is important and how it can be practised in community engagement. Accessed from Supporting Community-Led Child Protection: An Online Guide and Toolkit.
Child Resilience Alliance. Enabling Inclusive Dialogue. Guidance exploring why inclusive dialogue is important and how it can be practised in community engagement. Accessed from Supporting Community-Led Child Protection: An Online Guide and Toolkit.
Child Resilience Alliance. Nonviolent Conflict Management. Guidance offers suggestions for avoiding destructive conflict among community members when planning community engagement activities. Accessed from Supporting Community-Led Child Protection: An Online Guide and Toolkit.
University of Kansas, Community Toolbox. Understanding and Describing the Community.