Use of Q methodology to analyze divergent perspectives on participatory action research as a strategy for HIV/AIDS prevention among Caribbean youth.

This study used Q methodology to examine perspectives regarding participatory action research (PAR) among participants in a UNICEF initiative aimed at enhancing HIV/AIDS prevention among youth in the Caribbean. We interviewed 20 youth PAR researchers and 12 project managers from youth organizations about their attitudes and experiences. Statements from the interviews were used in a structured ranking task. Q factor analysis of the rankings identified three clusters of respondents with differing viewpoints on PAR. The clusters respectively saw PAR as an effective peer education tool, an empowering process for youth, and a tool for gathering information on the gap between knowledge and behavior. We identified divergent perspectives on the purpose and utility of PAR among participants who received the same orientation, training, and support and who worked in the context of a single initiative. These multiple perspectives present both challenges and resources for health projects.

[1]  Steven R. Brown.  Political Subjectivity: Applications of Q Methodology in Political Science. , 1980 .

[2]  H. Addams,et al.  Social Discourse and Environmental Policy , 2000 .

[3]  J. Hyde,et al.  HIV risk behavior and HIV testing: a comparison of rates and associated factors among homeless and runaway adolescents in two cities. , 2001, AIDS education and prevention : official publication of the International Society for AIDS Education.

[4]  Meredith Minkler,et al.  Community-Based Participatory Research for Health , 2002 .

[5]  W. Whyte,et al.  Participatory Action Research , 1989 .

[6]  김정희,et al.  사회사업에서의 Participatory Action Research(PAR)와 Action Research(AR) 모델 적용 필요성에 관한 연구 , 2005 .

[7]  T. Webler,et al.  What Is a Good Public Participation Process? Five Perspectives from the Public , 2001, Environmental management.

[8]  B. Israel,et al.  Methods in Community-Based Participatory Research for Health , 2005 .

[9]  Jacqueline A Pugh,et al.  Implementation Science Implementation Research Design: Integrating Participatory Action Research into Randomized Controlled Trials , 2022 .

[10]  L. Cordingley,et al.  Q methodology. , 1997, Nurse Researcher.

[11]  Partnerships for Health: A Way of Working with Women's Groups to Improve Community Health in Rural Nepal , 2000 .

[12]  S. Schwartz,et al.  The prevention of HIV transmission in Hispanic adolescents. , 2006, Drug and alcohol dependence.

[13]  J. Powers,et al.  Engaging youth in participatory research and evaluation. , 2006, Journal of public health management and practice : JPHMP.

[14]  R. Leurs.  Current challenges facing participatory rural appraisal , 1996 .

[15]  S. Vermund,et al.  Sexually transmitted infections among HIV infected and HIV uninfected high-risk youth in the REACH study. Reaching for Excellence in Adolescent Care and Health. , 2001, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[16]  M. Rotheram-Borus,et al.  Promoting early detection of human immunodeficiency virus infection among adolescents. , 2000, Archives of pediatrics & adolescent medicine.

[17]  M. Zimmerman.  Psychological empowerment: Issues and illustrations , 1995, American journal of community psychology.

[18]  J. Ramirez-Valles.  The protective effects of community involvement for HIV risk behavior: a conceptual framework. , 2002, Health education research.

[19]  N. Denzin,et al.  Handbook of Qualitative Research , 1994 .

[20]  C. Campbell,et al.  Peer education, gender and the development of critical consciousness: participatory HIV prevention by South African youth. , 2002, Social science & medicine.

[21]  John L. R. Proops,et al.  Social discourse and environmental policy : an application of Q methodology , 2000 .

[22]  Andrea Cornwall,et al.  Introduction: Accountability through Participation: Developing Workable Partnership Models in the Health Sector , 2000 .