Developing and applying a deductive coding framework to assess the goals of Citizen/Community Jury deliberations.

citizens jury community jury health public deliberation public engagement quality stakeholder involvement

Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
06 2019
Historique:
received: 20 09 2018
revised: 29 01 2019
accepted: 22 02 2019
pubmed: 14 3 2019
medline: 9 9 2020
entrez: 14 3 2019
Statut: ppublish

Résumé

Public participation in health policy decision making is thought to improve the quality of the decisions and enhance their legitimacy. Citizen/Community Juries (CJs) are a form of public participation that aims to elicit an informed community perspective on controversial topics. Reporting standards for CJ processes have already been proposed. However, less clarity exists about the standards for what constitutes a good quality CJ deliberation-we aim to begin to address this gap here. We identified the goals that underlie CJs and searched the literature to identify existing frameworks assessing the quality of CJ deliberations. We then mapped the items constituting these frameworks onto the CJ goals; where none of the frameworks addressed one of the CJ goals, we generated additional items that did map onto the goal. This yielded a single operationalized deductive coding framework, consisting of four deliberation elements and four recommendation elements. The deliberation elements focus on the following: jurors' preferences and values, engagement with each other, referencing expert information and enrichment of the deliberation. The recommendation elements focus on the following: reaching a clear and identifiable recommendation, whether the recommendation directly addresses the CJ question, justification for the recommendation and adoption of societal (rather than individual) perspective. To explore the alignment between this framework and the goals underlying CJs, we mapped the operationalized framework onto the transcripts of a CJ. Results suggest that framework items map well onto what transpires in an actual CJ deliberation. Further testing of the validity, generalizability and reliability of the framework is planned.

Sections du résumé

BACKGROUND
Public participation in health policy decision making is thought to improve the quality of the decisions and enhance their legitimacy. Citizen/Community Juries (CJs) are a form of public participation that aims to elicit an informed community perspective on controversial topics. Reporting standards for CJ processes have already been proposed. However, less clarity exists about the standards for what constitutes a good quality CJ deliberation-we aim to begin to address this gap here.
METHODS
We identified the goals that underlie CJs and searched the literature to identify existing frameworks assessing the quality of CJ deliberations. We then mapped the items constituting these frameworks onto the CJ goals; where none of the frameworks addressed one of the CJ goals, we generated additional items that did map onto the goal.
RESULTS
This yielded a single operationalized deductive coding framework, consisting of four deliberation elements and four recommendation elements. The deliberation elements focus on the following: jurors' preferences and values, engagement with each other, referencing expert information and enrichment of the deliberation. The recommendation elements focus on the following: reaching a clear and identifiable recommendation, whether the recommendation directly addresses the CJ question, justification for the recommendation and adoption of societal (rather than individual) perspective. To explore the alignment between this framework and the goals underlying CJs, we mapped the operationalized framework onto the transcripts of a CJ.
CONCLUSION
Results suggest that framework items map well onto what transpires in an actual CJ deliberation. Further testing of the validity, generalizability and reliability of the framework is planned.

Identifiants

pubmed: 30864216
doi: 10.1111/hex.12880
pmc: PMC6543138
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

537-546

Informations de copyright

© 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd.

Références

Soc Sci Med. 2014 May;109:1-9
pubmed: 24657639
Health Expect. 2018 Feb;21(1):90-99
pubmed: 28665050
Health Expect. 2019 Jun;22(3):475-484
pubmed: 30714290
Hastings Cent Rep. 2012 Mar-Apr;42(2):24-6
pubmed: 22733327
Public Underst Sci. 2016 Feb;25(2):252-61
pubmed: 25164558
Health Expect. 2019 Jun;22(3):537-546
pubmed: 30864216
Hastings Cent Rep. 2012 Mar-Apr;42(2):17-20
pubmed: 22733325
Soc Sci Med. 2017 Apr;179:166-171
pubmed: 28285232
Health Expect. 2017 Aug;20(4):626-637
pubmed: 27704684
J Empir Res Hum Res Ethics. 2011 Sep;6(3):3-17
pubmed: 21931233
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Auteurs

Anna Mae Scott (AM)

Faculty of Health Sciences and Medicine, Centre for research in Evidence-Based Practice, Bond University, Robina, Queensland, Australia.

Rebecca Sims (R)

Faculty of Health Sciences and Medicine, Centre for research in Evidence-Based Practice, Bond University, Robina, Queensland, Australia.

Chris Degeling (C)

Research for Social Change, University of Wollongong, Wollongong, New South Wales, Australia.

Stacy Carter (S)

Research for Social Change, University of Wollongong, Wollongong, New South Wales, Australia.

Rae Thomas (R)

Faculty of Health Sciences and Medicine, Centre for research in Evidence-Based Practice, Bond University, Robina, Queensland, Australia.

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