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      A critical look to community wisdom: Applying the World Café method to health promotion and prevention

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          Abstract

          Patient experiences and ideas are key components for improving health promotion and prevention. Engaging patients and other stakeholders in sharing their practices and ideas is nowadays crucial to increase the legitimacy, credibility, and acceptability of the decisions in these fields, by fostering community wisdom. The World Café is a participatory method suitable to involve a large number of actors to propose creative solutions based on their different knowledge and experiences. However, the diffusion of this approach is not uniform in the various countries and health topics. This review summarises the specific topic, the study design, the number and the characteristics of participants, as well as the main findings and the purpose of the studies regarding the application of this method to health promotion and prevention. Among other results, it was found that the World Café is an appreciated, inspiring, and flexible participatory process often used in association with one or more other methods, to explore emergent themes or topics, to collect best practices or suggestions, to generate improvements or recommendations, and to define priorities for the implementation of projects or research agendas. The results highlight the potentiality of the World Café whenever an issue is not well defined and needs to be explored through deep and several insights. The method allows the exploitation of creativity and collective wisdom when qualitative and in‐dept results—more than quantitative and statistically rigorous ones—are appropriate.

          Highlights

          • The World Café is successfully applicable to health promotion and prevention.

          • It is a creative, inclusive and flexible participatory method in these fields.

          • It succeeds to engage stakeholders in improving health promotion and prevention.

          • Findings from this review can help to design future purposeful events.

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          Most cited references34

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          The “World Café” as a Participatory Method for Collecting Qualitative Data

          We introduce and discuss “World Café” (WC), a participatory assessment tool widely used in community development and organizational change processes, as additional qualitative research method. We propose WC as a participatory method of data collection for a large group of participants, discussing its strengths and weaknesses in comparison to semistructured interviews and focus groups, two well-established methods in qualitative research. As a research method, we find that WC complements other methods in important ways. When there are many participants, it helps guide the exploration and verification of themes. Integrating the method into the research design may help increase both the reference sample and the level of participation. Furthermore, as a participatory method, it not only produces data for the researchers but also has the potential to benefit the participants, as it facilitates dialogue and mutual learning, thus motivating their participation and responses.
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            The Second Physical Therapy Summit on Global Health: developing an action plan to promote health in daily practice and reduce the burden of non-communicable diseases.

            Based on indicators that emerged from The First Physical Therapy Summit on Global Health (2007), the Second Summit (2011) identified themes to inform a global physical therapy action plan to integrate health promotion into practice across the World Confederation for Physical Therapy (WCPT) regions. Working questions were: (1) how well is health promotion implemented within physical therapy practice; and (2) how might this be improved across five target audiences (i.e. physical therapist practitioners, educators, researchers, professional body representatives, and government liaisons/consultants). In structured facilitated sessions, Summit representatives (n = 32) discussed: (1) within WCPT regions, what is working and the challenges; and (2) across WCPT regions, what are potential directions using World Café(TM) methodology. Commonalities outweighed differences with respect to strategies to advance health-focused physical therapy as a clinical competency across regions and within target audiences. Participants agreed that health-focused practice is a professional priority, and a strategic action plan was needed to develop it as a clinical competency. The action plan and recommendations largely paralleled the principles and objectives of the World Health Organization's non-communicable diseases action plan. A third Summit planned for 2015 will provide a mechanism for follow-up to evaluate progress in integrating health-focused physical therapy within the profession.
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              Establishing the values for patient engagement (PE) in health-related quality of life (HRQoL) research: an international, multiple-stakeholder perspective

              Purpose Active patient engagement is increasingly viewed as essential to ensuring that patient-driven perspectives are considered throughout the research process. However, guidance for patient engagement (PE) in HRQoL research does not exist, the evidence-base for practice is limited, and we know relatively little about underpinning values that can impact on PE practice. This is the first study to explore the values that should underpin PE in contemporary HRQoL research to help inform future good practice guidance. Methods A modified ‘World Café’ was hosted as a collaborative activity between patient partners, clinicians and researchers: self-nominated conference delegates participated in group discussions to explore values associated with the conduct and consequences of PE. Values were captured via post-it notes and by nominated note-takers. Data were thematically analysed: emergent themes were coded and agreement checked. Association between emergent themes, values and the Public Involvement Impact Assessment Framework were explored. Results Eighty participants, including 12 patient partners, participated in the 90-min event. Three core values were defined: (1) building relationships; (2) improving research quality and impact; and (3) developing best practice. Participants valued the importance of building genuine, collaborative and deliberative relationships—underpinned by honesty, respect, co-learning and equity—and the impact of effective PE on research quality and relevance. Conclusions An explicit statement of values seeks to align all stakeholders on the purpose, practice and credibility of PE activities. An innovative, flexible and transparent research environment was valued as essential to developing a trustworthy evidence-base with which to underpin future guidance for good PE practice.
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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                The International Journal of Health Planning and Management
                Health Planning & Management
                Wiley
                0749-6753
                1099-1751
                December 2022
                November 21 2022
                December 2022
                : 37
                : S1
                : 220-242
                Affiliations
                [1 ] CNR‐IFC Italian National Research Council ‐ Institute of Clinical Physiology Lecce Italy
                [2 ] Freelance Legal Expert and Researcher Lecce Italy
                [3 ] Department of History, Society and Human Studies University of Salento Lecce Italy
                Article
                10.1002/hpm.3594
                36411997
                219942b8-0de8-425a-aed8-a21a1c54a94c
                © 2022

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