action research case study examples

Qualitative study design: Action research

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Action research / Participatory Action Research

These methods focus on the emancipation, collaboration and empowerment of the participants. This methodology is appropriate for collaborative research with groups, especially marginalised groups, where there is more flexibility in how the research is conducted and considers feedback from the participants. 

Has three primary characteristics:  

Action oriented, participants are actively involved in the research.

involvement by participants in the research, collaborative process between participant and researcher - empowerment of participants. The participants have more of a say in what is being researched and how they want the research to be conducted.

cycle is iterative so that it is flexible and responsive to a changing situation.  

• Questionnaires
• Oral recordings
• Focus groups,
• Photovoice (use of images or video to capture the local environment / community and to share with others)
• Informal conversations 

Produces knowledge from marginalised people's point of view and can lead to more personalised interventions.  

Provides a voice for people to speak about their issues and the ability to improve their own lives. People take an active role in implementing any actions arising from the research. 

Transforms social reality by linking theory and practice.  

Limitations

Open ended questions are mainly used, and these can be misinterpreted by researcher – data needs to be cross-checked with other sources.

Data ownership between researcher and research participants needs to be negotiated and clearly stated from the beginning of the project.

Ethical considerations with privacy and confidentiality.

This method is not considered scientific as it is more fluid in its gathering of information and is considered an unconventional research method – thus it may not attract much funding.

Example questions

• What is the cultural significance of yarning amongst Aboriginal people?  

Macro Question:

• “What would it take to improve the stability of young people’s living situations?”  

Micro Questions:  

• “What can we do to better engage with accommodation service providers?”  
• “What can we do to improve the service knowledge of young people?”  
• “What can we do to measure stability outcomes for our clients?”  

(Department of Social Services)  

Example studies

• Miller, A., Massey, P. D., Judd, J., Kelly, J., Durrheim, D. N., Clough, A. R., . . . Saggers, S. (2015). Using a participatory action research framework to listen to Aboriginal and Torres Strait Islander people in Australia about pandemic influenza.  Rural and Remote Health , 15(3), 2923-2923.  
• Spinney, A. (2013). Safe from the Start? An Action Research Project on Early Intervention Materials for Children Affected by Domestic and Family Violence. Children & Society, 27(5), 397-405. doi:10.1111/j.1099-0860.2012.00454.x 
• Department of Social Services. (2019).  On PAR  - Using participatory action research to improve early intervention. 
• Liamputtong, P. (2013). Qualitative research methods (4th ed.). South Melbourne: Oxford  University Press. 
• Mills, J., & Birks, M. (2014). Qualitative Methodology: A Practical Guide. Retrieved from https://methods.sagepub.com/book/qualitative-methodology-a-practical-guide doi:10.4135/9781473920163 
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• Case Study | Definition, Examples & Methods

Case Study | Definition, Examples & Methods

Published on 5 May 2022 by Shona McCombes . Revised on 30 January 2023.

A case study is a detailed study of a specific subject, such as a person, group, place, event, organisation, or phenomenon. Case studies are commonly used in social, educational, clinical, and business research.

A case study research design usually involves qualitative methods , but quantitative methods are sometimes also used. Case studies are good for describing , comparing, evaluating, and understanding different aspects of a research problem .

Table of contents

When to do a case study, step 1: select a case, step 2: build a theoretical framework, step 3: collect your data, step 4: describe and analyse the case.

A case study is an appropriate research design when you want to gain concrete, contextual, in-depth knowledge about a specific real-world subject. It allows you to explore the key characteristics, meanings, and implications of the case.

Case studies are often a good choice in a thesis or dissertation . They keep your project focused and manageable when you don’t have the time or resources to do large-scale research.

You might use just one complex case study where you explore a single subject in depth, or conduct multiple case studies to compare and illuminate different aspects of your research problem.

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Once you have developed your problem statement and research questions , you should be ready to choose the specific case that you want to focus on. A good case study should have the potential to:

• Provide new or unexpected insights into the subject
• Challenge or complicate existing assumptions and theories
• Propose practical courses of action to resolve a problem
• Open up new directions for future research

Unlike quantitative or experimental research, a strong case study does not require a random or representative sample. In fact, case studies often deliberately focus on unusual, neglected, or outlying cases which may shed new light on the research problem.

If you find yourself aiming to simultaneously investigate and solve an issue, consider conducting action research . As its name suggests, action research conducts research and takes action at the same time, and is highly iterative and flexible. 

However, you can also choose a more common or representative case to exemplify a particular category, experience, or phenomenon.

While case studies focus more on concrete details than general theories, they should usually have some connection with theory in the field. This way the case study is not just an isolated description, but is integrated into existing knowledge about the topic. It might aim to:

• Exemplify a theory by showing how it explains the case under investigation
• Expand on a theory by uncovering new concepts and ideas that need to be incorporated
• Challenge a theory by exploring an outlier case that doesn’t fit with established assumptions

To ensure that your analysis of the case has a solid academic grounding, you should conduct a literature review of sources related to the topic and develop a theoretical framework . This means identifying key concepts and theories to guide your analysis and interpretation.

There are many different research methods you can use to collect data on your subject. Case studies tend to focus on qualitative data using methods such as interviews, observations, and analysis of primary and secondary sources (e.g., newspaper articles, photographs, official records). Sometimes a case study will also collect quantitative data .

The aim is to gain as thorough an understanding as possible of the case and its context.

In writing up the case study, you need to bring together all the relevant aspects to give as complete a picture as possible of the subject.

How you report your findings depends on the type of research you are doing. Some case studies are structured like a standard scientific paper or thesis, with separate sections or chapters for the methods , results , and discussion .

Others are written in a more narrative style, aiming to explore the case from various angles and analyse its meanings and implications (for example, by using textual analysis or discourse analysis ).

In all cases, though, make sure to give contextual details about the case, connect it back to the literature and theory, and discuss how it fits into wider patterns or debates.

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21 Action Research Examples (In Education)

Action research is an example of qualitative research . It refers to a wide range of evaluative or investigative methods designed to analyze professional practices and take action for improvement.

Commonly used in education, those practices could be related to instructional methods, classroom practices, or school organizational matters.

The creation of action research is attributed to Kurt Lewin , a German-American psychologist also considered to be the father of social psychology.

Gillis and Jackson (2002) offer a very concise definition of action research: “systematic collection and analysis of data for the purpose of taking action and making change” (p.264).

The methods of action research in education include:

• conducting in-class observations
• taking field notes
• surveying or interviewing teachers, administrators, or parents
• using audio and video recordings.

The goal is to identify problematic issues, test possible solutions, or simply carry-out continuous improvement.

There are several steps in action research : identify a problem, design a plan to resolve, implement the plan, evaluate effectiveness, reflect on results, make necessary adjustment and repeat the process.

Action Research Examples

• Digital literacy assessment and training: The school’s IT department conducts a survey on students’ digital literacy skills. Based on the results, a tailored training program is designed for different age groups.
• Library resources utilization study: The school librarian tracks the frequency and type of books checked out by students. The data is then used to curate a more relevant collection and organize reading programs.
• Extracurricular activities and student well-being: A team of teachers and counselors assess the impact of extracurricular activities on student mental health through surveys and interviews. Adjustments are made based on findings.
• Parent-teacher communication channels: The school evaluates the effectiveness of current communication tools (e.g., newsletters, apps) between teachers and parents. Feedback is used to implement a more streamlined system.
• Homework load evaluation: Teachers across grade levels assess the amount and effectiveness of homework given. Adjustments are made to ensure a balance between academic rigor and student well-being.
• Classroom environment and learning: A group of teachers collaborates to study the impact of classroom layouts and decorations on student engagement and comprehension. Changes are made based on the findings.
• Student feedback on curriculum content: High school students are surveyed about the relevance and applicability of their current curriculum. The feedback is then used to make necessary curriculum adjustments.
• Teacher mentoring and support: New teachers are paired with experienced mentors. Both parties provide feedback on the effectiveness of the mentoring program, leading to continuous improvements.
• Assessment of school transportation: The school board evaluates the efficiency and safety of school buses through surveys with students and parents. Necessary changes are implemented based on the results.
• Cultural sensitivity training: After conducting a survey on students’ cultural backgrounds and experiences, the school organizes workshops for teachers to promote a more inclusive classroom environment.
• Environmental initiatives and student involvement: The school’s eco-club assesses the school’s carbon footprint and waste management. They then collaborate with the administration to implement greener practices and raise environmental awareness.
• Working with parents through research: A school’s admin staff conduct focus group sessions with parents to identify top concerns.Those concerns will then be addressed and another session conducted at the end of the school year.
• Peer teaching observations and improvements: Kindergarten teachers observe other teachers handling class transition techniques to share best practices.
• PTA surveys and resultant action: The PTA of a district conducts a survey of members regarding their satisfaction with remote learning classes.The results will be presented to the school board for further action.
• Recording and reflecting: A school administrator takes video recordings of playground behavior and then plays them for the teachers. The teachers work together to formulate a list of 10 playground safety guidelines.
• Pre/post testing of interventions: A school board conducts a district wide evaluation of a STEM program by conducting a pre/post-test of students’ skills in computer programming.
• Focus groups of practitioners : The professional development needs of teachers are determined from structured focus group sessions with teachers and admin.
• School lunch research and intervention: A nutrition expert is hired to evaluate and improve the quality of school lunches.
• School nurse systematic checklist and improvements: The school nurse implements a bathroom cleaning checklist to monitor cleanliness after the results of a recent teacher survey revealed several issues.
• Wearable technologies for pedagogical improvements; Students wear accelerometers attached to their hips to gain a baseline measure of physical activity.The results will identify if any issues exist.
• School counselor reflective practice : The school counselor conducts a student survey on antisocial behavior and then plans a series of workshops for both teachers and parents.

Detailed Examples

1. cooperation and leadership.

A science teacher has noticed that her 9 th grade students do not cooperate with each other when doing group projects. There is a lot of arguing and battles over whose ideas will be followed.

So, she decides to implement a simple action research project on the matter. First, she conducts a structured observation of the students’ behavior during meetings. She also has the students respond to a short questionnaire regarding their notions of leadership.

She then designs a two-week course on group dynamics and leadership styles. The course involves learning about leadership concepts and practices . In another element of the short course, students randomly select a leadership style and then engage in a role-play with other students.

At the end of the two weeks, she has the students work on a group project and conducts the same structured observation as before. She also gives the students a slightly different questionnaire on leadership as it relates to the group.

She plans to analyze the results and present the findings at a teachers’ meeting at the end of the term.

2. Professional Development Needs

Two high-school teachers have been selected to participate in a 1-year project in a third-world country. The project goal is to improve the classroom effectiveness of local teachers. 

The two teachers arrive in the country and begin to plan their action research. First, they decide to conduct a survey of teachers in the nearby communities of the school they are assigned to.

The survey will assess their professional development needs by directly asking the teachers and administrators. After collecting the surveys, they analyze the results by grouping the teachers based on subject matter.

They discover that history and social science teachers would like professional development on integrating smartboards into classroom instruction. Math teachers would like to attend workshops on project-based learning, while chemistry teachers feel that they need equipment more than training.

The two teachers then get started on finding the necessary training experts for the workshops and applying for equipment grants for the science teachers.

3. Playground Accidents

The school nurse has noticed a lot of students coming in after having mild accidents on the playground. She’s not sure if this is just her perception or if there really is an unusual increase this year.  So, she starts pulling data from the records over the last two years. She chooses the months carefully and only selects data from the first three months of each school year.

She creates a chart to make the data more easily understood. Sure enough, there seems to have been a dramatic increase in accidents this year compared to the same period of time from the previous two years.

She shows the data to the principal and teachers at the next meeting. They all agree that a field observation of the playground is needed.

Those observations reveal that the kids are not having accidents on the playground equipment as originally suspected. It turns out that the kids are tripping on the new sod that was installed over the summer.

They examine the sod and observe small gaps between the slabs. Each gap is approximately 1.5 inches wide and nearly two inches deep. The kids are tripping on this gap as they run.

They then discuss possible solutions.

4. Differentiated Learning

Trying to use the same content, methods, and processes for all students is a recipe for failure. This is why modifying each lesson to be flexible is highly recommended. Differentiated learning allows the teacher to adjust their teaching strategy based on all the different personalities and learning styles they see in their classroom.

Of course, differentiated learning should undergo the same rigorous assessment that all teaching techniques go through. So, a third-grade social science teacher asks his students to take a simple quiz on the industrial revolution. Then, he applies differentiated learning to the lesson.

By creating several different learning stations in his classroom, he gives his students a chance to learn about the industrial revolution in a way that captures their interests. The different stations contain: short videos, fact cards, PowerPoints, mini-chapters, and role-plays.

At the end of the lesson, students get to choose how they demonstrate their knowledge. They can take a test, construct a PPT, give an oral presentation, or conduct a simulated TV interview with different characters.

During this last phase of the lesson, the teacher is able to assess if they demonstrate the necessary knowledge and have achieved the defined learning outcomes. This analysis will allow him to make further adjustments to future lessons.

5. Healthy Habits Program

While looking at obesity rates of students, the school board of a large city is shocked by the dramatic increase in the weight of their students over the last five years. After consulting with three companies that specialize in student physical health, they offer the companies an opportunity to prove their value.

So, the board randomly assigns each company to a group of schools. Starting in the next academic year, each company will implement their healthy habits program in 5 middle schools.

Preliminary data is collected at each school at the beginning of the school year. Each and every student is weighed, their resting heart rate, blood pressure and cholesterol are also measured.

After analyzing the data, it is found that the schools assigned to each of the three companies are relatively similar on all of these measures.

At the end of the year, data for students at each school will be collected again. A simple comparison of pre- and post-program measurements will be conducted. The company with the best outcomes will be selected to implement their program city-wide.

Action research is a great way to collect data on a specific issue, implement a change, and then evaluate the effects of that change. It is perhaps the most practical of all types of primary research .

Most likely, the results will be mixed. Some aspects of the change were effective, while other elements were not. That’s okay. This just means that additional modifications to the change plan need to be made, which is usually quite easy to do.

There are many methods that can be utilized, such as surveys, field observations , and program evaluations.

The beauty of action research is based in its utility and flexibility. Just about anyone in a school setting is capable of conducting action research and the information can be incredibly useful.

Aronson, E., & Patnoe, S. (1997). The jigsaw classroom: Building cooperation in the classroom (2nd ed.). New York: Addison Wesley Longman.

Gillis, A., & Jackson, W. (2002). Research Methods for Nurses: Methods and Interpretation . Philadelphia: F.A. Davis Company.

Lewin, K. (1946). Action research and minority problems. Journal of SocialIssues, 2 (4), 34-46.

Macdonald, C. (2012). Understanding participatory action research: A qualitative research methodology option. Canadian Journal of Action Research, 13 , 34-50. https://doi.org/10.33524/cjar.v13i2.37 Mertler, C. A. (2008). Action Research: Teachers as Researchers in the Classroom . London: Sage.

Dave Cornell (PhD)

Dr. Cornell has worked in education for more than 20 years. His work has involved designing teacher certification for Trinity College in London and in-service training for state governments in the United States. He has trained kindergarten teachers in 8 countries and helped businessmen and women open baby centers and kindergartens in 3 countries.

• Dave Cornell (PhD) https://helpfulprofessor.com/author/dave-cornell-phd/ 25 Positive Punishment Examples
• Dave Cornell (PhD) https://helpfulprofessor.com/author/dave-cornell-phd/ 25 Dissociation Examples (Psychology)
• Dave Cornell (PhD) https://helpfulprofessor.com/author/dave-cornell-phd/ 15 Zone of Proximal Development Examples
• Dave Cornell (PhD) https://helpfulprofessor.com/author/dave-cornell-phd/ Perception Checking: 15 Examples and Definition

Chris Drew (PhD)

This article was peer-reviewed and edited by Chris Drew (PhD). The review process on Helpful Professor involves having a PhD level expert fact check, edit, and contribute to articles. Reviewers ensure all content reflects expert academic consensus and is backed up with reference to academic studies. Dr. Drew has published over 20 academic articles in scholarly journals. He is the former editor of the Journal of Learning Development in Higher Education and holds a PhD in Education from ACU.

• Chris Drew (PhD) #molongui-disabled-link 25 Positive Punishment Examples
• Chris Drew (PhD) #molongui-disabled-link 25 Dissociation Examples (Psychology)
• Chris Drew (PhD) #molongui-disabled-link 15 Zone of Proximal Development Examples
• Chris Drew (PhD) #molongui-disabled-link Perception Checking: 15 Examples and Definition

2 thoughts on “21 Action Research Examples (In Education)”

Where can I capture this article in a better user-friendly format, since I would like to provide it to my students in a Qualitative Methods course at the University of Prince Edward Island? It is a good article, however, it is visually disjointed in its current format. Thanks, Dr. Frank T. Lavandier

Hi Dr. Lavandier,

I’ve emailed you a word doc copy that you can use and edit with your class.

Best, Chris.

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1 What is Action Research for Classroom Teachers?

ESSENTIAL QUESTIONS

• What is the nature of action research?
• How does action research develop in the classroom?
• What models of action research work best for your classroom?
• What are the epistemological, ontological, theoretical underpinnings of action research?

Educational research provides a vast landscape of knowledge on topics related to teaching and learning, curriculum and assessment, students’ cognitive and affective needs, cultural and socio-economic factors of schools, and many other factors considered viable to improving schools. Educational stakeholders rely on research to make informed decisions that ultimately affect the quality of schooling for their students. Accordingly, the purpose of educational research is to engage in disciplined inquiry to generate knowledge on topics significant to the students, teachers, administrators, schools, and other educational stakeholders. Just as the topics of educational research vary, so do the approaches to conducting educational research in the classroom. Your approach to research will be shaped by your context, your professional identity, and paradigm (set of beliefs and assumptions that guide your inquiry). These will all be key factors in how you generate knowledge related to your work as an educator.

Action research is an approach to educational research that is commonly used by educational practitioners and professionals to examine, and ultimately improve, their pedagogy and practice. In this way, action research represents an extension of the reflection and critical self-reflection that an educator employs on a daily basis in their classroom. When students are actively engaged in learning, the classroom can be dynamic and uncertain, demanding the constant attention of the educator. Considering these demands, educators are often only able to engage in reflection that is fleeting, and for the purpose of accommodation, modification, or formative assessment. Action research offers one path to more deliberate, substantial, and critical reflection that can be documented and analyzed to improve an educator’s practice.

Purpose of Action Research

As one of many approaches to educational research, it is important to distinguish the potential purposes of action research in the classroom. This book focuses on action research as a method to enable and support educators in pursuing effective pedagogical practices by transforming the quality of teaching decisions and actions, to subsequently enhance student engagement and learning. Being mindful of this purpose, the following aspects of action research are important to consider as you contemplate and engage with action research methodology in your classroom:

• Action research is a process for improving educational practice. Its methods involve action, evaluation, and reflection. It is a process to gather evidence to implement change in practices.
• Action research is participative and collaborative. It is undertaken by individuals with a common purpose.
• Action research is situation and context-based.
• Action research develops reflection practices based on the interpretations made by participants.
• Knowledge is created through action and application.
• Action research can be based in problem-solving, if the solution to the problem results in the improvement of practice.
• Action research is iterative; plans are created, implemented, revised, then implemented, lending itself to an ongoing process of reflection and revision.
• In action research, findings emerge as action develops and takes place; however, they are not conclusive or absolute, but ongoing (Koshy, 2010, pgs. 1-2).

In thinking about the purpose of action research, it is helpful to situate action research as a distinct paradigm of educational research. I like to think about action research as part of the larger concept of living knowledge. Living knowledge has been characterized as “a quest for life, to understand life and to create… knowledge which is valid for the people with whom I work and for myself” (Swantz, in Reason & Bradbury, 2001, pg. 1). Why should educators care about living knowledge as part of educational research? As mentioned above, action research is meant “to produce practical knowledge that is useful to people in the everyday conduct of their lives and to see that action research is about working towards practical outcomes” (Koshy, 2010, pg. 2). However, it is also about:

creating new forms of understanding, since action without reflection and understanding is blind, just as theory without action is meaningless. The participatory nature of action research makes it only possible with, for and by persons and communities, ideally involving all stakeholders both in the questioning and sense making that informs the research, and in the action, which is its focus. (Reason & Bradbury, 2001, pg. 2)

In an effort to further situate action research as living knowledge, Jean McNiff reminds us that “there is no such ‘thing’ as ‘action research’” (2013, pg. 24). In other words, action research is not static or finished, it defines itself as it proceeds. McNiff’s reminder characterizes action research as action-oriented, and a process that individuals go through to make their learning public to explain how it informs their practice. Action research does not derive its meaning from an abstract idea, or a self-contained discovery – action research’s meaning stems from the way educators negotiate the problems and successes of living and working in the classroom, school, and community.

While we can debate the idea of action research, there are people who are action researchers, and they use the idea of action research to develop principles and theories to guide their practice. Action research, then, refers to an organization of principles that guide action researchers as they act on shared beliefs, commitments, and expectations in their inquiry.

Reflection and the Process of Action Research

When an individual engages in reflection on their actions or experiences, it is typically for the purpose of better understanding those experiences, or the consequences of those actions to improve related action and experiences in the future. Reflection in this way develops knowledge around these actions and experiences to help us better regulate those actions in the future. The reflective process generates new knowledge regularly for classroom teachers and informs their classroom actions.

Unfortunately, the knowledge generated by educators through the reflective process is not always prioritized among the other sources of knowledge educators are expected to utilize in the classroom. Educators are expected to draw upon formal types of knowledge, such as textbooks, content standards, teaching standards, district curriculum and behavioral programs, etc., to gain new knowledge and make decisions in the classroom. While these forms of knowledge are important, the reflective knowledge that educators generate through their pedagogy is the amalgamation of these types of knowledge enacted in the classroom. Therefore, reflective knowledge is uniquely developed based on the action and implementation of an educator’s pedagogy in the classroom. Action research offers a way to formalize the knowledge generated by educators so that it can be utilized and disseminated throughout the teaching profession.

Research is concerned with the generation of knowledge, and typically creating knowledge related to a concept, idea, phenomenon, or topic. Action research generates knowledge around inquiry in practical educational contexts. Action research allows educators to learn through their actions with the purpose of developing personally or professionally. Due to its participatory nature, the process of action research is also distinct in educational research. There are many models for how the action research process takes shape. I will share a few of those here. Each model utilizes the following processes to some extent:

• Plan a change;
• Take action to enact the change;
• Observe the process and consequences of the change;
• Reflect on the process and consequences;
• Act, observe, & reflect again and so on.

Figure 1.1 Basic action research cycle

There are many other models that supplement the basic process of action research with other aspects of the research process to consider. For example, figure 1.2 illustrates a spiral model of action research proposed by Kemmis and McTaggart (2004). The spiral model emphasizes the cyclical process that moves beyond the initial plan for change. The spiral model also emphasizes revisiting the initial plan and revising based on the initial cycle of research:

Figure 1.2 Interpretation of action research spiral, Kemmis and McTaggart (2004, p. 595)

Other models of action research reorganize the process to emphasize the distinct ways knowledge takes shape in the reflection process. O’Leary’s (2004, p. 141) model, for example, recognizes that the research may take shape in the classroom as knowledge emerges from the teacher’s observations. O’Leary highlights the need for action research to be focused on situational understanding and implementation of action, initiated organically from real-time issues:

Figure 1.3 Interpretation of O’Leary’s cycles of research, O’Leary (2000, p. 141)

Lastly, Macintyre’s (2000, p. 1) model, offers a different characterization of the action research process. Macintyre emphasizes a messier process of research with the initial reflections and conclusions as the benchmarks for guiding the research process. Macintyre emphasizes the flexibility in planning, acting, and observing stages to allow the process to be naturalistic. Our interpretation of Macintyre process is below:

Figure 1.4 Interpretation of the action research cycle, Macintyre (2000, p. 1)

We believe it is important to prioritize the flexibility of the process, and encourage you to only use these models as basic guides for your process. Your process may look similar, or you may diverge from these models as you better understand your students, context, and data.

Definitions of Action Research and Examples

At this point, it may be helpful for readers to have a working definition of action research and some examples to illustrate the methodology in the classroom. Bassey (1998, p. 93) offers a very practical definition and describes “action research as an inquiry which is carried out in order to understand, to evaluate and then to change, in order to improve educational practice.” Cohen and Manion (1994, p. 192) situate action research differently, and describe action research as emergent, writing:

essentially an on-the-spot procedure designed to deal with a concrete problem located in an immediate situation. This means that ideally, the step-by-step process is constantly monitored over varying periods of time and by a variety of mechanisms (questionnaires, diaries, interviews and case studies, for example) so that the ensuing feedback may be translated into modifications, adjustment, directional changes, redefinitions, as necessary, so as to bring about lasting benefit to the ongoing process itself rather than to some future occasion.

Lastly, Koshy (2010, p. 9) describes action research as:

a constructive inquiry, during which the researcher constructs his or her knowledge of specific issues through planning, acting, evaluating, refining and learning from the experience. It is a continuous learning process in which the researcher learns and also shares the newly generated knowledge with those who may benefit from it.

These definitions highlight the distinct features of action research and emphasize the purposeful intent of action researchers to improve, refine, reform, and problem-solve issues in their educational context. To better understand the distinctness of action research, these are some examples of action research topics:

Examples of Action Research Topics

• Flexible seating in 4th grade classroom to increase effective collaborative learning.
• Structured homework protocols for increasing student achievement.
• Developing a system of formative feedback for 8th grade writing.
• Using music to stimulate creative writing.
• Weekly brown bag lunch sessions to improve responses to PD from staff.
• Using exercise balls as chairs for better classroom management.

Action Research in Theory

Action research-based inquiry in educational contexts and classrooms involves distinct participants – students, teachers, and other educational stakeholders within the system. All of these participants are engaged in activities to benefit the students, and subsequently society as a whole. Action research contributes to these activities and potentially enhances the participants’ roles in the education system. Participants’ roles are enhanced based on two underlying principles:

• communities, schools, and classrooms are sites of socially mediated actions, and action research provides a greater understanding of self and new knowledge of how to negotiate these socially mediated environments;
• communities, schools, and classrooms are part of social systems in which humans interact with many cultural tools, and action research provides a basis to construct and analyze these interactions.

In our quest for knowledge and understanding, we have consistently analyzed human experience over time and have distinguished between types of reality. Humans have constantly sought “facts” and “truth” about reality that can be empirically demonstrated or observed.

Social systems are based on beliefs, and generally, beliefs about what will benefit the greatest amount of people in that society. Beliefs, and more specifically the rationale or support for beliefs, are not always easy to demonstrate or observe as part of our reality. Take the example of an English Language Arts teacher who prioritizes argumentative writing in her class. She believes that argumentative writing demonstrates the mechanics of writing best among types of writing, while also providing students a skill they will need as citizens and professionals. While we can observe the students writing, and we can assess their ability to develop a written argument, it is difficult to observe the students’ understanding of argumentative writing and its purpose in their future. This relates to the teacher’s beliefs about argumentative writing; we cannot observe the real value of the teaching of argumentative writing. The teacher’s rationale and beliefs about teaching argumentative writing are bound to the social system and the skills their students will need to be active parts of that system. Therefore, our goal through action research is to demonstrate the best ways to teach argumentative writing to help all participants understand its value as part of a social system.

The knowledge that is conveyed in a classroom is bound to, and justified by, a social system. A postmodernist approach to understanding our world seeks knowledge within a social system, which is directly opposed to the empirical or positivist approach which demands evidence based on logic or science as rationale for beliefs. Action research does not rely on a positivist viewpoint to develop evidence and conclusions as part of the research process. Action research offers a postmodernist stance to epistemology (theory of knowledge) and supports developing questions and new inquiries during the research process. In this way action research is an emergent process that allows beliefs and decisions to be negotiated as reality and meaning are being constructed in the socially mediated space of the classroom.

Theorizing Action Research for the Classroom

All research, at its core, is for the purpose of generating new knowledge and contributing to the knowledge base of educational research. Action researchers in the classroom want to explore methods of improving their pedagogy and practice. The starting place of their inquiry stems from their pedagogy and practice, so by nature the knowledge created from their inquiry is often contextually specific to their classroom, school, or community. Therefore, we should examine the theoretical underpinnings of action research for the classroom. It is important to connect action research conceptually to experience; for example, Levin and Greenwood (2001, p. 105) make these connections:

• Action research is context bound and addresses real life problems.
• Action research is inquiry where participants and researchers cogenerate knowledge through collaborative communicative processes in which all participants’ contributions are taken seriously.
• The meanings constructed in the inquiry process lead to social action or these reflections and action lead to the construction of new meanings.
• The credibility/validity of action research knowledge is measured according to whether the actions that arise from it solve problems (workability) and increase participants’ control over their own situation.

Educators who engage in action research will generate new knowledge and beliefs based on their experiences in the classroom. Let us emphasize that these are all important to you and your work, as both an educator and researcher. It is these experiences, beliefs, and theories that are often discounted when more official forms of knowledge (e.g., textbooks, curriculum standards, districts standards) are prioritized. These beliefs and theories based on experiences should be valued and explored further, and this is one of the primary purposes of action research in the classroom. These beliefs and theories should be valued because they were meaningful aspects of knowledge constructed from teachers’ experiences. Developing meaning and knowledge in this way forms the basis of constructivist ideology, just as teachers often try to get their students to construct their own meanings and understandings when experiencing new ideas.  

Classroom Teachers Constructing their Own Knowledge

Most of you are probably at least minimally familiar with constructivism, or the process of constructing knowledge. However, what is constructivism precisely, for the purposes of action research? Many scholars have theorized constructivism and have identified two key attributes (Koshy, 2010; von Glasersfeld, 1987):

• Knowledge is not passively received, but actively developed through an individual’s cognition;
• Human cognition is adaptive and finds purpose in organizing the new experiences of the world, instead of settling for absolute or objective truth.

Considering these two attributes, constructivism is distinct from conventional knowledge formation because people can develop a theory of knowledge that orders and organizes the world based on their experiences, instead of an objective or neutral reality. When individuals construct knowledge, there are interactions between an individual and their environment where communication, negotiation and meaning-making are collectively developing knowledge. For most educators, constructivism may be a natural inclination of their pedagogy. Action researchers have a similar relationship to constructivism because they are actively engaged in a process of constructing knowledge. However, their constructions may be more formal and based on the data they collect in the research process. Action researchers also are engaged in the meaning making process, making interpretations from their data. These aspects of the action research process situate them in the constructivist ideology. Just like constructivist educators, action researchers’ constructions of knowledge will be affected by their individual and professional ideas and values, as well as the ecological context in which they work (Biesta & Tedder, 2006). The relations between constructivist inquiry and action research is important, as Lincoln (2001, p. 130) states:

much of the epistemological, ontological, and axiological belief systems are the same or similar, and methodologically, constructivists and action researchers work in similar ways, relying on qualitative methods in face-to-face work, while buttressing information, data and background with quantitative method work when necessary or useful.

While there are many links between action research and educators in the classroom, constructivism offers the most familiar and practical threads to bind the beliefs of educators and action researchers.  

Epistemology, Ontology, and Action Research

It is also important for educators to consider the philosophical stances related to action research to better situate it with their beliefs and reality. When researchers make decisions about the methodology they intend to use, they will consider their ontological and epistemological stances. It is vital that researchers clearly distinguish their philosophical stances and understand the implications of their stance in the research process, especially when collecting and analyzing their data. In what follows, we will discuss ontological and epistemological stances in relation to action research methodology.

Ontology, or the theory of being, is concerned with the claims or assumptions we make about ourselves within our social reality – what do we think exists, what does it look like, what entities are involved and how do these entities interact with each other (Blaikie, 2007). In relation to the discussion of constructivism, generally action researchers would consider their educational reality as socially constructed. Social construction of reality happens when individuals interact in a social system. Meaningful construction of concepts and representations of reality develop through an individual’s interpretations of others’ actions. These interpretations become agreed upon by members of a social system and become part of social fabric, reproduced as knowledge and beliefs to develop assumptions about reality. Researchers develop meaningful constructions based on their experiences and through communication. Educators as action researchers will be examining the socially constructed reality of schools. In the United States, many of our concepts, knowledge, and beliefs about schooling have been socially constructed over the last hundred years. For example, a group of teachers may look at why fewer female students enroll in upper-level science courses at their school. This question deals directly with the social construction of gender and specifically what careers females have been conditioned to pursue. We know this is a social construction in some school social systems because in other parts of the world, or even the United States, there are schools that have more females enrolled in upper level science courses than male students. Therefore, the educators conducting the research have to recognize the socially constructed reality of their school and consider this reality throughout the research process. Action researchers will use methods of data collection that support their ontological stance and clarify their theoretical stance throughout the research process.

Koshy (2010, p. 23-24) offers another example of addressing the ontological challenges in the classroom:

A teacher who was concerned with increasing her pupils’ motivation and enthusiasm for learning decided to introduce learning diaries which the children could take home. They were invited to record their reactions to the day’s lessons and what they had learnt. The teacher reported in her field diary that the learning diaries stimulated the children’s interest in her lessons, increased their capacity to learn, and generally improved their level of participation in lessons. The challenge for the teacher here is in the analysis and interpretation of the multiplicity of factors accompanying the use of diaries. The diaries were taken home so the entries may have been influenced by discussions with parents. Another possibility is that children felt the need to please their teacher. Another possible influence was that their increased motivation was as a result of the difference in style of teaching which included more discussions in the classroom based on the entries in the dairies.

Here you can see the challenge for the action researcher is working in a social context with multiple factors, values, and experiences that were outside of the teacher’s control. The teacher was only responsible for introducing the diaries as a new style of learning. The students’ engagement and interactions with this new style of learning were all based upon their socially constructed notions of learning inside and outside of the classroom. A researcher with a positivist ontological stance would not consider these factors, and instead might simply conclude that the dairies increased motivation and interest in the topic, as a result of introducing the diaries as a learning strategy.

Epistemology, or the theory of knowledge, signifies a philosophical view of what counts as knowledge – it justifies what is possible to be known and what criteria distinguishes knowledge from beliefs (Blaikie, 1993). Positivist researchers, for example, consider knowledge to be certain and discovered through scientific processes. Action researchers collect data that is more subjective and examine personal experience, insights, and beliefs.

Action researchers utilize interpretation as a means for knowledge creation. Action researchers have many epistemologies to choose from as means of situating the types of knowledge they will generate by interpreting the data from their research. For example, Koro-Ljungberg et al., (2009) identified several common epistemologies in their article that examined epistemological awareness in qualitative educational research, such as: objectivism, subjectivism, constructionism, contextualism, social epistemology, feminist epistemology, idealism, naturalized epistemology, externalism, relativism, skepticism, and pluralism. All of these epistemological stances have implications for the research process, especially data collection and analysis. Please see the table on pages 689-90, linked below for a sketch of these potential implications:

Again, Koshy (2010, p. 24) provides an excellent example to illustrate the epistemological challenges within action research:

A teacher of 11-year-old children decided to carry out an action research project which involved a change in style in teaching mathematics. Instead of giving children mathematical tasks displaying the subject as abstract principles, she made links with other subjects which she believed would encourage children to see mathematics as a discipline that could improve their understanding of the environment and historic events. At the conclusion of the project, the teacher reported that applicable mathematics generated greater enthusiasm and understanding of the subject.

The educator/researcher engaged in action research-based inquiry to improve an aspect of her pedagogy. She generated knowledge that indicated she had improved her students’ understanding of mathematics by integrating it with other subjects – specifically in the social and ecological context of her classroom, school, and community. She valued constructivism and students generating their own understanding of mathematics based on related topics in other subjects. Action researchers working in a social context do not generate certain knowledge, but knowledge that emerges and can be observed and researched again, building upon their knowledge each time.

Researcher Positionality in Action Research

In this first chapter, we have discussed a lot about the role of experiences in sparking the research process in the classroom. Your experiences as an educator will shape how you approach action research in your classroom. Your experiences as a person in general will also shape how you create knowledge from your research process. In particular, your experiences will shape how you make meaning from your findings. It is important to be clear about your experiences when developing your methodology too. This is referred to as researcher positionality. Maher and Tetreault (1993, p. 118) define positionality as:

Gender, race, class, and other aspects of our identities are markers of relational positions rather than essential qualities. Knowledge is valid when it includes an acknowledgment of the knower’s specific position in any context, because changing contextual and relational factors are crucial for defining identities and our knowledge in any given situation.

By presenting your positionality in the research process, you are signifying the type of socially constructed, and other types of, knowledge you will be using to make sense of the data. As Maher and Tetreault explain, this increases the trustworthiness of your conclusions about the data. This would not be possible with a positivist ontology. We will discuss positionality more in chapter 6, but we wanted to connect it to the overall theoretical underpinnings of action research.

Advantages of Engaging in Action Research in the Classroom

In the following chapters, we will discuss how action research takes shape in your classroom, and we wanted to briefly summarize the key advantages to action research methodology over other types of research methodology. As Koshy (2010, p. 25) notes, action research provides useful methodology for school and classroom research because:

Advantages of Action Research for the Classroom

• research can be set within a specific context or situation;
• researchers can be participants – they don’t have to be distant and detached from the situation;
• it involves continuous evaluation and modifications can be made easily as the project progresses;
• there are opportunities for theory to emerge from the research rather than always follow a previously formulated theory;
• the study can lead to open-ended outcomes;
• through action research, a researcher can bring a story to life.

Action Research Copyright © by J. Spencer Clark; Suzanne Porath; Julie Thiele; and Morgan Jobe is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License , except where otherwise noted.

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Action Research vs. Case Study

What's the difference.

Action research and case study are both research methodologies used in social sciences to investigate and understand complex phenomena. However, they differ in their approach and purpose. Action research is a collaborative and participatory approach that involves researchers and practitioners working together to identify and solve practical problems in real-world settings. It aims to bring about positive change and improvement in the context being studied. On the other hand, case study is an in-depth and detailed examination of a particular individual, group, or situation. It focuses on understanding the unique characteristics and dynamics of the case being studied and often involves extensive data collection and analysis. While action research emphasizes practical application and problem-solving, case study emphasizes detailed exploration and understanding of a specific case.

Further Detail

Introduction.

Action research and case study are two widely used research methodologies in various fields. While both approaches aim to gain insights and understanding, they differ in their focus, design, and implementation. This article will explore the attributes of action research and case study, highlighting their similarities and differences.

Action Research

Action research is a participatory approach that involves collaboration between researchers and practitioners to address real-world problems. It emphasizes the active involvement of stakeholders in the research process, aiming to bring about practical change and improvement. Action research typically follows a cyclical process, consisting of planning, action, observation, and reflection.

One of the key attributes of action research is its focus on generating knowledge that is directly applicable to the context in which it is conducted. It aims to bridge the gap between theory and practice by actively involving practitioners in the research process. This participatory nature allows for a deeper understanding of the complexities and nuances of the problem being investigated.

Action research often involves multiple iterations, with each cycle building upon the insights gained from the previous one. This iterative approach allows for continuous learning and adaptation, enabling researchers to refine their interventions and strategies based on the feedback received. It also promotes a sense of ownership and empowerment among the participants, as they actively contribute to the research process.

Furthermore, action research is characterized by its emphasis on collaboration and co-learning. It encourages the exchange of ideas and knowledge between researchers and practitioners, fostering a sense of shared responsibility and collective action. This collaborative approach not only enhances the quality of the research but also increases the likelihood of successful implementation of the findings.

In summary, action research is a participatory and iterative approach that aims to generate practical knowledge through collaboration between researchers and practitioners. It focuses on addressing real-world problems and promoting positive change within specific contexts.

Case study, on the other hand, is an in-depth investigation of a particular phenomenon, event, or individual. It involves the detailed examination of a specific case or cases to gain a comprehensive understanding of the subject under study. Case studies can be conducted using various research methods, such as interviews, observations, and document analysis.

One of the key attributes of case study research is its ability to provide rich and detailed insights into complex phenomena. By focusing on a specific case, researchers can delve deep into the intricacies and unique aspects of the subject, uncovering valuable information that may not be easily captured through other research methods.

Case studies are often used to explore and understand real-life situations in their natural settings. They allow researchers to examine the context and dynamics surrounding the case, providing a holistic view of the phenomenon under investigation. This contextual understanding is crucial for gaining a comprehensive and nuanced understanding of the subject.

Furthermore, case studies are particularly useful when the boundaries between the phenomenon and its context are not clearly defined. They allow for the exploration of complex and multifaceted issues, enabling researchers to capture the interplay of various factors and variables. This holistic approach enhances the validity and reliability of the findings.

Moreover, case studies can be exploratory, descriptive, or explanatory in nature, depending on the research questions and objectives. They can be used to generate hypotheses, provide detailed descriptions, or test theoretical frameworks. This versatility makes case study research applicable in various fields, including psychology, sociology, business, and education.

In summary, case study research is an in-depth investigation of a specific phenomenon, providing rich and detailed insights into complex situations. It focuses on understanding the context and dynamics surrounding the case, allowing for a comprehensive exploration of multifaceted issues.

Similarities

While action research and case study differ in their focus and design, they also share some common attributes. Both approaches aim to gain insights and understanding, albeit through different means. They both involve the collection and analysis of data to inform decision-making and improve practice.

Furthermore, both action research and case study can be conducted in naturalistic settings, allowing for the examination of real-life situations. They both emphasize the importance of context and seek to understand the complexities and nuances of the phenomena under investigation.

Moreover, both methodologies can involve multiple data collection methods, such as interviews, observations, and document analysis. They both require careful planning and design to ensure the validity and reliability of the findings.

Additionally, both action research and case study can contribute to theory development. While action research focuses on generating practical knowledge, it can also inform and contribute to theoretical frameworks. Similarly, case studies can provide empirical evidence that can be used to refine and expand existing theories.

In summary, action research and case study share common attributes, including their aim to gain insights and understanding, their focus on real-life situations, their emphasis on context, their use of multiple data collection methods, and their potential contribution to theory development.

Action research and case study are two distinct research methodologies that offer unique approaches to gaining insights and understanding. Action research emphasizes collaboration, participation, and practical change, while case study focuses on in-depth investigation and contextual understanding. Despite their differences, both approaches contribute to knowledge generation and have the potential to inform theory and practice. Researchers should carefully consider the nature of their research questions and objectives to determine which approach is most suitable for their study.

Comparisons may contain inaccurate information about people, places, or facts. Please report any issues.

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• v.19(6); Nov-Dec 2021

Case Study With a Participatory Approach: Rethinking Pragmatics of Stakeholder Engagement for Implementation Research

Catherine hudon.

1 Department of Family Medicine and Emergency Medicine, University of Sherbrooke, Sherbrooke, Quebec, Canada

Maud-Christine Chouinard

2 Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada

Mathieu Bisson

Alya danish, marlène karam, ariane girard, pierre-luc bossé, mireille lambert.

3 Integrated University Health and Social Services Centre, Chicoutimi, Quebec, Canada

Associated Data

The case study design is particularly useful for implementation analysis of complex health care innovations in primary care that can be influenced by the context of dynamic environments. Case studies may be combined with participatory approaches where academics conduct joint research with nonacademic stakeholders, to foster translation of findings results into practice. The aim of this article is to clarify epistemological and methodological considerations of case studies with a participatory approach. It also aims to propose best practice recommendations when using this case study approach. We distinguish between the participatory case study with full co-construction and co-governance, and the case study with a participatory approach whereby stakeholders are consulted in certain phases of the research. We then compare the epistemological posture of 3 prominent case study methodologists, Yin, Stake, and Merriam, to present the epistemological posture of case studies with a participatory approach. The relevance, applications, and procedures of a case study with a participatory approach methodology are illustrated through a concrete example of a primary care research program (PriCARE). We propose 12 steps for designing and conducting a case study with a participatory approach that may help guide researchers in the implementation analysis of complex health care innovations in primary care.

Over the last 40 years, case study research has become increasingly popular and has evolved rapidly in many disciplines. By allowing in-depth analysis of complex phenomena in real-world contexts, 1 the case study design is particularly useful in health services research, 2 for implementation analysis of complex interventions that can be influenced by the context of dynamic environments. 3 Public health and primary care research encourage a participatory approach because involvement of stakeholders fosters translation of research findings into practice. 4 This was the case of the PriCARE primary care research program. In this multijurisdictional Canadian study, the research team and stakeholders aimed to evaluate the implementation of a case management intervention in 10 primary care clinics, for frequent users of health care services with chronic diseases and complex care needs. 5 , 6 It is important to first distinguish the case study with a participatory approach from the participatory case study before proceeding with the example of the PriCARE program.

Participatory Research and the Case Study

Participatory research is a systematic inquiry whereby academics conduct joint research with nonacademic partners affected by the issue being studied, for purposes of education and taking action or promoting social change. 7 , 8 Participatory research conducted for empowerment or social change relies on the transformative/postmodern interpretative paradigm, in which knowledge is not neutral and reflects the power and social relationships within a society. The purpose of knowledge construction is to help people improve society. 9 Each phase of the research process is an opportunity to create knowledge through a collaborative effort to develop or refine the research questions, select the methodology, develop data collection methods and tools, choose outcome measures, interpret findings, craft the message, and disseminate the results, feasibility, and outcomes. 4 Rosemary C. Reilly, PhD, MEd 10 proposes that a case study may adopt a participatory focus with full co-governance where participants are fully involved as contributing researchers in all phases of the research process, from conceptualization of the study to write-up and dissemination of the findings.

Within the different participatory research approaches, the transformational intent of stakeholder involvement may, however, range from empowerment to more pragmatic considerations. The case study with a participatory approach may be adopted to facilitate knowledge translation and practice changes 4 in the implementation of a complex intervention such as case management, where several components interact with each other and with their context, and where there are multiple highly adaptable effects. 11 The intensity of stakeholder involvement will vary from full co-construction and involvement in all stages of the research to involvement or consultation in only certain phases of the research, balancing stakeholder engagement and availability. The participatory case study with a full co-governance structure relies on the transformative/postmodern interpretative paradigm, but what are the epistemological assumptions of the case study with a participatory approach? What steps should be taken to ensure the validity of this approach when applied to the case study? In this article, we aim to clarify epistemological and methodological considerations of case studies with a participatory approach. We also propose best practice recommendations when applying this approach to the case study.

EPISTEMOLOGICAL ASSUMPTIONS OF 3 PROMINENT CASE STUDY METHODOLOGISTS

Three prominent case study methodologists—Robert K. Yin, PhD, Robert E. Stake, PhD, and Sharan B. Merriam, MEd, EdD—brought differing perspectives to move case study knowledge forward in educational and social science research. All 3 provided definitions, designs, applications, and procedures to follow when conducting case study research. 12 Table 1 summarizes and compares their epistemological positions and assumptions, which we discuss in more detail below.

Comparison of Epistemological Assumptions of Yin, Stake, Merriam, and Reilly (Inspired by Patton 15 )

Yin: Postpositivism

Yin’s realist–postpositivist epistemological posture 1 , 13 defines a case study as “an empirical inquiry that investigates a contemporary phenomenon (the ‘case’) within its real-life context.” 14 Although reality cannot be entirely apprehended, the knowledge generated from the case study is the result of the combination of experimentations leading to a closer approximation of actual mechanisms. 15 Yin suggests combining quantitative and qualitative sources, viewing them as equally instrumental. He places considerable emphasis on preparing a detailed design at the outset of the research and advises that investigators make only minor changes in the design after they begin data collection. 16 Interaction with research participants therefore needs to be minimized and subjectivity managed to avoid biasing the results. 16

Stake: Constructivism

Stake’s epistemological commitment is to constructivism, which leads him to define the case study as the “study of the particularity and complexity of a single case, coming to understand its activity within important circumstances.” 17 Unlike Yin, Stake considers knowledge as a construction rather than the result of an empiric inquiry developed within a logical sequence. He argues that reality is multiple and subjective. 17 This assertion implies that human experiences can be known through every perspective of a given situation, all of which are equally valuable. While suggesting that every viewpoint of a situation be represented in the case study, he recommends minimal interaction between the researchers and the context of the case or the involved individuals. 18

Merriam: Constructivist Pragmatism

Merriam’s constructivist pragmatism appears similar to Stake’s at the outset. Reality is an intersubjective construction. 19 Where she diverges from Stake is mostly in the finality of knowledge, which is to address concrete problems and give answers or direction to progress. 15 In this perspective, the truth is what works in practice. 15 Merriam’s approach to case study design combines elements of Yin’s positivist standpoint with Stake’s constructivism. For her, a case study is essentially an in-depth description and analysis of a bounded system. 19 Merriam proposes a structured approach to designing research in a step-by-step process: conducting a literature review; constructing a theoretical framework; identifying a research problem; crafting and sharpening research questions; and selecting the sample (purposeful sampling). 19

Yet, Merriam recommends that the study design remain flexible to a certain degree, which means, for example, that sample selection may occur before or in conjunction with data collection. 16 As it is the unit of analysis that defines the case, other types of approaches can be combined with the case study. 19 The design will depend on the theoretical framework of the study, its purpose, and the research questions. 19 In Merriam’s constructivist pragmatism, participatory research is an approach to enhance internal validity. 16 This epistemological posture is compatible with a participatory approach to case study research.

THE WHY AND HOW OF USING A CASE STUDY WITH A PARTICIPATORY APPROACH IN IMPLEMENTATION RESEARCH

Which case study approach should be used in implementation research? The answer will depend on the epistemological assumptions on which the methods will rely. On one hand, a research team adopting a postpositivist standpoint (as proposed by Yin) will want to maintain independence from stakeholders and will conduct the implementation analysis from an external/objective point of view that precludes a participatory approach. On the other hand, a team adopting a constructivist perspective (as proposed by Stake) will plan qualitative methods to shed light on the multiple perspectives of stakeholders without involving them as co-researchers in the study. Then again, researchers who adopt a transformative posture (as proposed by Reilly) will work closely with community or organizational partners in the co-construction of the implementation using a participatory case study approach. Finally, a “middle ground” approach20 may be to adopt a pragmatic posture (as proposed by Merriam), where researchers use a case study with a participatory approach to conduct an implementation analysis of a health care innovation while consulting community or organizational stakeholders in certain phases of the research. Adopting this epistemological posture, we will present the example of the PriCARE program 5 , 6 in the next section.

TWELVE STEPS FOR CONDUCTING CASE STUDIES WITH A PARTICIPATORY APPROACH IN HEALTH CARE IMPLEMENTATION RESEARCH

Building on Merriam’s previously mentioned step-bystep process, 19 we propose 12 steps for conducting case studies with a participatory approach in health care implementation research. Figure 1 illustrates the proposed research process. Steps 1 through 10 are sequential and iterative, whereas steps 11 and 12 are concurrent and ongoing.

Twelve steps to conduct a case study with a participatory approach.

(1) Think About What a Pragmatic Posture Means

Disagreements during the project within the academic research team, or between the academic research team and stakeholders, may be related to differences of epistemological posture or values. Being aware of and sharing this posture from the beginning of the project will help maintain the coherence of methodological choices throughout the project. For the PriCARE program, in accordance with the pragmatic posture of Merriam, the academic research team decided on consultation of varying intensity, rather than full partnership, depending on the category of stakeholders.

(2) Identify Stakeholders and Determine a Governance Structure for Consultation

To optimize the implementation process and practice changes, various stakeholders—decision makers, clinicians, and patient partners—may collaborate with the academic research team according to their interest, availability, and expertise. In PriCARE, decision makers and clinicians were consulted based on the relevance of their expertise to certain phases of the project, and to accommodate time constraints, whereas most patient partners were engaged as co-researchers in all steps of the project. Many stakeholders were involved before the grant was obtained and in a pragmatic context (people changing jobs or people expressing interest in being involved), whereas other stakeholders joined the team during the project (new patient partners, new case managers, etc). Supplemental Table 1 (available at https://www.AnnFamMed.org/lookup/suppl/doi:10.1370/afm.2717/-/DC1 ) identifies the committees and roles of stakeholders within the PriCARE program.

Four types of stakeholders were involved corresponding to the categories proposed by Damschroder et al21 in their Consolidated Framework for Implementation Research (Supplemental Figure 1, available at https://www.AnnFamMed.org/lookup/suppl/doi:10.1370/afm.2717/-/DC1 ). Their roles and contributions are detailed below.

Opinion leaders. Decision makers, who are referred to as opinion leaders, 21 are in a good position to inform the team regarding the broad context of implementation and to play a role in disseminating results and applying new knowledge. In the PriCARE program, decision makers were health center chief executive officers, primary care services directors, and representatives of health ministries. The academic research team consulted decision makers from each participating province while writing the grant request to ensure consideration of the global context in which the project would be implemented. Decision makers were consulted for strategic decisions and for knowledge transfer activities.

Champions. As champions, 21 clinicians working on the ground are usually aware of the specific dynamics in their setting and can give useful advice to the research team regarding feasibility, potential challenges, or adaptation required before implementation. Champions can be helpful in convincing their colleagues to participate in the project and in encouraging them toward change. The academic research team was in contact, in person or by telephone, with family physicians as well as managers in the clinics to facilitate case management implementation.

Formally appointed internal implementation leaders. Individuals from within the organization who have been formally appointed with responsibility for implementing the intervention—as a part of their job—are called formally appointed internal implementation leaders. 21 In PriCARE, the case manager nurses were identified during recruitment of the participating clinics at the beginning of the project. In addition to doing fieldwork, they informed the academic research team about the challenges they were facing or about what helped them to carry out the intervention as the project was progressing. The academic research team organized formal training and a virtual community of practice bringing all case managers together to deploy co-development activities.

External change agents. Finally, patient partners may play the role of external change agents. 21 They bring an experiential perspective to research, provide valuable advice to the team about patient recruitment and data collection, and validate and interpret aspects of the analysis. In PriCARE, regular meetings with patient partners (not related to the clinics) and research assistants were organized to advise the team on different aspects of the project (questionnaires, patient recruitment, analysis, knowledge transfer plan, etc). Patient partners also contributed to training the case managers and met with them to advise them on approaching patients with complex needs.

Discussions with stakeholders addressed expectations and preferences regarding their contribution, as well as the management of interaction, engagement, and communication. A clear governance structure was proposed ( Supplemental Figure 1 ). Most communication was virtual and by e-mail to accommodate geographic realities. The way the team functioned always considered the various circumstances of different stakeholders, their level of involvement, and their ability to contribute during the project.

(3) Consult Stakeholders About the Research Problem

PriCARE decision makers and clinicians in each province helped the academic research team to understand their context of implementation and what was needed in that province in terms of adapting the intervention and training. We also consulted patient partners to develop a broader understanding of the problem.

(4) Conduct a Literature Review

The literature review determines the knowledge gap, which in turn allows the relevant research questions to be presented and specified for the project. In PriCARE, 2 literature reviews on case management were conducted: a systematic review by the academic research team22 and a realist synthesis by the research team engaging stakeholders in the steering committee, including decision makers, clinicians, and patient partners. 23 Both reviews were summarized and shared with stakeholders.

(5) Sharpen Research Questions or Objectives

The final research questions of the PriCARE program were formulated, after consultation with stakeholders, by the academic research team. They are as follows: what are the facilitators of and barriers to case management implementation in primary care clinics across Canada; what are the relationships between the actors, contextual factors, mechanisms, and outcomes of the case management intervention; and what are the next steps toward case management scale-up in primary care across Canada?

(6) Choose or Construct a Theoretical Framework

A theoretical framework emerging from the literature review helps elaborate research questions and points of emphasis. 24 It also often helps in the building of data collection tools (eg, interview guides and questionnaires) and in guiding the analysis process. Although stakeholders may contribute to this step, in PriCARE, it was the academic research team who decided to use a combination of the Consolidated Framework for Implementation Research 21 and the Rainbow Model of Integrated Care Framework, 25 combining the concepts of primary care and integrated care. 6 The academic research team took responsibility for explaining theoretical frameworks to stakeholders through brief, informal online meetings, to ensure a common comprehension and facilitate participation and engagement of all stakeholders throughout the research process.

(7) Define the Case and Its Boundaries

In implementation research, the case is often an innovation implemented in a specific primary care setting. To select the case and establish the research design, we recommend identifying the focus and refining the parameters of the case including the participants, location, and/or process to be explored, and also establishing the timeframe for investigating the case. 19 The focus and boundaries may also be influenced by the resources and time available to accomplish the research project. In PriCARE, stakeholders, especially opinion leaders and champions, helped delimit the cases. Each case was the case management intervention implemented in the individual clinic.

(8) Design the Methods and Collect the Data

We encourage researchers to use multiple methods of data collection to provide a more comprehensive view of the subject being studied. Data collection methods for case studies are usually qualitative but may also be quantitative. 1 Use of software is highly recommended for regrouping and managing all the data. 9 , 15 The complete design and data collection methods of PriCARE, which had a multiple-case, embedded, mixed methods design, are described elsewhere. 5 , 6 The research team designed the methods. Clinicians and case managers identified eligible patient participants registered to the clinic, who were contacted by the latter. Patient partners, well positioned to understand the situation of participants, contributed to explaining the research project in lay language, and to answering their questions to obtain their consent for participation. They were also involved in developing recruitment and data collection tools to adapt the scientific language to a lay audience.

Case study research with a participatory approach allowed the PriCARE academic research team to observe participants during meetings with stakeholders. The academic research team carefully planned interactions to manage key messages to be delivered to stakeholders and to record and document all interactions so that meetings were also opportunities for data collection, for promoting change, and for facilitating implementation. The impact of this approach on data collection and results must be rigorously documented, analyzed, and discussed. 9 , 26

(9) Do the Analysis

Although the various analytic strategies suggested by the 3 methodologists 13 , 19 , 27 remain relevant, the particulars of case studies with a participatory approach make it possible to involve partners in various steps, to better understand, to coanalyze, or to validate results. In PriCARE, patient partners participated in key steps of the analysis to ensure meaningful interpretation.

(10) Reflect on the Impact of the Participatory Approach on the Results

The case study with participatory approach should document the role of the research team during observation and consider it to be a contextual element in the analysis of each case. For example, positive relationships between the individuals involved in a case may promote implementation and improve impact. 28 This situation may differ with another group of individuals in another case. Although such facilitation is considered a desirable extra benefit of the participatory approach, its impact on the results still has to be made explicit and discussed. 8

In PriCARE, the research team used a logbook to document interactions and reflections to maintain a reflexive distancing. 9 , 19 We sought to involve all stakeholders in these reflections, to better understand the impacts of the participatory approach, both positive and negative, which were transparently discussed in reports or articles.

(11) Plan Strategies to Ensure Rigor

As a concurrent, ongoing step, the team has to plan strategies to ensure the rigor of the research. 29 In PriCARE, we ensured credibility through in-depth description and analysis of context using qualitative and quantitative data collection in each province. We kept an audit trail of all decisions and collected data to ensure dependability. We promoted triangulation of the expertise of team members (researchers of various backgrounds, diverse health care professionals, patient partners, decision makers) and reflexivity through team discussions and interactions. We made a thick description of each clinic’s context to promote transferability. We also respected rigor criteria when administering questionnaires. 30

(12) Elaborate and Apply a Knowledge Transfer Plan

Researcher and stakeholder collaboration throughout the research process is a strong predictor that research findings will be put into practice, 31 so stakeholders should be involved in the elaboration and the application of the knowledge transfer plan. In PriCARE, team members and stakeholders of each province representing each targeted audience (population, clinicians, decision makers, and researchers) helped to write the plan throughout the study, tailor messages, and disseminate case study findings. 31 All stakeholders mobilized within the case study contributed to knowledge transfer.

CONCLUSIONS

Engaging stakeholders in the design and conduct of case studies may enhance implementation analysis of complex health care interventions in primary care, whereby stakeholders are consulted to foster translation of findings results into practice. Ensuring transparency and rigor of the approach remains crucial as it lays the groundwork for critical evaluation of this strategy. The 12 steps we propose here constitute a major milestone toward attaining this goal. Future research could contribute to testing and refining these steps, and demonstrating the contribution of this approach to implementation in health care.

Supplementary Material

Acknowledgments.

We would like to acknowledge all team members and partners who were engaged in the PriCARE program.

Conflicts of interest: authors report none.

To read or post commentaries in response to this article, go to https://www.AnnFamMed.org/content/19/6/540/tab-e-letters .

Authors’ contributions: C.H. proposed a first draft of the manuscript. C.H., M-C.C., M.B., A.D., M.K., A.G., P-L.B., and M.L. substantially contributed to subsequent drafts. All authors read and approved the final manuscript.

Funding support: This work was supported by the Canadian Institutes of Health Research (CIHR).

Disclaimer: The views expressed are solely those of the authors and do not necessarily represent official views of the authors’ affiliated institutions or funder.

Supplemental materials: Available at https://www.AnnFamMed.org/lookup/suppl/doi:10.1370/afm.2717/-/DC1 .

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Please note you do not have access to teaching notes, an action research case study: digital equity and educational inclusion during an emergent covid-19 divide.

Journal for Multicultural Education

ISSN : 2053-535X

Article publication date: 22 January 2021

Issue publication date: 4 June 2021

This paper aims to share responses from current literature, a small case study about perceptions and practices of the school of education faculty toward multicultural and educational issues concerning the rapid rise in online environments during coronavirus (COVID-19) experiences and just-in-time strategies for addressing digital equity and educational inclusion in K-16 online educational settings.

Design/methodology/approach

This is a conceptual paper that emerged from an action research case study. The study included four faculty in an urban school of education. The faculty participants were asked to provide examples of educational inclusion strategies used during transitioning their courses and advising to online environments in a Research I university. Faculty included one educational leadership, one sports management, one special education and one teacher education professor. Central issues explored practices related to language, technology access, curriculum design and technological competencies and assessment. A driving question was: How do institutions, schools or educators provide learning opportunities to support digital equity and inclusive education practice to maintain and strengthen relationships and core practices of multicultural education during a time of physical distancing during COVID-19? And what are the experiences, barriers, successes?

Research-based transformative knowledge, real situations and practical resources for considering inclusive education curriculum concepts were found that are connecting educators, teachers, learners and communities during this time of crisis.

Research limitations/implications

Methodological limitations that influenced the research design include conducting research in a totally virtual environment, small sample size, lack of diversity in curriculum content and one research site. The data collection was limited to written responses from the faculty participants. This action research study took place in a time frame limited by COVID-19 conditions during a four-month period.

Practical implications

In theory and practice, this new online movement suggests learners, teachers, educators and leaders are gaining experience and knowledge about resources and strategies for using new technologies, assessments and flexible curriculum as powerful tools for building language, curriculum and social-cultural communication bonds across generations and including special needs populations. Such new and emerging strategies could be used to bridge gaps in a time of distancing to support inclusive and equitable learning environments in education to minimize the effects of an emergent COVID-19 digital divide. Social learning culture as constructed, performed and captured in patterns of cooperation among faculties shows the world becoming more open and less restricted by borders. In conclusion, an emerging new conceptual framework is presented in Figure 2 to support action planning to bridge the digital equity access and learning gaps created by COVID-19.

Social implications

It is in times of strife and difficulty that problems and issues become exacerbated. While some educators easily adapted and took on the challenges of online learning, others needed time for learning and mourning (literally and figuratively). The issues of equity and access have become even more apparent as this paper takes inventory of intersections between multicultural education, special education, sports education and K-16 education overall. This is an excellent time to reflect on how education can address the cultural, economic and social barriers that impact student learning globally for all learners.

Originality/value

The brief collective case study reports educational experiences during a time of crisis that stimulates creative and innovative approaches to creating inclusive and equitable online learning environments to address diverse learning needs. The various and often contrasting educator responses from faculty facing digital and educational challenges present ideas that might be applicable in the global learning environment beyond the COVID-19 pandemic.

• Online learning
• New technologies
• Transformative knowledge

Acknowledgements

World Council on Curriculum and Instruction -WCCI (UNESCO-NGO) Newsletter, Winter 2020 Content cited by Toh Swee-Hin (S.H.Toh) President, WCCI. Professor Emeritus, University of Alberta. Laureate, UNESCO Prize for Peace Education (2000).

Pittman, J. , Severino, L. , DeCarlo-Tecce, M.J. and Kiosoglous, C. (2021), "An action research case study: digital equity and educational inclusion during an emergent COVID-19 divide", Journal for Multicultural Education , Vol. 15 No. 1, pp. 68-84. https://doi.org/10.1108/JME-09-2020-0099

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• The Seventh Edition introduces a new Action Research Case Study in each chapter , focusing on an educator coping with the shift to virtual instruction during COVID-19.
• Discussion of COVID-19 , its effects on the classroom, including remote learning, and new and developing research help place the methods in a contemporary and practical context.
• Expanded introductory content helps students more easily grasp the scope and purpose of action research.
• Alternative strategies for the dissemination of action research results such as social media, personal websites, videos, blogs, vlogs, and podcasts help students make their research more accessible.
• Throughout, but especially in Chapter 8: Writing an Action Research Report, the book has been updated to the APA 7th Edition Publication Manual .
• A discussion of the importance of the alignment between research topics, problems, questions, data, and analysis (TPQDA) helps ensure a smoother research process and usable results.
• Two new and more current examples of educator-conducted action research in Appendix A and Appendix B more fully demonstrate the relevance and particulars of action research to students.
• The text is organized by sequentially mirroring an action research study , presenting the process of designing and conducting an action research study. However, it is important to note that action research proceeds through this process in a cyclical manner.
• Three Action Research Case Studies provide detailed scenarios of action research and extend throughout each chapter. In each chapter, the case study discussions continue from the previous section, highlighting the application of content as integrated into three practically based action research studies.
• Numerous, detailed examples throughout the book , including examples provided by the author and from published action research studies, support students' understanding and bring content to life .
• A helpful visual organizer for the main contents is found on the first page of each chapter , providing students with clear guidelines of what to anticipate.
• A final Questions and Activities section found in every chapter can be used to extend student knowledge, understanding, and application.
• Other pedagogical features include a bulleted summary in each chapter of its main points, a complete glossary of terms, a list of references, as well as a comprehensive subject and author index.
• Three appendices include complete written reports of teacher-conducted action research projects, as well as developmental templates to guide the novice action researcher.

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Home » Education » Difference Between Action Research and Case Study

Difference Between Action Research and Case Study

Main difference – action research vs case study.

Research is the careful study of a given field or problem in order to discover new facts or principles. Action research and case study are two types of research, which are mainly used in the field of social sciences and humanities. The main difference between action research and case study is their purpose; an action research study aims to solve an immediate problem whereas a case study aims to provide an in-depth analysis of a situation or case over a long period of time.

1. What is Action Research?      – Definition, Features, Purpose, Process

2. What is Case Study?      – Definition, Features, Purpose, Process

What is Action Research

Action research is a type of a research study that is initiated to solve an immediate problem. It may involve a variety of analytical, investigative and evaluative research methods designed to diagnose and solve problems. It has been defined as “a disciplined process of inquiry conducted by and for those taking the action. The primary reason for engaging in action research is to assist the “actor” in improving and/or refining his or her actions” (Sagor, 2000). This type of research is typically used in the field of education. Action research studies are generally conductors by educators, who also act as participants.

Here, an individual researcher or a group of researchers identify a problem, examine its causes and try to arrive at a solution to the problem. The action research process is as follows.

Action Research Process

• Identify a problem to research
• Clarify theories
• Identify research questions
• Collect data on the problem
• Organise, analyse, and interpret the data
• Create a plan to address the problem
• Implement the above-mentioned plan
• Evaluate the results of the actions taken

The above process will keep repeating. Action research is also known as cycle of inquiry or cycle of action since it follows a specific process that is repeated over time.

What is a Case Study

A case study is basically an in-depth examination of a particular event, situation or an individual. It is a type of research that is designed to explore and understand complex issues; however, it involves detailed contextual analysis of only a limited number of events or situations. It has been defined as “an empirical inquiry that investigates a contemporary phenomenon within its real-life context; when the boundaries between phenomenon and context are not clearly evident; and in which multiple sources of evidence are used.” (Yin, 1984)

Case studies are used in a variety of fields, but fields like sociology and education seem to use them the most. They can be used to probe into community-based problems such as illiteracy, unemployment, poverty, and drug addiction. 

Case studies involve both quantitative and qualitative data and allow the researchers to see beyond statistical results and understand human conditions. Furthermore, case studies can be classified into three categories, known as exploratory, descriptive and explanatory case studies.

However, case studies are also criticised since the study of a limited number of events or cases cannot easily establish generality or reliability of the findings. The process of a case study is generally as follows:

Case Study Process

• Identifying and defining the research questions
• Selecting the cases and deciding techniques for data collection and analysis
• Collecting data in the field
• Evaluating and analysing the data
• Preparing the report

Action Research : Action research is a type of a research study that is initiated to solve an immediate problem.

Case Study : Case study is an in-depth analysis of a particular event or case over a long period of time.                         

Action Research : Action research involves solving a problem.

Case Study : Case studies involve observing and analysing a situation.

Action Research : Action research studies are mainly used in the field of education.

Case Study : Case studies are used in many fields; they can be specially used with community problems such as unemployment, poverty, etc.

Action Research : Action research always involve providing a solution to a problem.

Case Study : Case studies do not provide a solution to a problem.

Participants

Action Research : Researchers can also act as participants of the research.

Case Study : Researchers generally don’t take part in the research study.

Zainal, Zaidah.  Case study as a research method . N.p.: n.p., 7 June 2007. PDF.

 Soy, Susan K. (1997).  The case study as a research method . Unpublished paper, University of Texas at Austin.

Sagor, Richard.  Guiding school improvement with action research . Ascd, 2000.

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• About Adverse Childhood Experiences
• Risk and Protective Factors
• Program: Essentials for Childhood: Preventing Adverse Childhood Experiences through Data to Action
• Adverse childhood experiences can have long-term impacts on health, opportunity and well-being.
• Adverse childhood experiences are common and some groups experience them more than others.

What are adverse childhood experiences?

Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). Examples include: 1

• Experiencing violence, abuse, or neglect.
• Witnessing violence in the home or community.
• Having a family member attempt or die by suicide.

Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding. Examples can include growing up in a household with: 1

• Substance use problems.
• Mental health problems.
• Instability due to parental separation.
• Instability due to household members being in jail or prison.

The examples above are not a complete list of adverse experiences. Many other traumatic experiences could impact health and well-being. This can include not having enough food to eat, experiencing homelessness or unstable housing, or experiencing discrimination. 2 3 4 5 6

Quick facts and stats

ACEs are common. About 64% of adults in the United States reported they had experienced at least one type of ACE before age 18. Nearly one in six (17.3%) adults reported they had experienced four or more types of ACEs. 7

Preventing ACEs could potentially reduce many health conditions. Estimates show up to 1.9 million heart disease cases and 21 million depression cases potentially could have been avoided by preventing ACEs. 1

Some people are at greater risk of experiencing one or more ACEs than others. While all children are at risk of ACEs, numerous studies show inequities in such experiences. These inequalities are linked to the historical, social, and economic environments in which some families live. 5 6 ACEs were highest among females, non-Hispanic American Indian or Alaska Native adults, and adults who are unemployed or unable to work. 7

ACEs are costly. ACEs-related health consequences cost an estimated economic burden of $748 billion annually in Bermuda, Canada, and the United States. 8

ACEs can have lasting effects on health and well-being in childhood and life opportunities well into adulthood. 9 Life opportunities include things like education and job potential. These experiences can increase the risks of injury, sexually transmitted infections, and involvement in sex trafficking. They can also increase risks for maternal and child health problems including teen pregnancy, pregnancy complications, and fetal death. Also included are a range of chronic diseases and leading causes of death, such as cancer, diabetes, heart disease, and suicide. 1 10 11 12 13 14 15 16 17

ACEs and associated social determinants of health, such as living in under-resourced or racially segregated neighborhoods, can cause toxic stress. Toxic stress, or extended or prolonged stress, from ACEs can negatively affect children’s brain development, immune systems, and stress-response systems. These changes can affect children’s attention, decision-making, and learning. 18

Children growing up with toxic stress may have difficulty forming healthy and stable relationships. They may also have unstable work histories as adults and struggle with finances, jobs, and depression throughout life. 18 These effects can also be passed on to their own children. 19 20 21 Some children may face further exposure to toxic stress from historical and ongoing traumas. These historical and ongoing traumas refer to experiences of racial discrimination or the impacts of poverty resulting from limited educational and economic opportunities. 1 6

Adverse childhood experiences can be prevented. Certain factors may increase or decrease the risk of experiencing adverse childhood experiences.

Preventing adverse childhood experiences requires understanding and addressing the factors that put people at risk for or protect them from violence.

Creating safe, stable, nurturing relationships and environments for all children can prevent ACEs and help all children reach their full potential. We all have a role to play.

• Merrick MT, Ford DC, Ports KA, et al. Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention — 25 States, 2015–2017. MMWR Morb Mortal Wkly Rep 2019;68:999-1005. DOI: http://dx.doi.org/10.15585/mmwr.mm6844e1 .
• Cain KS, Meyer SC, Cummer E, Patel KK, Casacchia NJ, Montez K, Palakshappa D, Brown CL. Association of Food Insecurity with Mental Health Outcomes in Parents and Children. Science Direct. 2022; 22:7; 1105-1114. DOI: https://doi.org/10.1016/j.acap.2022.04.010 .
• Smith-Grant J, Kilmer G, Brener N, Robin L, Underwood M. Risk Behaviors and Experiences Among Youth Experiencing Homelessness—Youth Risk Behavior Survey, 23 U.S. States and 11 Local School Districts. Journal of Community Health. 2022; 47: 324-333.
• Experiencing discrimination: Early Childhood Adversity, Toxic Stress, and the Impacts of Racism on the Foundations of Health | Annual Review of Public Health https://doi.org/10.1146/annurev-publhealth-090419-101940 .
• Sedlak A, Mettenburg J, Basena M, et al. Fourth national incidence study of child abuse and neglect (NIS-4): Report to Congress. Executive Summary. Washington, DC: U.S. Department of Health an Human Services, Administration for Children and Families.; 2010.
• Font S, Maguire-Jack K. Pathways from childhood abuse and other adversities to adult health risks: The role of adult socioeconomic conditions. Child Abuse Negl. 2016;51:390-399.
• Swedo EA, Aslam MV, Dahlberg LL, et al. Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020. MMWR Morb Mortal Wkly Rep 2023;72:707–715. DOI: http://dx.doi.org/10.15585/mmwr.mm7226a2 .
• Bellis, MA, et al. Life Course Health Consequences and Associated Annual Costs of Adverse Childhood Experiences Across Europe and North America: A Systematic Review and Meta-Analysis. Lancet Public Health 2019.
• Adverse Childhood Experiences During the COVID-19 Pandemic and Associations with Poor Mental Health and Suicidal Behaviors Among High School Students — Adolescent Behaviors and Experiences Survey, United States, January–June 2021 | MMWR
• Hillis SD, Anda RF, Dube SR, Felitti VJ, Marchbanks PA, Marks JS. The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death. Pediatrics. 2004 Feb;113(2):320-7.
• Miller ES, Fleming O, Ekpe EE, Grobman WA, Heard-Garris N. Association Between Adverse Childhood Experiences and Adverse Pregnancy Outcomes. Obstetrics & Gynecology . 2021;138(5):770-776. https://doi.org/10.1097/AOG.0000000000004570 .
• Sulaiman S, Premji SS, Tavangar F, et al. Total Adverse Childhood Experiences and Preterm Birth: A Systematic Review. Matern Child Health J . 2021;25(10):1581-1594. https://doi.org/10.1007/s10995-021-03176-6 .
• Ciciolla L, Shreffler KM, Tiemeyer S. Maternal Childhood Adversity as a Risk for Perinatal Complications and NICU Hospitalization. Journal of Pediatric Psychology . 2021;46(7):801-813. https://doi.org/10.1093/jpepsy/jsab027 .
• Mersky JP, Lee CP. Adverse childhood experiences and poor birth outcomes in a diverse, low-income sample. BMC pregnancy and childbirth. 2019;19(1). https://doi.org/10.1186/s12884-019-2560-8 .
• Reid JA, Baglivio MT, Piquero AR, Greenwald MA, Epps N. No youth left behind to human trafficking: Exploring profiles of risk. American journal of orthopsychiatry. 2019;89(6):704.
• Diamond-Welch B, Kosloski AE. Adverse childhood experiences and propensity to participate in the commercialized sex market. Child Abuse & Neglect. 2020 Jun 1;104:104468.
• Shonkoff, J. P., Garner, A. S., Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, & Section on Developmental and Behavioral Pediatrics (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. https://doi.org/10.1542/peds.2011-2663
• Narayan AJ, Kalstabakken AW, Labella MH, Nerenberg LS, Monn AR, Masten AS. Intergenerational continuity of adverse childhood experiences in homeless families: unpacking exposure to maltreatment versus family dysfunction. Am J Orthopsych. 2017;87(1):3. https://doi.org/10.1037/ort0000133 .
• Schofield TJ, Donnellan MB, Merrick MT, Ports KA, Klevens J, Leeb R. Intergenerational continuity in adverse childhood experiences and rural community environments. Am J Public Health. 2018;108(9):1148-1152. https://doi.org/10.2105/AJPH.2018.304598 .
• Schofield TJ, Lee RD, Merrick MT. Safe, stable, nurturing relationships as a moderator of intergenerational continuity of child maltreatment: a meta-analysis. J Adolesc Health. 2013;53(4 Suppl):S32-38. https://doi.org/10.1016/j.jadohealth.2013.05.004 .

Adverse Childhood Experiences (ACEs)

ACEs can have a tremendous impact on lifelong health and opportunity. CDC works to understand ACEs and prevent them.