Participatory Action Research in Times of Coronavirus Disease 2019: Adapting Approaches with Refugee-Led Community-Based Organizations.

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had a greater health impact on ethnoracial minorities, including migrants. Migrants in marginalized communities are harder to reach for health information sharing. Meanwhile, the pandemic has impacted in-person, community-based research. Such research is important during a pandemic, warranting the adaptation of engagement methods. OBJECTIVES: This study analyzes methodological processes for adapting community-based research to a virtual environment due to COVID-19 restrictions. Our participatory action research, with refugee-and immigrant-run community-based organizations (RI-CBOs) in a U.S. midwestern metropolitan area, sought to understand organizational activities, including COVID-19 responses, and foster organizational capacity building. METHODS: Partnered with one RI-CBO, we co-developed three methods. Netnography facilitated nonparticipant observation of the RI-CBO's online meetings to inform the community about the pandemic. Online surveys were designed to document the RI-CBO's activities while serving as a foundation to develop a sustainable record-keeping system. Remote interviews sought to contextualize the data. RESULTS: The methodological transition to an online environment prioritized interaction, focusing on user friendliness and efficiency. Community partners intensively engaged in the adaptation process. Netnography captured how the RI-CBO used multimedia to connect community members with COVID-19 information and resources. Surveys and interviews provided data about organizational activities as the pandemic spread and community needs increased. CONCLUSIONS: Adapting to online modalities drew on four priorities ease of access, time sensitivity, capacity building, and co-production of data. Methodological insights may be applicable to participatory action research with RI-CBOs and other CBOs in the face of challenges similar to those prompted by the COVID-19 pandemic.