Five Nested Dolls Framework: enhancing transparency and collaboration in community-engaged research through researcher’s reflexivity and disclosure

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Abstract

Introduction Despite the widespread use of community-engaged research (CEnR) in public health, there is a lack of practical guidance for ensuring research transparency while fostering collaboration between researchers and patient communities. Objective In this article, we propose the Five Nested Dolls Community-Engaged Research Framework (Five Dolls CEnR) as a tool to assist researchers in enhancing the transparency of CEnR and fostering collaboration between researchers and patient communities throughout all phases of CEnR. Framework Each of the five dolls represents a meaningful aspect of CEnR, such as patient engagement in research, conceptual framework, research design, findings and researchers’ positionality. In alignment with feminist standpoint theory, Five Dolls CEnR is based on a nesting design principle to demonstrate the influence of researchers’ experiences, perspectives, values, beliefs and assumptions on a research process. To ensure transparency of the research process and foster collaboration in CEnR, the authors have described self-reflexivity and self-disclosure, two multidisciplinary concepts, as strategies. This framework consists of a series of steps and questions to promote self-reflexivity and self-disclosure of researchers at each doll level. Conclusion As a multidisciplinary framework, Five Dolls CEnR can be used across disciplines and throughout the planning, implementation and dissemination phases of a study.

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Kakim, S., Cooper, J. K., & Mullins, C. D. (2025). Five Nested Dolls Framework: enhancing transparency and collaboration in community-engaged research through researcher’s reflexivity and disclosure. BMJ Open , 15(10). https://doi.org/10.1136/bmjopen-2025-104425

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