Consensus Recommendations for Antiracist Child Health Research: A Modified Delphi Study

OBJECTIVE This study aimed to develop consensus on a comprehensive and abridged list of recommendations for conducting antiracist research across all stages of a pediatric research project. Antiracist research aims to ensure that the construct of race is correctly interpreted and that racially and ethnically minoritized communities are fairly engaged throughout a research project. METHODS Using a modified Delphi approach, experts in equitable pediatric research methods completed 3 rounds of surveys and virtual focus groups between April and December 2023. Round 1 asked experts to add to or revise themes and subthemes gathered from a systematic review of published antiracist practices. Round 2 included ranking items’ importance; items voted in the top 50% by 60% of experts were included in an abridged list of essential practices. In Round 3, experts reviewed the final guidance and had the option to rescue items for inclusion in the abridged guidance. RESULTS Fourteen experts with diverse personal and professional backgrounds participated. Experts added new themes and edited existing ones, creating a comprehensive list of 68 recommendations by consensus and identifying 36 to include in the abridged list of essential practices. They also discussed complex topics such as who these recommendations apply to, the nuances of equitable community engagement, and the dangers of health equity tourism. CONCLUSIONS An expert panel achieved consensus on a comprehensive and abridged list of recommendations for how to conduct research in an antiracist, equitable way. These can inform research teams, regulatory agencies, and funders to improve pediatric research.

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Publication Details

Journal
Pediatrics Open Science
Published
2025-11-26
DOI
https://doi.org/10.1542/pedsos.2025-000621
Primary Topic
Child and Adolescent Health
Type
article
Field-Weighted Citation Impact
0.00

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article

Consensus Recommendations for Antiracist Child Health Research: A Modified Delphi Study

Andrea F. Duncan, Monica R. McLemore, Kristine Andrews, Nia Heard‐Garris et al.
Pediatrics Open Science
Child and Adolescent Health
article

Consensus Recommendations for Antiracist Child Health Research: A Modified Delphi Study

Andrea F. Duncan, Monica R. McLemore, Kristine Andrews, Nia Heard‐Garris, Tiffani J. Johnson, Camila M. Mateo, Susanna A. McColley, Diana Montoya‐Williams, Diana Worsley, Kate E. Wallis, Alejandra Barreto, Adiaha Spinks‐Franklin, Sarah Wozniak-Kelly, Sharron D. Hunter-Rainey, Tala Allababidi, Fahmida Sarmin
article en

Abstract

OBJECTIVE This study aimed to develop consensus on a comprehensive and abridged list of recommendations for conducting antiracist research across all stages of a pediatric research project. Antiracist research aims to ensure that the construct of race is correctly interpreted and that racially and ethnically minoritized communities are fairly engaged throughout a research project. METHODS Using a modified Delphi approach, experts in equitable pediatric research methods completed 3 rounds of surveys and virtual focus groups between April and December 2023. Round 1 asked experts to add to or revise themes and subthemes gathered from a systematic review of published antiracist practices. Round 2 included ranking items’ importance; items voted in the top 50% by 60% of experts were included in an abridged list of essential practices. In Round 3, experts reviewed the final guidance and had the option to rescue items for inclusion in the abridged guidance. RESULTS Fourteen experts with diverse personal and professional backgrounds participated. Experts added new themes and edited existing ones, creating a comprehensive list of 68 recommendations by consensus and identifying 36 to include in the abridged list of essential practices. They also discussed complex topics such as who these recommendations apply to, the nuances of equitable community engagement, and the dangers of health equity tourism. CONCLUSIONS An expert panel achieved consensus on a comprehensive and abridged list of recommendations for how to conduct research in an antiracist, equitable way. These can inform research teams, regulatory agencies, and funders to improve pediatric research.

Pediatrics Open ScienceVol. 2(1)
Northwestern University (US), Boston Medical Center (US), Boston Children's Hospital (US), Forest Trends (US), Children's Hospital of Philadelphia (US), Harvard University (US), Baylor College of Medicine (US), University of Washington (US), New York Hall of Science (US), New Haven Public Schools (US), West Health (US), Stanley Foundation (US), Yale University (US), Michigan Public Health Institute (US), Massachusetts General Hospital (US), Northwestern University (PH), Lurie Children's Hospital (US), Institute of Child Health (IN), Society for Developmental and Behavioral Pediatrics (US), Community Impact (US), Boston Children's Museum (US), Child Development Center (QA), Department of Public Health (US), University of California Davis Medical Center (US), Impact (CA), Child Trends (US), Drexel University (US), University of Pennsylvania (US), University of California, Davis (US), New York College of Health Professions (US), Center for Autism and Related Disorders (US)
Children's Hospital of Philadelphia
Openalex Percentile: Top 46%
Child and Adolescent Health
DOIOpen Access PDFOpenAlex
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