‘There has to be some chemistry there’: an interpretive description exploring the experiences, motivations and dynamics of partnered child health research

Research partnerships between researchers and knowledge users are increasingly valued for their role in generating relevant and impactful research. However, the dynamics of these partnerships, including motivations, challenges, and relational aspects, remain underexplored. This study aimed to understand the experiences of researchers and knowledge users engaged in partnered child health research. We used an interpretive description approach to conduct and analyze semi-structured interviews with researchers and knowledge users involved in Canadian partnered child health research projects. Data analysis was iterative, involving inductive coding, theme development, and reflection with an interprofessional colleague with lived experience of a congenital health condition. Fifteen individuals (12 researchers and 3 knowledge users) participated. We identified three key themes. (1) Diverse drivers: role-based motivations and perceived effects – Participants described diverse, role-based motivations for engaging in partnered research. Researchers were primarily driven to enhance research impact, while knowledge users emphasized advocacy and credibility. Individuals embodying dual roles with research expertise and professional experience focused on practical relevance and improving health outcomes. (2) It's all about the relationships – Relational quality was central to successful partnerships. While power dynamics shifted towards greater equity over time, achieving fully equitable relationships remained complex. (3) Navigating evolutions and tensions – Academic structures continue to create tensions despite a growing cultural shift toward embracing partnership approaches. Key challenges included insufficient recognition for partnership efforts, and funding mechanisms often misaligning with partnership principles. This study underscores the importance of understanding role-specific motivations, prioritizing relational quality, and addressing systemic challenges in child health research partnerships. Findings provide insights into key dynamics that help navigate both successes and challenges in these partnerships. Continued efforts are needed to address misalignments across systems and structures, support relationship building, and promote sustained collaboration. In health research, researchers, patients, families, and healthcare professionals work together more often to ensure that results make a difference in the real world. We know that these partnerships have become more common, but we do not know why people work together, their challenges, and what makes partnerships successful. To learn more, we interviewed 15 Canadian researchers and people involved in child health research partnerships. A colleague living with a congenital health condition collaborated with us to analyze the data and explain the findings. We learned three main things. First, people were motivated to partner for different reasons. Researchers wanted to make their work more useful, while knowledge users often wanted to advocate for change. Some participants had research skills and professional experiences, giving them a unique view of practical research with tangible outcomes. Second, university and government funding systems have not adapted to the needs of researchers and knowledge users working together. For example, these projects require significant time and effort, but working together is not always recognized by universities. Finally, strong relationships are central to working together. Trust, respect, and fairness are the foundation, but these relationships take time to develop. Balancing power between researchers and knowledge users is another challenge. This study highlights the importance of understanding people's motivations for engaging in research partnerships, improving how they are supported, and prioritizing strong, respectful relationships.