Reflections on Participatory Research with LGBTQ+ Youth: Methodological Insights from a Cellphilm Project on Cannabis Harm Reduction

Introduction: Traditional research methods often struggle to capture the complex perspectives of marginalized communities, such as LGBTQ+ youth, particularly on sensitive topics like substance use. Cellphilming, a participatory method where participants create short films (cellphilms) using mobile phones, offers an innovative, arts-based approach that promotes self-representation and engagement.

Goals and Methods:This presentation shares insights from a participatory research project using cellphilming that aims to answer the question: What are the cannabis harm reduction strategies of LGBTQ+ youth? Peer researchers were involved at every stage to ensure meaningful community participation. LGBTQ+ youth (aged 18–24) attended three virtual workshops. The first two workshops provided guidance and support as participants created cellphilms reflecting their personal harm reduction practices. In the final workshop, participants shared their cellphilms, followed by a group discussion on the themes presented. Peer researchers analyzed the 31 cellphilms produced using the DEPICT method.

Results:The participatory cellphilm process revealed key methodological insights. Involving peer researchers at every stage built trust and fostered a collaborative environment where participants felt empowered to share their authentic experiences. This approach enriched the data by enabling more nuanced and personal reflections on harm reduction practices. The creative freedom given to participants allowed them to visually and narratively represent their experiences, questioning or resisting notions of harm and harm reduction. For example, some participants challenged the framing of cannabis as harmful, while others reflected on how their use related to self-care. The peer-led analysis ensured that key themes were rooted in participants' lived realities.

Conclusions:This study underscores the methodological value of cellphilms and peer researcher engagement in participatory research with marginalized groups. The process fostered empowerment, trust, and deeper insights into harm reduction strategies, contributing to broader discussions on the importance of participatory arts-based methods in capturing the lived experiences of marginalized populations in health research.