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Butler T, Gall A, Garvey G, Ngampromwongse K, Hector D, Turnbull S, Lucas K, Nehill C, Boltong A, Keefe D, Anderson K. A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192316166. [PMID: 36498237 PMCID: PMC9735487 DOI: 10.3390/ijerph192316166] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/29/2022] [Accepted: 11/30/2022] [Indexed: 06/12/2023]
Abstract
BACKGROUND Australia's social, structural, and political context, together with the continuing impact of colonisation, perpetuates health care and outcome disparities for First Nations Australians. A new approach led by First Nations Australians is required to address these disparities. Co-design is emerging as a valued method for First Nations Australian communities to drive change in health policy and practice to better meet their needs and priorities. However, it is critical that co-design processes and outcomes are culturally safe and effective. Aims: This project aimed to identify the current evidence around optimal approaches to co-design in health with First Nations Australians. METHODS First Nations Australian co-led team conducted a comprehensive review to identify peer-reviewed and grey literature reporting the application of co-design in health-related areas by and with First Nations Australians. A First Nations Co-Design Working Group (FNCDWG) was established to guide this work and team.A Collaborative Yarning Methodology (CYM) was used to conduct a thematic analysis of the included literature. RESULTS After full-text screening, 99 studies were included. Thematic analysis elicited the following six key themes, which included 28 practical sub-themes, relevant to co-design in health with First Nations Australians: First Nations Australians leadership; Culturally grounded approach; Respect; Benefit to First Nations communities; Inclusive partnerships; and Evidence-based decision making. CONCLUSION The findings of this review provide a valuable snapshot of the existing evidence to be used as a starting point to guide appropriate and effective applications of co-design in health with First Nations Australians.
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Affiliation(s)
- Tamara Butler
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston 4006, Australia
| | - Alana Gall
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston 4006, Australia
- National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore 2480, Australia
| | - Gail Garvey
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston 4006, Australia
| | | | | | | | | | | | - Anna Boltong
- Cancer Australia, Sydney 2010, Australia
- Kirby Institute, UNSW Medicine, The University of New South Wales, Kensington 2052, Australia
| | | | - Kate Anderson
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston 4006, Australia
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Harper A, Pratt B. Combatting neo-Colonialism in Health Research: What can Aboriginal Health Research Ethics and Global Health Research Ethics Teach Each Other? J Empir Res Hum Res Ethics 2022; 17:431-454. [PMID: 34931853 DOI: 10.1177/15562646211058253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The ethics of research involving Aboriginal populations and low and middle-income country populations each developed out of a long history of exploitative research projects and partnerships. Commonalities and differences between the two fields have not yet been examined. This study undertook two independent literature searches for Aboriginal health research ethics and global health research ethics. Content analysis identified shared and differently emphasised ethical principles and concepts between the two fields. Shared ethical concepts like "benefit" and "capacity development" have been developed to guide collaborations in both Aboriginal health research and global health research. However, Aboriginal health research ethics gives much greater prominence to ethical principles that assist in decolonising research practice such as "self-determination", "community-control", and "community ownership". The paper argues that global health research ethics would benefit from giving greater emphasis to these principles to guide research practice, while justice as approached in global health research ethics may inform Aboriginal health research practice. With increasing attention being drawn to the need to decolonise global health research, the lessons Aboriginal health research ethics can offer may be especially timely.
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Affiliation(s)
- Adrian Harper
- School of Population and Global Health, University of Melbourne, Australia
| | - Bridget Pratt
- School of Population and Global Health, University of Melbourne, Australia
- Queensland Bioethics Centre, 1513Australian Catholic University, Australia
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3
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Munro A, Shakeshaft A, Breen C, Jones M, Oldmeadow C, Allan J, Snijder M. The impact of Indigenous-led programs on alcohol-related criminal incidents: a multiple baseline design evaluation. Aust N Z J Public Health 2022; 46:581-587. [PMID: 36047847 DOI: 10.1111/1753-6405.13211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 11/01/2021] [Accepted: 12/01/2021] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES To evaluate the impact of a multi-component, Aboriginal-led strategy to reduce alcohol-related criminal incidents for Aboriginal people in four rural/remote communities in New South Wales (NSW), Australia. METHODS A retrospective multiple baseline design (MBD), using interrupted time series analysis of routinely collected crime data. RESULTS A statistically significant reduction in alcohol-related criminal incidents was observed in one community for both victims of crime (parameter estimate -0.195; p≤0.01) and persons of interest (parameter estimate -0.282; p≤0.001). None of the analyses show level shifts, meaning there were no measurable changes immediately post the introduction of the Breaking the Cycle (BTC) programs. CONCLUSIONS It is not possible to conclude that the program was effective independently of any other community factors, because the statistically significant result was not observed across multiple communities. The statistically significant result in one community has clear practical benefits in that community: a sustained impact over two years would reduce Aboriginal victims of alcohol-related crime from an estimated 56 incidents per annum to 36, and reduce Aboriginal persons of interest in alcohol-related crime from an estimated 68 alcohol-related person of interest (POI) per annum to 40. IMPLICATIONS FOR PUBLIC HEALTH The statistically and practically meaningful result in Community 1 highlights the potential of multi-component, Aboriginal-led strategies to reduce alcohol-related criminal incidents. Earlier engagement with researchers, to identify best-evidence strategies to reduce alcohol harms and to facilitate the use of prospective evaluation designs, would help translate the positive outcome in one community across multiple communities.
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Affiliation(s)
- Alice Munro
- National Drug and Alcohol Research Centre, UNSW, New South Wales.,Western NSW Local Health District, New South Wales
| | | | - Courtney Breen
- National Drug and Alcohol Research Centre, UNSW, New South Wales
| | - Mark Jones
- Hunter Medical Research Institute, University of Newcastle, New South Wales
| | | | - Julaine Allan
- National Drug and Alcohol Research Centre, UNSW, New South Wales.,University of Wollongong, New South Wales
| | - Mieke Snijder
- National Drug and Alcohol Research Centre, UNSW, New South Wales.,Institute of Development Studies, UK
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Gomez E, Drahota A, Stahmer AC. Choosing strategies that work from the start: A mixed methods study to understand effective development of community-academic partnerships. ACTION RESEARCH (LONDON) 2021; 19:277-300. [PMID: 34539247 PMCID: PMC8447887 DOI: 10.1177/1476750318775796] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Community-academic partnerships are believed to increase the effectiveness and feasibility of action research. While factors facilitating and hindering community-academic partnerships have been identified, their influence on the collaborative process is unknown, especially during community-academic partnership initiation and development. This explanatory sequential mixed methods study (quantitative→QUALITATIVE) evaluated perspectives of members in an autism community-academic partnership to determine frequently endorsed and influential factors facilitating and hindering the collaborative process during the community-academic partnership's development. Participants (n = 11; community stakeholders, implementation scientist, and researchers) endorsed and ranked the importance of factors present in the formation of the community-academic partnership then completed a semi-structured qualitative interview to elaborate on survey responses. Interviews were coded using a coding, comparison, and consensus method and analyzed using the Rapid Assessment Process for frequency and salience of themes across interviews. Integrating mixed methods yielded ranked factors that were perceived to facilitate and hinder the development of the community-academic partnership, and highlighted the relative influence of interpersonal factors on the facilitation of community-academic partnership processes and organizational factors on the hindrance of community-academic partnership processes during development. Some discrepancies emerged between community and academic partners. Results may assist to improve the development of community-academic partnerships, which is becoming increasingly important in healthcare services research, dissemination, and implementation.
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Affiliation(s)
- Emily Gomez
- Department of Psychology, Child and Adolescent Services Research Center, San Diego, USA
| | - Amy Drahota
- Department of Psychology, Michigan State University, East Lansing, USA; Child and Adolescent Services Research Center, San Diego, USA
| | - Aubyn C Stahmer
- Department of Psychiatry and Behavioral Health, UC Davis MIND Institute, University of California, Sacramento, USA; Child and Adolescent Services Research Center, San Diego, USA
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Stajic J, Harfield S, Brown A, Dawson A, Davy C, Aromataris E, Braunack-Mayer A. Evaluating a research capacity strengthening program for Aboriginal community-controlled health organisations. Aust J Prim Health 2019; 25:72-81. [PMID: 30630588 DOI: 10.1071/py18058] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 06/29/2018] [Indexed: 11/23/2022]
Abstract
A Masterclass Program was developed to strengthen the research capacity of staff within Aboriginal Community-Controlled Health Organisations (ACCHOs) and featured three Masterclasses delivered across Australia, including Understanding Research, Undertaking Research and Research Evaluation. A mixed-method process and impact evaluation of the Masterclass Program was undertaken. The process evaluation examined the reach of the Program and the impact evaluation comprised an online survey (n=45) and semi-structured interviews (n=21) with Masterclass participants. During 2014-17, 27 Masterclasses were delivered to 260 people, including predominantly ACCHO personnel but also Indigenous doctors and research institute staff who work closely with the ACCHO sector. Most survey respondents felt the Masterclasses improved their understanding of research and their willingness to participate in and undertake research. The qualitative analysis confirmed this and suggested that Masterclasses were implemented in a supportive learning environment which led to increased research capacity (increased research awareness, changed perceptions, increased understanding, critical thinking and new confidence) and ultimately enhanced research engagement (willingness to participate, motivating others, empowered critique of research partners and proposals, interest in further research training). Barriers to research engagement and areas for improvement of the Masterclass Program before, during and after Masterclasses were also identified.
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Affiliation(s)
- Janet Stajic
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
| | - Stephen Harfield
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
| | - Alex Brown
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
| | - Anna Dawson
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
| | - Carol Davy
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
| | - Edoardo Aromataris
- Joanna Briggs Institute, The University of Adelaide, 55 King William Road, North Adelaide, SA 5006, Australia
| | - Annette Braunack-Mayer
- Wardliparingga Aboriginal Health Research Unit, South Australian Health and Medical Research Institute, PO Box 11060, Adelaide, SA 5001, Australia
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Ewen SC, Ryan T, Platania-Phung C. Capacity building of the Australian Aboriginal and Torres Strait Islander health researcher workforce: a narrative review. HUMAN RESOURCES FOR HEALTH 2019; 17:10. [PMID: 30700307 PMCID: PMC6354397 DOI: 10.1186/s12960-019-0344-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 01/07/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND This paper provides a narrative review that scopes and integrates the literature on the development and strengthening of the Australian Aboriginal and Torres Strait Islander health researcher workforce. The health researcher workforce is a critical, and oft overlooked, element in the health workforce, where the focus is usually on the clinical occupations and capabilities. Support and development of the Australian Aboriginal and Torres Strait Islander health researcher workforce is necessary to realise more effective health policies, a more robust wider health workforce, and evidence-led clinical care. This holds true internationally. It is critical to identify what approaches have resulted in increased numbers of Aboriginal and Torres Strait Islander people in health research, stronger local community partnerships with universities and industry, and research excellence and have contributed to evidence-led health workforce development strategies. METHODS The search was for peer-reviewed journal articles between 2000 and early 2018 on capacity building of the Aboriginal and Torres Strait Islander health researcher workforce. Databases searched were CINAHL (EBSCO), PubMed, PsychINFO, LIt.search, and Google Scholar, combined with manual searches of select journals and citations in the grey literature. A coding scheme was developed to scan research coverage of various dimensions of health research capacity building. RESULTS Twenty-four articles were identified. Eight focused on strengthening research capabilities of community members. A recurrent finding was the high research productivity of Aboriginal and Torres Strait Islander health researchers and strong interest in furthering research that makes a substantive contribution to community well-being. Action-based principles were derived from synthesis of the findings. Generally, research capacity building led to numerous gains in workforce development and improving health systems. CONCLUSIONS There is a shortage of literature on health researcher workforce capacity building. National-level research on capacity building strategies is needed to support the continued success and sustainability of the Australian Aboriginal and Torres Strait Islander health researcher workforce. This research needs to build on the strengths of Aboriginal and Torres Strait Islander researchers. It also needs to identify clear and robust pathways to careers and stable employment in the health workforce, and health researcher workforce more specifically. This need is evident in all settler colonial nations (e.g. Canada, United States of America, New Zealand), and principles can be applied more broadly to other minoritised populations.
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Affiliation(s)
- Shaun C. Ewen
- Melbourne Poche Centre for Indigenous Health, University of Melbourne, 141 Barry Street, Carlton, 3053 Australia
| | - Tess Ryan
- Melbourne Poche Centre for Indigenous Health, University of Melbourne, 141 Barry Street, Carlton, 3053 Australia
| | - Chris Platania-Phung
- Melbourne Poche Centre for Indigenous Health, University of Melbourne, 141 Barry Street, Carlton, 3053 Australia
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Young C, Gunasekera H, Kong K, Purcell A, Muthayya S, Vincent F, Wright D, Gordon R, Bell J, Gillor G, Booker J, Fernando P, Kalucy D, Sherriff S, Tong A, Parter C, Bailey S, Redman S, Banks E, Craig JC. A case study of enhanced clinical care enabled by Aboriginal health research: the Hearing, EAr health and Language Services (HEALS) project. Aust N Z J Public Health 2016; 40:523-528. [DOI: 10.1111/1753-6405.12586] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 05/01/2016] [Accepted: 06/01/2016] [Indexed: 11/30/2022] Open
Affiliation(s)
- Christian Young
- School of Public Health; The University of Sydney; New South Wales
- Centre for Kidney Research; The Children's Hospital at Westmead; New South Wales
| | - Hasantha Gunasekera
- Discipline of Paediatrics and Child Health; The University of Sydney; New South Wales
| | - Kelvin Kong
- Department of Otolaryngology, Head & Neck Surgery; John Hunter Hospital; New South Wales
- Rural Clinical School; University of New South Wales
| | - Alison Purcell
- Discipline of Speech Pathology; The University of Sydney; New South Wales
| | | | - Frank Vincent
- Aboriginal Medical Service Western Sydney; New South Wales
| | | | - Raylene Gordon
- Awabakal Newcastle Aboriginal Co-operative; New South Wales
| | - Jennifer Bell
- Riverina Medical and Dental Corporation; New South Wales
| | - Guy Gillor
- Aboriginal Medical Service Western Sydney; New South Wales
| | - Julie Booker
- Illawarra Aboriginal Medical Service; New South Wales
| | | | | | - Simone Sherriff
- The Sax Institute; New South Wales
- Poche Centre for Indigenous Health, Sydney School of Public Health; The University of Sydney; New South Wales
| | - Allison Tong
- School of Public Health; The University of Sydney; New South Wales
- Centre for Kidney Research; The Children's Hospital at Westmead; New South Wales
| | - Carmen Parter
- Centre for Aboriginal Health; NSW Ministry of Health; New South Wales
| | - Sandra Bailey
- Aboriginal Health and Medical Research Council; New South Wales
| | | | - Emily Banks
- The Sax Institute; New South Wales
- National Centre for Epidemiology and Population Health, Research School of Population Health; Australian National University, Australian Capital Territory
| | - Jonathan C. Craig
- School of Public Health; The University of Sydney; New South Wales
- Centre for Kidney Research; The Children's Hospital at Westmead; New South Wales
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Meza R, Drahota A, Spurgeon E. Community-Academic Partnership Participation. Community Ment Health J 2016; 52:793-8. [PMID: 25976376 PMCID: PMC4653088 DOI: 10.1007/s10597-015-9890-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 05/07/2015] [Indexed: 10/23/2022]
Abstract
Community-academic partnerships (CAPs) improve the research process, outcomes, and yield benefits for the community and researchers. This exploratory study examined factors important in community stakeholders' decision to participate in CAPs. Autism spectrum disorder (ASD) community stakeholders, previously contacted to participate in a CAP (n = 18), completed the 15-item Decision to Participate Questionnaire (DPQ). The DPQ assessed reasons for participating or declining participation in the ASD CAP. CAP participants rated networking with other providers, fit of collaboration with agency philosophy, and opportunity for future training/consultations as factors more important in their decision to participate in the ASD CAP than nonparticipants. Nonparticipants reported the number of requests to participate in research as more important in their decision to decline participation than participants. Findings reveal important factors in community stakeholders' decision to participate in CAPs that may provide guidance on increasing community engagement in CAPs and help close the science-to-service gap.
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Affiliation(s)
- Rosemary Meza
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA.
| | - Amy Drahota
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA
| | - Emily Spurgeon
- Child and Adolescent Services Research Center, San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123-4282, USA
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Tsey K, Lawson K, Kinchin I, Bainbridge R, McCalman J, Watkin F, Cadet-James Y, Rossetto A. Evaluating Research Impact: The Development of a Research for Impact Tool. Front Public Health 2016; 4:160. [PMID: 27610359 PMCID: PMC4996827 DOI: 10.3389/fpubh.2016.00160] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 07/20/2016] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION This paper examines the process of developing a Research for Impact Tool in the contexts of general fiscal constraint, increased competition for funding, perennial concerns about the over-researching of Aboriginal and Torres Strait Islander issues without demonstrable benefits as well as conceptual and methodological difficulties of evaluating research impact. The aim is to highlight the challenges and opportunities involved in evaluating research impact to serve as resource for potential users of the research for impact tool and others interested in assessing the impact of research. MATERIALS AND METHODS A combination of literature reviews, workshops with researchers, and reflections by project team members and partners using participatory snowball techniques. RESULTS Assessing research impact is perceived to be difficult, akin to the so-called "wicked problem," but not impossible. Heuristic and collaborative approach to research that takes the expectations of research users, research participants and the funders of research offers a pragmatic solution to evaluating research impact. The logic of the proposed Research for Impact Tool is based on the understanding that the value of research is to create evidence and/or products to support smarter decisions so as to improve the human condition. Research is, therefore, of limited value unless the evidence created is used to make smarter decisions for the betterment of society. A practical way of approaching research impact is, therefore, to start with the decisions confronting decision makers whether they are government policymakers, industry, professional practitioners, or households and the extent to which the research supports them to make smarter policy and practice decisions and the knock-on consequences of doing so. Embedded at each step in the impact planning and tracking process is the need for appropriate mix of expertise, capacity enhancement, and collaborative participatory learning-by-doing approaches. DISCUSSION The tool was developed in the context of Aboriginal and Torres Strait Islander research but the basic idea that the way to assess research impact is to start upfront with the information needs of decisions makers is equally applicable to research in other settings, both applied (horizontal) and basic (vertical) research. The tool will be further tested and evaluated with researchers over the next 2 years (2016/17). The decision by the Australian Government to include 'industry engagement' and 'impact' as additions to the Excellence in Research for Australia (ERA) quality measures from 2018 makes the Research for Impact Tool a timely development. The wider challenge is to engage with major Australian research funding agencies to ensure consistent alignment and approaches across research users, communities, and funders in evaluating impact.
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Affiliation(s)
- Komla Tsey
- The Cairns Institute and College of Arts, Society and Education, James Cook University, Cairns, QLD, Australia
| | - Kenny Lawson
- Centre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, Australia
- Centre for Chronic Disease, Australian Institute of Health and Tropical Medicine, James Cook University, Cairns, QLD, Australia
| | - Irina Kinchin
- School of Health and Human Services, Central Queensland University, Cairns, QLD, Australia
| | - Roxanne Bainbridge
- School of Health and Human Services, Central Queensland University, Cairns, QLD, Australia
| | - Janya McCalman
- School of Health and Human Services, Central Queensland University, Cairns, QLD, Australia
| | - Felecia Watkin
- Australian Aboriginal and Torres Strait Islander Centre, James Cook University, Cairns, QLD, Australia
| | - Yvonne Cadet-James
- Australian Aboriginal and Torres Strait Islander Centre, James Cook University, Cairns, QLD, Australia
| | - Allison Rossetto
- College of Business, Law and Governance, James Cook University, Townsville, QLD, Australia
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Drahota A, Meza RD, Brikho B, Naaf M, Estabillo JA, Gomez ED, Vejnoska SF, Dufek S, Stahmer AC, Aarons GA. Community-Academic Partnerships: A Systematic Review of the State of the Literature and Recommendations for Future Research. Milbank Q 2016; 94:163-214. [PMID: 26994713 PMCID: PMC4941973 DOI: 10.1111/1468-0009.12184] [Citation(s) in RCA: 194] [Impact Index Per Article: 24.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
POLICY POINTS Communities, funding agencies, and institutions are increasingly involving community stakeholders as partners in research, to provide firsthand knowledge and insight. Based on our systematic review of major literature databases, we recommend using a single term, community-academic partnership (CAP), and a conceptual definition to unite multiple research disciplines and strengthen the field. Interpersonal and operational factors that facilitate or hinder the collaborative process have been consistently identified, including "trust among partners" and "respect among partners" (facilitating interpersonal factors) and "excessive time commitment" (hindering operational factor). Once CAP processes and characteristics are better understood, the effectiveness of collaborative partner involvement can be tested. CONTEXT Communities, funding agencies, and institutions are increasingly involving community stakeholders as partners in research. Community stakeholders can provide firsthand knowledge and insight, thereby increasing research relevance and feasibility. Despite the greater emphasis and use of community-academic partnerships (CAP) across multiple disciplines, definitions of partnerships and methodologies vary greatly, and no systematic reviews consolidating this literature have been published. The purpose of this article, then, is to facilitate the continued growth of this field by examining the characteristics of CAPs and the current state of the science, identifying the facilitating and hindering influences on the collaborative process, and developing a common term and conceptual definition for use across disciplines. METHODS Our systematic search of 6 major literature databases generated 1,332 unique articles, 50 of which met our criteria for inclusion and provided data on 54 unique CAPs. We then analyzed studies to describe CAP characteristics and to identify the terms and methods used, as well as the common influences on the CAP process and distal outcomes. FINDINGS CAP research spans disciplines, involves a variety of community stakeholders, and focuses on a large range of study topics. CAP research articles, however, rarely report characteristics such as membership numbers or duration. Most studies involved case studies using qualitative methods to collect data on the collaborative process. Although various terms were used to describe collaborative partnerships, few studies provided conceptual definitions. Twenty-three facilitating and hindering factors influencing the CAP collaboration process emerged from the literature. Outcomes from the CAPs most often included developing or refining tangible products. CONCLUSIONS Based on our systematic review, we recommend using a single term, community-academic partnership, as well as a conceptual definition to unite multiple research disciplines. In addition, CAP characteristics and methods should be reported more systematically to advance the field (eg, to develop CAP evaluation tools). We have identified the most common influences that facilitate and hinder CAPs, which in turn should guide their development and sustainment.
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Affiliation(s)
- Amy Drahota
- San Diego State University
- Child and Adolescent Services Research Center
| | - Rosemary D Meza
- Child and Adolescent Services Research Center
- University of Washington, Seattle
| | - Brigitte Brikho
- San Diego State University
- Child and Adolescent Services Research Center
| | | | | | - Emily D Gomez
- San Diego State University
- Child and Adolescent Services Research Center
| | - Sarah F Vejnoska
- Child and Adolescent Services Research Center
- University of California, San Diego
| | | | - Aubyn C Stahmer
- Child and Adolescent Services Research Center
- University of California, Davis, MIND Institute
| | - Gregory A Aarons
- Child and Adolescent Services Research Center
- University of California, San Diego
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11
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Bond C, Foley W, Askew D. "It puts a human face on the researched"--A qualitative evaluation of an Indigenous health research governance model. Aust N Z J Public Health 2015; 40 Suppl 1:S89-95. [PMID: 26260982 DOI: 10.1111/1753-6405.12422] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2014] [Revised: 01/01/2015] [Accepted: 03/01/2015] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To describe the Inala Aboriginal and Torres Strait Islander Community Jury for Health Research, and evaluate its usefulness as a model of Indigenous research governance within an urban Indigenous primary health care service from the perspectives of jury members and researchers. METHODS Informed by a phenomenological approach and using narrative inquiry, a focus group was conducted with jury members and key informant interviews were undertaken with researchers who had presented to the Community Jury in its first year of operation. RESULTS The jury was a site of identity work for researchers and jury members, providing an opportunity to observe and affirm community cultural protocols. Although researchers and jury members had differing levels of research literacy, the jury processes enabled respectful communication and relationships to form, which positively influenced research practice, community aspirations and clinical care. DISCUSSION The jury processes facilitated transformative research practice among researchers and resulted in transference of power from researchers to the jury members, to the mutual benefit of both. CONCLUSION Ethical Indigenous health research practice requires an engagement with Indigenous peoples and knowledge at the research governance level, not simply as subjects or objects of research.
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Affiliation(s)
- Chelsea Bond
- Oodgeroo Unit, Chancellery, Queensland University of Technology
| | - Wendy Foley
- Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care; School of Population Health, University of Queensland
| | - Deborah Askew
- Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care; School of Population Health, University of Queensland.,Discipline of General Practice, School of Medicine, University of Queensland
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12
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McCalman J, Tsey K, Bainbridge R, Shakeshaft A, Singleton M, Doran C. Tailoring a response to youth binge drinking in an Aboriginal Australian community: a grounded theory study. BMC Public Health 2013; 13:726. [PMID: 23919727 PMCID: PMC3750544 DOI: 10.1186/1471-2458-13-726] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Accepted: 08/03/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND While Aboriginal Australian health providers prioritise identification of local community health needs and strategies, they do not always have the opportunity to access or interpret evidence-based literature to inform health improvement innovations. Research partnerships are therefore important when designing or modifying Aboriginal Australian health improvement initiatives and their evaluation. However, there are few models that outline the pragmatic steps by which research partners negotiate to develop, implement and evaluate community-based initiatives. The objective of this paper is to provide a theoretical model of the tailoring of health improvement initiatives by Aboriginal community-based service providers and partner university researchers. It draws from the case of the Beat da Binge community-initiated youth binge drinking harm reduction project in Yarrabah. METHODS A theoretical model was developed using the constructivist grounded theory methods of concurrent sampling, data collection and analysis. Data was obtained from the recordings of reflective Community-Based Participatory Research (CBPR) processes with Aboriginal community partners and young people, and university researchers. CBPR data was supplemented with interviews with theoretically sampled project participants. The transcripts of CBPR recordings and interviews were imported into NVIVO and coded to identify categories and theoretical constructs. The identified categories were then developed into higher order concepts and the relationships between concepts identified until the central purpose of those involved in the project and the core process that facilitated that purpose were identified. RESULTS The tailored alcohol harm reduction project resulted in clarification of the underlying local determinants of binge drinking, and a shift in the project design from a social marketing awareness campaign (based on short-term events) to a more robust advocacy for youth mentoring into education, employment and training. The community-based process undertaken by the research partnership to tailor the design, implementation and evaluation of the project was theorised as a model incorporating four overlapping stages of negotiating knowledges and meanings to tailor a community response. CONCLUSIONS The theoretical model can be applied in spaces where local Aboriginal and scientific knowledges meet to support the tailored design, implementation and evaluation of other health improvement projects, particularly those that originate from Aboriginal communities themselves.
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Affiliation(s)
- Janya McCalman
- The Cairns Institute, James Cook University, PO Box 6811, Cairns, QLD 4870, Australia
| | - Komla Tsey
- The Cairns Institute, James Cook University, PO Box 6811, Cairns, QLD 4870, Australia
| | - Roxanne Bainbridge
- The Cairns Institute, James Cook University, PO Box 6811, Cairns, QLD 4870, Australia
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Dirhold BM, Citak M, Al-Khateeb H, Haasper C, Kendoff D, Krettek C, Citak M. Current state of computer-assisted trauma surgery. Curr Rev Musculoskelet Med 2012; 5:184-91. [PMID: 22832946 DOI: 10.1007/s12178-012-9133-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Computer assisted surgery (CAS) was first used in neurosurgery. Currently, CAS has gained popularity in several surgical disciplines including urology and abdominal surgery. In trauma and orthopaedic surgery, computer assisted systems are used for fracture reduction, planning and positioning of implants as well as the accurate implantation of hip and knee prostheses. The patient's anatomy is virtualized and the surgical instruments integrated into the digitized image background, thus allowing the surgeon to navigate the surgical instruments and the bone in an improved, virtual visual environment. CAS improves overall accuracy, reducing intraoperative radiation exposure and minimizing unnecessary surgical dissection combined with increased patient and surgeon safety. However, limitations include prolonged surgical time, technical errors and cost implications. This article will outline the current state of computer assisted trauma surgery including its implications and specific challenges in orthopaedic trauma surgery.
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Affiliation(s)
- Barbara M Dirhold
- Trauma Department, Hannover Medical School, Carl Neuberg-Str. 1, 30625, Hannover, Germany
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Tsey K, Whiteside M, Haswell-Elkins M, Bainbridge R, Cadet-James Y, Wilson A. Empowerment and Indigenous Australian health: a synthesis of findings from Family Wellbeing formative research. HEALTH & SOCIAL CARE IN THE COMMUNITY 2010; 18:169-179. [PMID: 19804554 DOI: 10.1111/j.1365-2524.2009.00885.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This paper employs a thematic qualitative analysis to synthesise seven discrete formative evaluation reports of an Indigenous Australian family empowerment programme across four study settings in Australia's Northern Territory and Queensland between 1998 and 2005. The aim of the study, which involved a total of 148 adult and 70 school children participants, is to develop a deeper understanding of the contribution of community empowerment education programmes to improving Indigenous health, beyond the evidence derived from the original discrete micro evaluative studies. Within a context beset by trans-generational grief and despair resulting from colonisation and other discriminatory government policies, across the study sites, the participants demonstrated enhanced capacity to exert greater control over factors shaping their health and wellbeing. Evident in the participants' narratives was a heightened sense of Indigenous and spiritual identity, respect for self and others, enhanced parenting and capacity to deal with substance abuse and violence. Changes at the personal level influenced other individuals and systems over time, highlighting the ecological or multilevel dimensions of empowerment. The study reveals the role of psychosocial empowerment attributes as important foundational resources in helping people engage and benefit from health and other behaviour modification programmes, and take advantage of any reforms made within macro policy environments. A key limitation or challenge in the use of psychosocial empowerment programmes relates to the time and resources required to achieve change at population level. A long-term partnership approach to empowerment research that creatively integrates micro community empowerment initiatives with macro policies and programmes is vital if health gains are to be maximised.
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Affiliation(s)
- Komla Tsey
- School of Australian Indigenous Studies and School of Public Health and Tropical Medicine, James Cook University, Cairns Campus, Queensland
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McCalman J, Tsey K, Baird B, Connolly B, Baird L, Jackson R. 'Bringing back respect': the role of participatory action research in transferring knowledge from an Aboriginal men's group to youth programs. Australas Psychiatry 2009; 17 Suppl 1:S59-63. [PMID: 19579109 DOI: 10.1080/10398560902948720] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE This case study describes the efforts of an Aboriginal men's group to facilitate and support the empowerment of young people in their community. It is part of a broader participatory action research (PAR) study of men's groups. METHOD Data was derived from quarterly reflective PAR sessions with men's and youth workers and steering committee members, interviews with workers, and focus groups with young people. The data was coded and categorized, with five themes identified. RESULTS Key opportunities and challenges related to building staff capacity, engaging young people, giving voice to young people and reconciling diverse community views. Emerging outcomes included young people's definition of vision and values, social cohesion, personal achievements and recognition. The youth projects also resulted in local employment, improvements in workforce capacity and proposals to extend the empowerment model in Yarrabah and transfer it to another community. CONCLUSION PAR frameworks provide a useful tool for facilitating and sustaining empowerment outcomes. They can be used to support the transfer of knowledge and skills from one Aboriginal community group to another.
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Affiliation(s)
- Janya McCalman
- School of Indigenous Australian Studies, James Cook University, Smithfield, QLD, Australia.
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