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Critical reflection for researcher–community partnership effectiveness: the He Pikinga Waiora process evaluation tool guiding the implementation of chronic condition interventions in Indigenous communities.

Authors :
Rarere, Moana
Oetzel, John
Masters-Awatere, Bridgette
Scott, Nina
Wihapi, Ray
Manuel, Carey
Gilbert, Rewa
Source :
Australian Journal of Primary Health; 2019, Vol. 25 Issue 5, p478-485, 8p
Publication Year :
2019

Abstract

Critically reflecting on researcher–community partnerships is a key component in implementing chronic condition interventions in Indigenous communities. This paper draws on the results and learnings from a process evaluation that measures how well two research–community partnerships have followed the He Pikinga Waiora (HPW) Implementation Framework while co-designing chronic condition interventions in primary care. The HPW framework is centred on Indigenous self-determination and knowledge surrounded by community engagement, cultural centredness, systems thinking and integrated knowledge translation. The evaluation included in-depth interviews and online surveys with 10 team members. The findings demonstrate that the HPW framework was followed well, with strengths particularly in community engagement and relationship building. Areas for improvement included systems thinking and integrated knowledge translation to support sustainability of the interventions. The need for partnerships to use process evaluation results to support critical reflection is asserted, which helps build strong trust and synergy, power sharing and effective and sustainable implementation practices. It is concluded that the HPW framework is well suited to evaluating implementation of health interventions in primary care as it assists in the facilitation of better collaboration between researchers and Indigenous communities, and encourages the implementation team to reflect on power and privilege. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14487527
Volume :
25
Issue :
5
Database :
Complementary Index
Journal :
Australian Journal of Primary Health
Publication Type :
Academic Journal
Accession number :
139324242
Full Text :
https://doi.org/10.1071/PY19022