The essential conditions needed to implement the Indigenous Youth Mentorship Program: a focused ethnography

BMC Public Health

Tamara Beardy¹  Jonathan McGavock¹  Lucie Lévesque²  Kate Storey³  Genevieve Montemurro³  Frances Sobierajski³ 

[1] Department of Pediatrics and Child Health, Faculty of Health Sciences, University of Manitoba, Children’s Hospital Research Institute of Manitoba, 715 McDermot Ave, Winnipeg, Manitoba, Canada;School of Kinesiology and Health Studies, Queen’s University, 28 Division St, Kingston, Ontario, Canada;School of Public Health, University of Alberta, Edmonton Clinic Health Academy, 11405 – 87 Avenue, T6G 1C9, Edmonton, Alberta, Canada;

关键词: Comprehensive school health;    Essential conditions;    Indigenous health;    Implementation science;    Health promotion;    Peer mentorship;    Qualitative research;   

DOI  :  10.1186/s12889-021-12412-1

来源: Springer

【 摘 要 】

BackgroundThe Indigenous Youth Mentorship Program (IYMP) is a 20-week communal, relationship-based afterschool healthy living program for Indigenous youth in Canada. IYMP embraces the Anishnaabe/Nehiyawak concepts of Mino-Bimaadiziwin/miyo-pimâtisiwin (“living in a good way”) via its core components of physical activities/games, healthy snacks, and relationship-building. A strength of IYMP is that it values autonomy, adaptability, and the school community context. However, this presents challenges when evaluating its implementation, given that traditional implementation science methods tend to oversimplify the process. In response, essential conditions for the implementation of school-based healthy living programs across diverse contexts have been developed. The purpose of this research was to understand the applicability of these essential conditions within the context of IYMP.Methods15 participants (n = 10 Young Adult Health Leaders; n = 5 coordinators) with experience implementing IYMP in the provinces of Alberta, Saskatchewan, Manitoba, and Quebec were purposefully sampled. Focused ethnography was the guiding method and one-on-one semi-structured interviews were used as the data generation strategy. The purpose of the interviews was to understand what conditions are needed to implement IYMP. The interview guide was based on previously established essential conditions developed by the research team. Interviews were audio-recorded and transcribed, and content analysis was used to identify patterns in the data.ResultsThe overarching theme that emerged from the interviews was the applicability of the essential conditions when implementing IYMP. Participants felt the eight core conditions (students as change agents, school/community-specific autonomy, demonstrated administrative leadership, higher-level support, dedicated champion(s) to engage school community, community support, quality and use of evidence, and professional development) and four contextual conditions (time, funding and project support, readiness and understanding, and prior community connectivity) were necessary, but made suggestions to modify two conditions (youth led and learning opportunities) to better reflect their experiences implementing IYMP. In addition, a new core condition, rooted in relationship, emerged as necessary for implementation.ConclusionsThis research adds to the literature by identifying and describing what is needed in practice to implement a communal, relationship-based afterschool healthy living program. The essential conditions may support other researchers and communities interested in implementing and rippling similar programs.

【 授权许可】

CC BY