Co-Designing Health Service Evaluation Tools That Foreground First Nation Worldviews for Better Mental Health and Wellbeing Outcomes

International Journal of Environmental Research and Public Health

Uncle Albert McNamara¹  Aunty Moya Newman¹  Uncle Peter Wilkes¹  Aunty Irene McNamara¹  Aunty Millie Penny¹  Uncle Charles Kickett¹  Aunty Oriel Green¹  Aunty Doris Getta¹  Aunty Charmaine Pell¹  Aunty Sandra Wilkes¹  Aunty Helen Kickett¹  Leanne Mirabella²  Geoff Smith³  Steve Allsop⁴  Pat Dudgeon⁵  Michael Wright⁶  Margaret O’Connell⁶  Tiana Culbong⁶  Alex Brown⁷  Brad Farrant⁸  Ashleigh Lin⁸  Glenn Pearson⁸  Kathrine Taylor⁹ 

[1] Elders Co-Researcher Group, Perth 6000, Australia;Independent Consultant, Perth 6000, Australia;Medical School, University of Western Australia, Crawley 6009, Australia;National Drug Research Institute, Curtin University, Bentley, Perth 6102, Australia;Poche Centre for Indigenous Health, University of Western Australia, Crawley 6009, Australia;School of Allied Health, Curtin University, Bentley, Perth 6102, Australia;South Australian Health and Medical Research Institute, University of South Australia, Adelaide 5001, Australia;Telethon Kids Institute, University of Western Australia, Nedlands 6009, Australia;Woodside (Australia), Perth 6000, Australia;

关键词: first nations;    co-design;    Indigenous research methodologies;    service evaluation;    participatory action research;    relationships;   

DOI  :  10.3390/ijerph18168555

来源: DOAJ

【 摘 要 】

It is critical that health service evaluation frameworks include Aboriginal people and their cultural worldviews from design to implementation. During a large participatory action research study, Elders, service leaders and Aboriginal and non-Aboriginal researchers co-designed evaluation tools to test the efficacy of a previously co-designed engagement framework. Through a series of co-design workshops, tools were built using innovative collaborative processes that foregrounded Aboriginal worldviews. The workshops resulted in the development of a three-way survey that records the service experiences related to cultural safety from the perspective of Aboriginal clients, their carer/s, and the service staff with whom they work. The surveys centralise the role of relationships in client-service interactions, which strongly reflect their design from an Aboriginal worldview. This paper provides new insights into the reciprocal benefits of engaging community Elders and service leaders to work together to develop new and more meaningful ways of servicing Aboriginal families. Foregrounding relationships in service evaluations reinstates the value of human connection and people-centred engagement in service delivery which are central to rebuilding historically fractured relationships between mainstream services and Aboriginal communities. This benefits not only Aboriginal communities, but also other marginalised populations expanding the remit of mainstream services to be accessed by many.

【 授权许可】

Unknown