scholarly journals Developer/Adapter Method: A Community-Based Approach to Improve Health in Indigenous Communities

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Janet E. McElhaney ◽  
Joyce Helmer ◽  
Marion CE Briggs ◽  
Melissa K Andrew ◽  
Katherine S McGilton ◽  
...  
Keyword(s):  
First Nations ◽  
Research Method ◽  
Indigenous Communities ◽  
Practice Change ◽  
Remote Communities ◽  
Policy And Practice ◽  
Community Based ◽  
Northern Ontario ◽  
Age In Place ◽  
Timely Access

The purpose of this paper is to provide a narrative of our experience with community-driven change using our “Developer/Adapter” research method in Northern Ontario, Canada, so it can be explored in other First Nations contexts. The goal of our currently funded research is to identify community solutions and knowledge and implement community-developed interventions to better support older Indigenous persons, especially those in rural and remote communities, to “age in place” and remain independent in the community through timely access to relevant care. Our Developer/Adapter research method was developed in response to the community-identified need for self-determination to overcome the limitations of traditional Western approaches and effectively plan and execute change in Indigenous communities. Our approach commits to supporting a self- determining voice for Indigenous people and working collaboratively to develop wholistic care interventions. We believe this approach can generate compelling data for policy and practice change in both Canada and Australia.

scholarly journals Traditional Knowledge: Considerations for Protecting Water in Ontario

2012 ◽  
Vol 3 (3) ◽  
Author(s):  
Deborah McGregor
Keyword(s):  
First Nations ◽  
Traditional Knowledge ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Community Based ◽  
Regulatory Documents ◽  
Nations People ◽  
Decision Making Processes ◽  
First Nations People ◽  
Ways Of Life

In Canada, the water crisis increasingly felt around the world is being experienced primarily in small, usually Indigenous, communities. At the heart of this issue lies an ongoing struggle to have Indigenous voices heard in the decision-making processes that affect their lives, lands, and waters. As part of ancient systems of Traditional Knowledge (TK), Indigenous people bear the knowledge and the responsibility to care for the waters upon which they depend for survival. A series of internationally developed documents has supported Indigenous peoples’ calls for increased recognition of the importance of TK in resolving environmental crises, including those involving water. Ontario provincial and Canadian federal governments have been developing legislative and regulatory documents to help fend off further water-related catastrophes within their jurisdictions. Despite such efforts, a number of barriers to the successful and appropriate involvement of TK in water management remain. Based on years of community-based and policy-related research with First Nations people involved in water-related undertakings, this article highlights progress made to date, and provides Indigenous viewpoints on what further steps need to be taken. Key among these steps are the need to restore and maintain Indigenous access to traditional territories and ways of life, and the requirement for mutually respectful collaboration between TK and Western science.

scholarly journals Feasibility and Outcomes of a Community-Based Taper-to-Low- Dose-Maintenance Suboxone Treatment Program for Prescription Opioid Dependence in a Remote First Nations Community in Northern Ontario

2013 ◽  
Vol 9 (1) ◽  
pp. 52
Author(s):  
Mae Katt ◽  
Claudette Chase ◽  
Andriy V. Samokhvalov ◽  
Elena Argento ◽  
Jürgen Rehm ◽  
...  
Keyword(s):  
First Nations ◽  
Opioid Dependence ◽  
Low Dose ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Community Based ◽  
Northern Ontario ◽  
Major Health Problem ◽  
Nations People ◽  
First Nations People

<p>Objective: Non-medical prescription opioid use (NMPOU) is a major health problem in North America and increasingly prevalent among First Nations people. More than 50% of many Nishnawbe Aski Nation communities in northern Ontario report NMPOU, resulting in extensive health and social problems. Opioid substitution therapy (OST) is the most effective treatment for opioid dependence yet is unavailable in remote First Nations communities. Suboxone (buprenorphine and naloxone) specifically has reasonably good treatment outcomes for prescription opioid (PO) dependence. A pilot study examining the feasibility and outcomes of a community-based Suboxone taper-to-low-dose-maintenance program for PO-dependent adults was conducted in a small NAN community as a treatment option for this particular setting.</p><p>Design: Participants (N = 22, ages 16–48 years) were gradually stabilized on and tapered off Suboxone (provided on an outpatient and directly-observed basis) over a 30-day period. Low dose maintenance was offered post-taper to patients with continued craving and relapse risk; community-based aftercare was provided to all participants. Results: Of 22 participants, 21 (95%) completed the taper phase of the program. Fifteen (88%) of 17 participants tested by urine toxicology screening had no evidence of PO use on day 30. No adverse side effects were observed. All but one of the taper completers were continued on low-dose maintenance. Conclusion: Community-based Suboxone taper-to-low-dose-maintenance is feasible and effective as an initial treatment for PO-dependence in remote First Nations populations, although abstinence is difficult to achieve and longer term maintenance may be required. More research on OST for First Nations people is needed; existing OST options, however, should be made available to First Nations communities given the acute need for treatment.</p>

scholarly journals The Gaataa’aabing Visual Research Method: A Culturally Safe Anishinaabek Transformation of Photovoice

2019 ◽  
Vol 18 ◽  
pp. 160940691985163 ◽  
Author(s):  
Beaudin Bennett ◽  
Marion Maar ◽  
Darrel Manitowabi ◽  
Taima Moeke-Pickering ◽  
Doreen Trudeau-Peltier ◽  
...  
Keyword(s):  
First Nations ◽  
Cultural Values ◽  
Research Methods ◽  
Research Method ◽  
Research Process ◽  
Northern Ontario ◽  
Visual Research ◽  
Visual Research Methods ◽  
Cultural Frameworks ◽  
Community Outcomes

Photovoice is a community-based participatory visual research method often described as accessible to vulnerable or marginalized groups and culturally appropriate for research with Indigenous peoples. Academic researchers report adapting the photovoice method to the sociocultural context of Indigenous participants and communities with whom they are working. However, detailed descriptions on cultural frameworks for transforming photovoice in order for it to better reflect Indigenous methodologies are lacking, and descriptions of outcomes that occur as a result of photovoice are rare. We address the paucity of published methodological details on the participant-directed Indigenization of photovoice. We conducted 13 visual research group sessions with participants from three First Nations communities in Northern Ontario, Canada. Our intent was to privilege the voice of participants in a mindful exploration aimed at cocreating a transformation of the photovoice method, in order to meet participants’ cultural values. Gaataa’aabing is the Indigenized, culturally safe visual research method created through this process. Gaataa’aabing represents an Indigenous approach to visual research methods and a renewed commitment to engage Indigenous participants in meaningful and productive ways, from the design of research questions and the Indigenization of research methods, to knowledge translation and relevant policy change. Although Gaataa’aabing was developed in collaboration with Anishinaabek people in Ontario, Canada, its principles will, we hope, resonate with many Indigenous groups due to the method’s focus on (1) integration of cultural values of the respective Indigenous community(ies) with whom researchers are collaborating and (2) placing focus on concrete community outcomes as a requirement of the research process.

scholarly journals Reconciling social justice and ecosystem-based management in the wake of a successful predator reintroduction

2019 ◽  
Vol 76 (6) ◽  
pp. 1031-1039
Author(s):  
Evelyn Pinkerton ◽  
Anne K. Salomon ◽  
Frank Dragon
Keyword(s):  
Social Justice ◽  
First Nations ◽  
Indigenous Rights ◽  
Indigenous Communities ◽  
Northwest Coast ◽  
Sea Otter ◽  
Community Based ◽  
Reintroduced Species ◽  
Ecosystem Based Management ◽  
Species At Risk Act

The reintroduction of a previously extirpated predator can engender conflict when the reintroduced species depletes customary fisheries to which indigenous communities have constitutionally protected rights. In the case of sea otter (Enhydra lutris) recovery on the west coast of North America, not only is Canada’s Species at Risk Act in conflict with Indigenous rights, but it also illuminates gaps in the principles of ecosystem-based management (EBM), such as equity and social justice. Broadly, we ask in this paper how EBM might be advanced if Indigenous communities were viewed as components of ecosystems having rights to a sustainable future equal to other components. Specifically, we explore evidence of sea otter management among precontact Northwest Coast societies and a contemporary co-managed system proposed by the Nuu-chah-nulth First Nations that would combine research with refinement of traditional hunting practices. We show that barriers persist through lack of knowledge of past controlled hunts, ignorance of recent experiences of successful community-based clam management, distrust of Indigenous capacity to self-manage or co-manage a hunt, and divergent values among actors.

scholarly journals PROMOTING AGING IN PLACE VIA RESEARCH, POLICY, AND PRACTICE IN AGE-FRIENDLY COMMUNITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S26-S26
Author(s):  
Kathy Black
Keyword(s):  
Older Adults ◽  
Research Policy ◽  
Aging In Place ◽  
Policy And Practice ◽  
Community Based ◽  
Professional Groups ◽  
Age In Place ◽  
Community Model ◽  
The Social ◽  
Global Age

Abstract The majority of Americans overwhelmingly prefer to age in place and in the communities in which they reside. Age-friendly communities support aging in place by focusing attention on features both inside and outside of the home. The global age-friendly community model provides a framework that requires assessing community-based older adults’ needs and preferences about, and developing subsequent action towards, features of the social, service and built environment including housing and transportation which are considered essential to aging successfully at home. This presentation discusses the intersect between research, policy and practice in an age-friendly community which utilized micro-level findings from older adults (n = 1, 172) to enact macro-level collaborations across local and statewide government and professional groups to facilitate aging in place across the domains of housing and transportation.

scholarly journals Conducting decolonizing research and practice with Australian First Nations to close the health gap

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Pamela Laird ◽  
Anne B. Chang ◽  
John Jacky ◽  
Mary Lane ◽  
André Schultz ◽  
...  
Keyword(s):  
First Nations ◽  
Research Policy ◽  
Remote Communities ◽  
Policy And Practice ◽  
Research And Practice ◽  
Nations People ◽  
Health Gap ◽  
First Nations People ◽  
North Western ◽  
Decolonizing Research

AbstractThe purpose of this paper is to highlight a perspective for decolonizing research with Australian First Nations and provide a framework for successful and sustained knowledge translation by drawing on the recent work conducted by a research group, in five remote communities in North-Western Australia. The perspective is discussed in light of national and international calls for meaningful and dedicated engagement with First Nations people in research, policy and practice, to help close the health gap between First Nations and other Australians.

scholarly journals Commentary - The Climate Change and Health Adaptation Program: Indigenous Climate Leaders’ Championing Adaptation Efforts

2019 ◽  
Vol 39 (4) ◽  
pp. 127-130 ◽  
Author(s):  
Gabrielle Richards ◽  
Jim Frehs ◽  
Erin Myers ◽  
Marilyn Van Bibber
Keyword(s):  
Climate Change ◽  
First Nations ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
First Nation ◽  
Health Impacts ◽  
Community Based ◽  
Health Canada ◽  
Climate Change And Health ◽  
Impacts Of Climate Change

The Climate Change and Health Adaptation Program (CCHAP) is a program within the First Nations Inuit Health Branch of Indigenous Services Canada (which was previously under the responsibility of Health Canada). The CCHAP supports Inuit and First Nation communities in mitigating and adapting to the health impacts of climate change. The impacts of climate change on Indigenous health can be observed in multiple areas including, but not limited to, food security, cultural medicines, mental health and landbased practices. This program seeks to address the needs of climate change and health in First Nation and Inuit communities to support resiliency and adaptation to a changing climate both now and in the future through its emphasis on youth and capacity building. The commentary is based on the Program’s eleven years of experience working with and for Indigenous communities and provides an overview of the CCHAP model and the work it has and continues to support. This paper demonstrates three examples of community-based projects to mitigate and adapt to the health impacts of climate change to demonstrate climate change resiliency within Indigenous communities.

scholarly journals First Nations Children Count: Enveloping Quantitative Research in an Indigenous Envelope

2020 ◽  
Vol 4 (2) ◽  
pp. 135-143 ◽  
Author(s):  
Cindy Blackstock
Keyword(s):  
First Nations ◽  
Indigenous Peoples ◽  
Quantitative Research ◽  
Social Science Research ◽  
Ways Of Knowing ◽  
Science Research ◽  
Indigenous Communities ◽  
Practice Change ◽  
Indigenous Research ◽  
Rich Diversity

Indigenous peoples repeatedly call for disaggregated data describing their experience to inform socio-economic and political policy and practice change (United Nations Permanent Forum on Indigenous Issues, 2003; UNICEF, 2003; Rae & the Sub Group on Indigenous Children and Youth, 2006). Although there has been significant discourse on the destructive historical role of western research with Indigenous communities (RCAP, 1996; Smith, 1999; Schnarch, 2004) and more recently on cultural adaptation of qualitative research methods (Smith, 1999; Bennet, 2004; Kovach, 2007), there has been very little discussion on how to envelope western quantitative social science research within Indigenous ways of knowing and being. This paper begins by outlining the broad goals of Indigenous research before focusing on how quantitative research is used, and represented, in the translation of Indigenous realities in child health and child welfare. Given the rich diversity of Indigenous peoples and their knowledges, this paper is only capable of what respected Indigenous academic Margo Greenwood (2007) would term “touching the mountaintops’ of complex and sacred ideas.

scholarly journals Implementing participatory research within a northern Ontario First Nations community

2021 ◽  
Author(s):  
Christine Zupo
Keyword(s):  
First Nations ◽  
Cultural Values ◽  
Research Method ◽  
Evaluation Research ◽  
Participatory Evaluation ◽  
Community Members ◽  
Northern Ontario ◽  
Nations People ◽  
First Nations People ◽  
Nations Community

Participatory evaluation research (PER) is a research method that promotes decolonization among remote First Nations communities. Traditional methods of research have marginalized First Nations people while advancing western knowledge. As colonization worked to expunge First Nations cultural values from western mainstream knowledge, PER constructs new meaning derived from First Nations world perspectives. The present study explores the initial stages of implementing PER in a remote northern Ontario First Nations community. Community members are invited to form a research team to evaluate the outcomes of services available within the community. All levels of Canadian government are encouraged to embrace PER as a tactic for reducing racism so deeply rooted in policy.

Community University Research Agreement

2007 ◽  
Vol 36 (S1) ◽  
pp. 38-44
Author(s):  
Priscilla Settee ◽  
Shelley Thomas-Prokop
Keyword(s):  
Indigenous Knowledge ◽  
First Nations ◽  
Indigenous Peoples ◽  
Policy Development ◽  
Indigenous Communities ◽  
Urban Housing ◽  
Research Projects ◽  
Community Based ◽  
Community Based Research ◽  
The University

AbstractThis paper describes the process of engaging the extended Indigenous community within Saskatoon and the surrounding First Nations communities in what would be a first major research project between Indigenous communities and the University of Saskatchewan. A management committee was established comprised of all the major Saskatoon/Saskatchewan Indigenous organisations, such as the Federation of Saskatchewan Indians, Saskatoon Tribal Council, First Nations University of Canada and other community-based groups to ensure that research reflected First Nations and Metis needs. The project called “Bridges and Foundations” awarded some 35 projects close to two million dollars in research funds. The money was awarded through graduate student research bursaries, and community-based projects which highlighted the needs of Indigenous women, youth, students, elders and urban populations. The three research themes included respectful protocol, knowledge creation, and policy development. The research projects, which were largely Indigenous designed and driven, created one of the most extensive research collections over a period of four years and included major data collection on community-based research, Indigenous peoples and Indigenous knowledge systems and protocols. The paper relates the development of the project and speaks about the need for Indigenous peoples to lead their own research as well as the benefits of collaboration. It also highlights several of the research projects including a conference on Indigenous knowledge (2004), a video project describing the community mobilisation process behind Quint Urban Housing Co-operatives,

Sign in / Sign up

Export Citation Format

Share Document