Indigenous knowledge and approaches to health research have historically been marginalized by Western traditions. Efforts to overcome this marginalization by recognizing Indigenous methodologies as a distinctive form of inquiry are gathering momentum. Health research that seeks to establish levels of agreement about disputed or conceptually unclear subjects frequently relies on consensus methods. Aajiiqatigiingniq is a principle of cultural knowledge and a consensus decision-making approach among Inuit in the Canadian Arctic. We used group meetings and individual interviews involving Inuit elders and other senior community members in Arviat, Nunavut, to explore and describe aajiiqatigiingniq as an appropriate and ethical methodology in qualitative health research. Findings reveal a systematic but apparently informal approach focused on sustained individual and community well-being. Consensus is achieved through the successive addition of group members, respectful communication, mainly narrative discourse, subjective personal engagement, and an unhurried meeting style. While previous research has used Western consensus methods to embed Inuit knowledge in health research, this study provides a first descriptive account of a wholly Inuit consensus methodology.

Remoteness in the isolated communities of Nunavut, Canada adversely affects access to mental health services. Mental health initiatives in criminal courts exist in many cities to offer healthcare alternatives to regular criminal court processing for people affected by mental illness. These initiatives do not exist in Nunavut. A qualitative multiple-case study in 3 Nunavut communities involving 55 semi-structured interviews and 3 focus groups explored perceptions by health, justice and community stakeholders of the potential for criminal court mental health initiatives in the territory. Findings suggest remoteness is perceived to hinder mental healthcare support for court responses to people affected by mental illness, creating delay in psychiatric assessments and treatment. While communication technologies, such as tele-mental health, are considered an effective solution by most health professionals, many justice-sector participants are sceptical because of perceived limits to accessibility, reliability and therapeutic value. These perceptions suggest remoteness is a significant hurdle facing future criminal court mental health initiatives in Nunavut. Additionally, remoteness is viewed as affecting decisions by lawyers to bypass legislated mental health avenues, possibly resulting in more people with mental illness facing criminal justice sanctions without assessment and treatment.

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Engaging community partners to work as co-researchers and research assistants for research involving Inuit communities or regions helps to ensure the equitable recognition of community and researcher priorities, mutual trust and respect, participation by local participants, inclusion of local knowledge and local uptake of research findings. However, research knowledge still in development among community members has been described as a barrier to effective Arctic community research partnerships. This paper describes two 3-day, cross-cultural research training workshops held in the Nunavut communities of Arviat and Iqaluit during Spring 2017. The purpose was to encourage reciprocity as a basis for research training that incorporates both Western and Inuit approaches and that emphasises relationship building to benefit both Inuit and non-Inuit research communities. A review of participant responses to the workshops suggests value in using an integrated Western–Inuit framework of educational objectives to guide the training. Responses suggest the workshops helped improve understanding of research practices and ethics rooted in different traditions for participants interested in assisting with or conducting research in Canada’s Arctic communities.

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