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

Rarere, Moana; Oetzel, John; Masters‐Awatere, Bridgette; Scott, Nina; Wihapi, Ray; Manuel, Carey; Gilbert, Rewa

doi:10.1071/py19022

Cited by 10 publications

(11 citation statements)

References 16 publications

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“…The key elements of the HPW framework were integrated to support the design and development of the implementation programme. We completed a process evaluation that demonstrated consistency with the HPW principles and that were used for reflection to improve the process [47]. The evaluation suggested that there were strengths in the participatory process (i.e., community engagement and culture-centredness), with some improvements in end user engagement (i.e., integrated knowledge translation) and systems thinking to support the sustainability of the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Several partners commented that HPW principles are critical to achieving health gains for Māori communities. We built strong relationships and established trust which is a key outcome in and of itself [47]. Such relationships and trust take time and there needs to be sufficient co-design/participatory process to establish the relationship.…”

Section: Lessons Learntmentioning

confidence: 99%

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A case study of using the He Pikinga Waiora Implementation Framework: challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity

Oetzel

Rarere

Wihapi³

et al. 2020

Int J Equity Health

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Background: Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a participatory, co-design approach using the He Pikinga Waiora (HPW) Implementation Framework; the study presents lessons learnt in addressing health inequities following this framework. Methods: The partnership involved a university research team and a Māori community health provider. They engaged with other stakeholders and several cohorts of Māori men through a co-design process to adapt a 12week lifestyle intervention. The co-design process was documented through meeting notes and interviews with partners. Two cohorts participated in separate single group pre-intervention/post-intervention designs with multimethod data collection. Key outcome measures included weight loss, self-reported health, physical activity, and nutrition. Post-intervention data collection included qualitative data.

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Section: Resultsmentioning

confidence: 99%

Section: Lessons Learntmentioning

confidence: 99%

A case study of using the He Pikinga Waiora Implementation Framework: challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity

Oetzel

Rarere

Wihapi³

et al. 2020

Int J Equity Health

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“…It details the way in which this was done, and discusses the result, which is a new contribution to the literature in this area of work. Other literature stresses the importance of critical reflection in Aboriginal health, for example by encouraging researchers to reflect on power and privilege [24].…”

Section: Discussionmentioning

confidence: 99%

“…Much of this is directed at non-Aboriginal health professionals and includes guidelines [9,10], protocols [11,12], ethical principles [13] and suggested professional practices based on research and experience [14,15]. Authors highlight the need to work in partnership [16][17][18][19][20], be flexible [21], build relationships [17,21], get to know Aboriginal people [17,22] and reflect on their positions of privilege [23,24]. Programs often expand on the 'build relationships' principle to highlight that shared trust and respect are required in order to bring about sustained health change in Aboriginal communities [17,23,25,26].…”

Section: Introductionmentioning

confidence: 99%

Working together in Aboriginal health: a framework to guide health professional practice

Wilson

Kelly

Jones

et al. 2020

BMC Health Serv Res

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Background: Working effectively with Aboriginal and Torres Strait Islander people is important for maximising the effectiveness of a health care interaction between and Aboriginal and Torres Strait Islander patients and a health professional. This paper presents a framework to guide health professional practice in Aboriginal and Torres Strait Islander health. Methods: This qualitative study was based in a social constructionist epistemology and was guided by a critical social research methodology. Two methods were employed: interviews with Aboriginal health workers and allied health professionals about their experiences of working together in Aboriginal health, and an auto-ethnography conducted by the researcher, a non-Aboriginal dietitian and researcher who worked closely with two Aboriginal communities while undertaking this research. Results: Interviews were conducted with 44 allied health professionals and Aboriginal health workers in 2010. Critical Social research, which involves the deconstruction and reconstruction of data, was used to analyse data and guided the evolution of themes. Strategies that were identified as important to guide practice when working respectfully in Aboriginal health included: Aboriginal and non-Aboriginal people working with Aboriginal health workers, using appropriate processes, demonstrating commitment to building relationships, relinquishing control, having an awareness of Aboriginal history, communication, commitment, flexibility, humility, honesty, and persistence. Reciprocity and reflection/reflexivity were found to be cornerstone strategies from which many other strategies naturally followed. Strategies were grouped into three categories: approach, skills and personal attributes which led to development of the Framework. Conclusions: The approach, skills and personal attributes of health professionals are important when working in Aboriginal health. The strategies identified in each category provide a Framework for all health professionals to use when working with Aboriginal and Torres Strait Islander people.

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“…For the interviews, we have developed interview/focus group protocols around key HPW processes that will be utilised for this study [ 38 ]. We will also include questions that assess implementation needs for providers around capacity, funding, and health issues.…”

Section: Methodsmentioning

confidence: 99%

Healthier Lives Implementation Research Network for Māori and Pacific community health providers in Aotearoa New Zealand: a study protocol with an observational mixed methods design

Oetzel

Sika-Paotonu

Penetito-Hemara³

et al. 2022

Implement Sci Commun

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Background Despite incremental gains in the Aotearoa New Zealand health sector, Māori and Pacific peoples still experience poorer health outcomes than non-Māori and non-Pacific. Access to the latest research and innovation is critical to improving and addressing health outcomes and health inequities in particular. However, there are numerous challenges to translating research into practice including that there is currently no known a specific infrastructure in Aotearoa New Zealand to facilitate this process. The aim of the project is to develop a network of community providers, researchers and health systems representatives that can help facilitate the implementation of novel and innovative programmes and products that help to meet the health needs of Māori and Pacific communities. Methods This project has three stages, one of which has been completed. In Stage 1, we engaged with key leaders of organisations from various components in the health system through a co-design process to identify parameters and infrastructure of the network. In Stage 2, we propose to construct the network involving approximately 20–30 community providers (and other affiliated researchers and health system representatives) and refine its parameters through an additional co-design process. Additionally, we will use a mixed methods research design using survey and interviews to identify perceived implementation needs, facilitators and barriers to help inform the work in the third stage. In Stage 3, we will support the active implementation of evidence-based programmes with a smaller number of providers (approximately four to eight community providers depending on the complexity of the implementation). Mixed methods research will be conducted to understand facilitators and barriers to implementation processes and outcomes. Discussion The proposed network infrastructure is an equity-oriented strategy focused on building capacity through a strength-based approach that can help address inequities over time. Our “proof-of-concept” study will not be able to change inequities in that time period given its relatively small scale and time period, but it should set the foundation for continued equity-oriented work.

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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

Cited by 10 publications

References 16 publications

A case study of using the He Pikinga Waiora Implementation Framework: challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity

A case study of using the He Pikinga Waiora Implementation Framework: challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity

Working together in Aboriginal health: a framework to guide health professional practice

Healthier Lives Implementation Research Network for Māori and Pacific community health providers in Aotearoa New Zealand: a study protocol with an observational mixed methods design

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