TY - JOUR
T1 - Co-designing health service evaluation tools that foreground first nation worldviews for better mental health and wellbeing outcomes
AU - Wright, Michael
AU - Getta, Aunty Doris
AU - Green, Aunty Oriel
AU - Kickett, Uncle Charles
AU - Kickett, Aunty Helen
AU - McNamara, Aunty Irene
AU - McNamara, Uncle Albert
AU - Newman, Aunty Moya
AU - Pell, Aunty Charmaine
AU - Penny, Aunty Millie
AU - Wilkes, Uncle Peter
AU - Wilkes, Aunty Sandra
AU - Culbong, Tiana
AU - Taylor, Kathrine
AU - Brown, Alex
AU - Dudgeon, Pat
AU - Pearson, Glenn
AU - Allsop, Steve
AU - Lin, Ashleigh
AU - Smith, Geoff
AU - Farrant, Brad
AU - Mirabella, Leanne
AU - O’connell, Margaret
PY - 2021/8/2
Y1 - 2021/8/2
N2 - 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.
AB - 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.
KW - Co-design
KW - Engagement
KW - First nations
KW - Indigenous research methodologies
KW - Participatory action research
KW - Relationships
KW - Service evaluation
KW - Worldviews
UR - http://www.scopus.com/inward/record.url?scp=85112391109&partnerID=8YFLogxK
U2 - 10.3390/ijerph18168555
DO - 10.3390/ijerph18168555
M3 - Article
C2 - 34444319
AN - SCOPUS:85112391109
SN - 1661-7827
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 16
M1 - 8555
ER -