Community-based participatory action research on rheumatic heart disease in an Australian Aboriginal homeland: Evaluation of the ‘On track watch’ project

Emma Haynes, Minitja Marawili, Brendan Makungun Marika, Alice G. Mitchell, Jodi Phillips, Dawn Bessarab, Roz Walker, Jeff Cook, Anna P. Ralph

Research output: Contribution to journalArticle

Abstract

Strategies to date have been ineffective in reducing high rates of rheumatic heart disease (RHD) in Australian Aboriginal people; a disease caused by streptococcal infections. A remote Aboriginal community initiated a collaboration to work towards elimination of RHD. Based in ‘both-way learning’ (reciprocal knowledge co-creation), the aim of this study was to co-design, implement and evaluate community-based participatory action research (CBPAR) to achieve this vision. Activities related to understanding and addressing RHD social determinants were delivered through an accredited course adapted to meet learner and project needs. Theory-driven evaluation linking CBPAR to empowerment was applied. Data collection comprised focus groups, interviews, observation, and co-development and use of measurement tools such as surveys. Data analysis utilised process indicators from national guidelines for Aboriginal health research, and outcome indicators derived from the Wallerstein framework. Findings include the importance of valuing traditional knowledges and ways of learning such as locally-meaningful metaphors to explore unfamiliar concepts; empowerment through critical thinking and community ownership of knowledge about RHD and research; providing practical guidance in implementing empowering and decolonising principles / theories. Lessons learned are applicable to next stages of the RHD elimination strategy which must include scale-up of community leadership in research agenda-setting and implementation.

Original languageEnglish
Pages (from-to)38-53
Number of pages16
JournalEvaluation and Program Planning
Volume74
DOIs
Publication statusPublished - 1 Jun 2019

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Community-Based Participatory Research
Rheumatic Heart Disease
action research
Health Services Research
cardiovascular disease
heart disease
Homelands
evaluation
community
empowerment
learning
Learning
Disease Eradication
Streptococcal Infections
Metaphor
indigenous population
Ownership
traditional knowledge
Focus Groups
Research

Cite this

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title = "Community-based participatory action research on rheumatic heart disease in an Australian Aboriginal homeland: Evaluation of the ‘On track watch’ project",
abstract = "Strategies to date have been ineffective in reducing high rates of rheumatic heart disease (RHD) in Australian Aboriginal people; a disease caused by streptococcal infections. A remote Aboriginal community initiated a collaboration to work towards elimination of RHD. Based in ‘both-way learning’ (reciprocal knowledge co-creation), the aim of this study was to co-design, implement and evaluate community-based participatory action research (CBPAR) to achieve this vision. Activities related to understanding and addressing RHD social determinants were delivered through an accredited course adapted to meet learner and project needs. Theory-driven evaluation linking CBPAR to empowerment was applied. Data collection comprised focus groups, interviews, observation, and co-development and use of measurement tools such as surveys. Data analysis utilised process indicators from national guidelines for Aboriginal health research, and outcome indicators derived from the Wallerstein framework. Findings include the importance of valuing traditional knowledges and ways of learning such as locally-meaningful metaphors to explore unfamiliar concepts; empowerment through critical thinking and community ownership of knowledge about RHD and research; providing practical guidance in implementing empowering and decolonising principles / theories. Lessons learned are applicable to next stages of the RHD elimination strategy which must include scale-up of community leadership in research agenda-setting and implementation.",
keywords = "Aboriginal health inequity, Australian Aboriginal, Co-design, Community-based participatory action research, Empowerment, Health systems, Indigenous, Knowledge exchange, Reciprocal knowledge co-creation, Rheumatic heart disease",
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Community-based participatory action research on rheumatic heart disease in an Australian Aboriginal homeland : Evaluation of the ‘On track watch’ project. / Haynes, Emma; Marawili, Minitja; Marika, Brendan Makungun; Mitchell, Alice G.; Phillips, Jodi; Bessarab, Dawn; Walker, Roz; Cook, Jeff; Ralph, Anna P.

In: Evaluation and Program Planning, Vol. 74, 01.06.2019, p. 38-53.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Community-based participatory action research on rheumatic heart disease in an Australian Aboriginal homeland

T2 - Evaluation of the ‘On track watch’ project

AU - Haynes, Emma

AU - Marawili, Minitja

AU - Marika, Brendan Makungun

AU - Mitchell, Alice G.

AU - Phillips, Jodi

AU - Bessarab, Dawn

AU - Walker, Roz

AU - Cook, Jeff

AU - Ralph, Anna P.

PY - 2019/6/1

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JF - Evaluation and Program Planning

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ER -