Thinking outside the box: Aboriginal people's suggestions for conducting health studies with Aboriginal communities.

Abstract:

OBJECTIVES:Aboriginal people are under-represented in epidemiological research, largely due to past failures to engage and recruit Aboriginal communities, research fatigue and the use of culturally inappropriate methods. A qualitative study was undertaken in rural and urban Aboriginal communities in north-eastern and south-western Ontario to identify culturally congruent public health research methodologies. STUDY DESIGN:A qualitative participatory research study using focus group discussions. METHODS:This study employed a participatory research framework to elicit methodological suggestions for conducting public health research with Aboriginal communities during focus groups with healthcare providers from six diverse Aboriginal health organizations in Ontario, Canada. RESULTS:Continuing requests for participation in health research studies have led to community exhaustion. Discussions explored appropriate methods to obtain community approval and support for a study, the need for cultural sensitivity training for researchers, the value of conducting studies of interest and benefit to the community, advantages and disadvantages of qualitative and quantitative studies, the benefit of both Aboriginal and non-Aboriginal ethics reviews, the importance of safeguarding trusted information, types of incentives that may enhance study participation, suggestions to improve the collection of questionnaire information and biological specimens, how to resolve contentious issues and dissemination of study results. CONCLUSION:In order to successfully engage Aboriginal people in health studies, researchers need to build rapport with communities, have a community presence, be respectful and collaborative, utilize incentives, and employ flexible and adaptive methodologies of reasonable length. Oral interviews are preferred to self-completed information. The use of more mixed methods methodologies was suggested when quantitative data collection is necessary. Communities expect presentations about research findings.

journal_name

Public Health

journal_title

Public health

authors

Maar MA,Lightfoot NE,Sutherland ME,Strasser RP,Wilson KJ,Lidstone-Jones CM,Graham DG,Beaudin R,Daybutch GA,Dokis BR,Lesage MT,Raymond M,Williamson P

doi

10.1016/j.puhe.2011.08.006

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

747-53

issue

11

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(11)00253-8

journal_volume

125

pub_type

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