Lecture 3 Flashcards

1
Q

What are the steps of the research process with aboriginal communities?

A
  1. Cultural education
  2. Talk to community, ACCH’s, your experience, read journals etc.
  3. Form research idea with consultation
  4. Design project with consultation
  5. Community and ACCHO approval
  6. Apply for Grant, Budget
  7. Apply for Ethics
  8. Community consultation and agreements
  9. Form steering committee
  10. Employ and train staff & interpreters
  11. Develop and trial research data collection tools/outcome measures
  12. Individual consent
  13. Fieldwork and data collection
  14. Statistical analyses
  15. Findings
  16. Disseminate results, embed in policy and practice
  17. Conduct in another region
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2
Q

What is the history of scientific research on aboriginal people like?

A

Over researched

Weary and mistrustful

History of research done ON rather than WITH community

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3
Q

What considerations should be made when working with aboriginal communities?

A

Is it a community priority & will it be of benefit?

Meet/consult Aboriginal councils/Elders, ACCHO’s, local services

Is it a realistic study?
o	Consult researched & health partners
o	Potential supervisors
o	Timeframe 
o	Cost
o	Achievable 

Has it already been done?

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4
Q

What are researcher obligations when working with aboriginal communities?

A

Learn about aboriginal culture

Seek ongoing cultural education opportunities

Attend local cultural festivals/workshops

Be an active, constant learner - Learn language, ask questions of aboriginal community members

Accept formal cultural guidance/feedback.

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5
Q

What are the principles of designing aboriginal research?

A

Centers aboriginal concerns and priorities in the research

Recognise aboriginal knowledge systems, world views, and experiences

Work with Aboriginal people in design & application of research process

Privilege Aboriginal voices in research

Is respectful & inclusive of Aboriginal participants in research

Includes Aboriginal people in all sections of research process:
o	Design 
o	Collection & ownership of data
o	Interpretation of the findings
o	Representation in final reporting
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6
Q

How is ethics approval achieved when conducting research with aboriginal people?

A

Local Aboriginal Community Controlled Health Service & community support

Western Australian Aboriginal Health Ethics Committee (WAAHEC)

UWA Human Research Ethics committee will approve if WAAHEC approval

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7
Q

What does spirit and integrity mean regarding the 6 specific values?

A

o Commitment to all values, shows there is relationship, understanding & commitment between researcher & Aboriginal community

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8
Q

What does reciprocity mean regarding the 6 specific values?

A

Giving back to the community - shows how research benefits the community and how results will be given back to the community.

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9
Q

What does respect mean regarding the 6 specific values?

A

o Proposal demonstrates understanding of diversity of Aboriginal community

o Demonstrates understanding of Aboriginal processes & protocols in engaging with community

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10
Q

What does equity mean regarding the 6 specific values?

A

o Shows how people will be included in research process equally

o Provides evidence that community have been included in discussions about research & have contributed to design and processes

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11
Q

What does cultural continuity mean regarding the 6 specific values?

A

o Demonstrates culturally safe & secure language in proposal

o Respect community decisions on how research should be conducted

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12
Q

What does responsibility mean regarding the 6 specific values?

A

o Demonstrates transparency in exchange of ideas & outcomes and/or benefits to community

o Demonstrates the researchers responsibility in how they will recruit and engage w/participants & their commitments to do no harm

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13
Q

What are the considerations when working with the elders governance group ?

A

Provide meaningful input to research project

From beginning of research project

Criteria for membership is usually based on skills, experience, expertise & knowledge

Terms of reference guiding how the group will operate is usually developed after group established

Payment – include in budget

Transport & meal

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14
Q

How can more aboriginal researchers be employed?

A

Consult with community council

Advertise

Set aside good amount of time for training

Make professional development and future employment opportunities available

Supervision and support

Mentorship

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15
Q

How can individual informed consent be achieved?

A
  • Individual informed consent required
    o Take place in environment that is familiar & comfortable to participant
    o Person asking for consent be of same cultural background as participant and/or fluent in their language
    o Person deemed to be trustworthy to the participant
    o Consent document written in language that is easy to understand and is presented in participants language, use pictures, flipcharts, diagrams etc.
  • Informed consent is ongoing – can be retracted at any time during
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16
Q

When should interpreters be used for communication with aboriginal communities?

A
  • Aboriginal Interpreting WA
  • Essential for research w/older people in/from remote Aboriginal communities
  • Important for community development
  • Contact local interpreter service
  • Can they pay interpreters a good wage?
  • May have to locate potential interpreters  direct them to interpreter service to get trained officially
    o Training on confidentiality & health terms
    o Training specific to research project
17
Q

What is mooditj Wirrin?

A

Good spirit good life. Belief that the spirit is related to health and quality of life.

Empowerment and self determination

Family and community

Balance

Country - spending time on Country has restorative impact on spiritual, social & emotional wellbeing
o Accessing country may be difficult for those living “off country” – being able to yarn about country or be outside in nature important to enhancing QoL

Culture and identity - feeling connected to culture and sharing cultural activities having opportunity to reconnect with family and speak/teach language. Being able to participate in other cultural activities and community events is important to have a good life.

18
Q

Study results:

A
  • Factors associated with GSGL (having good life)
    o Resilience
    o Low anxiety
  • EQ5D – mobility, self-care, anxiety, pain, activities
    o Weak negative correlation w/GSGL Spearman’s
    o Not holistic, defecit focused, may add different information
  • ICECAP-O – friendship, future, value, enjoyment, independence
    o Strong positive correlation
    o Feedback that ICEPCAP-O questions were unusually worded
  • Quality of Life domains:
    o Sig difference in GSGL item scores
    o “country” item has lowest mean score
19
Q

What is the GSGL tool useful for?

A
  • GSGL tool is valid for measuring QoL in older Aboriginal Australians
  • Connection to country needs are not being sufficiently met by service providers
  • Improving spirit in older Aboriginal Australians through 12 interconnected factors may:
    o Build resilience
    o Reduce anxiety & depression
20
Q

How can continual community feedback and knowledge be achieved?

A
  • At each stage findings need to be discussed w/community council, participants & interested community members
  • Work on appropriate messaging together (co-design)
  • Copy of papers given to community council, Elders group
21
Q

How should a policy brief be made more convincing for policy changes?

A
  • Focus on one defined problem/issue
  • Aim to convince policy makers that problem is urgent & proposed action or policy alternative is necessary
  • Be strategic, line up w/policy directions, economic costs/gains
  • Professional plain language
  • Focus on evidence-based, feasible solutions (not research methodology)
    o Start w/conclusion, end with results/findings