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Building trust and sharing power for co-creation in Aboriginal health research: a stakeholder interview study
Evidence & Policy: A Journal of Research, Debate and Practice ( IF 1.8 ) Pub Date : 2019-08-01 , DOI: 10.1332/174426419x15524681005401
Simone Louise Sherriff 1 , Hilary Miller 2 , Allison Tong 2 , Anna Williamson 3 , Sumithra Muthayya 3 , Sally Redman 3 , Sandra Bailey 3 , Sandra Eades 4 , Abby Haynes 5
Affiliation  

Background: Historically, Aboriginal health research in Australia has been non-participatory, misrepresentative, and has produced few measurable improvements to community health. The Study of Environment on Aboriginal Resilience and Child Health (SEARCH) was established to co-create and co-translate research. Over the past decade, SEARCH has built a sustainable partnership across policy, research, clinical and Aboriginal community sectors which has resulted in improvements in Aboriginal health through enhanced services, policies and programmes. Aims and objectives: This study describes the critical success factors behind SEARCH, focusing on how SEARCH was established, and continues to build trusting co-creative relationships. It also explores some continuing challenges and considers how the partnership might be strengthened. Methods: Semi-structured interviews were conducted with 26 stakeholders, purposively selected to obtain maximum diversity of roles and perspectives. Interview questions explored concepts that informed the development of SEARCH such as trust, transparency, leadership, governance, reciprocity and empowerment. Data was analysed thematically and written up using the qualitative description approach. Findings and discussion: Nine critical success factors were identified: shared power; strong credible leadership; shared vision, shared goals; willingness to take risks; connecting across cultures; empowering the community; valuing local Aboriginal knowledge; ongoing investment and collaboration; and adaptability. While each of these factors has areas for ongoing improvement, this case example demonstrates that co-creation and co-translation of research in Aboriginal health is achievable and, indeed, necessary to improve health outcomes.

中文翻译:

在原住民健康研究中为共同创造建立信任和分享力量:利益相关者访谈研究

背景:从历史上看,澳大利亚的原住民健康研究一直是非参与性的、歪曲的,并且对社区健康几乎没有产生可衡量的改善。土著复原力和儿童健康环境研究 (SEARCH) 的建立是为了共同创造和共同翻译研究。在过去十年中,SEARCH 在政策、研究、临床和土著社区部门之间建立了可持续的合作伙伴关系,通过增强服务、政策和计划改善了土著健康。目的和目标:本研究描述了 SEARCH 背后的关键成功因素,重点关注 SEARCH 是如何建立的,并继续建立信任的共创关系。它还探讨了一些持续的挑战,并考虑如何加强伙伴关系。方法:对 26 名利益相关者进行了半结构化访谈,有目的地选择以获得最大的角色和观点多样性。访谈问题探讨了为 SEARCH 发展提供信息的概念,例如信任、透明度、领导力、治理、互惠和授权。使用定性描述方法对数据进行专题分析和记录。结果和讨论:确定了九个关键成功因素:共享权力;强大可信的领导;共同的愿景,共同的目标;愿意承担风险;跨文化联系;赋予社区权力;重视当地土著知识;持续的投资和合作;和适应性。虽然这些因素中的每一个都有需要持续改进的地方,
更新日期:2019-08-01
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