Co-designing health service evaluation tools that foreground first nation worldviews for better mental health and wellbeing outcomes

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dc.contributor.authorWright, M.
dc.contributor.authorGetta, A.D.
dc.contributor.authorGreen, A.O.
dc.contributor.authorKickett, U.C.
dc.contributor.authorKickett, A.H.
dc.contributor.authorMcNamara, A.I.
dc.contributor.authorMcNamara, U.A.
dc.contributor.authorNewman, A.M.
dc.contributor.authorPell, A.C.
dc.contributor.authorPenny, A.M.
dc.contributor.authorWilkes, U.P.
dc.contributor.authorWilkes, A.S.
dc.contributor.authorCulbong, T.
dc.contributor.authorTaylor, K.
dc.contributor.authorBrown, A.
dc.contributor.authorDudgeon, P.
dc.contributor.authorPearson, G.
dc.contributor.authorAllsop, S.
dc.contributor.authorLin, A.
dc.contributor.authorSmith, G.
dc.contributor.authoret al.
dc.date.issued2021
dc.description.abstractIt 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.
dc.description.statementofresponsibilityMichaelWright, Aunty Doris Getta, Aunty Oriel Green, Uncle Charles Kickett, Aunty Helen Kickett ... et al.
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2021; 18(16):1-14
dc.identifier.doi10.3390/ijerph18168555
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.orcidBrown, A. [0000-0003-2112-3918]
dc.identifier.urihttps://hdl.handle.net/2440/132954
dc.language.isoen
dc.publisherMDPI
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1132367
dc.rights© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
dc.source.urihttps://doi.org/10.3390/ijerph18168555
dc.subjectFirst nations; co-design; Indigenous research methodologies; service evaluation; participatory action research; relationships; engagement; worldviews
dc.subject.meshHumans
dc.subject.meshMental Health
dc.subject.meshAged
dc.subject.meshOceanic Ancestry Group
dc.subject.meshHealth Services
dc.subject.meshHealth Services, Indigenous
dc.subject.meshSurveys and Questionnaires
dc.titleCo-designing health service evaluation tools that foreground first nation worldviews for better mental health and wellbeing outcomes
dc.typeJournal article
pubs.publication-statusPublished

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