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Promoting Inuit health through a participatory whiteboard video

  • Manpreet SainiEmail author
  • Steven Roche
  • Andrew Papadopoulos
  • Nicole Markwick
  • Inez Shiwak
  • Charlie Flowers
  • Michele Wood
  • Victoria L. Edge
  • James Ford
  • Rigolet Inuit Community Government
  • Nunatsiavut Government
  • IHACC Research Team
  • Carlee Wright
  • Sherilee L. Harper
Innovations in Policy and Practice

Abstract

Setting

The Inuit community of Rigolet experiences greater rates of self-reported acute gastrointestinal illness (AGI) compared to southern Canada.

Intervention

A whiteboard video tool was collaboratively developed by Rigolet youth, community members, the research team and key regional stakeholders to share public health recommendations for reducing the risk of AGI. The video debuted in Rigolet at a community event in August 2016 and was later provided online for community members and local and regional health departments. Interviews and focus group discussions were used to evaluate the ability of the video to communicate public health information to community members in Rigolet.

Outcomes

Community and government viewers reported that the whiteboard video was novel and engaging. Evaluation participants believed the video was suitable for promoting Inuit health because of the use of locally relevant visuals and narrative, which reflect Inuit art and storytelling traditions. Furthermore, participants indicated that the video co-development process was critical to ensuring community relevance of the video. Short-term outcome results suggest the video can reinforce health knowledge and potentially encourage behavioural change.

Implications

The results suggest this whiteboard video was an effective tool to share information and could increase intention to change behaviours to reduce the risk of AGI in Rigolet. While tools like the whiteboard video are gaining popularity, the participatory approach was used to develop the video, and its use in an Inuit context illustrates its innovation and novelty. This tool may be a useful health promotion tool among Indigenous communities in Canada.

Keywords

Inuit Health promotion Community-based participatory research (CBPR) Acute gastrointestinal illness Nunatsiavut Whiteboard video 

Résumé

Lieu

Dans le village inuit de Rigolet, les taux de maladie gastrointestinale aiguë (MGA) autodéclarée sont plus élevés que dans le Sud du Canada.

Intervention

Des jeunes et des résidents de Rigolet, notre équipe de recherche et les principaux acteurs régionaux ont créé ensemble une vidéo sur tableau blanc pour diffuser des recommandations de santé publique sur la réduction du risque de MGA. La vidéo a été présentée à Rigolet en août 2016 dans le cadre d’une activité socioculturelle, puis mise en ligne pour les résidents et les services de santé locaux et régionaux. Au moyen d’entretiens et de groupes de discussion, nous avons cherché à déterminer dans quelle mesure cette vidéo permet de communiquer des informations de santé publique aux résidents de Rigolet.

Résultats

Les résidents et les fonctionnaires qui ont visionné la vidéo sur tableau blanc l’ont trouvée innovante et captivante. Selon les participants de l’évaluation, c’est un bon outil de promotion de la santé pour les Inuits parce qu’elle utilise des images et des mots ancrés dans les traditions artistiques et narratives inuites. Les participants ont aussi indiqué que le processus de création concertée a été essentiel à la création d’une vidéo pertinente pour les résidents. Selon les résultats à court terme, cette vidéo peut renforcer les connaissances sur la santé et peut-être encourager la modification des comportements.

Conséquences

Les résultats indiquent que cette vidéo sur tableau blanc est un outil efficace pour diffuser de l’information et qu’elle pourrait accroître les intentions de changer de comportements afin de réduire le risque de MGA à Rigolet. Les outils comme les vidéos sur tableau blanc gagnent en popularité, mais la démarche participative employée pour créer la vidéo, et son utilisation dans un contexte inuit, illustrent son caractère novateur. Ce pourrait être un bon outil de promotion de la santé dans les communautés autochtones du Canada.

Mots-clés

Inuits Promotion de la santé Recherche participative communautaire (RPC) Maladie gastrointestinale aiguë Nunatsiavut Vidéo sur tableau blanc 

Notes

Acknowledgements

A special thank you goes to the community of Rigolet, the youth in Rigolet: Rodney, Alison, Mackenzie, Brittney, Ryan and Brady, the Rigolet Inuit Community Government, and the Nunatsiavut Government for their support and without whom this project would not be possible. Thanks to Nia King for her assistance in hosting community events and collecting data.

Funding information

This work received funding from the Nasivvik Centre for Inuit Health and Changing Environments, IDRC, CIHR, SSHRC, NSERC and the Indigenous Health Adaptation to Climate Change project. Personal funding was also provided by the Arthur D. Latornell Scholarship, and the Queen Elizabeth II Graduate Scholarship in Science and Technology (QEII-GSST) Program.

Compliance with ethical standards

The project was approved by the Research Ethics Board at the University of Guelph.

References

  1. Adelson, N. (2005). The embodiment of inequity: health disparities in Aboriginal Canada. Canadian Journal of Public Health, 96(Supplement 2), S45–S61.CrossRefGoogle Scholar
  2. Bradford, L. E. A., & Bharadwaj, L. A. (2015). Whiteboard animation for knowledge mobilization: a test case from the Slave River and Delta, Canada. International Journal of Circumpolar Health, 74(1), 28780.CrossRefPubMedGoogle Scholar
  3. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRefGoogle Scholar
  4. Castleden, H., Morgan, V. S., & Lamb, C. (2012). “I spent the first year drinking tea”: exploring Canadian university researchers’ perspectives on community-based participatory research involving indigenous peoples. The Canadian Geographer, 56(2), 160–179.CrossRefGoogle Scholar
  5. Centers for Disease Control and Prevention. (1999). Framework for program evaluation in public health. Morbidity and Mortality Weekly Report, 48(RR-11), 1–40.Google Scholar
  6. Cornwall, A. (2003). Whose voices? Whose choices? Reflections on gender and participatory development. World Development, 31(8), 1325–1342.CrossRefGoogle Scholar
  7. Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39(3), 124–130.CrossRefGoogle Scholar
  8. Cunsolo Willox, A., Harper, S. L., Ford, J. D., Edge, V. L., Landman, K., Houle, K., et al. (2013). Climate change and mental health: an exploratory case study from Rigolet, Nunatsiavut, Canada. Climatic Change, 121(2), 255–270.CrossRefGoogle Scholar
  9. Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80–92.CrossRefGoogle Scholar
  10. Harper, S. L., Edge, V. L., Schuster-Wallace, C. J., Berke, O., & McEwen, S. A. (2011). Weather, water quality and infectious gastrointestinal illness in two Inuit communities in Nunatsiavut, Canada: potential implications for climate change. EcoHealth, 8(1), 93–108.  https://doi.org/10.1007/s10393-011-0690-1. CrossRefPubMedGoogle Scholar
  11. Harper, S. L., Edge, V. L., Ford, J., Thomas, M. K., IHACC Research Group, Rigolet Inuit Community Government, & McEwen, S. A. (2015a). Lived experience of acute gastrointestinal illness in Rigolet, Nunatsiavut: “just suffer through it.”. Social Science & Medicine, 126, 86–98.CrossRefGoogle Scholar
  12. Harper, S. L., Edge, V. L., Ford, J., Thomas, M. K., Pearl, D. L., Shirley, J., et al. (2015b). Acute gastrointestinal illness in two Inuit communities: burden of illness in Rigolet and Iqaluit, Canada. Epidemiology and Infection, 143(14), 3048–3063.CrossRefPubMedGoogle Scholar
  13. Harper, S. L., Edge, V. L., Ford, J., Thomas, M. K., Pearl, D., Shirley, J., et al. (2015c). Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada. International Journal of Circumpolar Health, 74.  https://doi.org/10.3402/ijch.v74.26290.
  14. Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202.CrossRefPubMedGoogle Scholar
  15. King, M., Smith, A., & Gracey, M. (2009). Indigenous health part 2: the underlying causes of the health gap. The Lancet, 374, 76–85.CrossRefGoogle Scholar
  16. Koster, R., Baccar, K., & Lemelin, R. H. (2012). Moving from research on, to research with and for indigenous communities: a critical reflection on community-based participatory research. The Canadian Geographer, 56(2), 195–210.CrossRefGoogle Scholar
  17. Kreuter, M. W., & McClure, S. M. (2004). The role of culture in health communication. Annual Review of Public Health, 25, 439–455.CrossRefPubMedGoogle Scholar
  18. Latycheva, O., Chera, R., Hampson, C., Masuda, J. R., Stewart, M., Elliott, S. J., & Fenton, N. E. (2013). Engaging First Nation and Inuit communities in asthma management and control: assessing cultural appropriateness of educational resources. Rural and Remote Health, 13(2), 1–11.Google Scholar
  19. Majowicz, S. E., Hall, G., Scallan, E., Adak, G. K., Gauci, C., Jones, T. F., et al. (2008). A common, symptom-based case definition for gastroenteritis. Epidemiology and Infection, 136(7), 886–894.CrossRefPubMedGoogle Scholar
  20. Molyneaux, H., O’Donnell, S., Kakekaspan, C., Walmark, B., Budka, P., & Gibson, K. (2014). Social media in remote first nation communities. Canadian Journal of Communication, 39(2), 275–288.CrossRefGoogle Scholar
  21. Reading, C., & Wien, F. (2009). Health inequalities and social determinants of aboriginal people’s health. Prince George: National Collaborating Centre for Aboriginal Health.Google Scholar
  22. Richmond, C. A. M., & Ross, N. A. (2008). Social support, material circumstance and health behaviour: influences on health in First Nation and Inuit communities of Canada. Social Science and Medicine, 67(9), 1423–1433.CrossRefPubMedGoogle Scholar
  23. Richmond, C. A. M., Ross, N. A., & Egeland, G. M. (2007). Social support and thriving health: a new approach to understanding the health of Indigenous Canadians. American Journal of Public Health, 97(10), 1827–1833.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Saini, M. (2017). Participatory methods for Inuit public health promotion and program evaluation in Nunatsiavut, Canada. Guelph: University of Guelph Retrieved from http://hdl.handle.net/10214/10433.Google Scholar
  25. Smylie, J., Kaplan-Myrth, N., McShane, K., & Métis Nation of Ontario-Ottawa Council, Pikwakanagan First Nation, & Tungasuvvingat Inuit Family Resource Centre. (2009). Indigenous knowledge translation: baseline findings in a qualitative study of the pathways of health knowledge in three Indigenous communities in Canada. Health Promotion Practice, 10(3), 436–446.CrossRefPubMedGoogle Scholar
  26. Statistics Canada. (2013). Rigolet, T, Newfoundland and Labrador. National Household Survey (NHS) Profile. http://www12.statcan.gc.ca/nhs-enm/2011/dp-pd/prof/index.cfm?Lang=E. Accessed 21 July 2016.
  27. Tobias, J. K., Richmond, C. A. M., & Luginaah, I. (2013). Community-based participatory research (CBPR) with Indigenous communities: producing respectful and reciprocal research. Journal of Empirical Research on Human Research Ethics, 8(2), 129–140.CrossRefPubMedGoogle Scholar
  28. Turner, G., & Shepherd, J. (1999). A method in search of a theory: peer education and health promotion. Health Education Research, 14(2), 235–247.CrossRefPubMedGoogle Scholar
  29. Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. American Journal of Public Health, 100(Supplement 1), 40–47.CrossRefGoogle Scholar
  30. Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132(2), 249–268.CrossRefPubMedGoogle Scholar

Copyright information

© The Canadian Public Health Association 2019

Authors and Affiliations

  • Manpreet Saini
    • 1
    Email author
  • Steven Roche
    • 1
    • 2
  • Andrew Papadopoulos
    • 1
  • Nicole Markwick
    • 3
  • Inez Shiwak
    • 4
  • Charlie Flowers
    • 1
    • 5
  • Michele Wood
    • 6
  • Victoria L. Edge
    • 7
  • James Ford
    • 8
  • Rigolet Inuit Community Government
    • 4
  • Nunatsiavut Government
    • 9
  • IHACC Research Team
  • Carlee Wright
    • 10
  • Sherilee L. Harper
    • 1
    • 10
  1. 1.Department of Population MedicineUniversity of GuelphGuelphCanada
  2. 2.ACER Consulting Ltd.GuelphCanada
  3. 3.C4 ConsultingVancouverCanada
  4. 4.Rigolet Inuit Community GovernmentRigoletCanada
  5. 5.RigoletCanada
  6. 6.Department of Health and Social DevelopmentNunatsiavut GovernmentHappy Valley-Goose BayCanada
  7. 7.Public Health Agency of CanadaGuelphCanada
  8. 8.Priestley International Centre for ClimateUniversity of LeedsLeedsUK
  9. 9.Happy Valley-Goose BayCanada
  10. 10.School of Public Health at the University of AlbertaEdmontonCanada

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