Building trust and sharing power for co-creation in Aboriginal health research: a stakeholder interview study

Simone Sherriff · Hilary M. Miller · Allison Tong · Anna B. Williamson · Sumithra Muthayya · Sally Redman +2 more

62 citations0/0 files storedEvidence & Policy

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Indigenous Health, Education, and Rights Health Policy Implementation Science Community Health and Development

Abstract

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.

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References

2000Whatever happened to qualitative description?2006A General Inductive Approach for Analyzing Qualitative Evaluation Data 2008The SAGE Encyclopedia of Qualitative Research Methods 2000Decolonising Methodologies Research and Indigenous Peoples 2008A Realist Approach For Qualitative Research 2012Participatory Research Methods: A Methodological Approach in Motion 2016The craft of interviewing in realist evaluation 2013It takes Two to Tango? Understanding the C o‐production of Public Services by Integrating the Services Management and Public Administration Perspectives

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