Limits...
Tailoring a response to youth binge drinking in an Aboriginal Australian community: a grounded theory study.

McCalman J, Tsey K, Bainbridge R, Shakeshaft A, Singleton M, Doran C - BMC Public Health (2013)

Bottom Line: While Aboriginal Australian health providers prioritise identification of local community health needs and strategies, they do not always have the opportunity to access or interpret evidence-based literature to inform health improvement innovations.The community-based process undertaken by the research partnership to tailor the design, implementation and evaluation of the project was theorised as a model incorporating four overlapping stages of negotiating knowledges and meanings to tailor a community response.The theoretical model can be applied in spaces where local Aboriginal and scientific knowledges meet to support the tailored design, implementation and evaluation of other health improvement projects, particularly those that originate from Aboriginal communities themselves.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Cairns Institute, James Cook University, PO Box 6811, Cairns, QLD 4870, Australia. janya.mccalman@jcu.edu.au

ABSTRACT

Background: While Aboriginal Australian health providers prioritise identification of local community health needs and strategies, they do not always have the opportunity to access or interpret evidence-based literature to inform health improvement innovations. Research partnerships are therefore important when designing or modifying Aboriginal Australian health improvement initiatives and their evaluation. However, there are few models that outline the pragmatic steps by which research partners negotiate to develop, implement and evaluate community-based initiatives. The objective of this paper is to provide a theoretical model of the tailoring of health improvement initiatives by Aboriginal community-based service providers and partner university researchers. It draws from the case of the Beat da Binge community-initiated youth binge drinking harm reduction project in Yarrabah.

Methods: A theoretical model was developed using the constructivist grounded theory methods of concurrent sampling, data collection and analysis. Data was obtained from the recordings of reflective Community-Based Participatory Research (CBPR) processes with Aboriginal community partners and young people, and university researchers. CBPR data was supplemented with interviews with theoretically sampled project participants. The transcripts of CBPR recordings and interviews were imported into NVIVO and coded to identify categories and theoretical constructs. The identified categories were then developed into higher order concepts and the relationships between concepts identified until the central purpose of those involved in the project and the core process that facilitated that purpose were identified.

Results: The tailored alcohol harm reduction project resulted in clarification of the underlying local determinants of binge drinking, and a shift in the project design from a social marketing awareness campaign (based on short-term events) to a more robust advocacy for youth mentoring into education, employment and training. The community-based process undertaken by the research partnership to tailor the design, implementation and evaluation of the project was theorised as a model incorporating four overlapping stages of negotiating knowledges and meanings to tailor a community response.

Conclusions: The theoretical model can be applied in spaces where local Aboriginal and scientific knowledges meet to support the tailored design, implementation and evaluation of other health improvement projects, particularly those that originate from Aboriginal communities themselves.

Show MeSH

Related in: MedlinePlus

Proposed theoretical model: tailoring a community response to alcohol harm by negotiating knowledges and meanings.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3750544&req=5

Figure 2: Proposed theoretical model: tailoring a community response to alcohol harm by negotiating knowledges and meanings.

Mentions: The purpose of research partners, and core concern of the constructed theoretical model, was tailoring a community response to alcohol harm. A community partner described Beat da Binge as: “tailored from the local situation. And like those stakeholders that were involved, we got them involved in the initial writing of the application so they were aware of what was going on …”. The core process by which the community response was tailored was negotiating knowledges and meanings. This referred to the efforts of the steering committee to align local Aboriginal knowledges and broader scientific evidence to find the most effective way to reduce alcohol harm among young people in Yarrabah. Negotiating knowledges and meanings was experiential and required four inter-related and transformative overlapping stages (to be discussed in detail in the subsequent sections). As a result of these stages, a community leader reflected: “it got better as we went along I think.” Figure 2 depicts the model of tailoring a community response.


Tailoring a response to youth binge drinking in an Aboriginal Australian community: a grounded theory study.

McCalman J, Tsey K, Bainbridge R, Shakeshaft A, Singleton M, Doran C - BMC Public Health (2013)

Proposed theoretical model: tailoring a community response to alcohol harm by negotiating knowledges and meanings.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750544&req=5

Figure 2: Proposed theoretical model: tailoring a community response to alcohol harm by negotiating knowledges and meanings.
Mentions: The purpose of research partners, and core concern of the constructed theoretical model, was tailoring a community response to alcohol harm. A community partner described Beat da Binge as: “tailored from the local situation. And like those stakeholders that were involved, we got them involved in the initial writing of the application so they were aware of what was going on …”. The core process by which the community response was tailored was negotiating knowledges and meanings. This referred to the efforts of the steering committee to align local Aboriginal knowledges and broader scientific evidence to find the most effective way to reduce alcohol harm among young people in Yarrabah. Negotiating knowledges and meanings was experiential and required four inter-related and transformative overlapping stages (to be discussed in detail in the subsequent sections). As a result of these stages, a community leader reflected: “it got better as we went along I think.” Figure 2 depicts the model of tailoring a community response.

Bottom Line: While Aboriginal Australian health providers prioritise identification of local community health needs and strategies, they do not always have the opportunity to access or interpret evidence-based literature to inform health improvement innovations.The community-based process undertaken by the research partnership to tailor the design, implementation and evaluation of the project was theorised as a model incorporating four overlapping stages of negotiating knowledges and meanings to tailor a community response.The theoretical model can be applied in spaces where local Aboriginal and scientific knowledges meet to support the tailored design, implementation and evaluation of other health improvement projects, particularly those that originate from Aboriginal communities themselves.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Cairns Institute, James Cook University, PO Box 6811, Cairns, QLD 4870, Australia. janya.mccalman@jcu.edu.au

ABSTRACT

Background: While Aboriginal Australian health providers prioritise identification of local community health needs and strategies, they do not always have the opportunity to access or interpret evidence-based literature to inform health improvement innovations. Research partnerships are therefore important when designing or modifying Aboriginal Australian health improvement initiatives and their evaluation. However, there are few models that outline the pragmatic steps by which research partners negotiate to develop, implement and evaluate community-based initiatives. The objective of this paper is to provide a theoretical model of the tailoring of health improvement initiatives by Aboriginal community-based service providers and partner university researchers. It draws from the case of the Beat da Binge community-initiated youth binge drinking harm reduction project in Yarrabah.

Methods: A theoretical model was developed using the constructivist grounded theory methods of concurrent sampling, data collection and analysis. Data was obtained from the recordings of reflective Community-Based Participatory Research (CBPR) processes with Aboriginal community partners and young people, and university researchers. CBPR data was supplemented with interviews with theoretically sampled project participants. The transcripts of CBPR recordings and interviews were imported into NVIVO and coded to identify categories and theoretical constructs. The identified categories were then developed into higher order concepts and the relationships between concepts identified until the central purpose of those involved in the project and the core process that facilitated that purpose were identified.

Results: The tailored alcohol harm reduction project resulted in clarification of the underlying local determinants of binge drinking, and a shift in the project design from a social marketing awareness campaign (based on short-term events) to a more robust advocacy for youth mentoring into education, employment and training. The community-based process undertaken by the research partnership to tailor the design, implementation and evaluation of the project was theorised as a model incorporating four overlapping stages of negotiating knowledges and meanings to tailor a community response.

Conclusions: The theoretical model can be applied in spaces where local Aboriginal and scientific knowledges meet to support the tailored design, implementation and evaluation of other health improvement projects, particularly those that originate from Aboriginal communities themselves.

Show MeSH
Related in: MedlinePlus