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The Diabetes Educator

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Health Promotion Practice
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Indigenous Knowledge Translation: Baseline Findings in a Qualitative Study of the Pathways of Health Knowledge in Three Indigenous Communities in Canada

Janet Smylie, MD, MPH, CCFP

University of Toronto, Department of Public Health Sciences, and Centre for Research on Inner City Health, the Keenan Research Centra, in the Li Ka Shing Knowledge Institute of St. Michael's Hospital in Toronto, Ontario, janet.smylie{at}utoronto.ca

Nili Kaplan-Myrth, PhD

Centre for the Study of Health and Society, University of Melbourne in Melbourne, Victoria

Kelly McShane, PhD

Centre for Research on Inner City Health, the Keenan Research Centre, in the Li Ka Shing Knowledge Institute of St. Michael’s Hospital in Toronto, Ontario

Métis Nation of Ontario-Ottawa Council

Pikwakanagan First Nation,

Tungasuvvingat Inuit Family Resource Centre

To acquire an understanding of the pathways of health information dissemination and use by Indigenous community members, the researchers applied an Indigenous participatory action research approach in partnership with one urban Inuit, one urban Métis, and one semirural First Nations community in Ontario, Canada. A descriptive community case study was conducted in each community through the use of focus groups, key informant interviews, and document inquiry. Results were corroborated by the communities. Each of the three community consultations generated distinct and striking data about health information sources and dissemination strategies; decision-making processes; locally relevant concepts of health, local health services, and programs; community structures; and mechanisms of interface with noncommunity systems. In addition, several crosscutting themes were identified. The participatory research approach successfully engaged community partners. These findings support the hypothesis that understanding local Indigenous processes of knowledge creation, dissemination, and utilization is a necessary prerequisite to effective knowledge translation in Indigenous contexts.

Key Words: health promotion • knowledge translation • participatory action research • community based • Indigenous • First Nations • Métis • Inuit

This version was published on July 1, 2009

Health Promotion Practice, Vol. 10, No. 3, 436-446 (2009)
DOI: 10.1177/1524839907307993


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