Critical reflection for researcher–community partnership effectiveness: the He Pikinga Waiora process evaluation tool guiding the implementation of chronic condition interventions in Indigenous communities
Moana Rarere A E , John Oetzel A , Bridgette Masters-Awatere A , Nina Scott B , Ray Wihapi C , Carey Manuel C and Rewa Gilbert DA The University of Waikato, Private Bag 3105, Hamilton 3240, New Zealand.
B Waikato District Health Board, Pembroke Street, Private Bag 3200, Hamilton 3240, New Zealand.
C Poutiri Trust, 35 Commerce Lane, Te Puke 3119, New Zealand.
D Te Kōhao Health Services Ltd, 951 Wairere Drive, Hamilton 3216, New Zealand.
E Corresponding author. Email: moana.rarere@waikato.ac.nz
Australian Journal of Primary Health 25(5) 478-485 https://doi.org/10.1071/PY19022
Submitted: 31 January 2019 Accepted: 2 July 2019 Published: 11 September 2019
Journal Compilation © La Trobe University 2020 Open Access CC BY-NC-ND
Abstract
Critically reflecting on researcher–community partnerships is a key component in implementing chronic condition interventions in Indigenous communities. This paper draws on the results and learnings from a process evaluation that measures how well two research–community partnerships have followed the He Pikinga Waiora (HPW) Implementation Framework while co-designing chronic condition interventions in primary care. The HPW framework is centred on Indigenous self-determination and knowledge surrounded by community engagement, cultural centredness, systems thinking and integrated knowledge translation. The evaluation included in-depth interviews and online surveys with 10 team members. The findings demonstrate that the HPW framework was followed well, with strengths particularly in community engagement and relationship building. Areas for improvement included systems thinking and integrated knowledge translation to support sustainability of the interventions. The need for partnerships to use process evaluation results to support critical reflection is asserted, which helps build strong trust and synergy, power sharing and effective and sustainable implementation practices. It is concluded that the HPW framework is well suited to evaluating implementation of health interventions in primary care as it assists in the facilitation of better collaboration between researchers and Indigenous communities, and encourages the implementation team to reflect on power and privilege.
Additional keywords: community health: planning, healthcare disparities, Indigenous health services, planning techniques.
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