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Mixed methods participatory social justice community engagement model
Annals of Family Medicine
|January 26, 2023
Summary
This study explored health literacy as a social determinant of health within an urban Indigenous community on Treaty Six. Co-created engagement enhanced understanding and built community capacity for impactful health research.
Area of Science:
- Community-based participatory research
- Social justice research
- Health literacy studies
Background:
- A community engagement model was developed using a Mixed Methods Participatory Social Justice (MMPSJ) research project.
- The model evolved through co-creation of synthesis and dissemination with participants.
- Indigenous community members, researchers, and Elders collaborated to explore health literacy and social determinants of health (SDoH).
Purpose of the Study:
- To understand the connections between health and literacy from the perspective of an urban Indigenous community on Treaty Six.
- To identify how literacy functions as a social determinant of health.
- To explore literacy-related issues that contribute to community marginalization.
Main Methods:
- Mixed methods participatory social justice research
- Community-based participatory health research
- Engagement with 12 participants, including Indigenous intergenerational family members and an Indigenous Elder.
Main Results:
- Local, contemporary Indigenous perspectives on health and literacy were shared meaningfully.
- The research illuminated root causes of SDoH and built community capacity.
- The process fostered an enhanced ethical space and richer understanding within community-based research.
Conclusions:
- Appropriate community engagement informs SDoH research in an appreciative manner.
- Capacity-building approaches impact health care practitioners, educators, and policy.
- This work strengthens inter-system relations and promotes health equity.
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