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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Amplifying Cultural Values with Collaborative Photo-Elicitation: Strengths-Focused Co-Design with Alaska Native

Lisa G Dirks1, Miranda Belarde-Lewis1, Wanda Pratt1

  • 1University of Washington, Information School, Seattle, Washington, USA.

DIS. Designing Interactive Systems (Conference)
|September 25, 2025
PubMed
Summary

Strengths-based research with Indigenous communities, like Alaska Native peoples, builds trust and respects cultural values. Photo elicitation using online image search effectively uncovers community strengths for health research co-design.

Keywords:
Indigenous peopleco-designphoto elicitationstrengths-based research

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Area of Science:

  • Community-based participatory research
  • Qualitative health research
  • Indigenous methodologies

Background:

  • Research with marginalized communities often focuses on deficits, perpetuating stereotypes and mistrust.
  • Strengths-based approaches are crucial for ethical engagement, respecting Indigenous knowledge and promoting collaboration.
  • Previous research has not fully explored visual methods for uncovering community strengths in health research co-design.

Purpose of the Study:

  • To investigate values for community-level health research dissemination with Alaska Native communities using a strengths-based approach.
  • To explore the utility of online image search as a tool for collaborative photo elicitation in co-design.
  • To identify how visual methods can reveal cultural strengths relevant to research ideation.

Main Methods:

  • A deductive qualitative approach was used with Alaska Native communities.
  • Photo elicitation, incorporating online image search, facilitated collaborative ideation.
  • Data were analyzed through the lenses of resilience, socioecological strengths, and sociocultural strengths.

Main Results:

  • The strengths-based approach, utilizing photo elicitation with image search, aided in recalling and centering cultural values during design ideation.
  • Cultural representations of community, health, wellness, storytelling, and research emerged as key strengths.
  • The methods revealed specific cultural strengths that might have been overlooked in traditional research approaches.

Conclusions:

  • Shifting to strengths-based research and employing collaborative visual methods like photo elicitation with image search is vital for ethical and effective engagement with Indigenous communities.
  • These approaches can uncover and leverage community strengths, fostering more relevant and respected health research.
  • Visual tools can enhance co-design processes by making cultural values and strengths more accessible during research ideation.