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Reflections and lessons learned from implementing the Ontario Health Equity Impact Assessment Tool in community
Francis Routledge1, Sabrina Campanella2, Yona Lunsky2,3
1University of Toronto, Rehabilitation Sciences Institute, Canada.
This commentary details using the Health Equity Impact Assessment (HEIA) Tool with Acceptance and Commitment Training (ACT) workshops for caregivers. Challenges led to tool customization, offering insights for similar community health equity initiatives.
Area of Science:
- Health Services Research
- Community Health
- Disability Studies
Background:
- Family caregivers of neurodivergent individuals and people with disabilities face unique challenges.
- Acceptance and Commitment Training (ACT) is a therapeutic approach that can support caregivers.
- Assessing health equity is crucial for inclusive community programs.
Purpose of the Study:
- To describe the experience of using the Health Equity Impact Assessment (HEIA) Tool.
- To evaluate the implementation of an ACT workshop for family caregivers.
- To identify challenges and propose solutions for using the HEIA Tool in a community setting.
Main Methods:
- Commentary based on practical experience.
- Utilized the Ontario Ministry of Health's HEIA Tool.
- Facilitators (caregivers and clinicians) completed the HEIA Tool during an ACT workshop evaluation.
Main Results:
- Facilitators encountered difficulties in understanding and applying the HEIA Tool.
- The HEIA Tool required customization to fit the specific context of the ACT workshop.
- The experience highlighted the need for adaptable health equity assessment tools.
Conclusions:
- Customization of the HEIA Tool was necessary for effective implementation.
- Recommendations are provided for adapting health equity assessment tools in community programs.
- The findings offer valuable lessons for other initiatives conducting health equity assessments.
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