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Spring Workshop

The Homeward Bound team attended a two day long workshop surrounding allyship training, CBPR and two-eyed seeing from May 4th-5th.

Workshop - Full Agenda

Day 1 – May 4th: Allyship Training, CBPR, & Research Calibration Follow-up

9:30 AM – 10:00 AM: Arrival & Mingling
10:00 AM – 10:15 AM: Welcome, The Homeward Bound Vision & Introduce Eleanor
(Alison).
10:15 AM – 11:45 AM: Workshop 1 Part 1: Allyship Training (Eleanor Anderson).
11:45 AM – 1:00 PM: Extended Lunch.
1:00 PM – 2:30 PM: Workshop 1 Part 2: Allyship Training (Eleanor Anderson).
2:30 PM – 3:00 PM: CBPR Principles & Feminist Governance (Alison)

Day 2 – May 5th: Culturally Relevant Research, UNIR Two-Eyed Seeing, and Methodology Sharing

9:30 AM – 10:00 AM: Coffee & Reconvene
10:00 AM – 11:30 AM: Workshop 2 Part 1: Culturally Relevant Gender-Based Analysis
(CRGBA) (Katelynn Carter-Rogers).
11:30 AM – 12:30 PM: Lunch.
12:30 PM – 2:00 PM: Workshop 2 Part 2: Culturally Relevant Gender-Based Analysis
(CRGBA) (Katelynn Carter-Rogers)
2:00 PM – 2:15 PM: Break
2:15 PM – 2:45 PM: CBPR Principles & Feminist Governance (Alison)
2:45 PM – 3:30 PM: Two-Eyed Seeing in Homeward Bound (UINR flower activity – Kate).
3:30 PM – 4:00 PM: Session 1: Homeward Bound “Flash talks”: (Kate) One researcher
from each research activity gives a 3–5-minute overview of their planned methodology,
outcomes, and planned analysis.
4:00PM – 4:30 PM: Research Discussions: (Kate) Break into small groups around the room
to discuss plans/overlaps and provide feedback. Reminders every 10 minutes to change
group if desired.
4:30 PM: Closing Circle & Goodbyes (Alison

Community Based Participatory Research Principles

Guiding Framework
CBPR consists of eight core principles and characteristics (Israel et al., 2001):

  • Recognizes community as a unit of identity.
  • Builds on strengths and resources within the community.
  • Facilitates collaborative, equitable involvement of all partners in all phases of the research.
  • Integrates knowledge and action for mutual benefit of all partners.
  • Promotes a co-learning and empowering process that attends to social inequalities.
  • Involves a cyclical and iterative process.
  • Disseminates findings and knowledge gained to all partners.
  • Involves a long-term commitment by all partners.

 

Project Takeaways: Discussing how we apply these principles to our Homeward Bound research

Recognizes community as a unit of identity

  • Rural NS as a distinct place-based ecosystem
  • 1) collection & Analysis by NORC
    2) Tailor prehab by community/ culture
  • Speaking with various groups/ communities and their varied experiences, how they relate and diverge
  • Define clearly community who will be concluded such as older adults, clinicians, caregivers, local and indigenous communities/ organizations
  • Making sure texts/posts are accessible and tailored to our communities needs
  • If not from community: I don’t know: Ask!
  • Reflecting on assumptions about identity continuously 
  • Housing (everything) is different across community units. 
    -> Asking how?
    -> Tell me more
  • Community and location impacts wellbeing as a whole
  • Ensure we do our best to capture community idiosyncrasies without simply having a sanitized “data” of them

KEY TAKEAWAY: Identify and recognize the communities we are serving.

Builds on strengths and resources within the community

  • Community elements as an asset. IT in infrastructure! 
  • Prehab process 
    Integrate them with the strength that already exists
  • Listening to LAC/Communities about what they value
  • Talking to community to empower them and uplift the strengths they have
  • Using pre-existing resources & communities to leverage helpful info
  • Discovering pre-existing strengths, learning about and building on them through communication and information sharing
  • Including community strengths as part of prehab pillars 
  • Consults with live advisory council to see what is already working 
  • Building on growing digital literacy – bringing care closer to home.
  • Finding ways to enhance existing sources of support through technology 
    – Learning from participant ideas

KEY TAKEAWAY: Identify what is working & enhance it.

Facilitates collaborative, equitable involvement of all partners in all phases of research

  • Listen actively to all participants
  • Seek out as many viewpoints as possible, continuously recalculate progress to see where gaps are
  • LAC & Community partners decide not just advise
  • Getting multiple perspectives on content before its finalized
  • Co-designing solutions iteratively with multiple opportunities for feedback 
  • Implementation? Not quite in creation.
  • Community defined SROI – well-being metrics translate to policy 
  • Lit Rev with consultation 
    Community consultation system mapping with interviews 
    Co-design of prehab prog 
  • Contribute community into research questions to have their belongings

KEY TAKEAWAYS: Listen to & value the voices of all participants.

Promotes a co-learning and empowering process that attends to social inequalities

  • The whole thing proports to do this.
  • Discusses the gaps of service and how to address issues presented
  • Intersectionality
    Reciprocity 
    Diverse Representation
  • Seek out services in place (local + elsewhere); first consider needs before project goals
  • GO to them. Don’t make them come to us
  • Co-design
    Consult
    Listen
  • Community can teach us barriers such as income 
    difficulties of living in rural areas
    Accessibility to health services
  • Maintaining humility & openness to learning. Also sharing empowering tools + resources

KEY TAKEAWAYS: Remain open to learning & sharing our knowledge while empowering participants.

Integrates knowledge and action for mutual benefit of all partners

  • Co-design aiming to balance community & provider “needs”
  • Balance clinical standards with community knowledge, interest and values
  • All knowledge is valuable from research and implementation
  • Combining phases of co-design (knowledge) & development (action)
  • Align research with actual needs 
    procedures, guidelines, reports, etc
  • If community doesn’t want, we don’t do
  • Seeing what KMB Community will most benefit from
  • Combining research/info with helpful resources/events
  • Consider who is benefiting in all stages, see where equity is needed

KEY TAKEAWAYS: Value community needs while incorporating knowledge with action.

Involves a cyclical and iterative process

  • I don’t know how not to be iterative. So how do i make the process transparent?
  • Iterations of design + feedback
  • Multiple phases that build upon one another
  • Flexible to revise
    Plan -> Do -> Check -> Act
    Casual conversations for feedback
  • Be consistent across interviews, using existing frame works which are holistic 
  • Continue to evolve based on community feedback take LAC recommendations
  • Consistency of rapport and the interview process
  • Co-create research methods
  • Ecosystem approach is inherently iterative 
    -> Community feedback

KEY TAKEAWAYS: Maintaining consistency and integrating community feedback into evolving research methods.

Disseminates findings and knowledge gained to all partners

  • Community events + joining community groups (small halls) + collaborative research initiatives 
  • Ensure findings are transparently provided to all members, especially relevant communities and participants 
  • Sharing findings + manuscripts at multiple stages
  • Multiple outputs per phase: 
    Lay, policy & academic
    social media & back to communities
  • Effort towards policy change – greater access
  • Prepare plain language reports
    Community gathering
  • Effort towards policy change – greater access
  • Community share backs
    Accessible data/outcomes
  • Honoring report back in way different communities want
  • Clear communication and how data will be used

KEY TAKEAWAYS: Ensure findings are accessible to/shared with all participants.

Involves a long-term commitment by all partners

  • 1000 teas -> Time!
  • Document procedure results
    Building trust
  • Community friendships come first – research if it works
  • Uptake + adoption by NSH and healthcare practitioner buy-in
  • Commitment to develop social connections with people in areas we are studying
  • Remain involved for deployment, maintenance, support and improvement for tech
  • Ensure community is consulted with from the start and the relationship grows until the end
  • Continued relationship with collaborators
    Keep communications open
  • Integrate sustainability from the start

KEY TAKEAWAYS: Dedicate time, invest in growing long-lasting relationships to build trust with communities.