An Exploration of Knowledge Translation in Aboriginal Health Dr. Jeff Reading Co-presenters: Elizabeth Estey & Dr. Andrew Kmetic 20th Annual Native Health Research Conference Portland, Oregon August 27, 2008 The Problem/Question Aboriginal health disparities and inequities How can knowledge of this ill health be used to improve Aboriginal health and well-being? This is a question of knowledge translation The Study Design: Single-case exploratory case study Case: The Network Environments for Aboriginal Research British Columbia (NEARBC) Methods: Semi-structured qualitative interviews with key informants The Findings Four Main themes: 1. The Definitional Debate 2. “Aboriginal” KT 3. “Doing” KT 4. KT Roles www.carmel.ac.uk/pages/exam_results.html Thematic Map Knowledge transfer Exploring KT in Aboriginal Health Definitional Debate KT Roles Individuals’ role(s) Dissemination Knowledge exchange NEARBC’s role(s) Knowledge translation Knowledge mobilization Doing KT Evaluating KT Aboriginal KT Purpose of Aboriginal KT KT Activities KT Strategies/Approaches Barriers to Aboriginal KT Elements of Aboriginal KT Aboriginal Experiences of KT Lesson #1: Definitional clarity is needed Complex and confusing number of terms Clarity vs. consensus Can’t ignore rich debate demrepubnepal.blogspot.com Lesson #2: Researcher-community collaborations are essential Build on different strengths Existing frameworks: – Aboriginal health research ethics – Community-based research/ Participatory action research – Two-eyed seeing (Marshall) – Ethical space (Ermine) http://www.vmminternet.com/images/ethics_header.jpg Lesson #3: Aboriginal KT is integrated KT Conceptualized in the mainstream literature (Graham, 2007; Gold, 2006) – KT a process; ongoing; embedded in the research process This requires time, dedication, and resources Lesson #4: Aboriginal KT must embrace its multidisciplinarity Aboriginal KT must move beyond research-community focus Include and engage – health professionals and practitioners – policy- and decision-makers – the public – the media, etc… Lesson #5: Roles and responsibilities need to be defined and clarified Especially important as Aboriginal KT continues to be conceptualized All involved need to know what you are supposed to do Lesson #6: KT has an important place in Aboriginal health research Research is needed to examine Aboriginal health issues Energy is also needed to find ways to utilize current information and to ensure that new research is relevant and effective Next Steps In order to better understand Aboriginal KT it will be important to build on and contextualize these lessons Broader understanding of the social and political context of KT is also needed Acknowledgements Thanks for listening! Time for Questions….