pan-arctic tv series on inuit wellness: preliminary evaluation findings and lessons learned
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Rhonda Johnson, Doreen Leavittand Robin MoralesDepartment of Health Sciences,University of Alaska AnchorageDelivered by Catherine Carry, Project Manager –NAHO 2009 National ConferenceTRANSCRIPT
Rhonda Johnson, Doreen Leavitt
and Robin Morales
Department of Health Sciences,
University of Alaska Anchorage
Delivered by Catherine Carry, Project
Manager – NAHO Conference 2009 - Ottawa
• Background
• Methods
• Key findings and lessons learned
• Implications
• Next steps
• Circumpolar health links and
opportunities
Overview:
• IPY outreach project on Inuit wellness
broadcast APTN-North (and 360-N in Alaska)
May 2009
• Inuktitut and English open-captioning/
subtitles
• Focus on health issues of shared concern
and community-based solutions and
„promising practices‟
• Linkage to ongoing IPY research, Inuit
Health Survey
• Use of „communication for change‟ model
using multiple channels of delivery
Background:
• Three 2 hour live TV shows May 11-13, 2009
• Men‟s Health• Maternity Care• Youth Resilience
• Panel presentations with skilled moderator
and studio audience
• Video vignettes of community programs
and IPY funded research-Inuit Health Survey
• Use of Skype, community-based and virtual
focus groups, telephone, website and email
• Development of DVDs and videos archived
on Web site (NAHO)
Background:
• Utilization Focused Evaluation
Approach (Patton, 2008)
• Engagement of stakeholders to identify
key questions and methods
• Primarily formative
• Three foci:
• Overall Objectives• Lessons Learned• Key Messages
Background:
• Objectives
• How revised?• How achieved?
• Lessons learned
• Pre, post and during production
• Key Messages
• How developed?• How delivered?• How received?• How used?
Background:
• Participatory/Observation
• Project team telephone calls Oct-May• Studio taping-Iqaluit May
• Document review
• Project team meeting minutes• Working group meeting minutes
• Key informant interviews
• Project team• Studio audiences• Community and virtual focus groups
• Web site tracking (ongoing)
Methods:
• How developed?
• From existing mission/interests
• Disseminate information
• Provide forum to showcase innovative
community projects
• Capacity building all levels
“…ideally both process/products
should be socially helpful…”
• From IPY call for proposals
• Increase awareness of northern issues
• Engage youth in polar research
Key Findings-
Objectives
• How Revised?
• Evaluation component added to both document and reflect upon process and outcomes
• „Communication for Change‟ model collaboratively developed and „tested‟
• Logistics increased number of Canadian vignettes (3 to 5) and decreased number of Greenlandic (3 to 1)
• Development of working groups to guide process
Key Findings-
Objectives
• How achieved?
• Self-report, surveys, Web-tracking• Disseminate information?
• Provide forum to showcase innovative community projects?
• Capacity building all levels?
“…ideally both process/products should be socially helpful…”
• From IPY call for proposals• Increase awareness of northern
issues?
• Engage youth in polar research?
Key Findings-
Objectives
• Pre-production
• Communication
• International cross-cultural, multi-
media collaboration is challenging
• Collaboration
• Including new working groups and
funders
• Technology
• Need to blend old and new
Key Findings-Lessons
Learned
“Having a large connection to people across the country,
cultivating those relationships early on is a good thing we’ve
learned from this.” Denise Rideout, Communications Officer,
Inuit Tuttarvingat, NAHO
• During
• More time needed for vignette
coordination and production
• More time needed to engage busy
academics and community
members
• Technical and logistical issues
challenging in absence of much
infrastructure but still successful
Key Findings-Lessons
Learned
“One night we participated through Skype and the girls were
wonderful. They were so excited they were jumping up and
having so much fun with the live part of that.” Elsie Diamond,
Nain Community Focus Group.
• Post-production
• Reduce number of panelists and/or
content to increase interaction and
dialogue and to reduce technical
burden on staff
• Too many communication channels
can dilute key messages and
„community voice‟
• Participation in this kind of project
has been „transformative‟ for many
Key Findings-Lessons
Learned
“It was us getting together and being able to participate on the
National Level. We were excited to be involved. Not too many times
we’re involved at that level.” Delores Harley, Community Focus Group
Facilitator, Inuvik.
• Men’s health: “How are we as
men?”
• Maternity care: “Birth, a
joyous community event”
• Youth resilience: “I am young
and I am proud”
Key Findings-Messages
• How developed?
• Working groups with advisory and
expert input-collaborative process
over eight months
• Staff identified and/or created
additional Web resources to
supplement TV shows
• Panelists applied and modified key
messages to meet own objectives
Key Findings-Messages
“Coming from our different parts of the north we thought out our
own ideas brainstormed and looked at how they fit in to what exists
out there and came up with a plan.” Fred Andersen, Men’s Working
Group Member.
• How delivered?
• Primarily via live TV broadcast, including expert panels, pre-recorded vignettes and interaction via phone, Skype, internet with audience(s) and community focus groups
• Additional ongoing dissemination through Web site(s), DVDs
• Language barriers• Interpretation (translation) delays
and captioning
• Technical challenges• Skype, internet access, connections
and capacity
Key Findings-Messages
Key Findings-Messages• How received?
• Men’s Health: “That there should be
more programs for men; What are men facing
today; Healing is a community problem; Men’s
rehabilitation and the need for it.”
• Maternity Care: “Birthing is supposed to
be a wonderful experience; The importance of
traditional midwifery; The importance of
maternity centres in Northern communities.”
• Youth Resilience: “Youth
empowerment; There is hope for the future of
our youth; We’re getting out of the rut we’re in;
Young people have so much potential.”
*From audience surveys and
key informant interviews.
• How used?
Key Findings-Messages
“Bring this knowledge to my home
community Nain and consider Inuit maternity
care myself.” Midwifery audience member.
“I‟m going to share these videos with research
partners and community partners.” Midwifery
audience member.
“I want to try and facilitate programs in
my region to help Inuit.” Men‟s Wellness
audience member.
“I feel more empowered to create and to
do good things for my community.” Youth
Program audience member.
*From audience surveys and
key informant interviews.
“With the new computer age people are becoming involved, its
taking away being alone, alcohol, drugs, and getting in trouble. And
young people are getting more involved with the community.” Elsie
Diamond. Community Focus Group Facilitator, Nain.
Key Findings-Messages
• Additional Comments:
• Providing a Voice for Inuit
• Connecting to Others
• Empowerment
• Similar Issues
• Role Models
• Successful Programs
• Continued Efforts
• www.inuitwellness.ca
• www.naho.ca/inuit/e/TVseries
• #1 of Top 35 downloaded documents• (Dec 1, 2008-June 1, 2009)
• (223 hits-14.29%)
• www.naho.ca/inuit
• Top 10 most requested pages • (May 2009)• /inuit/e/Tvseries #2
• (1,363 page views-3.50%)
• /inuit/wellnessTV/index.php #5 • (1,044 page views-2.68%)
Key Findings-Web
Tracking
• Project perceived as successful by
many participants
• Project team• Panelists• Community Focus groups• Viewers• Others
• Project generated a lot of interest
• New informal/formal networks• Increased motivation for action• Increased tools for action
Implications
• Case study of „Communication
for Social Change‟?
• Rockefeller Foundation and Johns
Hopkins University Center for
Communication Programs
• “a process of public and private
dialogue through which people
define who they are, what they
want and how they can get it.”
• Gumuclo, 2001
Implications
• Sustainability of social change more likely if
individuals/communities affected own the process
and content
• Empowering, horizontal relationships, with bias
toward local content and ownership, and giving
„voice‟ to unheard
• Communities should be agents of own change
• Emphasis from persuasion and transmission of
outside technical expertise to dialogue, debate
and negotiation of issues that resonate with the
community
• Emphasis on outcomes beyond individual
behaviors to social norms, policies, culture and
supporting environment
Communication for
Social Change?
• How to apply and extend „high
quality‟ lessons learned to future
projects?
• How to build upon community
engagement and ownership?
• How can we measure social
change?
Implications
• Ongoing
• Data collection and analysis
• Documentation
• Dissemination
Next Steps
• Inuit Tuttarvingat of the National Aboriginal Health Organization (NAHO)
• Project Team Leaders
• Catherine Carry
• Dianne Kinnon
• Kath Clarida
• Denise Rideout
• Mark Hamilton
• Alex Stubbing
• Panelists, Moderator, Studio Audiences, Community Focus Group
Members, Youth Virtual Focus Group Members, Technical Team,
Videographers, Community Members, Show Participants and Viewers
Partners: National Inuit Youth Council, Inuit Communications (ICSL),
“Qanuippitali—Inuit Health Survey,” Department of Health Sciences at
the University of Alaska, EnTheos Films, Pauktuutit Inuit Women of
Canada, Inuit Tapiriit Kanatami, and several working groups and in-kind
contributions.
The series was funded in part by the Government of Canada, IPY
Program, Public Health Agency of Canada and Health Canada (including
Northern Region). Funding was also provided by the CIHR Team in
Circumpolar Health Research; Department of Health and Social Services,
Government of Nunavut; Indian and Northern Affairs-Inuit Relations
Secretariat; Canadian North; and First Air.
Acknowledgements
Circumpolar Health Links and Resources of InterestInternational Congress of Circumpolar Health 14-July 2009, Yellowknife, NWT
http://www.icch2009.com*NOTE: ICCH 15 to be held in Fairbanks, AK August 2012
International Union of Circumpolar Health (IUCH)
http://www.iuch.net/
American Society of Circumpolar Health (ASCH)• Arctic Health Sciences Seminar (AHSS)-Friday Feb 5th, 2010 UAA• Call for abstracts coming soon! Student abstracts welcome!
International Network for Circumpolar Health Research http://inchr.com/***********SAVE THE DATES: May 17-21, 2010!**************
First Circumpolar Health Summer Institute, Copenhagen, DE• Will include annual INCHR meeting plus two tracks:
• nutritional assessment methodologies• health disparities in the north
• Arctic Human Health Initiative (AHHI) http://www.arctichealth.org/ahhi/
Questions?