Pan-Arctic TV Series on Inuit Wellness: Preliminary Evaluation Findings and Lessons Learned


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Rhonda Johnson, Doreen Leavitt
and Robin Morales
Department of Health Sciences,
University of Alaska Anchorage
Delivered by Catherine Carry, Project Manager –NAHO 2009 National Conference

Published in: Health & Medicine
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Pan-Arctic TV Series on Inuit Wellness: Preliminary Evaluation Findings and Lessons Learned

  1. 1. 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
  2. 2. Overview: • Background • Methods • Key findings and lessons learned • Implications • Next steps • Circumpolar health links and opportunities
  3. 3. Background: • 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
  4. 4. 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)
  5. 5. 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
  6. 6. Background: • Objectives • How revised? • How achieved? • Lessons learned • Pre, post and during production • Key Messages • How developed? • How delivered? • How received? • How used?
  7. 7. Methods: • 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)
  8. 8. Key Findings- Objectives • 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
  9. 9. 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
  10. 10. 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?
  11. 11. Key Findings-Lessons Learned • 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 “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
  12. 12. Key Findings-Lessons Learned • 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 “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.
  13. 13. Key Findings-Lessons Learned • 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 “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.
  14. 14. Key Findings-Messages • Men’s health: “How are we as men?” • Maternity care: “Birth, a joyous community event” • Youth resilience: “I am young and I am proud”
  15. 15. 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 “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.
  16. 16. Key Findings-Messages • 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
  17. 17. 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 *From audience surveys and our youth; We’re getting out of the rut we’re in; key informant interviews. Young people have so much potential.”
  18. 18. Key Findings-Messages • How used? “I want to try and facilitate programs in my region to help Inuit.” Men‟s Wellness audience member. “I‟m going to share these videos with research partners and community partners.” Midwifery audience member. “I feel more empowered to create and to do good things for my community.” Youth Program audience member. “Bring this knowledge to my home community Nain and consider Inuit maternity care myself.” Midwifery audience member. *From audience surveys and key informant interviews.
  19. 19. Key Findings-Messages • Additional Comments: • Providing a Voice for Inuit • Connecting to Others • Empowerment • Similar Issues • Role Models • Successful Programs • Continued Efforts “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.
  20. 20. Key Findings-Web Tracking • • • #1 of Top 35 downloaded documents • (Dec 1, 2008-June 1, 2009) • (223 hits-14.29%) • • 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%)
  21. 21. Implications • 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
  22. 22. 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
  23. 23. Communication for Social Change? • 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
  24. 24. Implications • 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?
  25. 25. Next Steps • Ongoing • Data collection and analysis • Documentation • Dissemination
  26. 26. Acknowledgements • 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.
  27. 27. Circumpolar Health Links and Resources of Interest International Congress of Circumpolar Health 14-July 2009, Yellowknife, NWT *NOTE: ICCH 15 to be held in Fairbanks, AK August 2012 International Union of Circumpolar Health (IUCH) 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 ***********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)
  28. 28. Questions?