Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention
Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evid...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2017
|
Subjects: | |
Online Access: | https://doi.org/10.1080/22423982.2017.1345277 https://doaj.org/article/8fcd14c794c54e9b8619d9bf9b853270 |
id |
ftdoajarticles:oai:doaj.org/article:8fcd14c794c54e9b8619d9bf9b853270 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:8fcd14c794c54e9b8619d9bf9b853270 2023-05-15T15:16:03+02:00 Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention Lisa Wexler Lucas Trout Suzanne Rataj Tanya Kirk Roberta Moto Diane McEachern 2017-01-01T00:00:00Z https://doi.org/10.1080/22423982.2017.1345277 https://doaj.org/article/8fcd14c794c54e9b8619d9bf9b853270 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2017.1345277 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1345277 https://doaj.org/article/8fcd14c794c54e9b8619d9bf9b853270 International Journal of Circumpolar Health, Vol 76, Iss 1 (2017) Suicide prevention training of trainers Indigenous community health education Alaska Native feasibility study Arctic medicine. Tropical medicine RC955-962 article 2017 ftdoajarticles https://doi.org/10.1080/22423982.2017.1345277 2022-12-31T12:35:48Z Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of-trainers model. It details the training of a first cohort of intervention facilitators in Northwest Alaska (NWA). Thirty-two people from 11 NWA village communities completed the PC CARES facilitator training, preparing them to implement the intervention in their home communities. Facilitator pre-post surveys focused on readiness to facilitate, a group quiz assessed participants’ understanding of relevant research evidence, and practice facilitation exercises demonstrated competency. Curriculum fidelity and accuracy scores were calculated using audio recordings from learning circles conducted by facilitators in their home communities. Facilitator reflections describe the successes of the model and identify several areas for improvement. As of March 2017, 20 of the 32 trained facilitators in 10 of the 11 participating villages have hosted 54 LCs, with a total of 309 unique community members. Coding of these LCs by 2 independent raters indicate acceptable levels of fidelity and accurate dissemination of research evidence by facilitators. Facilitator reflections were positive overall, suggesting PC CARES is feasible, acceptable and potentially impactful as a way to translate research to practice in under-resourced, rural AN communities. PC CARES represents a practical community education and mobilisation approach to Indigenous youth suicide prevention that displays preliminary success in learning and behavioural ... Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 76 1 1345277 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Suicide prevention training of trainers Indigenous community health education Alaska Native feasibility study Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Suicide prevention training of trainers Indigenous community health education Alaska Native feasibility study Arctic medicine. Tropical medicine RC955-962 Lisa Wexler Lucas Trout Suzanne Rataj Tanya Kirk Roberta Moto Diane McEachern Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
topic_facet |
Suicide prevention training of trainers Indigenous community health education Alaska Native feasibility study Arctic medicine. Tropical medicine RC955-962 |
description |
Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of-trainers model. It details the training of a first cohort of intervention facilitators in Northwest Alaska (NWA). Thirty-two people from 11 NWA village communities completed the PC CARES facilitator training, preparing them to implement the intervention in their home communities. Facilitator pre-post surveys focused on readiness to facilitate, a group quiz assessed participants’ understanding of relevant research evidence, and practice facilitation exercises demonstrated competency. Curriculum fidelity and accuracy scores were calculated using audio recordings from learning circles conducted by facilitators in their home communities. Facilitator reflections describe the successes of the model and identify several areas for improvement. As of March 2017, 20 of the 32 trained facilitators in 10 of the 11 participating villages have hosted 54 LCs, with a total of 309 unique community members. Coding of these LCs by 2 independent raters indicate acceptable levels of fidelity and accurate dissemination of research evidence by facilitators. Facilitator reflections were positive overall, suggesting PC CARES is feasible, acceptable and potentially impactful as a way to translate research to practice in under-resourced, rural AN communities. PC CARES represents a practical community education and mobilisation approach to Indigenous youth suicide prevention that displays preliminary success in learning and behavioural ... |
format |
Article in Journal/Newspaper |
author |
Lisa Wexler Lucas Trout Suzanne Rataj Tanya Kirk Roberta Moto Diane McEachern |
author_facet |
Lisa Wexler Lucas Trout Suzanne Rataj Tanya Kirk Roberta Moto Diane McEachern |
author_sort |
Lisa Wexler |
title |
Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
title_short |
Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
title_full |
Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
title_fullStr |
Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
title_full_unstemmed |
Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention |
title_sort |
promoting community conversations about research to end suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address indigenous youth suicide prevention |
publisher |
Taylor & Francis Group |
publishDate |
2017 |
url |
https://doi.org/10.1080/22423982.2017.1345277 https://doaj.org/article/8fcd14c794c54e9b8619d9bf9b853270 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 76, Iss 1 (2017) |
op_relation |
http://dx.doi.org/10.1080/22423982.2017.1345277 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2017.1345277 https://doaj.org/article/8fcd14c794c54e9b8619d9bf9b853270 |
op_doi |
https://doi.org/10.1080/22423982.2017.1345277 |
container_title |
International Journal of Circumpolar Health |
container_volume |
76 |
container_issue |
1 |
container_start_page |
1345277 |
_version_ |
1766346360857034752 |