Integrating knowledge and action: learnings from an implementation program for food security and food sovereignty with First Nations communities within Canada

• Published in: Implementation Science
• Main Authors: Ashleigh Domingo, Jennifer Yessis, Kerry-Ann Charles, Kelly Skinner, Rhona M. Hanning
• Format: Article in Journal/Newspaper
• Language: English
• Published: BMC 2023
• Subjects: Relational approaches; Guiding principles; Knowledge translation; Collaborative research; Participatory action research; First Nations; Medicine (General); R5-920; British Columbia; Canada; Hazelton; Skeena
• Online Access: https://doi.org/10.1186/s13012-023-01291-2; https://doaj.org/article/9cad6b1d0e684e539645e55de0295e11

Abstract Background Collaborative approaches to knowledge translation (KT) are important for advancing community-engaged research. However, there is a need for examples of participatory approaches that have effectively supported public health research, program development, and implementation with First Nations communities. To strengthen KT with communities, we proposed a set of guiding principles for participatory planning and action for local food system change. Principles emerged from a cross-community analysis of Learning Circles: Local Healthy Food to School (LC:LHF2S) a participatory program (2015–2019) for Indigenous food system action. The objective was to identify guiding principles for participatory planning and action from key learnings and successes on scaling-up of the Learning Circles (LC) model vertically in Haida Nation, British Columbia (BC), and horizontally in three distinct community contexts: Gitxsan Nation, Hazelton /Upper Skeena, BC; Ministikwan Lake. The application of these principles is discussed in the context of our ongoing partnership with Williams Treaties First Nations to support community planning to enhance food security and sovereignty. Methods A cross-community thematic analysis was conducted and guided by an implementation science framework, Foster-Fishman and Watson’s (2012) ABLe Change Framework, to identify key learnings and successes from adapting the LC approach. Information gathered from interviews (n = 55) and meeting reports (n = 37) was thematically analyzed to inform the development of guiding principles. Community sense-making of findings informed applicability in a new community context embarking on food systems work. Results Emergent guiding principles for participatory food system planning and action are described within four main areas: (1) create safe and ethical spaces for dialog by establishing trust and commitment from the ground up, (2) understand the context for change through community engagement, (3) foster relationships to strengthen and sustain impact, ...