First Nation Peoples’ nutrition and exercise group programmes: transforming success through the lifeworld
PURPOSE: Previous literature has applied system-focused structures to understand the success of First Nations Peoples’ nutrition and exercise group programmes. Existing system-focused measures have included biomedical outcomes, access and service utilization. By broadening the focus of programme suc...
Published in: | International Journal of Qualitative Studies on Health and Well-being |
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Main Authors: | , , , , , , |
Format: | Text |
Language: | English |
Published: |
Taylor & Francis
2021
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Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583907/ http://www.ncbi.nlm.nih.gov/pubmed/34749597 https://doi.org/10.1080/17482631.2021.1990197 |
Summary: | PURPOSE: Previous literature has applied system-focused structures to understand the success of First Nations Peoples’ nutrition and exercise group programmes. Existing system-focused measures have included biomedical outcomes, access and service utilization. By broadening the focus of programme success beyond the system, we can evaluate programmes from a First Nations Peoples’ lifeworld perspective. Critical hermeneutics and yarning using a lens of Habermas’ Theory of Communicative Action to the literature has the potential to transform understandings of “success” in First Nations Peoples’ nutrition and exercise group programmes. METHODS: In this literature interpretation, we explored the critical success factors from a lifeworld perspective, giving scope to go beyond a system perspective to include a cultural, social or personal perspective. RESULTS: Our yarning led us to understand that there is a communicative relationship between explicit system structures and implicit lifeworld concepts that are critical success factors for First Nations nutrition and exercise group programmes. We have developed a set of reflective questions to guide others in considering a lifeworld perspective. CONCLUSIONS: Our findings represent a shift away from success measured by the dominant power structure to respect the lifeworld culture, knowledges and values of First Nations Peoples towards shared understanding and mutual decision-making. |
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