First Nation Peoples’ nutrition and exercise group programmes: transforming success through the lifeworld

• Published in: International Journal of Qualitative Studies on Health and Well-being
• Main Authors: Urquhart, Lisa, Fisher, Karin, Duncanson, Kerith, Roberts, Karen, Munro, Simon, Gibbs, Clinton, Brown, Leanne
• Format: Text
• Language: English
• Published: Taylor & Francis 2021
• Subjects: Review Article; First Nations
• 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

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.