Background

There are few health promotion tools for urban Inuit, and there is a specific dearth of evaluations on such tools.

Objective

The current study used a community-specific approach in the evaluation of a health promotion tool, based on an urban Inuit community's preferences of health knowledge sources and distribution strategies. In partnership with the Tungasuvvingat Inuit Family Health Team in Ottawa, a CD-Rom was developed featuring an Inuk Elder presenting prenatal health messages in both Inuktitut and English. Also, relevant evaluation materials were developed.

Design

Using a mixed methods approach, 40 participants completed interviews prior to viewing the CD-Rom and participated in a focus group at follow-up. Questionnaires were also completed pre- and post-viewing to assess changes between expectations and reactions in order to document acceptability.

Results

Significant increases were found on satisfaction, acceptability of medium and relevance of content ratings. Qualitative findings also included (a) interest, uncertainty and conditional interest prior to viewing; and (b) positive evaluations of the CD-Rom.

Conclusions

This suggests that CD-Rom technology has the potential for health promotion for urban Inuit, and the community-specific evaluation approach yielded useful information.

The goal of this research was to develop accessible and culturally relevant urban Aboriginal health information in Ontario. Concept mapping was used to engage Aboriginal stakeholders in identifying health concerns and priorities, with key stakeholders participating from three communities: First Nations people in Hamilton through De dwa da dehs ney>s Aboriginal Health Access Centre (DAHC), Inuit people in Ottawa through Tungasuvvingat Inuit Family Health Team (TIFHT) and Métis people in Ottawa through the Métis Nation of Ontario (MNO). Each community participated in the three concept-mapping activities and generated statements regarding health and health related issues in their communities. Concept systems software was used to create initial cluster maps, which were finalized during map interpretation sessions. Each of the clusters on the unique community maps represented a community health domain. The chosen domain labels and their ratings strongly reflected local First Nations, Inuit, and Métis understandings of health. Concept mapping is found to be an effective and culturally relevant community-based method for urban Aboriginal health research, building on traditional indigenous methods, encouraging cross-community participation and contributing to three unique health assessment tools that challenge existing illness-based narratives for these populations and reflect indigenous-specific social determinants of health.