This article describes a case study examining the effects of participating in a health promotion project, one aspect of which was a health assessment conducted using participatory action research. The study was carried out over 2.5 years in a project for older Aboriginal women (hereafter known as the grandmothers). Participation in the project and health assessment contributed to a number of changes in them, which were categorized as cleansing and healing, connecting with self, acquiring knowledge and skills, connecting within the group, and external exposure and engagement. This experience demonstrated an approach to health promotion programming and conducting a health assessment that was acceptable to this group of people and fostered changes congruent with empowerment.
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References
1.
Brant Castellano, M. B. (1993). Aboriginal organizations in Canada: Integrating participatory research. In P. Park, M. Brydon-Miller, B. Hall, & T. Jackson (Eds.), Voices of change: Participatory research in the United States and Canada (pp. 145-156). Toronto, Canada: Ontario Institute for Studies in Education.
2.
Fals-Borda, O. , & Kemmis, S. (1990). Investigating reality in order to transform it: A conversation with Orlando Fals-Borda and Stephen Kemmis [videotape recording]. Calgary, Alberta, Canada: University of Calgary, Communications Division.
3.
Freire, P. (1970). Pedagogy of the oppressed. New York: Continuum.
4.
Green, K. (1991, June). Control, empowerment, and health promotion. Paper presented at the 82nd annual conference of the Canadian Public Health Association, Regina, Saskatchewan, Canada. (Available from Dr. Kathryn Green, Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, S7N 5E5, Canada)
5.
Hancock, T. , & Draper, R. (1989). Participatory research: A key strategy for health promotion. (Available from Dr. T. Hancock, Box 428, Kleinburg, Ontario, L0J 1C0, Canada)
6.
Health promotion in action . (1986). Health Promotion, 1, 187-190.
7.
Huberman, A. M. , & Miles, M. B. (1994). Data management and analysis methods. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 209-219). Thousand Oaks, CA: Sage.
8.
Kohkoms share gift of healing. (1995, September 9). The Star-Phoenix, pp. C1, C7.
9.
Lather, P. (1986). Issues of validity in openly ideological research: Between a rock and a soft place. Interchange, 17, 63-84.
10.
Maguire, P. (1987). Doing participatory research: A feminist approach. Amherst, MA: Center for International Education.
11.
Merriam, S. B. (1988). Case study research in education: A qualitative approach. San Francisco: Jossey-Bass.
12.
Morse, J. (1991). Analyzing unstructured interactive interviews using the Macintosh computer. Qualitative Health Research, 1, 117-122.
13.
Native women urge [the premier] to ban nuclear waste storage. (1995, June 13). The Star-Phoenix, p. A2.
14.
Pyrch, T. (1991, July). Participatory action research (PAR): A perspective. Workshop handout presented at the International Community Development Conference, Saskatoon, Saskatchewan, Canada. (Available from Dr. T. Pyrch, Continuing Education, University of Calgary, Calgary, Alberta T2N 1N4, Canada)
15.
Saskatoon Community Clinic . (1995). Sharing our health circle: The grandmothers’ health assessment report. Saskatoon, Saskatchewan, Canada: Author. (Available from Dr. G. Dickson, College of Nursing, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5, Canada)
16.
Shah, C. , & Farkas, C. (1985). The health of Indians in Canadian cities: A challenge to the health care system. Canadian Medical Association Journal, 133, 859-863.
17.
Smith, S. E. (1995). Dancing with conflict: Public health nurses in participatory action-research. Unpublished doctoral dissertation, University of Calgary, Canada.
18.
Smith, S. E. , Willms, D. G., & Johnson, N. A. (Eds.). (1997). Nurtured by knowledge: Learning to do participatory action-research. New York: The Apex Press.
19.
Vicq, S. (Ed.). (1995). Stories from Kohkom: Sharing our values, teaching our young. Saskatoon, Saskatchewan, Canada: READ Saskatoon.
20.
Wallerstein, N. (1992). Powerlessness, empowerment, and health: Implications for health promotion programs. American Journal of Health Promotion, 29, 17-26.
