A field-test of Not Deciding Alone to support Inuit with health decision making: co-production of a mixed methods study guided by aajiiqatigiingniq

Shared decision-making supports person-centred care. Our team of Inuit-led and/or -focused organizations and researchers field-tested a strategy called Not Deciding Alone to support health decision-making. Guided by aajiiqatigiingniq, a principle of collective decision-making and consensus-building,...

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Main Authors: Janet Jull, Kimberly Fairman, Aimo Akulukjuk, Felicia Adelaja, Parniga Akeeagok, Tina Akpalialuk, Ida Davidee, Mackenzie Daybutch, Treena Greene, Brittany Hesmer, Louisa Kipsigak, Theresa Koonoo, Kelly Morrisey, Rachel Nungnik, Carolyn Roberts, Jemimah Thomas, Meeka Uniuqsaraq, Malaya Zehr
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Circumpolar Health
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Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2025.2513726
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Summary:Shared decision-making supports person-centred care. Our team of Inuit-led and/or -focused organizations and researchers field-tested a strategy called Not Deciding Alone to support health decision-making. Guided by aajiiqatigiingniq, a principle of collective decision-making and consensus-building, we co-produced a mixed-methods study to: (1) train Qikiqtani region community health representatives (CHRs) with a workshop, (2) develop a radio show and survey, and (3) assess the radio show with Inuit community members in the health system. We evaluated participant experiences using forms, case studies, and an online survey. The workshop was delivered to 13 CHRs; seven (54%) provided evaluation data. All (100%) reported positive experiences with the content, activities, and facilitation. One (14%) said the workshop was too short; four (57%) agreed there was enough discussion time. Six (86%) reported new learning. Three radio show events were held with 33 survey respondents, the majority women (n = 25, 76%). Most found the show informative (n = 29, 88%) and helpful for future decision-making (n = 27, 82%), and said it would improve their confidence (n = 27, 82%). Not Deciding Alone was found to be an acceptable, useful, and relevant strategy for supporting health decision-making among Inuit community members.
ISSN:2242-3982