Table 2 Methodological approaches used in the Communicate Study Partnership
Category | Philosophical theories | Implementation theory | Determinant framework | Process models | Evaluation |
|---|---|---|---|---|---|
Specific approaches | •Cultural safety •Critical race theory •Freirean pedagogy •Whiteness studies •Decolonising theory | •Behaviour change wheel | •Supply–demand-efficiency-effectiveness cycle | •Participatory action research •Continuous quality improvement | •RE-AIM •Kirkpatrick model of learning |
Description | Together, these provide philosophical and ethical guidance | Describes the breadth of interventions needed for successful behaviour change among healthcare providers | Describes the elements required to improve uptake of interpreters, where supply refers to interpreter availability, demand and effectiveness refer to healthcare provider behaviours and capabilities and efficiency relates to system factors | These methods guide translation of research into practice, using a participatory approach: proactive engagement of relevant front line and executive staff from health and interpreter services with data to motivate improvement in cultural safety performance indicators | Provides a structured way to critique the programme to summarise successes, failures and learnings |
Rationale for choice of specific approach | Appropriate to the subject matter of First Nations healthcare in the predominant White Australian health system context | This project focuses on changing the behaviours of healthcare providers and changing institutional culture | These are the determinants we hypothesise will influence success in delivering culturally safe care and other implementation outcomes | This approach will support long-term sustainability | These are both validated, pragmatic ways to report overall programme outcomes and training outcomes respectively |