Chelsea Jalloh

Evaluation of Harsh Reality: A sexual health print-based resource for street-involved youth

Introduction: Street-involved youth are one of the populations most at risk for elevated rates of sexually transmitted and bloodborne infections. This paper evaluates the suitability and success of a resource focused on health education with a population of street-involved youth in Winnipeg, Canada. Method: Using a mixed method approach, quantitative and qualitative data were collected and analysed. Surveys involving both structured and semi-structured questions were administered orally to 100 participants. Three gender-stratified focus groups (total of 23 participants) were also conducted. Focus groups were recorded and subsequently transcribed. Empirical data was used to calculate frequency distributions, supported by a general inductive analysis of qualitative data. Results: From the interview and focus group data, the majority of participants had a very positive perception of the resource. However, in terms of specific knowledge uptake, participants displayed a lack of recall of the specific items measured in the evaluation, such as local HIV testing facilities, types of HIV tests available and specific information pertaining to recent research conducted in Manitoba with street-involved populations. Conclusion: Both passive distribution of the resource through service-providing institutions and active distribution in the street were effective approaches for exposing a wide range of street-involved youth to the resource. Poor recall of specific knowledge objectives suggests alternate methods of presenting key fact-based information are necessary to increase resource efficiency. Articles must be created at an appropriate reading level for the street-involved population to improve reader engagement. The ability for the target population to identify that the resource is grounded in language, art, interests and lived-experiences of the street-involved youth was well-received and facilitated interest in looking through the resource and credibility of information.

Youth Perspectives on Sexual Health Workshops: Informing Future Practice

Newcomer and street-involved youth provided their perspective on the design and content of a sexual education workshop. Following the workshop, focus group discussions were held with 80 youth from four youth-serving agencies. Youth expressed increased levels of confidence and empowerment, consistent with recent criticism that a focus on specific behaviors as intervention outcome measures may miss important psychosocial changes in participants. Some youth views on cultural adaptation of workshops were not consistent with current views expressed by some adult educators, highlighting the need to ensure a youth perspective is captured during intervention development. Finally, the dichotomous views that youth expressed regarding workshop activities emphasizes a research gap related to how best to adapt interventions to different cognitive capacities, literacy levels, and learning styles. Information of this kind is relevant in terms of knowledge translation from youth to program planners and educators.

What Goes Around: the process of building a community-based harm reduction research project

BackgroundOften, research takes place on underserved populations rather than with underserved populations. This approach can further isolate and stigmatize groups that are already made marginalized. What Goes Around is a community-based research project that was led by community members themselves (Peers).Case presentationThis research aimed to implement a community-based research methodology grounded in the leadership and growing research capacity of community researchers and to investigate a topic which community members identified as important and meaningful. Chosen by community members, this project explored how safer sex and safer drug use information is shared informally among Peers. Seventeen community members actively engaged as both community researchers and research participants throughout all facets of the project: inception, implementation, analysis, and dissemination of results. Effective collaboration between community researchers, a community organization, and academics facilitated a research process in which community members actively guided the project from beginning to end.ConclusionsThe methods used in What Goes Around demonstrated that it is not only possible, but advantageous, to draw from community members’ involvement and direction in all stages of a community-based research project. This is particularly important when working with a historically underserved population. Purposeful and regular communication among collaborators, ongoing capacity building, and a commitment to respect the experience and expertise of community members were essential to the project’s success. This project demonstrated that community members are highly invested in both informally sharing information about safer sex and safer drug use and taking leadership roles in directing research that prioritizes harm reduction in their communities.