Evidence map›Paper›PMID 40361206›Full record

ArticleResearch involvement and engagement2025

Engaging indigenous partners in health service transformation: a framework for sustained engagement built on trust.

Carolyn M Melro, Meghan Gilfoyle, Clifford Ballantyne, Lacey Augustine, Gregory Brass, Norma Rabbitskin, Daphne Hutt-Macleod, Srividya N Iyer, Christopher J Mushquash

Abstract readLetter
In one paragraph

Article in Research involvement and engagement, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Beyond the horizon: new directions in research coproduction.Health research policy and systems · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carolyn M MelroDepartment of Psychology, Lakehead University, Thunder Bay, ON, Canada. cmmelro@lakeheadu.ca.
Meghan GilfoyleWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, ON, Canada.
Clifford BallantyneACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada.
Lacey AugustineACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada.
Gregory BrassACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada.
Norma RabbitskinACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada.
Daphne Hutt-MacleodACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada.
Srividya N Iyer *ACCESS Open Minds Indigenous Youth Mental Health and Wellness Network, Thunder Bay, Montreal, ON, QC, Canada. srividya.iyer@mcgill.ca.
Christopher J Mushquash *Department of Psychology, Lakehead University, Thunder Bay, ON, Canada.

Funding

CIHR 184774
6 · The paper itself

Abstract

Health research and service delivery often fail to incorporate Indigenous worldviews and local community protocols, as well as historic experiences and knowledge of harmful research practices leaving Indigenous individuals wary of participating in research. Meaningfully engaging with Indigenous stakeholders (e.g., youth, family/carers, decision-makers, and service providers) in research partnerships offers a promising pathway toward better access and quality health care and improved mental health and wellness outcomes that better meet Indigenous youths' needs. This paper traces the development of a national research network, ACCESS Open Minds, a network of youth, family members/carers, clinicians, decision-makers and academics focused on transforming youth mental health services in Canada. The context for this network is one in which diverse Indigenous stakeholders have been engaged in health systems and service transformation against the historical and ongoing backdrop of colonialism. Within this paper, we will focus on the network's past and on-going activities for engaging Indigenous partners to provide a critical lens on the partnership development process. We will also underscore key activities/reflections central to the development of trust and ultimately, the sustained engagement of Indigenous youth and community partners within mental health service transformation. Both trust development and sustained engagement are integral to building momentum in developing, implementing and evaluating health systems and service transformation in collaboration with Indigenous youth and community partners. We propose a framework for engaging Indigenous community partners and youth within service transformation. Trust is highlighted as the context, mechanism, and outcome. We conclude with the need to build an evidence base of what works and - and what does not work - in achieving and sustaining trust within the process of engaging Indigenous partners in health system transformation.

Indexed as

Community engagementIndigenous health servicesIndigenous researchIndigenous youthMental healthTrust

Identifiers

PMID40361206
PMCPMC12070566

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.