Engaging Indigenous communities in research to inform practice: The multisite implementation evaluation of Tribal home visiting.

Community engagement (CE) is widely acknowledged as a way to enhance the ethics, rigor, and impact of research. Additionally, CE is a demonstrated way to integrate Indigenous and colonial (western) research systems. For these reasons and others, designers of the Multi-site Implementation Evaluation of Tribal Home Visiting (MUSE) used a community-engaged approach to study the implementation of federally funded home-visiting programs across 17 Indigenous communities throughout the United States. This paper describes MUSE's community-engaged approach and its practical applications from the perspective of the MUSE study team. The paper highlights key outcomes attributable to CE, addresses barriers to CE, and details responses to these barriers and their impacts. Adding to the rich evidence base demonstrating the value of community-engaged approaches, MUSE demonstrates that in-depth CE is feasible and valuable in multisite studies done in partnership with Indigenous communities.

La incorporación de la comunidad es reconocida ampliamente como una manera de mejorar la ética, el rigor y el impacto de la investigación. Adicionalmente, la incorporación de la comunidad es una manera que ha demostrado la integración de los sistemas de investigación indígenas y coloniales (occidentales). Por estas y otras razones, quienes diseñaron el programa de Implementación de la Evaluación de Visitas a Casa en Múltiples Lugares Tribales (MUSE) hicieron uso de un acercamiento de participación de la comunidad para estudiar la implementación de programas de visitas a casa subvencionados federalmente a lo largo de 17 comunidades indígenas esparcidas dentro de los Estados Unidos. Este ensayo describe el acercamiento de participación comunitaria de MUSE y sus aplicaciones prácticas desde la perspectiva del equipo de estudio de MUSE. El estudio enfatiza los resultados claves atribuibles a la participación de la comunidad, aborda barreras relacionadas con la participación de la comunidad y detalla las respuestas a esas barreras y al impacto que ellas ejercen. Como un aporte más a la rica base de evidencias que demuestra el valor de los acercamientos de participación comunitaria, MUSE demuestra que una profunda participación de la comunidad es posible y de mucho valor en múltiples estudios realizados en conjunto con las comunidades indígenas.

METHODOLOGICAL CONSIDERATIONS FOR HOME-VISITING RESEARCH IN TRIBAL COMMUNITIES.

Drawing on previous studies and the collective experience of conducting rigorous evaluations as part of the Tribal Maternal, Infant, and Early Childhood Home Visiting grants, we outline methodological considerations that will inform future research in tribal communities, particularly in the area of home visiting. The methodological issues we discuss are study design choices, measurement and data collection, and including community members in all aspects of the research.

Gender diversity in urology scientific meetings: an analysis of the last nine years.

BACKGROUND: The importance of gender diversity is well recognized. Despite promising change in addressing gender disparity, there remains a significant gap in women's representation in urology. Worldwide, a lack of diversity has been observed at scientific meetings. This study analyses the trend in women's representation at the Urological Society of Australia and New Zealand Annual Scientific Meeting (USANZ ASM) over the last nine years. METHOD: We retrospectively collected data from eight conference programs between 2014 and 2022, evaluating the trend in the proportion of women represented in various sections. A difference of proportions test was performed to determine whether a significant change was seen from year to year. RESULTS: A significant increase in women's representation was observed, the most significant increase was evident in the last three years, chairpersons increased from 5.9% to 44.1% (P = 0.003), international speakers from 11.7% to 39.1% (P ≤ 0.001), expert speakers from 19.1% to 42.0% (P = 0.002), and total speakers from 19.5% to 34.7% (P ≤ 0.001). CONCLUSION: Our study shows that a significant increase in the representation of women at the USANZ ASM has been achieved over the last three years. Unfortunately, this increase in representation has not been mirrored in the number of women trainees and training applicants. Additionally, this increase in representation well exceeds the proportion of women who are USANZ members, and is unevenly distributed across topics. A positive change has been observed, the challenge remains in dealing with unconscious bias and balancing the fine line between inclusivity and tokenism.