Shifting the evaluative gaze: Community-based program evaluation in the homeless sector

Homelessness is a growing social issue that is a consequence of structural inequities and contributor to the development of health inequities. Community-based research (CBR) has been proposed as an effective research strategy for addressing health equities and promoting social justice through participatory processes. The purpose of this article is to examine the application of CBR principles and practices in the homeless sector and the implications for the production of knowledge and social change to address homelessness. Drawing on our experiences as researchers and service providers, we reflect on the significant successes and challenges associated with using CBR in the homelessness sector. In our discussion we emphasise insights, challenges and lessons learned from a community-university partnership that focused on an evaluation of a transitional shelter program in a large urban centre where housing is expensive and often unavailable.Keywords: Homelessness, housing, transitional housing, transitional shelter, program evaluation, community-based researc

Critical considerations for the practical utility of health equity tools: a concept mapping study

Background Promoting health equity within health systems is a priority and challenge worldwide. Health equity tools have been identified as one strategy for integrating health equity considerations into health systems. Although there has been a proliferation of health equity tools, there has been limited attention to evaluating these tools for their practicality and thus their likelihood for uptake. Methods Within the context of a large program of research, the Equity Lens in Public Health (ELPH), we conducted a concept mapping study to identify key elements and themes related to public health leaders and practitioners’ views about what makes a health equity tool practical and useful. Concept mapping is a participatory mixed-method approach to generating ideas and concepts to address a common concern. Participants brainstormed responses to the prompt “To be useful, a health equity tool should…” After participants sorted responses into groups based on similarity and rated them for importance and feasibility, the statements were analyzed using multidimensional scaling, then grouped using cluster analysis. Pattern matching graphs were constructed to illustrate the relationship between the importance and feasibility of statements, and go-zone maps were created to guide subsequent action. Results The process resulted in 67 unique statements that were grouped into six clusters: 1) Evaluation for Improvement; 2) User Friendliness; 3) Explicit Theoretical Background; 4) Templates and Tools 5) Equity Competencies; and 6) Nothing about Me without Me- Client Engaged. The result was a set of concepts and themes describing participants’ views of the practicality and usefulness of health equity tools. Conclusions These thematic clusters highlight the importance of user friendliness and having user guides, templates and resources to enhance use of equity tools. Furthermore, participants’ indicated that practicality was not enough for a tool to be useful. In addition to practical characteristics of the tool, a useful tool is one that encourages and supports the development of practitioner competencies to engage in equity work including critical reflections on power and institutional culture as well as strategies for the involvement of community members impacted by health inequities in program planning and delivery. The results of this study will be used to inform the development of practical criteria to assess health equity tools for application in public health

Food Safety and Food Security: Mapping Relationships

Food safety regulations designed for industrial-scale food producers can create insurmountable challenges when applied to small-scale food producers. These challenges can make for a frustrating environment for food consumers, producers, and regulators, at times leading to tensions between food producers and people working in food safety. The objective of this study was to identify ways to reduce these tensions and promote intersectoral collaboration. We used concept mapping, a structured, participatory, mixed-method approach, to solicit ideas and synthesize input from those working in food safety and food security. We sent invitations to 96 individuals working in food safety or food security, and 50 completed the online concept mapping. Twenty-three participated in categorizing and ranking all the resulting statements. The findings were 'mapped' into six clusters: (1) communicating, (2) understanding intent, (3) educating, (4) understanding risk and regulation, (5) recognizing scale, and (6) enhancing partnerships. We further reduced these six clusters into three categories: "relationships," "education," and "context." Although there are no quick or easy ways to ease tensions between those working in food safety and food security, we suggest four practical ways to ease tensions to ensure safe and accessible food: (1) a collaborative group at a high regulatory level that shares authority is needed; (2) building relationships across disciplines should be considered as part of public health work; (3) regulatory documents should be written in plain language; and (4) food safety regulations should account for differences in scale of production with supportive resourcing

Strategies to end homelessness: current approaches to evaluation

The purpose of this paper is to provide a summary of research on interventions that aim to end or reduce homelessness in Canada and its surrounding regions. Our specific goals were to gain an understanding of the different populations for whom interventions have been tested and the type of interventions evaluated, as well as to create an inventory of the indicators used to assess the effectiveness of interventions. We provide an overview of the methodology used to gather research on strategies to end homelessness. In the findings, we review the types of interventions evaluated, highlight the populations studied, and summarize the indicators of effectiveness used in the evaluations. Finally, we discuss the findings of this review in relation to current and future research on homeless interventions