O'Sullivan Lucie, Whyman Theoni, West Mara, Nannup Noel, Farrant Jaime Yallup, Godden Naomi Joy, Synnott Emma-Leigh, Mutch Raewyn, Campbell Anita J, Wrigley Kylie, Farrant Brad
The University of Western Australia, Law School, Perth, Western Australia, Australia.
The Kids Reserach Institute Australia, University of Western Australia, Perth, Western Australia, Australia
BMJ Paediatr Open. 2025 May 19;9(1):e002894. doi: 10.1136/bmjpo-2024-002894.
This paper outlines the theory of change which underpins the Western Australian (WA) hub of the Healthy Environments and Lives (HEAL) network. HEAL is an Australian national research initiative that aims to address the health impacts of climate and environmental change. The WA hub's theory of change is focused on improving the health and well-being of the planet and people, including children, through centring Indigenous sovereignty, voices and ways of knowing and being in research, policy development and service provision. The WA hub also recognises it is essential for place-based, community-led solutions, which strengthens responses to climate and environmental change, grounding mitigation and adaptation efforts in local priorities, knowledges and relationships. To action its theory of change, the HEAL WA hub has embraced Community-Based Participatory Action Research (CBPAR), which positions Aboriginal elders, people with diverse lived experiences, young people, community organisations and policy makers as co-researchers. This weaving together of different ways of knowing, grounded in holistic, relational and multigenerational worldviews, enables community members to lead change and hold decision-making power at all stages of research. Through CBPAR, researchers, community members and organisations, policy-makers and service providers build and foster meaningful relationships and collaborate to co-design, implement and translate research. Young people and children are a vital part of the work, and their voices and priorities are integrated in all phases of the work to ensure intergenerational justice and vision also guides practice. This ensures HEAL WA can affect targeted, research-driven and equitable community-led change both now and for generations to come.
本文概述了支撑西澳大利亚州健康环境与生活（HEAL）网络中心的变革理论。HEAL是一项澳大利亚全国性研究倡议，旨在应对气候和环境变化对健康的影响。西澳大利亚州中心的变革理论侧重于通过将原住民主权、声音以及认知和生存方式置于研究、政策制定和服务提供的核心，来改善地球和人类（包括儿童）的健康与福祉。西澳大利亚州中心还认识到，基于地方、由社区主导的解决方案至关重要，这能加强对气候和环境变化的应对，将缓解和适应努力建立在地方优先事项、知识和关系的基础上。为了将其变革理论付诸行动，西澳大利亚州HEAL中心采用了基于社区的参与式行动研究（CBPAR），该研究将原住民长者、有不同生活经历的人、年轻人、社区组织和政策制定者定位为共同研究者。这种基于整体、关系和多代世界观的不同认知方式的交织，使社区成员能够引领变革并在研究的各个阶段拥有决策权。通过CBPAR，研究人员、社区成员和组织、政策制定者以及服务提供者建立并培养有意义的关系，并合作共同设计、实施和转化研究成果。年轻人和儿童是这项工作的重要组成部分，他们的声音和优先事项被融入工作的各个阶段，以确保代际公平和愿景也能指导实践。这确保了西澳大利亚州HEAL中心现在及未来几代都能实现有针对性的、由研究驱动的、公平的社区主导的变革。
