The Cree commentary demonstrates that local people living in remote northern communities are comfortable with and interested in responding critically to an academic paper about a study that involved them.1 Although not common in the literature, field-level responses to professional research will have an impact on research validity and are accessible to other potential participants in medical research because they are written in nontechnical language and in the first person.
The gestational diabetes project2,3,4,5 marked an important stage in the evolution of participatory research practices in the Cree region. In the early 1990s, the Cree Board of Health and Social Services of James Bay sponsored research on gestational diabetes in the region. The resulting project became a partnership involving the Board, 4 communities and a university-based research team. The partners carried out community consultations during the planning phase of the project, hired local assistants, reported extensively to the communities during and after the project (in person, on radio and through popular language written reports) and provided the services of 2 nutritionists to the communities; the project also produced unanticipated spin-off research projects. The Cree commentary is a retrospective response by the community partners to the intervention aspects of the project.
Some things are obvious in hindsight. Today, a project like this would be planned through a research agreement based on the Boar
<@SGN>Jill Torrie Eyestone Consulting Research Officer Public Health Module — Cree Region Montreal, Que.
Signature
Jill Torrie
Eyestone Consulting Research Officer Public Health Module — Cree Region Montreal, Que.
References
- 1.Special Working Group of the Cree Regional Child and Family Services Committee. Planning research for greater community involvement and long-term benefit [editorial]. CMAJ 2000; 163 (10): 1273-4. [PMC free article] [PubMed]
- 2.Rodrigues S, Robinson E, Gray-Donald K. Prevalence of gestational diabetes mellitus among James Bay Cree women in Northern Quebec. CMAJ 1999;160(9):1293-7. [PMC free article] [PubMed]
- 3.Rodrigues S. The epidemiology of gestational diabetes mellitus and infant macrosmia among the Cree of James Bay [dissertation]. Montreal: School of Dietetics and Human Nutrition, McGill University; 1999.
- 4.Gray-Donald K, Robinson E, Collier A, David K, Renaud L, Rodrigues S. Intervening to reduce maternal weight gain and gestational diabetes in Cree communities: an evaluation. CMAJ 2000;163(10):1247-51. [PMC free article] [PubMed]
- 5.Rodrigues R, Robinson EJ, Kramer MS, Gray-Donald K. High rates of infant macrosomia: a comparison of Canadian Native and non-Native populations. J Nutr 2000;130:806-12. [DOI] [PubMed]