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Actively engaging adolescents in meaningful program evaluation is a topic of growing interest. One possibility for such engagement is the use of photographs as part of visual evaluation, so that youth can directly engage with the research process. In this Method Note, we describe the development and implementation of a participatory, photo-based evaluation method for youth health promotion/prevention programs. Youth in this study were participants in a gender-transformative healthy relationships program for boys. We present literature supporting the use of photographs as a visual research method and for involving youth as active participants in evaluation, and explore the feasibility, utility, and acceptability of this innovative application of existing methods based on researcher experience and youth feedback. We conclude with implications for photo-based evaluation of health promotion/prevention programs, highlighting the promise of this method for promoting critical youth engagement in evaluation and the creation of meaningful knowledge translation tools.

Actively engaging adolescents in meaningful program evaluation is a topic of growing interest. One possibility for such engagement is the use of photographs as part of visual evaluation, so that youth can directly engage with the research process. In this Method Note, we describe the development and implementation of a participatory, photo-based evaluation method for youth health promotion/prevention programs. Youth in this study were participants in a gender-transformative healthy relationships program for boys. We present literature supporting the use of photographs as a visual research method and for involving youth as active participants in evaluation, and explore the feasibility, utility, and acceptability of this innovative application of existing methods based on researcher experience and youth feedback. We conclude with implications for photo-based evaluation of health promotion/prevention programs, highlighting the promise of this method for promoting critical youth engagement in evaluation and the creation of meaningful knowledge translation tools. [ABSTRACT FROM AUTHOR]

Gender-transformative approaches (i.e., approaches that support male-identified individuals to critique and resist stereotypical male gender role norms that negatively affect health and well-being) are increasingly recognized as a key health promotion strategy. However, there is limited evidence to date on gender-transformative interventions for male-identified adolescents. In addition, given the dynamic and socially constructed nature of gender, methods beyond quantitative data collection are needed to gain a holistic understanding of promising gender-transformative health promotion approaches. One newer method to capture lived experiences with adolescents is photo-based evaluation, where youth program participants take pictures to represent their knowledge, attitudes, and/or behaviors before and after a program. The present study presents findings from the photo-based evaluation of a gender-transformative health promotion program called WiseGuyz. WiseGuyz is offered to mid-adolescent, male-identified youth in school and community settings, and is designed to promote mental and sexual health and prevent violence. Six youth photographers from a rural Canadian setting took part in this evaluation, taking photos to represent what being a guy in their world meant before and after WiseGuyz. Youth then participated in an individual visual storytelling interview and a group-based photovoice process. Key themes in relation to masculinities that emerged from these data were around changes to (1) social norms and (2) emotionality following program participation, and the need for a safe program space to support these changes. This study adds to literature demonstrating the promise of gender-transformative approaches with adolescents, with implications for future health promotion research and practice with male-identified youth. [ABSTRACT FROM AUTHOR]

This article describes an adapted photovoice study that explored the facilitators and barriers to accessing paratransit services among people with disabilities. This 18-month study involved adults with disabilities developing photovoice stories about their paratransit experiences in Eastern Canada. The photovoice stories represent an in-depth examination of the familial, social, geographical, and environmental factors and their complex association with paratransit services. Distributing the photovoice stories through social media also served as a practical application of health promotion as the process allowed for a broader audience reach to bear witness to the experiences of participants from the disability community. Discussion includes recommendations for developing and sustaining responsive paratransit services with the assertion that persons with disabilities are at the forefront in making informed changes and improvements in ensuring transportation is accessible for everyone. [ABSTRACT FROM AUTHOR]

Background: Evidence suggests that mainstream media coverage of mental illness tends to focus on factors such as crime and violence. Thus, mental health advocates have argued that alternative portrayals are necessary to reduce stigma. Aim: The aim of this paper is to compare the tone and content of mainstream TV coverage of mental illness with educational videos produced by citizen journalists with mental illness. Methods: We trained three groups of people with mental illness in citizen journalism and participatory video. These groups then produced a series of educational videos about mental illness (n = 26). Simultaneously, we systematically collected TV clips about mental illness from a major Canadian TV station (n = 26). We then compared the tone and content of citizen journalism videos vs. TV clips using content analysis techniques. Results: The citizen journalist videos tended to be more positive and hopeful. For example, over 60% of the citizen journalism videos focused on recovery, compared to 27% of the TV clips. Conversely, over 40% of the TV clips focused on crime, violence or legal issues, in comparison to only 23% of the citizen journalism videos. Conclusion: Citizen journalism by people with mental illness has the potential to educate the public and reduce stigma. [ABSTRACT FROM AUTHOR]