‘We care about culture, connection, and making girls feel amazing': A program evaluation using the RE-AIM framework

Abstract

This study evaluated a health and wellbeing program for First Nations girls and young women implemented by an Aboriginal community-controlled health organisation. The evaluation used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. In-depth, semi-structured interviews were conducted with 39 key informants, including program participants and implementers. The program reached 59% of the target group. The design and implementation were grounded in Indigenous philosophies of collective and relational flourishing. Through participation, individuals strengthened connections and established trusting relationships. Storytelling and yarning enabled participants to locate themselves in an ongoing narrative that mapped their family and community history. Schools with aspirations aligned with the program goals adopted it, although implementation was hampered by COVID-19 restrictions. The program applied a sophisticated understanding of strengths-based practice, relationality, and the role of resistance and resilience to meet the participants’ needs. The evaluation provides evidence supporting the effectiveness of the program and highlights the factors contributing to its success. The findings highlight that effective programs for young women in urban settings embed connection to culture and identity at their core. It illustrates the value of Aboriginal community-controlled service delivery. When implementing or funding similar programs, two main insights should guide decisions. Firstly, the focus must be on cultural continuity and empowerment. Secondly, success depends on removing practical barriers and engaging participants through interactions that are affirming, fun and inspiring. The leadership and knowledge of Aboriginal collaborators throughout the research and writing process were key to producing a rigorous and relevant evaluation.