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Table 2 Definitions of seven levels of community participation in the four phases of research project development [51,52,53].

From: What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

Seven levels of community participation

Four stages of project development

Diagnosis

Development

Implementation

Evaluation

1. No participation

Completely top-down, community is not informed about or asked about issues in their community

Top-down, community is not informed about the development of the project

Top-down, community is not informed about the implementation of the project, only about activities they’re involved in

Top-down, community receives no information about evaluation

2. Passive participation

Outsiders decide on the issues that need to be addressed, community is informed

Outsiders control development, community is informed, but has no input

Outsiders control the implementation, community is informed, but has no input

Outsiders control the evaluation, community is informed, but has no input

3. Participation by information

Outsiders have control, community participates by providing information about their community. No feedback to the community and no checking for agreements

Outsiders have control over development, community potentially provides information about what they want, but outsiders don’t necessarily respond to this

Outsiders control implementation, community might provide information useful for implementation, but outsiders don’t necessarily listen to this

Outsiders control evaluation, community provides information through surveys and/or interviews, focus groups. Findings are not shared or checked for accuracy

4. Participation by consultation

Outsiders define problems and consult with community about their agreement, using outsider defined processes

Outsiders consult with community about potential projects to develop, but outsiders make final decision

Community participates in activities decided upon by the outsiders

Outsiders define evaluation process, community provides information and might make suggestions for improvement and feedback provided

5. Functional participation

Outsiders have predetermined goals and community assists in defining issues within those goals, outsiders make final decisions

Community works together with outsiders to develop projects decided upon by the outsiders.

Community and outsiders work towards implementation of projects, based on outsiders’ goals and processes

Community and outsiders work together in evaluation, based on goals as set by the outsiders

6. Interactive participation

Outsiders and community work together to identify the issues in the community and set goals for the project

Outsiders and community work together to develop suitable projects to address the agreed upon goals.

Community and outsiders implement the developed projects together, community has control and uses local resource

Evaluation methods are decided upon together and conducted in partnership

7. Self-mobilisation

Completely bottom-up, community identifies their own issues and sets their own goals, might contact outsiders to assist them where needed

Bottom-up, community makes decisions about project development, apply for funding and potentially contact outsiders where needed

Community implements projects, contacts outsiders for resources where needed, but remains in control over resources

Community conducts evaluations, potentially contacts outsiders for assistance, but stays in control over evaluation