Accepted for/Published in: Journal of Participatory Medicine
Date Submitted: Aug 25, 2025
Open Peer Review Period: Sep 7, 2025 - Nov 2, 2025
Date Accepted: Apr 3, 2026
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
It’s bigger than the drone: a reflexive thematic analysis on experiences and perceptions within a co-created drone transport initiative with rural First Nation and non-First Nation communities
ABSTRACT
Background:
The Drone Transport Initiative is a co-created healthcare innovation project between the Stellat’en First Nation, the Village of Fraser Lake, the University of British Columbia, and other health partners that investigated the use of drones to transport medical supplies.
Objective:
This project aimed to understand the experiences and perceptions of people involved in the initiative.
Methods:
Twenty participants with varying technical and leadership roles participated in a semi-structured interview. Interviews were audio recorded and transcribed verbatim. A reflexive thematic analysis was conducted to understand partners’ experiences and perceptions of the project. Initial results were shared with team members, including co-sponsors and communities, to interpret the findings and formulate discussion topics.
Results:
People generally expressed positive experiences from being part of the Drone Transport Initiative, despite remarking on various challenges. Major themes derived from the analysis centered upon 1) building respectful and trusting relationships; 2) mutual benefits that enabled effective and engaged partnerships; 3) meaningful community engagement that facilitated community acceptance and ownership of the project; and 4) this project is “the first step of something big.” Themes were further divided into sub-themes characterized as processes or outcomes.
Conclusions:
The findings uncovered the importance of building trusting relationships between involved communities and partners and highlighted the potential for drones to be used by communities for their distinct priorities in healthcare and beyond. This work emphasized the relational foundation necessary for implementing and sustaining drone innovation projects in rural settings, contributing positively to healthcare access and wellbeing among rural and First Nations communities.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.