Peqqissuserput: A theoretical research model starting from a place of strengths to support Kalaallit Inuit communities to thrive

Introduction: Health research in Kalaallit Nunaat (Greenland) has traditionally focused on risk factors and deficits, often without being grounded in Kalaallit Inuit knowledge systems or led by Indigenous researchers. Such approaches have limited relevance for communities and may undermine ethical engagement. This paper presents Peqqissuserput (“Our Health”) and the principles we work from at Innuttaasut Peqqissusiannik Ilisimatusarfik (Centre for Public Health in Greenland) research model starting from a place of strengths to support Kalaallit Inuit communities to continue to thrive and ensure that our research is ethical and meaningful. Methods: The model was developed through an iterative process spanning two decades of community-engaged research conducted at Innuttaasut Peqqissusiannik Ilisimatusarfik (Centre for Public Health in Greenland). The work draws on long-term partnerships with Kalaallit Inuit communities, national population health surveys, qualitative studies, sharing circles, lived experience, and dialogue with Indigenous research centres across the Arctic. The model is informed by key ethical frameworks, including the Circumpolar Inuit Protocols for Equitable and Ethical Engagement, the United Nations Declaration on the Rights of Indigenous Peoples, and Greenland’s National Research Strategy. Results: Peqqissuserput is grounded in the concept of peqqinneq, a culturally specific understanding of balance and well-being rooted in relationships with people, land, animals, and Sila. At its core is the metaphysical triad of timi (body), tarneq (mind), and anersaaq (spirit), surrounded by eleven interrelated elements. These include both well-established social determinants of health and culturally specific dimensions such as language, family and relationships, joy of community, local values, country food, and connection to nature and animals. Five guiding principles underpin the model, emphasizing respect for Inuit knowledge systems, language, humility, storytelling as evidence, and commitment to the common good. Conclusion: Peqqissuserput represents a shift from deficit-based health research toward a strengths-based, culturally grounded framework rooted in Kalaallit Inuit ways of knowing and being. The model offers a practical and ethical pathway for researchers, policymakers, and practitioners to work in partnership with communities to understand and promote health and well-being in Kalaallit Nunaat.