首页 > 最新文献

First Nations Health and Wellbeing - The Lowitja Journal最新文献

英文 中文
Research ACCORDing to whom? Developing a South Australian Aboriginal and Torres Strait Islander Health Research Accord 研究根据谁?制定《南澳大利亚土著和托雷斯海峡岛民健康研究协定》
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100003
Kim Morey (Anmatyerre & Eastern Arrernte) , Christine Franks (Yuin) , Odette Pearson (Kuku Yalanji & Torres Strait Islander) , Karen Glover (Mein:tnk & Wotjobaluk) , Alex Brown (Yuin)

Documents regarding ethical research conduct are available to guide researchers in the field of Aboriginal and Torres Strait Islander (Aboriginal) health, yet their implementation lacks consistency within and between research institutions. South Australia has taken a conscious approach to implement locally appropriate ethical practice in Aboriginal health research by developing a South Australian Aboriginal Health Research Accord (Accord).

The Accord was developed through an iterative mixed-methods approach, involving a literature review, stakeholder consultations and consensus-building process. The Accord comprises nine key principles that guide Aboriginal health research in South Australia: priorities, involvement, partnership, respect, communication, reciprocity, ownership, control, and knowledge translation and exchange. Each principle is presented with a summary explanation and description of its application in research practice. The Accord aims to guide researchers, universities, research institutes, consultants, governments and service providers in the appropriate processes required when developing and conducting health research with Aboriginal people in South Australia and can serve as a guide for ethics committees. It provides a voice for Aboriginal communities to inform researchers on how they would like health research to be conducted in their communities. Consistently applying the nine principles of the Accord will increase the impact and benefit of health research for Aboriginal people in Australia.

关于伦理研究行为的文件可用于指导土著和托雷斯海峡岛民(土著)健康领域的研究人员,但这些文件的执行在研究机构内部和机构之间缺乏一致性。南澳大利亚通过制定《南澳大利亚土著健康研究协定》,有意识地在土著健康研究中实施适合当地的伦理做法。该协议是通过一种迭代的混合方法制定的,涉及文献审查、利益攸关方磋商和建立共识进程。该协议包括指导南澳大利亚土著健康研究的九项关键原则:优先事项、参与、伙伴关系、尊重、沟通、互惠、所有权、控制以及知识转化和交流。每个原则都有一个总结的解释和描述其在研究实践中的应用。该协议旨在指导研究人员、大学、研究机构、顾问、政府和服务提供者在与南澳大利亚土著人民开展和开展健康研究时所需的适当程序,并可作为伦理委员会的指南。它为土著社区提供了一个声音,告知研究人员他们希望如何在他们的社区进行健康研究。一贯执行《协定》的九项原则将增加保健研究对澳大利亚土著人民的影响和益处。
{"title":"Research ACCORDing to whom? Developing a South Australian Aboriginal and Torres Strait Islander Health Research Accord","authors":"Kim Morey (Anmatyerre & Eastern Arrernte) ,&nbsp;Christine Franks (Yuin) ,&nbsp;Odette Pearson (Kuku Yalanji & Torres Strait Islander) ,&nbsp;Karen Glover (Mein:tnk & Wotjobaluk) ,&nbsp;Alex Brown (Yuin)","doi":"10.1016/j.fnhli.2023.100003","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100003","url":null,"abstract":"<div><p>Documents regarding ethical research conduct are available to guide researchers in the field of Aboriginal and Torres Strait Islander (Aboriginal) health, yet their implementation lacks consistency within and between research institutions. South Australia has taken a conscious approach to implement locally appropriate ethical practice in Aboriginal health research by developing a South Australian Aboriginal Health Research Accord (Accord).</p><p>The Accord was developed through an iterative mixed-methods approach, involving a literature review, stakeholder consultations and consensus-building process. The Accord comprises nine key principles that guide Aboriginal health research in South Australia: priorities, involvement, partnership, respect, communication, reciprocity, ownership, control, and knowledge translation and exchange. Each principle is presented with a summary explanation and description of its application in research practice. The Accord aims to guide researchers, universities, research institutes, consultants, governments and service providers in the appropriate processes required when developing and conducting health research with Aboriginal people in South Australia and can serve as a guide for ethics committees. It provides a voice for Aboriginal communities to inform researchers on how they would like health research to be conducted in their communities. Consistently applying the nine principles of the Accord will increase the impact and benefit of health research for Aboriginal people in Australia.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100003"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000037/pdfft?md5=a06849637b0416b7714b1d1e8a2a8f7d&pid=1-s2.0-S2949840623000037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time for a First Nations-led health and wellbeing research renaissance 原住民主导的健康和福祉研究复兴时机已到
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100006
Catherine Chamberlain (Trawlwoolway/Palawa) , Janine Mohamed (Narungga/Kaurna)
{"title":"Time for a First Nations-led health and wellbeing research renaissance","authors":"Catherine Chamberlain (Trawlwoolway/Palawa) ,&nbsp;Janine Mohamed (Narungga/Kaurna)","doi":"10.1016/j.fnhli.2023.100006","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100006","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100006"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000062/pdfft?md5=f7192f3c351dc93b4f439b04be6211ab&pid=1-s2.0-S2949840623000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138548855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Researching Indigenous people living with a disability: The urgent need for an intersectional and decolonising approach (BlakAbility) 研究土著残疾人:迫切需要一种交叉和非殖民化的方法(BlakAbility)
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100004
Sheelagh Daniels-Mayes

According to available data, significant numbers of Indigenous people live with a disability and encounter both racism and disability-related discrimination. Yet, research about the impact of these intersecting sites of discrimination remains vastly under-researched. This commentary argues that research using intersectionality embedded with decolonising knowledges and practices and Indigenous Standpoints on disability, that is informed and led by those with lived experience, is urgently needed.

根据现有数据,有相当数量的土著人民身患残疾,并遭受种族主义和与残疾有关的歧视。然而,关于这些交叉的歧视地点的影响的研究仍然远远不够。本评论认为,迫切需要在有实际经验的人的指导下,利用嵌入非殖民化知识和实践以及土著残疾观点的交叉性进行研究。
{"title":"Researching Indigenous people living with a disability: The urgent need for an intersectional and decolonising approach (BlakAbility)","authors":"Sheelagh Daniels-Mayes","doi":"10.1016/j.fnhli.2023.100004","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100004","url":null,"abstract":"<div><p>According to available data, significant numbers of Indigenous people live with a disability and encounter both racism and disability-related discrimination. Yet, research about the impact of these intersecting sites of discrimination remains vastly under-researched. This commentary argues that research using intersectionality embedded with decolonising knowledges and practices and Indigenous Standpoints on disability, that is informed and led by those with lived experience, is urgently needed.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100004"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000049/pdfft?md5=00743702b358c9e78ca1f8d30eaef1e7&pid=1-s2.0-S2949840623000049-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do it for yourself: Australia’s first experience of universal eligibility for self-collection cervical screening increases access for Aboriginal and Torres Strait Islander women 为自己而做:澳大利亚首次普及自取式宫颈筛查,增加了土著居民和托雷斯海峡岛民妇女接受筛查的机会
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100002
Kristy Meiselbach (Gunditjmara) , Claire Nightingale , Sandy Anderson , Amanda Ryan (Indigenous) , Clare O’Reilly , Marion Saville , Lisa Whop (Wagadagam Gumulgal) , Margaret Kelaher , Julia Brotherton

Purpose

Australia’s National Cervical Screening Program implemented a self-collection pathway in December 2017 that was specifically designed to engage never-screened and under-screened people with a cervix. Initially only available to those under-screened, a revised policy (implemented in July 2022) now allows all women and people with a cervix the choice to participate in cervical screening through self-collection. While self-collection offers opportunities for Aboriginal Community Controlled Organisations (ACCO) to increase cervical screening participation, implementation evidence is lacking.

Methods

Semi-structured interviews were conducted with Aboriginal women (n = 7) and health service staff (n = 2) at a regional Aboriginal Community Controlled Organisation, in November to December 2019, to identify barriers and facilitators to cervical screening participation. A co-design workshop followed in mid-2020 with participants reviewing data, leading to the design and implementation of a demonstration project – Do it for yourself! – providing universal access to self-collection in the context of a consultation.

Main findings

Thirty-seven women participated in Do it for yourself! between April 2021 and March 2022. One-third would not have participated in cervical screening if self-collection had not been available. Most women (84%) were confident that they had properly collected the sample. Most women who had screened before preferred self-collection (81%), would be more likely to screen on-time if self-collection was available (95%), and all would recommend the screening pathway. Universal access to self-collection appeared to engage Aboriginal women who would otherwise not have screened.

Principal conclusions

Early implementation experience demonstrated that self-collection, offered in the context of a consultation with a cervical screening provider, is highly acceptable and facilitates the engagement of women who would otherwise not have screened.

目的 澳大利亚的国家宫颈筛查计划于 2017 年 12 月实施了一项自我采集途径,专门用于吸引从未接受筛查和筛查不足的宫颈患者。最初仅适用于筛查不足者,修订后的政策(2022 年 7 月实施)现在允许所有妇女和宫颈患者选择通过自助采集方式参与宫颈筛查。虽然自我采集为原住民社区控制组织(ACCO)提供了提高宫颈筛查参与率的机会,但缺乏实施证据。方法在2019年11月至12月期间,对一名地区原住民社区控制组织的原住民妇女(n = 7)和医疗服务人员(n = 2)进行了半结构式访谈,以确定宫颈筛查参与率的障碍和促进因素。随后在 2020 年年中举办了一次共同设计研讨会,与会者对数据进行了审查,最终设计并实施了一个示范项目--"为自己而做"!- 主要发现在 2021 年 4 月至 2022 年 3 月期间,37 名妇女参加了 "为自己而做 "项目。如果没有自我采集服务,三分之一的妇女不会参加宫颈筛查。大多数妇女(84%)确信自己正确采集了样本。大多数以前接受过筛查的妇女更喜欢自行采集样本(81%),如果可以自行采集样本,她们更有可能按时接受筛查(95%),而且所有妇女都会推荐这种筛查途径。主要结论早期的实施经验表明,在与宫颈筛查提供者进行咨询的情况下提供自我采样,是非常容易被接受的,并且有利于让那些原本不会进行筛查的妇女参与进来。
{"title":"Do it for yourself: Australia’s first experience of universal eligibility for self-collection cervical screening increases access for Aboriginal and Torres Strait Islander women","authors":"Kristy Meiselbach (Gunditjmara) ,&nbsp;Claire Nightingale ,&nbsp;Sandy Anderson ,&nbsp;Amanda Ryan (Indigenous) ,&nbsp;Clare O’Reilly ,&nbsp;Marion Saville ,&nbsp;Lisa Whop (Wagadagam Gumulgal) ,&nbsp;Margaret Kelaher ,&nbsp;Julia Brotherton","doi":"10.1016/j.fnhli.2023.100002","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100002","url":null,"abstract":"<div><h3>Purpose</h3><p>Australia’s National Cervical Screening Program implemented a self-collection pathway in December 2017 that was specifically designed to engage never-screened and under-screened people with a cervix. Initially only available to those under-screened, a revised policy (implemented in July 2022) now allows all women and people with a cervix the choice to participate in cervical screening through self-collection. While self-collection offers opportunities for Aboriginal Community Controlled Organisations (ACCO) to increase cervical screening participation, implementation evidence is lacking.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with Aboriginal women (n = 7) and health service staff (n = 2) at a regional Aboriginal Community Controlled Organisation, in November to December 2019, to identify barriers and facilitators to cervical screening participation. A co-design workshop followed in mid-2020 with participants reviewing data, leading to the design and implementation of a demonstration project – <em>Do it for yourself!</em> – providing universal access to self-collection in the context of a consultation.</p></div><div><h3>Main findings</h3><p>Thirty-seven women participated in <em>Do it for yourself!</em> between April 2021 and March 2022. One-third would not have participated in cervical screening if self-collection had not been available. Most women (84%) were confident that they had properly collected the sample. Most women who had screened before preferred self-collection (81%), would be more likely to screen on-time if self-collection was available (95%), and all would recommend the screening pathway. Universal access to self-collection appeared to engage Aboriginal women who would otherwise not have screened.</p></div><div><h3>Principal conclusions</h3><p>Early implementation experience demonstrated that self-collection, offered in the context of a consultation with a cervical screening provider, is highly acceptable and facilitates the engagement of women who would otherwise not have screened.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100002"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000025/pdfft?md5=6051dce989d67d36955690df6f97a840&pid=1-s2.0-S2949840623000025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138739043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is all that glitters gold? Assessing the quality and ethics of ‘gold standard’ randomised controlled trials conducted in Aboriginal and Torres Strait Islander settings 闪闪发光的都是金子吗?评估在原住民和托雷斯海峡岛民环境中开展的 "黄金标准 "随机对照试验的质量和道德规范
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100007
Joanne Luke (Stolen Generations - Alyawarre) , Ebony Verbunt , Muriel Bamblett (Yorta Yorta, Dja Dja Wurrung) , Connie Salamone , Sarah Gafforini , Angela Zhang , David Thomas , Sandra Eades (Noongar) , Lina Gubhaju , Margeret Kelaher , Amanda Jones

Purpose

Evidence-based practice methods assign randomised controlled trials (RCTs) as the ‘gold standard’ study design for interventional research. However, privileging RCTs on the criterion of study design without consideration of their broader methodology can be problematic, particularly in Aboriginal and Torres Strait Islander settings. This review assessed RCTs conducted in Aboriginal and Torres Strait Islander settings for ‘standard quality’ and ‘ethical quality’.

Methods

The RCTs were retrieved from PubMed, Scopus and the Australian New Zealand Clinical Trials Registry between January 2000 and July 2021. Standard quality was assessed using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0). To assess ethical quality, this review assessed whether research incorporated ethical principles of: Aboriginal and/or Torres Strait Islander ethics committee endorsement, organisational endorsement, governance, partnership, data sovereignty, priority setting, worldview, authorship, and involvement in design, implementation and/or evaluation.

Main findings

Seventy-three published RCTs were retrieved. For quality, 85% of RCTs were assessed as having a ‘high’ risk of bias, largely owing to issues with deviations from the intervention, missing outcome data and measurement biases. The RCTs varied greatly in terms of ethical quality, with most attending poorly to ethical principles of priority setting (12%), involving stakeholders in evaluation of intervention (18%) and data sovereignty (7%). The RCTs conducted with Aboriginal and/or Torres Strait Islander co-authors were ranked as having greater ethical quality.

Principal conclusions

This review found notable concerns with the standard and ethical quality of RCTs conducted in these settings. To improve the ethical quality of research there must be a greater focus on control and participation by Aboriginal and Torres Strait stakeholders.

目的基于证据的实践方法将随机对照试验(RCT)作为干预研究的 "黄金标准 "研究设计。然而,以研究设计为标准而不考虑其更广泛的方法论,将随机对照试验作为首选可能会产生问题,尤其是在土著居民和托雷斯海峡岛民的环境中。本综述评估了在土著居民和托雷斯海峡岛民环境中进行的研究性临床试验的 "标准质量 "和 "伦理质量"。方法从 PubMed、Scopus 和澳大利亚-新西兰临床试验注册中心检索了 2000 年 1 月至 2021 年 7 月期间的研究性临床试验。标准质量采用修订后的科克伦随机试验偏倚风险工具(RoB 2.0)进行评估。为了评估伦理质量,本综述评估了研究是否纳入了以下伦理原则:原住民和/或托雷斯海峡岛民伦理委员会认可、组织认可、治理、伙伴关系、数据主权、优先级设定、世界观、作者身份以及参与设计、实施和/或评估。就质量而言,85%的研究性试验被评估为存在 "高 "偏倚风险,这主要是由于偏离干预措施、结果数据缺失和测量偏倚等问题造成的。在伦理质量方面,研究性试验的差异很大,大多数试验在确定优先次序(12%)、让利益相关者参与干预措施评估(18%)和数据主权(7%)等伦理原则方面表现不佳。与原住民和/或托雷斯海峡岛民合著的 RCT 被评为道德质量较高的 RCT。为了提高研究的伦理质量,必须更加重视土著居民和托雷斯海峡利益相关者的控制和参与。
{"title":"Is all that glitters gold? Assessing the quality and ethics of ‘gold standard’ randomised controlled trials conducted in Aboriginal and Torres Strait Islander settings","authors":"Joanne Luke (Stolen Generations - Alyawarre) ,&nbsp;Ebony Verbunt ,&nbsp;Muriel Bamblett (Yorta Yorta, Dja Dja Wurrung) ,&nbsp;Connie Salamone ,&nbsp;Sarah Gafforini ,&nbsp;Angela Zhang ,&nbsp;David Thomas ,&nbsp;Sandra Eades (Noongar) ,&nbsp;Lina Gubhaju ,&nbsp;Margeret Kelaher ,&nbsp;Amanda Jones","doi":"10.1016/j.fnhli.2023.100007","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100007","url":null,"abstract":"<div><h3>Purpose</h3><p>Evidence-based practice methods assign randomised controlled trials (RCTs) as the ‘gold standard’ study design for interventional research. However, privileging RCTs on the criterion of study design without consideration of their broader methodology can be problematic, particularly in Aboriginal and Torres Strait Islander settings. This review assessed RCTs conducted in Aboriginal and Torres Strait Islander settings for ‘standard quality’ and ‘ethical quality’.</p></div><div><h3>Methods</h3><p>The RCTs were retrieved from PubMed, Scopus and the Australian New Zealand Clinical Trials Registry between January 2000 and July 2021. Standard quality was assessed using the revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0). To assess ethical quality, this review assessed whether research incorporated ethical principles of: Aboriginal and/or Torres Strait Islander ethics committee endorsement, organisational endorsement, governance, partnership, data sovereignty, priority setting, worldview, authorship, and involvement in design, implementation and/or evaluation.</p></div><div><h3>Main findings</h3><p>Seventy-three published RCTs were retrieved. For quality, 85% of RCTs were assessed as having a ‘high’ risk of bias, largely owing to issues with deviations from the intervention, missing outcome data and measurement biases. The RCTs varied greatly in terms of ethical quality, with most attending poorly to ethical principles of priority setting (12%), involving stakeholders in evaluation of intervention (18%) and data sovereignty (7%). The RCTs conducted with Aboriginal and/or Torres Strait Islander co-authors were ranked as having greater ethical quality.</p></div><div><h3>Principal conclusions</h3><p>This review found notable concerns with the standard and ethical quality of RCTs conducted in these settings. To improve the ethical quality of research there must be a greater focus on control and participation by Aboriginal and Torres Strait stakeholders.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100007"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000074/pdfft?md5=6c4f5273e4a47a0a71b1e7dbcaaa345c&pid=1-s2.0-S2949840623000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
‘Wellah planted a good seed’: How an online health and wellbeing program supported Aboriginal and Torres Strait Islander peoples during the COVID-19 pandemic “Wellah种下了一颗好种子”:在2019冠状病毒病大流行期间,在线健康和福利计划如何支持土著和托雷斯海峡岛民
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100005
Stella Mulder , Laura Thompson , Sarah Sheridan , Lena Charles , Emily Munro-Harrison , Helen Kennedy , Ngaree Blow , Stephanie J. Brown , Graham Gee

Purpose

With COVID-19 pandemic restrictions in place throughout Australia in 2021, Aboriginal-led Clothing The Gaps Foundation (CTGF) delivered a 6-week health and wellbeing program known as Wellah Together Online. The aim of the program was to strengthen the healthy lifestyle choices, resilience and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. Three staff members from Victorian Aboriginal Community Controlled Health Organisation Goolum Goolum Aboriginal Co-operative participated to consider the feasibility of other organisations offering similar programs. Wellah Together was evaluated by an Aboriginal-led team at Murdoch Children’s Research Institute in collaboration with CTGF and Goolum Goolum. The evaluation aimed to (i) investigate the impact of the program; (ii) identify core elements of success; and (iii) provide guidance to Aboriginal and Torres Strait Islander organisations interested in developing similar programs.

Methods

The evaluation was a multi-method study including surveys and yarning circles. This paper reports on findings from the qualitative data collected through yarning circles with program participants, CTGF and Goolum Goolum staff.

Main findings

Forty-six people participated in the program; of these, 34 participated in the evaluation. Participants were overwhelmingly positive about the benefits of taking part in Wellah Together Online. These included: (i) increased knowledge and motivation in relation to health and wellbeing; (ii) increased social connection at a difficult time; and (iii) a stronger sense of cultural identity and belonging. Core elements of program success identified in the research were: (i) create an affirming and power-equal environment; (ii) deliver health education through active participation and fun; (iii) build engagement throughout the program; and (iv) centre Aboriginal and Torres Strait Islander knowledge and leadership. Considerations for other organisations included: (i) planning for diversity; (ii) the availability of existing resources; and (iii) the mode of delivery (online vs. in-person). Based on the findings, the evaluation team generated seven themes to support understanding of the underlying principles and approach of the program. These themes highlight the necessity of engaging with issues of cultural connection, identity and healing in designing health and wellbeing programs for Aboriginal and Torres Strait Islander peoples.

Principal conclusions

The findings of the evaluation highlight the importance of Aboriginal and Torres Strait Islander-designed programs in strengthening the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples at all times, including times of social upheaval.

2021年,随着澳大利亚各地对COVID-19大流行实施限制,原住民主导的服装缺口基金会(CTGF)推出了一项为期6周的健康和福利计划,名为“Wellah Together Online”。该方案的目的是加强土著和托雷斯海峡岛民的健康生活方式选择、适应能力以及社会和情感福祉。来自维多利亚州土著社区控制卫生组织Goolum Goolum土著合作社的三名工作人员参与了审议其他组织提供类似方案的可行性。Wellah Together是由默多克儿童研究所的土著领导的团队与CTGF和Goolum Goolum合作评估的。评估的目的是:(i)调查项目的影响;(ii)确定成功的核心要素;(三)向有兴趣制定类似方案的土著和托雷斯海峡岛民组织提供指导。方法采用问卷调查法和绕线法进行评价。本文报告了通过与项目参与者、CTGF和Goolum Goolum工作人员进行纺纱圈收集的定性数据的发现。主要发现46人参加了该项目;其中34人参加了评价。参与者对参加Wellah Together Online的好处持压倒性的积极态度。其中包括:(一)增进与健康和福祉有关的知识和动机;(ii)在困难时期增加社会联系;(三)更强的文化认同感和归属感。研究中确定的项目成功的核心要素是:(i)创造一个肯定和权力平等的环境;(ii)通过积极参与和乐趣提供健康教育;(iii)在整个项目中建立参与度;(四)集中土著和托雷斯海峡岛民的知识和领导能力。其他组织的考虑包括:(i)多样性规划;现有资源的可用性;(三)交付方式(在线还是面对面)。根据调查结果,评估小组提出了七个主题,以支持对该计划的基本原则和方法的理解。这些主题突出了在为土著和托雷斯海峡岛民设计健康和福利方案时必须涉及文化联系、身份和治疗问题。评估结果强调了土著和托雷斯海峡岛民设计的方案在任何时候,包括在社会动荡时期,在加强土著和托雷斯海峡岛民的健康、社会和情感福祉方面的重要性。
{"title":"‘Wellah planted a good seed’: How an online health and wellbeing program supported Aboriginal and Torres Strait Islander peoples during the COVID-19 pandemic","authors":"Stella Mulder ,&nbsp;Laura Thompson ,&nbsp;Sarah Sheridan ,&nbsp;Lena Charles ,&nbsp;Emily Munro-Harrison ,&nbsp;Helen Kennedy ,&nbsp;Ngaree Blow ,&nbsp;Stephanie J. Brown ,&nbsp;Graham Gee","doi":"10.1016/j.fnhli.2023.100005","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100005","url":null,"abstract":"<div><h3>Purpose</h3><p>With COVID-19 pandemic restrictions in place throughout Australia in 2021, Aboriginal-led Clothing The Gaps Foundation (CTGF) delivered a 6-week health and wellbeing program known as Wellah Together Online. The aim of the program was to strengthen the healthy lifestyle choices, resilience and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. Three staff members from Victorian Aboriginal Community Controlled Health Organisation Goolum Goolum Aboriginal Co-operative participated to consider the feasibility of other organisations offering similar programs. Wellah Together was evaluated by an Aboriginal-led team at Murdoch Children’s Research Institute in collaboration with CTGF and Goolum Goolum. The evaluation aimed to (i) investigate the impact of the program; (ii) identify core elements of success; and (iii) provide guidance to Aboriginal and Torres Strait Islander organisations interested in developing similar programs.</p></div><div><h3>Methods</h3><p>The evaluation was a multi-method study including surveys and yarning circles. This paper reports on findings from the qualitative data collected through yarning circles with program participants, CTGF and Goolum Goolum staff.</p></div><div><h3>Main findings</h3><p>Forty-six people participated in the program; of these, 34 participated in the evaluation. Participants were overwhelmingly positive about the benefits of taking part in Wellah Together Online. These included: (i) increased knowledge and motivation in relation to health and wellbeing; (ii) increased social connection at a difficult time; and (iii) a stronger sense of cultural identity and belonging. Core elements of program success identified in the research were: (i) create an affirming and power-equal environment; (ii) deliver health education through active participation and fun; (iii) build engagement throughout the program; and (iv) centre Aboriginal and Torres Strait Islander knowledge and leadership. Considerations for other organisations included: (i) planning for diversity; (ii) the availability of existing resources; and (iii) the mode of delivery (online vs. in-person). Based on the findings, the evaluation team generated seven themes to support understanding of the underlying principles and approach of the program. These themes highlight the necessity of engaging with issues of cultural connection, identity and healing in designing health and wellbeing programs for Aboriginal and Torres Strait Islander peoples.</p></div><div><h3>Principal conclusions</h3><p>The findings of the evaluation highlight the importance of Aboriginal and Torres Strait Islander-designed programs in strengthening the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples at all times, including times of social upheaval.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100005"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000050/pdfft?md5=3fc841dcdb2e43b781a523a5fc6c3d99&pid=1-s2.0-S2949840623000050-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tackling Indigenous Smoking: A brief commentary on the population health program’s history 解决土著吸烟问题:对人口健康计划历史的简短评论
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100009
Tom Calma (Kungarakan and Iwaidja) , Scott McLennan
{"title":"Tackling Indigenous Smoking: A brief commentary on the population health program’s history","authors":"Tom Calma (Kungarakan and Iwaidja) ,&nbsp;Scott McLennan","doi":"10.1016/j.fnhli.2023.100009","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100009","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100009"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000098/pdfft?md5=06cc41c35e3eef0b2434f192cd572721&pid=1-s2.0-S2949840623000098-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stories of community strength: Reflecting on strong COVID-19 vaccination uptake among Aboriginal and Torres Strait Islander communities 社区力量的故事:原住民和托雷斯海峡岛民社区对 COVID-19 疫苗接种率的强烈反响
Pub Date : 2023-01-01 DOI: 10.1016/j.fnhli.2023.100008
Brianna Poirier Canadian , Gustavo Soares Brazilian , Madison Cachagee Omushkego Mushkegowuk , Susan Hedges Yamatji , Lisa Jamieson New Zealander , Joanne Hedges Yamatji

Prioritising COVID-19 immunisation for Aboriginal and Torres Strait Islander peoples plays an important role in promoting social and racial justice. Despite the chronic under-resourcing of community health organisations, Aboriginal and Torres Strait Islander communities across Australia developed strong and successful public health responses to the pandemic. The unique stories of fortitude and resilience during critical stages of a major health crisis stream from strong community engagement and leadership, provision of culturally secure care, novel communication strategies, and efficient outreach. Acknowledging the critical role of Aboriginal Community Controlled Health Services in protecting the lives and wellbeing of Aboriginal and Torres Strait Islander peoples, this study utilised a mixed-methods approach to examine successful stories of mitigating community risk to COVID-19. An environmental scan and content analysis of online media sources and an examination of the temporal trends of COVID-19 vaccination (two, three and four doses completed) for Aboriginal and Torres Strait Islander communities across local government areas in Australia were examined. Stories of community strength illustrated how Aboriginal Community Controlled Health Services and the local communities in Naarm (Victoria), Bendigo (Victoria), Tharawall (New South Wales) and APY Lands (South Australia) developed strategies to mitigate the impacts of the pandemic. Creative solutions adopted by communities included repurposing existing resources, leveraging influence of community leaders, sharing information with community members in a meaningful way and promoting vaccination. High uptake of additional doses of COVID-19 vaccines were observed in communities across the country and in all levels of remoteness. Aboriginal and Torres Strait Islander leadership was critical for developing local solutions to the population, even under severely restricted and unprecedented circumstances.

优先为原住民和托雷斯海峡岛民接种 COVID-19 疫苗在促进社会和种族公正方面发挥着重要作用。尽管社区卫生组织长期资源不足,但澳大利亚各地的原住民和托雷斯海峡岛民社区仍针对大流行病制定了强有力的、成功的公共卫生应对措施。他们在重大健康危机的关键阶段表现出的坚忍不拔和顽强不屈的精神,源于他们强有力的社区参与和领导、提供文化上安全的护理、新颖的沟通策略以及高效的外联工作。考虑到原住民社区控制的医疗服务在保护原住民和托雷斯海峡岛民的生命和福祉方面发挥的关键作用,本研究采用了混合方法来考察降低社区感染 COVID-19 风险的成功案例。研究人员对在线媒体资源进行了环境扫描和内容分析,并对澳大利亚各地方政府辖区内原住民和托雷斯海峡岛民社区接种 COVID-19 疫苗(完成两剂、三剂和四剂)的时间趋势进行了研究。社区力量的故事说明了原住民社区控制的卫生服务机构和纳阿姆(维多利亚州)、本迪戈(维多利亚州)、塔拉沃尔(新南威尔士州)和 APY Lands(南澳大利亚州)的当地社区如何制定策略来减轻大流行病的影响。各社区采取的创造性解决方案包括重新利用现有资源、发挥社区领袖的影响力、以有意义的方式与社区成员分享信息以及推广疫苗接种。据观察,全国各地和所有偏远社区对 COVID-19 疫苗额外剂量的接种率都很高。土著居民和托雷斯海峡岛民的领导力对于制定当地的人口解决方案至关重要,即使是在受到严重限制和前所未有的情况下。
{"title":"Stories of community strength: Reflecting on strong COVID-19 vaccination uptake among Aboriginal and Torres Strait Islander communities","authors":"Brianna Poirier Canadian ,&nbsp;Gustavo Soares Brazilian ,&nbsp;Madison Cachagee Omushkego Mushkegowuk ,&nbsp;Susan Hedges Yamatji ,&nbsp;Lisa Jamieson New Zealander ,&nbsp;Joanne Hedges Yamatji","doi":"10.1016/j.fnhli.2023.100008","DOIUrl":"https://doi.org/10.1016/j.fnhli.2023.100008","url":null,"abstract":"<div><p>Prioritising COVID-19 immunisation for Aboriginal and Torres Strait Islander peoples plays an important role in promoting social and racial justice. Despite the chronic under-resourcing of community health organisations, Aboriginal and Torres Strait Islander communities across Australia developed strong and successful public health responses to the pandemic. The unique stories of fortitude and resilience during critical stages of a major health crisis stream from strong community engagement and leadership, provision of culturally secure care, novel communication strategies, and efficient outreach. Acknowledging the critical role of Aboriginal Community Controlled Health Services in protecting the lives and wellbeing of Aboriginal and Torres Strait Islander peoples, this study utilised a mixed-methods approach to examine successful stories of mitigating community risk to COVID-19. An environmental scan and content analysis of online media sources and an examination of the temporal trends of COVID-19 vaccination (two, three and four doses completed) for Aboriginal and Torres Strait Islander communities across local government areas in Australia were examined. Stories of community strength illustrated how Aboriginal Community Controlled Health Services and the local communities in Naarm (Victoria), Bendigo (Victoria), Tharawall (New South Wales) and APY Lands (South Australia) developed strategies to mitigate the impacts of the pandemic. Creative solutions adopted by communities included repurposing existing resources, leveraging influence of community leaders, sharing information with community members in a meaningful way and promoting vaccination. High uptake of additional doses of COVID-19 vaccines were observed in communities across the country and in all levels of remoteness. Aboriginal and Torres Strait Islander leadership was critical for developing local solutions to the population, even under severely restricted and unprecedented circumstances.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"1 ","pages":"Article 100008"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840623000086/pdfft?md5=626179f1230f84e66907bcbf24b3b013&pid=1-s2.0-S2949840623000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138739042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
First Nations Health and Wellbeing - The Lowitja Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1