While there is strong evidence of the need for healthy ageing programs for older Aboriginal Australians, few are available. It is important to understand older Aboriginal Australians’ perspectives on healthy ageing in order to co-design culturally-appropriate programs, including views on technology use in this context. Semi-structured interviews were conducted with 34 Aboriginal Australians aged 50 years and older from regional and urban communities to explore participants’ health concerns, preferences for healthy ageing programs, and receptiveness to technology. Qualitative data were analyzed using a grounded theory approach. This study found that older Aboriginal Australians are concerned about chronic health conditions, social and emotional well-being, and difficulties accessing health services. A range of barriers and enablers to participation in current health programs were identified. From the perspective of older Aboriginal people, a successful healthy ageing program model includes physical and cognitive activities, social interaction, and health education. The program model also provides culturally safe care and transport for access as well as family, community, cultural identity, and empowerment regarding ageing well as central tenets. Technology could also be a viable approach for program delivery. These findings can be applied in the implementation and evaluation of culturally-appropriate, healthy ageing programs with older Aboriginal people.

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BackgroundWhile there is strong evidence of the need for culturally appropriate healthy ageing programs for older Aboriginal Australians, there are few such available programs. There is also emerging potential and advantages of using technology as a platform for program delivery. It is important to understand older Aboriginal Australians’ perceptions of healthy ageing in order to co-design culturally appropriate healthy ageing programs, including views on technology use in this context.MethodsSemi-structured interviews were conducted with 34 Aboriginal Australians aged 50 years and older from regional and urban communities to explore participants’ main health concerns, preferred approaches to developing healthy ageing programs, and receptiveness to technology. Qualitative data were analysed using a grounded theory approach. ResultsThis study found that older Aboriginal Australians are concerned about chronic health conditions; social and emotional wellbeing; and difficulties accessing health services. Barriers to participation in current health programs included unappealing programs, disengagement due to past negative experiences, shame or stigma, and a sense of disempowerment. Flexibility of attendance and social aspects emerged as enablers. From the perspective of older Aboriginal people, a successful model of a healthy ageing program is one that comprises physical and cognitive activities, social interaction and health education, while providing culturally safe care and transport. Such a model should maintain family, community, cultural identity and empowerment regarding ageing well as its central tenets. This study also provides preliminary evidence of the viability of technology as a platform for health program delivery amongst older Aboriginal people in urban and regional settings. ConclusionFuture research may apply these findings in the implementation and evaluation of culturally appropriate healthy ageing programs for older Aboriginal people.

To determine preferences for health and aged care services in Aboriginal and Torres Strait Islander Australians and explore related factors. Methods: Mixed-method, cross-sectional study including 336 Aboriginal and Torres Strait Islander people aged 60 years and older from regional and urban areas. Results: Exclusive preference for Aboriginal Community Controlled services was most common. This preference significantly increased when preferences for, and use of, aged care and disability services were considered. The likelihood of holding an exclusive preference for Aboriginal Community Controlled services was higher in regional settings compared to urban and in those reporting lower engagement in traditional activities during childhood. Conclusions: These findings suggest that the majority of older Australian Aboriginal and Torres Strait Islander people prefer aged and disability care provided by Aboriginal services. Given the anticipated increase in service demand in this population, there is a growing need for culturally safe services, particularly in regional settings.