A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians

Butler, Tamara; Gall, Alana; Garvey, Gail; Ngampromwongse, Khwanruethai; Hector, Debra; Turnbull, Scott; Lucas, Kerri; Nehill, Caroline; Boltong, Anna; Keefe, Dorothy; Anderson, Kate

doi:10.3390/ijerph192316166

Cited by 34 publications

(31 citation statements)

References 89 publications

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“…We are arguing, therefore, that a systems-informed positive psychology may be useful as a research lens that enables us to consider how we do, can and should think about and frame the research we do and its potential impacts [ 11 ]. It enables us to think about wellbeing from its very foundations, to question the assumptions we have about wellbeing and the research process and the relationship between the two [ 53 ]. The broader body of Aboriginal health research is difficult to quantify in social and economic terms [ 101 , 102 ].…”

Section: Discussionmentioning

confidence: 99%

“…Still maturing, this corpus of knowledge founded on Aboriginal methodologies [ 2 ] increasingly includes and foregrounds concepts of co-design. In short, this is the fundamental inclusion and foregrounding of Aboriginal worldviews and voices within that drive the research process [ 53 ] and are intended to set the conditions for appropriate engagement for a given context. The way this is enacted spans the spectrum of quality and authenticity, ranging from on-going tokenistic approaches that remain little more than outdated models of ‘consultation’ [ 54 ], to richly comprehensive methodologies guided, informed and owned by Aboriginal people and communities throughout the entire research life cycle (for example, [ 55 ]).…”

Section: A Strength-based Complex Systems Approach To Understanding A...mentioning

confidence: 99%

“…Given the diversity of Aboriginal cultural groups across Australia, a means of understanding how these components of wellbeing link together to effect meaningful shifts in wellbeing is perhaps necessary at a level abstracted from ‘culture’. This allows us to develop interventions that are extensible and versatile, and have the potential to be co-configured by and with diverse Aboriginal groups to meet their needs while retaining the underlying intention of a move toward broad or specific elements of wellbeing and flourishing [ 53 ].…”

Section: A Strength-based Complex Systems Approach To Understanding A...mentioning

confidence: 99%

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From Deficit to Strength-Based Aboriginal Health Research—Moving toward Flourishing

Bullen

Hill-Wall

Anderson

et al. 2023

IJERPH

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Aboriginal Australians have a fundamental human right to opportunities that lead to healthy and flourishing lives. While the impact of trauma on Aboriginal Australians is well-documented, a pervasive deficit narrative that focuses on problems and pathology persists in research and policy discourse. This narrative risks further exacerbating Aboriginal disadvantage through a focus on ‘fixing what is wrong’ with Aboriginal Australians and the internalising of these narratives by Aboriginal Australians. While a growing body of research adopts strength-based models, limited research has sought to explore Aboriginal flourishing. This conceptual paper seeks to contribute to a burgeoning paradigm shift in Aboriginal research, seeking to understand what can be learned from Aboriginal people who flourish, how we best determine this, and in what contexts this can be impactful. Within, we argue the case for a new approach to exploring Aboriginal wellbeing that integrates salutogenic, positive psychology concepts with complex systems theory to understand and promote Aboriginal wellbeing and flourishing. While deeper work may be required to establish the parameters of a strength-based, culturally aligned Aboriginal conceptualisation of positive psychology, we suggest the integration of Aboriginal and Western methodologies offers a unique and potent means of shifting the dial on seemingly intractable problems.

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Section: Discussionmentioning

confidence: 99%

Section: A Strength-based Complex Systems Approach To Understanding A...mentioning

confidence: 99%

Section: A Strength-based Complex Systems Approach To Understanding A...mentioning

confidence: 99%

See 1 more Smart Citation

From Deficit to Strength-Based Aboriginal Health Research—Moving toward Flourishing

Bullen

Hill-Wall

Anderson

et al. 2023

IJERPH

Self Cite

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“…There is a growing body of research informing policy and practice that might be described as strengthbased and incorporated within research teams, the governance models and methodology. Still maturing, this corpus of knowledge founded on Aboriginal methodologies increasingly includes concepts of co-design -in short, the fundamental inclusion and foregrounding of Aboriginal worldviews and voices within, and driving, the research process [36]. The way this is enacted spans the spectrum of quality and authenticity, ranging from on-going tokenistic approaches that remain little more than outdated models of 'consultation' [37], to richly comprehensive methodologies guided, informed and owned by Aboriginal people and communities throughout the entire research life cycle [for example, [38]) intended to set the conditions for appropriate engagement for the given context.…”

Section: Strength Based Aboriginal Research: Gathering Momentummentioning

confidence: 99%

From Deficit to Strength-Based Aboriginal Health Research – Learning from those Who Flourish

Bullen¹,

Hill-Wall²,

Anderson³

et al. 2023

Preprint

View full text Add to dashboard Cite

Aboriginal Australians have a fundamental human right to opportunities that lead to healthy and flourishing lives. While the impact of trauma on Aboriginal Australians is well-documented, a pervasive deficit narrative that focuses on problems and pathology persists in research and policy discourse. This narrative risks further exacerbating Aboriginal disadvantage, through a focus on ‘fixing what is wrong’ with Aboriginal Australians, and the internalising of these narratives by Aboriginal Australians. While a growing body of research adopts strength-based models, limited research has sought to explore Aboriginal flourishing. This conceptual paper seeks to contribute to a burgeoning paradigm shift in Aboriginal research, seeking to understand what can be learned from Aboriginal people who flourish, how we best determine this, and in what contexts this can be impactful. Within, we argue the case for a new approach to exploring Aboriginal wellbeing that integrates salutogenic, positive psychology concepts with complex systems theory to understand and promote Aboriginal wellbeing and flourishing, While deeper work may be required to establish the parameters of a strength-based, culturally aligned Aboriginal conceptualisation of positive psychology, we suggest the integration of Aboriginal and Western methodologies offer unique and potent means of shifting the dial on seemingly intractable problems.

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“…As there was no speci c CHB-related education for the Aboriginal health workforce we aimed to ll this gap, through the co-design and development of the "Managing hepatitis B" course. Co-design is emerging as an empowering methodology for Aboriginal and Torres Strait Islander people and is a culturally grounded, respectful approach that involves true partnerships (33). The process for the co-design of the course is summarised in Fig.…”

Section: Study Design and Processmentioning

confidence: 99%

“The most culturally safe training I’ve ever had.” The co-design of a culturally safe Managing hepatitis B training course with and for the Aboriginal health workforce of the Northern Territory of Australia

Hosking

Santis

Vintour-Cesar

et al. 2023

Preprint

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Background The Aboriginal health workforce provide responsive, culturally safe health care. We aimed to co-design a culturally safe course with and for the Aboriginal health workforce. We describe the factors which led to the successful co-design, delivery, and evaluation of the “Managing hepatitis B” course for the Aboriginal health workforce.Methods A Participatory Action Research approach was used, involving ongoing consultation to iteratively co-design and then develop course content, materials, and evaluation tools. An Aboriginal and Torres Strait Islander research and teaching team received education in chronic hepatitis B and teaching methodologies. Pilot courses were held, in remote communities of the Northern Territory, using two-way learning and teach-back methods to further develop the course and assess acceptability and learnings. Data collection involved focus group discussions, in-class observations, reflective analysis, and use of co-designed and assessed evaluation tools.Results Twenty-six participants attended the pilot courses. Aboriginal and Torres Strait Islander facilitators delivered a high proportion of the course. Evaluations demonstrated high course acceptability, cultural safety, and learnings. Key elements contributing to success and acceptability were acknowledging, respecting, and integrating cultural differences into education, delivering messaging and key concepts through an Aboriginal and Torres Strait Islander lens, using culturally appropriate approaches to learning including storytelling and visual teaching methodologies. Evaluation of culturally safe frameworks and findings from the co-design process led to the creation of a conceptual framework, underpinned by meeting people’s basic needs, and offering a safe and comfortable environment to enable productive learning with attention to the following: sustenance, financial security, cultural obligations, and gender and kinship relationships.Conclusions Co-designed education for the Aboriginal health workforce must embed principles of cultural safety and meaningful community consultation to enable an increase in knowledge and empowerment. The findings of this research can be used to guide the design of future health education for First Nations health professionals and to other non-dominant cultures. The course model has been successfully transferred to other health issues in the Northern Territory.

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A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians

Cited by 34 publications

References 89 publications

From Deficit to Strength-Based Aboriginal Health Research—Moving toward Flourishing

From Deficit to Strength-Based Aboriginal Health Research—Moving toward Flourishing

From Deficit to Strength-Based Aboriginal Health Research – Learning from those Who Flourish

“The most culturally safe training I’ve ever had.” The co-design of a culturally safe Managing hepatitis B training course with and for the Aboriginal health workforce of the Northern Territory of Australia

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