Culturally appropriate methods for enhancing the participation of Aboriginal Australians in health-promoting programs

Barnett, Leda Renata; Kendall, Elizabeth

doi:10.1071/he11027

Cited by 69 publications

(85 citation statements)

References 9 publications

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“…18 Indigenous Australians have reported that gathering and consuming bush foods may help restore and protect culture. 18 In addition, it was thought that the use of bush foods would to some extent foster a return to traditional dietary patterns, which had been disrupted by colonisation and supplanted by poor nutrition influenced by Western culture. 18 Importantly, it was recognised that to sustain behavioural change the use of bush foods needs to be based on local knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…18 In addition, it was thought that the use of bush foods would to some extent foster a return to traditional dietary patterns, which had been disrupted by colonisation and supplanted by poor nutrition influenced by Western culture. 18 Importantly, it was recognised that to sustain behavioural change the use of bush foods needs to be based on local knowledge. 18 Given these benefits, it appears that restoring the widespread use of bush foods could substantially lead to improving the health and wellbeing of Indigenous communities in the Pilbara.…”

Section: Discussionmentioning

confidence: 99%

“…18 Importantly, it was recognised that to sustain behavioural change the use of bush foods needs to be based on local knowledge. 18 Given these benefits, it appears that restoring the widespread use of bush foods could substantially lead to improving the health and wellbeing of Indigenous communities in the Pilbara.…”

Section: Discussionmentioning

confidence: 99%

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Perspectives of Indigenous people in the Pilbara about the delivery of healthcare services

Walker¹,

Stomski²,

Price³

et al. 2014

Aust. Health Review

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Aim. To identify Indigenous people's views about gaps and practical solutions for the delivery of healthcare services in the Pilbara.Methods. A structured guide was used to interview three Indigenous language groups from the Pilbara region of Western Australia. The responses were analysed with the use of content analysis. In the first stage, codes were developed by assigning names to small sections of the interview transcripts. Next, the most salient incisive codes were identified and developed into themes that captured the most important issues.Results. Many respondents said that there were insufficient health professionals near country, which was compounded by a lack of adequate transport to reach healthcare services. Moreover, respondents commonly indicated that they would be unable to secure adequate accommodation for themselves and any carer when needing to leave country to undergo medical care. The importance of secondary healthcare interventions was highlighted, particularly health promotion initiatives that improved diet and exercise levels and reduced substance abuse. Assuming responsibility for one's own health was seen as integral to improving the overall health of communities. The respondents saw role models as the most important influence in leading people to take responsibility for improving their own health.Conclusion. This study provides Indigenous perspectives about gaps and solutions in healthcare service delivery in the Pilbara region of Western Australia. Although initiatives have commenced to address the shortfall in health professionals and inadequate transport to healthcare, there are still gaps in service provision. Mobile health services were strongly supported as an integral measure to address these gaps.What is known about this topic? About two out of every three Indigenous adults in the Pilbara experience a chronic health condition. Moreover, compared with non-Indigenous people in the region, Indigenous people experience a significantly higher mortality rate for numerous chronic health conditions. Although some information is available about the provision of health services for Indigenous people in the Pilbara, little is known about Indigenous people's perspectives about its adequacy or how it should be delivered. What does this paper add? This study details three local language groups' views about the gaps and solutions to delivery of healthcare for Indigenous people in the Pilbara. It highlights the need for secondary healthcare interventions given difficulties around providing adequate primary care in remote settings. What are the implications for practitioners? Health promotion initiatives need to be prioritised to improve the health of Australian Indigenous people in the Pilbara and the initiatives should be delivered with the involvement of the local communities. Innovative solutions are required to improve the continuity of healthcare in the Pilbara, including increased use of mobile services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perspectives of Indigenous people in the Pilbara about the delivery of healthcare services

Walker¹,

Stomski²,

Price³

et al. 2014

Aust. Health Review

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“…The classes were held in a community centre situated on the grounds of the local primary school, which was familiar to the participants, promoting feelings of safety and security (14) . Each cooking class ran for 3-4 h and typically began with a nutrition education session followed by food preparation and cooking.…”

Section: Methodsmentioning

confidence: 99%

“…The word 'Bindjareb' refers to an Aboriginal region within the Nyungar nation of south-west Western Australia and 'yorgas' is the Nyungar word for woman or women. To ensure the success of health promotion initiatives in Indigenous communities, research has shown that programmes must be developed collaboratively with genuine community engagement and must be specific to community needs (14,15) . To this end the four components incorporated in the BYHP were those considered most appropriate by the community Elders and leaders to address the perceived health concerns of their community.…”

mentioning

confidence: 99%

An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

Nilson

Kearing-Salmon

Morrison

et al. 2015

Public Health Nutr.

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Objective: To investigate the experiences of women participating in a cooking and nutrition component of a health promotion research initiative in an Australian Aboriginal regional community. Design: Weekly facilitated cooking and nutrition classes were conducted during school terms over 12 months. An ethnographic action research study was conducted for the programme duration with data gathered by participant and direct observation, four yarning groups and six individual yarning sessions. The aim was to determine the ways the cooking and nutrition component facilitated lifestyle change, enabled engagement, encouraged community ownership and influenced community action. Setting: Regional Bindjareb community in the Nyungar nation of Western Australia. Subjects: A sample of seventeen Aboriginal women aged between 18 and 60 years from the two kinships in two towns in one shire took part in the study. The recruitment and consent process was managed by community Elders and leaders. Results: Major themes emerged highlighting the development of participants and their recognition of the need for change: the impact of history on current nutritional health of Indigenous Australians; acknowledging shame; challenges of change around nutrition and healthy eating; the undermining effect of mistrust and limited resources; the importance of community control when developing health promotion programmes; finding life purpose through learning; and the need for planning and partnerships to achieve community determination. Conclusions: Suggested principles for developing cooking and nutrition interventions are: consideration of community needs; understanding the impact of historical factors on health; understanding family and community tensions; and the engagement of long-term partnerships to develop community determination.

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Community sharing: Contextualizing Western research notions of contamination within an Indigenous research paradigm

Allen

Held

Milne‐Price

et al. 2021

American J of Comm Psychol

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Báa nnilah is a chronic illness self‐management program designed by and for the Apsáalooke (Crow) community. Arising from a collaboration between an Indigenous nonprofit organization and a university‐based research team, Báa nnilah's development, implementation, and evaluation have been influenced by both Indigenous and Western research paradigms (WRPs). Báa nnilah was evaluated using a randomized wait‐list control group design. In a WRP, contamination, or intervention information shared by the intervention group with the control group, is actively discouraged as it makes ascertaining causality difficult, if not impossible. This approach is not consonant with Apsáalooke cultural values that include the encouragement of sharing helpful information with others, supporting an Indigenous research paradigm's (IRP) goal of benefiting the community. The purpose of this paper is to address contamination and sharing as an area of tension between WRP and IRP. We describe how the concepts of contamination and sharing within Báa nnilah's implementation and evaluation are interpreted differently when viewed from these contrasting paradigms, and set forth a call for greater exploration of Indigenous research approaches for developing, implementing, and evaluating intervention programs in Indigenous communities. (Improving Chronic Illness Management with the Apsáalooke Nation: The Báa nnilah Project.: NCT03036189), ClinicalTrials. gov: NCT03036189).

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Culturally appropriate methods for enhancing the participation of Aboriginal Australians in health-promoting programs

Cited by 69 publications

References 9 publications

Perspectives of Indigenous people in the Pilbara about the delivery of healthcare services

Perspectives of Indigenous people in the Pilbara about the delivery of healthcare services

An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia

Community sharing: Contextualizing Western research notions of contamination within an Indigenous research paradigm

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