Smoking, nutrition, alcohol and physical activity interventions targeting Indigenous Australians: rigorous evaluations and new directions needed

Clifford, Anton; Pulver, Lisa Jackson; Richmond, Robyn; Shakeshaft, Anthony; Ivers, Rowena

doi:10.1111/j.1753-6405.2010.00631.x

Cited by 40 publications

(67 citation statements)

References 44 publications

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“…Evidence suggests that to be effective, such interventions should not be limited to manualised, abstinence-oriented education programs in prison, but should involve individualised support that continues after the prisoner has returned to the community. 13,27,[32][33][34] Also consistent with previous research, [5][6][7] in this study the prevalence of alcohol dependence was significantly higher among Indigenous than non-Indigenous prisoners. In the wider community Indigenous people are more likely than non-Indigenous Australians to abstain from alcohol altogether, however those who do drink are more likely to do so excessively.…”

Section: Discussionsupporting

confidence: 90%

“…Alcohol-dependent female prisoners were also more likely to have utilised mental health services and substance use treatment programs. 25 In another study, In the Australian context, despite growing evidence of the benefits of culturally-responsive health and psychosocial services for Indigenous people, including those in prison, 26,27 no studies have assessed whether the risk factors for alcohol dependence are the same for Indigenous and non-Indigenous prisoners. Similar risk factors in both populations would suggest that mainstream interventions might be appropriate for both Indigenous and nonIndigenous prisoners.…”

mentioning

confidence: 99%

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Prevalence and correlates of alcohol dependence in adult prisoners vary according to Indigenous status

Kinner

Dietze

Gouillou

et al. 2012

Australian and New Zealand Journal of Public Health

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Prevalence and correlates of alcohol dependence in adult prisoners vary according to Indigenous status

Kinner

Dietze

Gouillou

et al. 2012

Australian and New Zealand Journal of Public Health

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“…However, such program evaluation results may not be made publically available. Recommendations to improve the collection of quality evaluation data 38 may also be influencing current practice. The low number of published evaluations represents a current gap in the sharing of evidence informed practice and rigorous science.…”

Section: Discussionmentioning

confidence: 99%

A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia

Macniven

Elwell

Ride

et al. 2017

Health Prom J of Aust

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Issue addressed: Participation in physical activity programs can be an effective strategy to reduce chronic disease risk factors and improve broader social outcomes. Health and social outcomes are worse among Aboriginal and Torres Strait Islanders than non-Indigenous Australians, who represent an important group for culturally specific programs. The extent of current practice in physical activity programs is largely unknown. This study identifies such programs targeting this population group and describes their characteristics. Methods: Bibliographic and Internet searches and snowball sampling identified eligible programs operating between 2012 and 2015 in Australia (phase 1). Program coordinators were contacted to verify sourced information (phase 2). Descriptive characteristics were documented for each program. Results: A total of 110 programs were identified across urban, rural and remote locations within all states and territories. Only 11 programs were located through bibliographic sources; the remainder through Internet searches. The programs aimed to influence physical activity for health or broader social outcomes. Sixty five took place in community settings and most involved multiple sectors such as sport, health and education. Almost all were free for participants and involved Indigenous stakeholders. The majority received Government funding and had commenced within the last decade. More than 20 programs reached over 1000 people each; 14 reached 0-100 participants. Most included process or impact evaluation indicators, typically reflecting their aims. Conclusion: This snapshot provides a comprehensive description of current physical activity program provision for Aboriginal and Torres Strait Islander people across Australia. The majority of programs were only identified through the grey literature. Many programs collect evaluation data, yet this is underrepresented in academic literature.So what? Capturing current practice can inform future efforts to increase the impact of physical activity programs to improve health and social indicators. Targeted, culturally relevant programs are essential to reduce levels of disadvantage experienced by Aboriginal and Torres Strait Islanders.

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“…Significantly, there appears to be a shortcoming in the development of high quality group programs focusing on holistic chronic disease self-management and rehabilitation for Aboriginal and Torres Strait Islander people, coordinated by a team of qualified professionals in an urban environment. There is also an indicated need for methodologically sound evaluative designs for interventions in indigenous-specific settings [23].…”

Section: Introductionmentioning

confidence: 99%

“I Am Getting Healthier”. Perceptions of Urban Aboriginal and Torres Strait Islander People in a Chronic Disease Self-Management and Rehabilitation Program

Nelson¹,

Mills²,

Dargan³

et al. 2016

Health

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Chronic disease is a main contributor to the disproportionately high burden of illness experienced by Aboriginal and Torres Strait Islander Australians. However, there are very few programs addressing chronic disease self-management and rehabilitation which are designed specifically for urban Aboriginal and Torres Strait Islander people. This paper aims to explore client and staff perceptions of the Work It out Program, a chronic disease rehabilitation and self-management program designed for urban Aboriginal and Torres Strait Islander people. The study used a mixed methods approach to explore the success, barriers and self-reported outcomes of the program. Quantitative data were collected through a structured survey, comprising social and demographic data. Qualitative data were collected through interviews using Most Significant Change theory. Twenty-eight participants were recruited, 6 staff and 22 clients (M = 7, F = 21) with an age range between 21 and 79 years of age (Mean = 59.00, SD = 17.63). Interviews were completed in 2013 across four Work It out locations in Southeast Queensland. Semi-structured interviews were conducted either individually or in groups of two or three, depending on the participants' preference. Thematic analysis of the data revealed six main themes; physical changes, lifestyle improvements, social and emotional well-being, perceptions about the successful features of the program, perceived barriers to the program and changes for the future. This exploratory study found that clients and staff involved in the Work It out Program perceived it as an effective self-management and rehabilitation program for urban Aboriginal and Torres Strait Islander Australians. Further evaluation with a larger sample size is warranted in order to establish further outcomes of the program. A. Nelson et al. 539

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Smoking, nutrition, alcohol and physical activity interventions targeting Indigenous Australians: rigorous evaluations and new directions needed

Cited by 40 publications

References 44 publications

Prevalence and correlates of alcohol dependence in adult prisoners vary according to Indigenous status

Prevalence and correlates of alcohol dependence in adult prisoners vary according to Indigenous status

A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia

“I Am Getting Healthier”. Perceptions of Urban Aboriginal and Torres Strait Islander People in a Chronic Disease Self-Management and Rehabilitation Program

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