ORCID Profile
0000-0001-9776-5496
Current Organisations
George Institute for Global Health
,
University of Wollongong
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Aboriginal and Torres Strait Islander Health | Public Health and Health Services | Studies of Aboriginal and Torres Strait Islander Society | Social and Cultural Anthropology | Other Studies in Human Society | Anthropology of Development | Health and Community Services | Epidemiology | Aboriginal and Torres Strait Islander history | Aboriginal and Torres Strait Islander linguistics and languages | Aboriginal and Torres Strait Islander culture language and history | Aboriginal and Torres Strait Islander Law | Social and cultural anthropology |
ANZSRC Socio-Economic Objective (SEO)
Aboriginal and Torres Strait Islander Health - Determinants of Health | Aboriginal and Torres Strait Islander Development and Welfare | Cultural Understanding not elsewhere classified | Road Safety | Expanding Knowledge through Studies of Human Society | Indigenous Health not elsewhere classified | Law Reform | Health Status (e.g. Indicators of Well-Being) | Road Passenger Movements (excl. Public Transport) | Rural Health
Related Links
Publications
A multi‐methods yarn about SMART Recovery: First insights from Australian Aboriginal facilitators and group members
Publisher: Wiley
Date: 08-03-2021
DOI: 10.1111/DAR.13264
Abstract: SMART Recovery is a popular mutual support group program. Little is known about its suitability or perceived helpfulness for Indigenous peoples. This study explored the cultural utility of SMART Recovery in an Australian Aboriginal context. An Indigenous‐lensed, multi‐methods, exploratory study design was used to develop initial evidence of: (i) attributes of Aboriginal SMART Recovery facilitators and group members (ii) characteristics of Aboriginal‐led SMART Recovery groups (iii) perceived acceptability and helpfulness of SMART Recovery and (iv) areas for potential improvement. Data were collected by synthesising Indigenous qualitative methods (research topic and social yarning) with western qualitative and quantitative methods (participant surveys, program adherence rating scale, group observations and field notes). Data were analysed using thematic analysis. Participants were a culturally erse s le of male and female Aboriginal facilitators ( n = 10) and group members ( n = 11), aged 22–65 years. Aboriginal‐led SMART Recovery groups were culturally customised to suit local contexts. Program tools ‘goal setting’ and ‘problem solving’ were viewed as the most helpful. Suggested ways SMART Recovery could enhance its cultural utility included: integration of Aboriginal perspectives into facilitator training creation of Aboriginal‐specific program and marketing materials and greater community engagement and networking. Participants proposed an Aboriginal‐specific SMART Recovery program. This study offers insights into Aboriginal peoples' experiences of SMART Recovery. Culturally‐informed modifications to the program were identified that could enhance cultural utility. Future research is needed to obtain erse community perspectives and measure health outcomes associated with group attendance.
Perspectives on childhood resilience among the Aboriginal community: an interview study
Publisher: Elsevier BV
Date: 08-2017
Abstract: To describe Aboriginal community members' perspectives on the outcomes and origins of resilience among Aboriginal children. Face-to-face interviews were conducted with 36 Aboriginal adults (15 health service professionals, 8 youth workers and 13 community members) at two urban and one regional Aboriginal Community Controlled Health Service in New South Wales. Interviews were transcribed and analysed thematically. We identified six themes: withstanding risk (displaying normative development, possessing inner fortitude) adapting to adversity (necessary endurance, masking inner vulnerabilities) positive social influences (secure family environments, role modelling healthy behaviours and relationships) instilling cultural identity (investing in Aboriginal knowledge, building a strong cultural self-concept) community safeguards (offering strategic sustainable services, holistic support, shared responsibility, providing enriching opportunities) and personal empowerment (awareness of positive pathways, developing self-respect, fostering positive decision making). Community members believed that resilient Aboriginal children possessed knowledge and self-belief that encouraged positive decision making despite challenging circumstances. A strong sense of cultural identity and safe, stable and supportive family environments were thought to promote resilient behaviours. Implications for public health: Many Aboriginal children continue to face significant adversity. More sustainable, Aboriginal-led programs are needed to augment positive family dynamics, identify at-risk children and provide safeguards during periods of familial adversity.
Understanding implementation factors and participant experiences of a cluster randomised controlled trial to prevent falls among older Aboriginal people
Publisher: BMJ
Date: 05-01-2021
DOI: 10.1136/INJURYPREV-2020-043980
Abstract: Process evaluations examining programme implementation are often conducted in conjunction with effectiveness studies. Their inclusion in studies with Aboriginal participants can give an understanding of programme delivery in Aboriginal community contexts. The Ironbark: Standing Strong and Tall programme was codesigned with Aboriginal communities and includes exercise and facilitated ‘yarning’ discussion about fall risk and prevention strategies. The programme pilot showed favourable outcomes and acceptability for Aboriginal people aged 45 years and over. The Ironbark: Standing Strong and Tall programme is now being compared with a ‘ Healthy Community ’ programme in a cluster randomised controlled trial within Aboriginal health and community services. An embedded process evaluation aims to explore relationships between participation and programme outcomes and the quality of programme implementation. The process evaluation will use a mixed methods design, guided by Indigenous research methodology. It will evaluate quantitative data (number of completed sessions, site coaching checklist tool, participant and facilitator questionnaire data and a participant habit formation scale), as well as qualitative data (open-ended responses from project and site staff and semistructured interviews using yarning with study participants and site managers). A programme logic model was developed to explain the intended inputs, activities, outputs and outcomes, which guided this process evaluation design. This process evaluation of a fall prevention programme for older Aboriginal people using a mixed methods design and data triangulation will allow for a comprehensive understanding of study findings. Multiple study sites allow for generalisability of findings and exploration of variation across sites. ACTRN12619000349145.
High rates of hospitalised burn injury in Indigenous children living in remote areas: a population data linkage study
Publisher: Elsevier BV
Date: 02-2018
Using a logic model to evaluate the Kids Together early education inclusion program for children with disabilities and additional needs
Publisher: Elsevier BV
Date: 04-2017
DOI: 10.1016/J.EVALPROGPLAN.2016.12.004
Abstract: Despite clear evidence that learning and social opportunities for children with disabilities and special needs are more effective in inclusive not segregated settings, there are few known effective inclusion programs available to children with disabilities, their families or teachers in the early years within Australia. The Kids Together program was developed to support children with disabilities/additional needs aged 0-8 years attending mainstream early learning environments. Using a key worker transdisciplinary team model, the program aligns with the in idualised package approach of the National Disability Insurance Scheme (NDIS). This paper reports on the use of a logic model to underpin the process, outcomes and impact evaluation of the Kids Together program. The research team worked across 15 Early Childhood Education and Care (ECEC) centres and in home and community settings. A realist evaluation using mixed methods was undertaken to understand what works, for whom and in what contexts. The development of a logic model provided a structured way to explore how the program was implemented and achieved short, medium and long term outcomes within a complex community setting. Kids Together was shown to be a highly effective and innovative model for supporting the inclusion of children with disabilities/additional needs in a range of environments central for early childhood learning and development. The use of a logic model provided a visual representation of the Kids Together model and its component parts and enabled a theory of change to be inferred, showing how a coordinated and collaborative approached can work across multiple environments.
The road beyond licensing: the impact of a driver licensing support program on employment outcomes for Aboriginal and Torres Strait Islander Australians
Publisher: Springer Science and Business Media LLC
Date: 23-11-2021
DOI: 10.1186/S12889-021-12218-1
Abstract: With increasingly tough graduated driver licensing laws in all Australian States and Territories, driver licensing support programs are recognised as being important to support Aboriginal and Torres Strait Islander peoples to obtain a driver licence. Such programs appear to improve licensing attainment rates, but few studies have examined the broader impact that these programs can have. This research aims to 1) examine the impact of a New South Wales (NSW) based driver licensing support program (Driving Change) on client employment outcomes 2) assess the influence of geographical area of program delivery on driver licence attainment. Driving Change was delivered from February 2013 to August 2016 in 4 urban and 7 regional Aboriginal communities of NSW. Clients were followed-up at 6 months or more following contact with the program as part of routine program operations. Descriptive statistics and regression models were used to analyse data. From 933 clients contacted 254 agreed to provide feedback, a response rate of 27%. Those that responded were mostly female (57%), aged 24 years and under (72%), unemployed (85%) with secondary education or less (71%) and from a regional area (74%). Adjusted logistic regression indicated that clients who achieved an independent licence were more likely (OR: 2.5, 95% CI: 1.22–5.24, p = 0.011) of reporting a new job or change in job than those who did not attain a licence. Clients from regional areas were more likely (OR: 1.72, 95% CI: 1.27–2.33, p 0.001) to gain an independent licence than those from urban areas. There was no difference in employment outcomes (OR: 1.2, 95% CI: 0.53–2.52, p = 0.719) for clients from urban compared to regional areas. The Driving Change program appears to be effective in improving employment outcomes for those who gained a licence. Clients from regional areas were more likely to gain a licence compared to those in urban settings, and were predominantly young and unemployed, often a hard to reach cohort. Future licensing programs being delivered in regional areas need integrated pathways into employment opportunities to provide holistic services that address the social and economic challenges faced by Aboriginal and Torres Strait Islander Australians.
A Systematic Review with Framework Synthesis of the Ways That Urban Environments Influence Opportunities for Healthy and Sustainable Mobility in Older Age
Publisher: MDPI AG
Date: 11-10-2022
Abstract: Supporting older people’s use of sustainable transport is important for both population health and sustainable development, especially in the context of global population ageing. This systematic review identifies in idual and environmental factors that influence older people’s sustainable transport use and synthesises findings using a framework approach. Factors influencing older people’s walking (n = 10 studies), bus use (n = 11), community transport use (n = 1), bicycling (n = 1), and e-bicycling (n = 1) were found to be physical, geographical, facility-based, economic, time-based, fear-based, space-based, information-based, or interpersonal. Many factors were common across transport modes. One reason for this is that environmental features designed to facilitate the use of one particular transport mode also influenced the use of other modes (e.g., bus shelters influence not only bus use but also walking as they provide pedestrian seating). Thus, environments need to be considered from the perspective of multiple, different types of road users. Another reason is that many factors related to the ways in iduals experienced their environment (e.g., finding information guiding behaviour in public spaces to be unclear), regardless of any specific transport mode. This review highlights the important need for greater cross-sectoral action and input from older people.
Understanding burn injuries in Aboriginal and Torres Strait Islander children: protocol for a prospective cohort study: Table 1
Publisher: BMJ
Date: 10-2015
Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review
Publisher: SAGE Publications
Date: 12-02-2021
Abstract: It is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women’s in idual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.
The contribution of focus group discussions to Aboriginal Australian health service research
Publisher: Queensland University of Technology
Date: 06-2014
Abstract: Focus Group Discussions (FGDs) are a common way of gathering qualitative data in Aboriginal health services research however there have been no studies on the question of whether they are appropriate research tools in such contexts, nor are there are specific guidelines available to ensure that FGDs are delivered to collect data in ways that are consistent with Aboriginal approaches to consultation, ownership and ways of knowing. Furthermore, there is a lack of clarity concerning the theoretical and methodological perspectives that could be operationalised by FGDs to gather data, guide analysis and interpretation in ways that are culturally appropriate, ethically sound and rigorous. We undertook a content analysis of Aboriginal health services research studies using FGDs to determine their use and elements that may provide insight into good practice. A framework is proposed to help guide future FGD research with Aboriginal people.
Driver licensing and health: A social ecological exploration of the impact of licence participation in Australian Aboriginal communities
Publisher: Elsevier BV
Date: 09-2017
Indigenous Australian children and the impact of adoption legislation in New South Wales
Publisher: Elsevier BV
Date: 04-2019
Digital support for Indigenous research methodologies
Publisher: Australian Journal of Information Systems
Date: 03-10-2021
Abstract: Research undertaken by outsiders into issues of concern to Aboriginal communities frequently ignores community culture and the knowledge embedded within Aboriginal communities. Methodologies are adopted which perpetuate the colonialist mindset of non-indigenous Australians leading to failed solutions to Aboriginal problems. This paper describes an Aboriginal-led community-based research project, exploring the role of Aboriginal Australians in caring for, and transforming, their own communities. It focuses on the roles that Information Systems can play when providing an accessible platform for Aboriginal voices. The authors conducted an in-depth case study of one Aboriginal Community Controlled Organisation (ACCO), the Illawarra Koori Men’s Support Group (IKMSG). The research consisted of a social network analysis (SNA) of the inter-organisational links of the IKMSG interviews and focus groups with members of the IKMSG and the co-design of their first website. The prominence of the IKMSG in the SNA maps suggests that its work in the community is highly respected and that the model produced by this research can act as a guide for success in other ACCOs. The findings have been used to develop a theoretical model of Aboriginal community engagement and intervention. This model can enable authentic outcomes to projects which address Aboriginal concerns and support the conduct of community-led research in Aboriginal communities.
A Delphi yarn: applying Indigenous knowledges to enhance the cultural utility of SMART Recovery Australia
Publisher: Springer Science and Business Media LLC
Date: 06-01-2021
DOI: 10.1186/S13722-020-00212-8
Abstract: Mutual support groups are a popular treatment for substance use and other addictive behaviours. However, little is known about the cultural utility of these programmes for Indigenous peoples. A three-round Delphi study, utilising Indigenous research yarning methods was conducted to: (1) Obtain expert opinion regarding the cultural utility of an Indigenous SMART Recovery handbook (2) Gain consensus on areas within the SMART Recovery programme that require cultural modification and (3) Seek advice on how modifications could be implemented in future programme design and delivery. The panellists were 11 culturally, geographically, and professionally erse Indigenous Australian health and wellbeing experts. A group consensus level of 80% was set prior to each survey round. There was 100% participant retention across all three Delphi rounds. The panel reached consensus on five key programme modifications (composition of a separate facilitator and group member handbook culturally appropriate language, terminology, and literacy level culturally meaningful programme activities supplementary storytelling resources and customisation for erse community contexts). The panel also developed a series of practical implementation strategies to guide SMART Recovery through a modification process. The findings highlight the importance of involving Indigenous peoples in the design, delivery and validation of mainstream mutual support programmes. Indigenous-led programme modifications could help improve accessibility and usefulness of mutual support groups for Indigenous peoples worldwide. This study is an ex le of how Indigenous research methods can be used alongside the Delphi technique. This approach demonstrated a way that Indigenous peoples from culturally and geographically erse locations can participate in research anonymously, autonomously and without added burden on personal, community or professional obligations.
Out of the silos: embedding injury prevention into the Sustainable Development Goals
Publisher: BMJ
Date: 11-09-2020
DOI: 10.1136/INJURYPREV-2020-043850
Abstract: Globally, unintentional injuries contribute significantly to disability and death. Prevention efforts have traditionally focused on in idual injury mechanisms and their specific risk factors, which has resulted in slow progress in reducing the burden. The Sustainable Development Goals (SDGs) represent a global agenda for promoting human prosperity while respecting planetary boundaries. While injury prevention is currently only recognised in the SDG agenda via two road safety targets, the relevance of the SDGs for injury prevention is much broader. In this State of the Art Review, we illustrate how unintentional injury prevention efforts can be advanced substantially within a broad range of SDG goals and advocate for the integration of safety considerations across all sectors and stakeholders. This review uncovers injury prevention opportunities within broader global priorities such as urbanisation, population shifts, water safeguarding and corporate social responsibility. We demonstrate the relevance of injury prevention efforts to the SDG agenda beyond the health goal (SDG 3) and the two specific road safety targets (SDG 3.6 and SDG 11.2), highlighting 13 additional SDGs of relevance. We argue that all involved in injury prevention are at a critical juncture where we can continue with the status quo and expect to see more of the same, or mobilise the global community in an ‘Injury Prevention in All Policies’ approach.
The role of Aboriginal family workers in delivering a child safety-focused home visiting program for Aboriginal families in an urban region of New South Wales
Publisher: Wiley
Date: 06-06-2018
DOI: 10.1002/HPJA.174
Abstract: Aboriginal Australian children experience higher rates of injury than other Australian children. However, few culturally acceptable programs have been developed or evaluated. The Illawarra Aboriginal Medical Service (IAMS) developed the Safe Homes Safe Kids program as an injury prevention program targeting disadvantaged Aboriginal families with children aged 0-5 in an urban region of New South Wales. Delivered by Aboriginal Family Workers (AFWs), the program aims to reduce childhood injury by raising awareness of safety in the home. A program evaluation was conducted to determine the effectiveness of the home visiting model as an injury prevention program. This study reports on the qualitative interviews which explored the ways in which clients, IAMS staff and external service providers experienced the program and assessed its delivery by the AFWs. A qualitative program evaluation was conducted between January 2014 and June 2015. We report here on the semi-structured interviews undertaken with 34 in iduals. The results show increased client engagement in the program improved child safety knowledge and skills increased access to services improved attitudes to home and community safety and changes in the home safety environment. Safe Homes Safe Kids provides a culturally appropriate child safety program delivered by AFWs to vulnerable families. Clients, IAMS staff and external service were satisfied with the family workers' delivery of the program and the holistic model of service provision. This promising program could be replicated in other Aboriginal health services to address unintentional injury to vulnerable Aboriginal children.
PW 1898 Embedding multi-sectoral solutions to address transport injury and social determinants of health in aboriginal communities in australia
Publisher: BMJ Publishing Group Ltd
Date: 20-09-2018
Burn injury models of care: A review of quality and cultural safety for care of Indigenous children
Publisher: Elsevier BV
Date: 05-2018
DOI: 10.1016/J.BURNS.2017.10.013
Abstract: Safety and quality in the systematic management of burn care is important to ensure optimal outcomes. It is not clear if or how burn injury models of care uphold these qualities, or if they provide a space for culturally safe healthcare for Indigenous peoples, especially for children. This review is a critique of publically available models of care analysing their ability to facilitate safe, high-quality burn care for Indigenous children. Models of care were identified and mapped against cultural safety principles in healthcare, and against the National Health and Medical Research Council standard for clinical practice guidelines. An initial search and appraisal of tools was conducted to assess suitability of the tools in providing a mechanism to address quality and cultural safety. From the 53 documents found, 6 were eligible for review. Aspects of cultural safety were addressed in the models, but not explicitly, and were recorded very differently across all models. There was also limited or no cultural consultation documented in the models of care reviewed. Quality in the documents against National Health and Medical Research Council guidelines was evident however, description or application of quality measures was inconsistent and incomplete. Gaps concerning safety and quality in the documented care pathways for Indigenous peoples' who sustain a burn injury and require burn care highlight the need for investigation and reform of current practices.
Understanding the extent and impact of Indigenous road trauma
Publisher: Elsevier BV
Date: 12-2008
Overcoming barriers to use of child car seats in an urban Aboriginal community—formative evaluation of a program for Aboriginal Community Controlled Health Services
Publisher: Springer Science and Business Media LLC
Date: 20-10-2018
Indigenous and non-indigenous Australian children hospitalised for burn injuries: A population data linkage study
Publisher: AMPCo
Date: 05-2017
DOI: 10.5694/MJA16.00213
Abstract: To investigate differences in the characteristics of burn injuries leading to hospitalisation of Indigenous Australian and non-Indigenous children in New South Wales.Design, setting: Population-based cohort analysis of linked hospital and mortality data for 2000-2014. 35 749 Indigenous and 1 088 938 non-Indigenous children aged 0-13 years. The external cause of the injury, its anatomic location, total body surface area affected (%TBSA), burn depth, length of hospital stay (LOS). 4246 non-Indigenous and 323 Indigenous children were hospitalised for a first burn injury during 2000-2014. A higher proportion of Indigenous than non-Indigenous children were admitted with burns affecting more than 10% TBSA (17% v 12%) and a lower proportion of Indigenous children than of non-Indigenous children were treated at a hospital with a paediatric tertiary referral burn unit (40% v 50% P < 0.001). The mean LOS during the index admission was almost 3 days longer for Indigenous children than for non-Indigenous children (6.1 days [95% CI, 4.8-7.4 days] v 3.4 days [95% CI, 3.2-3.7 days] P < 0.001) the difference in LOS was still statistically significant after adjusting for characteristics of the burn and residential location. The proportion of Indigenous children with burns who presented with burn injuries affecting more than 10% TBSA was greater than for non-Indigenous children. Their mean LOS was also longer the difference remained statistically significant after adjusting for characteristics of the burn and of residential location.
The prevalence and protective factors for resilience in adolescent Aboriginal Australians living in urban areas: a cross-sectional study
Publisher: Elsevier BV
Date: 02-2019
Abstract: To estimate the prevalence and determine protective factors for resilience in urban Aboriginal adolescents. Cross-sectional survey data was collected from 119 Aboriginal adolescents participating in the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). Resilience was defined as having 'low-risk' Strengths and Difficulties Questionnaire scores on the total difficulties (range: 0-40) or the prosocial scale (range: 0-10). Most adolescents scored in the low-risk range of the total difficulties (n=85, 73%) and prosocial scales (101, 86%). Family encouragement to attend school was associated with a 4.3-point reduction in total difficulties scores (95%CI, 0.22-8.3). Having someone to talk to if there was a problem and regular strenuous exercise were associated with higher scores on the prosocial behaviour scale, increasing scores by 1.2 (95%CI, 0.45-2.0) and 1.3 (95%CI, 0.26-2.3) points, respectively. Most adolescents in SEARCH displayed resilience. Resilience was associated with nurturing family environments, social support and regular exercise. Implications for public health: Our data accords with previous research that demonstrates resilience, but also a higher prevalence of emotional and behaviour problems among Aboriginal youth. Supporting Aboriginal young people to build resilience may promote better mental health outcomes leading to important public health benefits.
Addressing the barriers to driver licensing for Aboriginal people in New South Wales and South Australia
Publisher: Elsevier BV
Date: 06-2017
Abstract: Low rates of driver licensing have been linked to increased risk of transport-related injury, and reduced access to health services, employment and educational opportunities in the Aboriginal population. This paper reports on how barriers to obtaining a driver licence are being addressed in four Aboriginal communities in New South Wales and South Australia. Qualitative data were collected over a four-month period in 2013. Interviews with Aboriginal and non-Aboriginal stakeholders (n=31) and 11 focus groups with Aboriginal participants (n=46) were analysed thematically using a framework approach. Factors facilitating licensing included: family support, professional lessons, alternative testing and programs that assist with literacy, fines management, financial assistance and access to a supervising driver. Stakeholders recommended raising awareness of existing services and funding community-based service provision to promote access to licensing. Facilitating licence participation requires systemic change and long-term investment to ensure interagency collaboration, service use and sustainability of relevant programs, including job search agencies. Implications for public health: The disadvantage faced by Aboriginal people in driver licensing is a fundamental barrier to participation and a social determinant of health. Understanding the factors that promote licensing is crucial to improving access for under-serviced populations recommendations provide pragmatic solutions to address licensing disadvantage.
Driver licensing: descriptive epidemiology of a social determinant of Aboriginal and Torres Strait Islander health
Publisher: Elsevier BV
Date: 08-2016
Mental health-related emergency department presentations and hospital admissions in a cohort of urban Aboriginal children and adolescents in New South Wales, Australia: findings from SEARCH
Publisher: BMJ
Date: 11-2018
DOI: 10.1136/BMJOPEN-2018-023544
Abstract: The aim of the current study is to quantify mental health-related emergency department (ED) presentations and hospitalisations, and associated child and family characteristics, in children recruited through four Aboriginal Community Controlled Health Organisations. Four Aboriginal Community Controlled Health Services that deliver primary care. All services were located in urban or large regional centres in New South Wales, Australia. 1476 Aboriginal children aged 0–17 years at recruitment to the Study of Environment on Aboriginal Resilience and Child Health. ED presentations and hospital admissions with a primary mental health diagnosis obtained via linkage to population health datasets. Over a median of 6-year follow-up, there were 96 ED presentations affecting 62 children (10.7/1000 person-years) and 49 hospitalisations affecting 34 children (5.5/1000 person-years) for mental health conditions. Presentations/admissions increased with age. ED presentation was increased with: living in foster versus parental care (adjusted rate ratio (RR)=3.97, 95% CrI 1.26 to 11.80) high versus low baseline child emotional/behavioural problems (adjusted RR=2.93, 95% CrI 1.50 to 6.10) and caregiver chronic health conditions versus none (adjusted RR=2.81, 95% CrI 1.31 to 6.63). Hospitalisations were significantly increased with caregiver unemployment versus home duties (adjusted RR=4.48, 95% CrI 1.26 to 17.94) and caregiver chronic health problems versus none (adjusted RR=3.83, 95% CrI 1.33 to 12.12). Tertiary care for mental health issues was relatively common among participating Aboriginal children, with risk elevated for those living in foster care, with prior mental health and behavioural problems and with carers with chronic illness and/or unemployment. While this study suggests high rates of serious mental health events among children from participating communities, the optimum means for reducing these rates, and the need for tertiary care, has not yet been determined. Such information is urgently required to inform policy and programmes to support Aboriginal child and adolescent mental health.
“He’s the Number One Thing in My World”: Application of the PRECEDE-PROCEED Model to Explore Child Car Seat Use in a Regional Community in New South Wales
Publisher: MDPI AG
Date: 10-10-2017
Responses to the primary health care needs of Aboriginal and Torres Strait Islander women experiencing violence: A scoping review of policy and practice guidelines
Publisher: Wiley
Date: 10-2020
DOI: 10.1002/HPJA.417
Abstract: It is demonstrated that primary health care (PHC) providers are sought out by women who experience violence. Given the disproportionate burden of violence experienced by Aboriginal and Torres Strait Islander women, it is essential there is equitable access to appropriate PHC services. This review aimed to analyse whether Australian PHC policy accounts for the complex needs of Aboriginal and Torres Strait Islander women experiencing violence and the importance of PHC providers responding to violence in culturally safe ways. Using the Arskey and O’Malley framework, an iterative scoping review determined the policies for analysis. The selected policies were analysed against concepts identified as key components in responding to the needs of Aboriginal and Torres Strait Islander women experiencing violence. The key components are Family Violence, Violence against Aboriginal and Torres Strait Islander Women, Social Determinants of Aboriginal and Torres Strait Islander Health and Wellbeing, Cultural Safety, Holistic Health, Trauma, Patient‐Centred Care and Trauma‐and‐Violence‐Informed Care. Following a search of Australian government websites, seven policies were selected for analysis. Principally, no policy embedded or described best practice across all key components. The review demonstrates the need for a specific National framework supporting Aboriginal and Torres Strait Islander women who seek support from PHC services, as well as further policy analysis and review. Aboriginal and Torres Strait Islander women disproportionately experience more severe violence, with complex impact, than other Australian women. PHC policy and practice frameworks must account for this, together with the intersection of contemporary manifestations of colonialism and historical and intergenerational trauma.
Stressful life events and resilience among carers of Aboriginal children in urban New South Wales: cross-sectional findings from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH)
Publisher: BMJ
Date: 06-2018
Considering difference: clinician insights into providing equal and equitable burns care for Aboriginal and Torres Strait Islander children
Publisher: Elsevier BV
Date: 06-2021
Equity in functional and health related quality of life outcomes following injury in children - a systematic review
Publisher: Informa UK Limited
Date: 26-02-2020
203 Addressing Australian Aboriginal child injury through policy and practice guidelines
Publisher: BMJ
Date: 09-2016
What informs care? Descriptions by multidisciplinary teams about burns care for Aboriginal and Torres Strait Islander children
Publisher: Elsevier BV
Date: 03-2020
DOI: 10.1016/J.BURNS.2019.07.039
Abstract: To investigate factors informing burns care for Aboriginal and Torres Strait Islander children. In-depth qualitative study with semi-structured interview questions. Multidisciplinary team members who provide care for Aboriginal and Torres Strait Islander children in six tertiary burn units across five Australian jurisdictions. Results from 76 interviews suggest that burns care in Australia is informed by a web of complex factors including evidence, resources and resourcing, in idual clinician decision making processes and beliefs, and models of care. A Western biomedical health paradigm governs healthcare system policy for burns care, that participants report is not always aligned with Aboriginal and Torres Strait Islander families' concepts of health and healing. Within this paradigm, allocation of resources informs the provision (or not) of care as does expert information and direction from senior clinicians. Participants reported that jurisdictional specific models of burns care developed using service and team experience, population data and other evidence derived in a scientific paradigm also influence delivery of care. There is a need for changes in the way evidence informs policy and practice in burns care for Aboriginal and Torres Strait Islander children and families so that it incorporates Indigenous constructs of health and wellbeing.
Injury prevention in Australian Indigenous communities
Publisher: Elsevier BV
Date: 12-2008
Implementation of a driver licensing support program in three Aboriginal communities: a brief report from a pilot program
Publisher: Wiley
Date: 13-04-2016
DOI: 10.1071/HE15089
Buckle up safely (shoalhaven): a process and impact evaluation of a pragmatic, multifaceted preschool-based pilot program to increase correct use of age-appropriate child restraints.
Publisher: Informa UK Limited
Date: 28-03-2014
DOI: 10.1080/15389588.2013.833328
Abstract: To conduct a process and impact evaluation of a multifaceted education-based pilot program targeting correct use of age-appropriate restraints in a regional setting with a high proportion of Aboriginal and Torres Strait Islander families. The program was delivered in 2010 in 3 early learning centers where 31 percent of the children were of Aboriginal and Torres Strait Islander descent. Each component of the program was assessed for message consistency and uptake. To measure program effectiveness, participating children were matched 1:1 by age, language spoken at home, and annual household income with 71 children from the control arm of a contemporaneous trial. The outcome measure in the control and program centers (a 4-category ordinal scale of restraint use) was compared using ordinal logistic regression accounting for age of the parent. Process evaluation found that though program components were delivered with a consistency of message, uptake was affected by turnover of all staff at one center and by parents experiencing difficulty in paying for subsidized restraints at each of the centers. Impact evaluation found that children from the centers receiving the program had nearly twice the odds of being in a better restraint category than children matched from the control group (adjusted odds ratio [ORadj] = 2.06, 95% confidence interval [CI], 1.09-3.90). This was a pragmatic study reflecting the real-life issues of implementing a program in preschools where 57 percent of families had a low income and turnover of staff was high. Despite these issues, impact evaluation showed that the integrated educational program showed promise in increasing correct use of age-appropriate restraints. The findings from this pilot study support the use of an integrated educational program that includes access to subsidized restraints to promote best practice child restraint use among communities that include a high proportion of Aboriginal and Torres Strait Islander families in New South Wales. Future trials in similar settings should consider offering more support in centers with high turnover of staff and offering alternative methods of payment when families experience financial difficulties in purchasing the subsidized restraints. If proven in larger trials, this approach could reduce death and injuries in child passengers in this vulnerable group.
Experiencing Occupational Rehabilitation in NSW: Non-English Speaking Background Women's Views
Publisher: Wiley
Date: 02-1994
Social and emotional developmental vulnerability at age five in Aboriginal and non-Aboriginal children in New South Wales: a population data linkage study
Publisher: Springer Science and Business Media LLC
Date: 31-07-2019
Are we closing the Aboriginal child injury gap? A cohort study
Publisher: Elsevier BV
Date: 02-2019
Abstract: To assess if rates of hospitalised injury in Australian Aboriginal children, and differences in these rates between Aboriginal and non-Aboriginal children, have changed over time. We used linked hospital data for New South Wales (NSW), Australia, to construct cohorts of children born in NSW hospitals between 2003-2007 and 2008-2012. We calculated rates of hospitalised injuries per 10,000 person years for Aboriginal and non-Aboriginal children for both cohorts, and compared these using rate differences and rate ratios. Rates of unintentional injury hospitalisation were similar in Aboriginal children in both cohorts and Aboriginal children had 1.7 times higher rates of unintentional injury hospitalisation compared with non-Aboriginal children. Rate ratios between Aboriginal and non-Aboriginal children for leading injury mechanisms, burns, poisonings and transport were similar in both cohorts, with 2.5, 3.0 and 2.4 times higher rates in Aboriginal children in the 2008-2012 cohort, respectively. Conclusions and Implications for public health: Our findings suggest that current injury prevention measures have not been successful in reducing either rates of unintentional injury in Aboriginal children, or injury inequalities between Aboriginal and non-Aboriginal children. We recommend the implementation of targeted Aboriginal led injury prevention measures.
Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia
Publisher: Elsevier BV
Date: 04-2018
Abstract: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. We examined characteristics of caregiver-reported child injury, and calculated prevalence ratios of 'ever-injury' by child, family, and environmental factors. Among children in the cohort, 29% (n=373/1,303) had ever broken a bone, been knocked out, required stitches or been hospitalised for a burn or poisoning 40-78% of first injuries occurred at home and 60-91% were treated in hospital. Reported ever-injury was significantly lower (prevalence ratio ≤0.80) among children who were female, younger, whose caregiver had low psychological distress and had not been imprisoned, whose family experienced few major life events, and who hadn't experienced alcohol misuse in the household or theft in the community, compared to other cohort members. In this urban Aboriginal child cohort, injury was common and associated with measures of family and community vulnerability. Implications for public health: Prevention efforts targeting upstream injury determinants and Aboriginal children living in vulnerable families may reduce child injury. Existing broad-based intervention programs for vulnerable families may present opportunities to deliver targeted injury prevention.
Closing the Aboriginal child injury gap: targets for injury prevention
Publisher: Elsevier BV
Date: 02-2017
Abstract: To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children. We used linked hospital and mortality data to construct a whole of population birth cohort including 1,124,717 children (1,088,645 non-Aboriginal and 35,749 Aboriginal) born in the state of New South Wales (NSW), Australia, between 1 July 2000 and 31 December 2012. Injury hospitalisation rates were calculated per person years at risk for injury mechanisms coded according to the ICD10-AM classification. The leading injury mechanisms in both groups of children were falls from playground equipment. For 66 of the 69 injury mechanisms studied, Aboriginal children had a higher rate of hospitalisation compared with non-Aboriginal children. The largest relative inequalities were observed for injuries due to exposure to fire and flame, and the largest absolute inequalities for injuries due to falls from playground equipment. Aboriginal children in NSW experience a significant higher burden of unintentional injury compared with their non-Aboriginal counterparts. Implications for Public Health: We suggest the implementation of targeted injury prevention measures aimed at injury mechanism and age groups identified in this study.
Road user behaviour, attitudes and crashes: a survey of Aboriginal and Torres Strait Islander people in Australia
Publisher: BMJ
Date: 05-03-2019
DOI: 10.1136/INJURYPREV-2018-043011
Abstract: This study aimed to describe road user behaviour, attitudes and crashes in Aboriginal and Torres Strait Islander people in four urban, regional and remote communities located in New South Wales (NSW) and South Australia (SA). Face-to-face surveys were administered to clients (n=625) in Aboriginal Community Controlled Health Services (ACCHS). All Aboriginal and Torres Strait Islander clients attending the ACCHS for any reason were approached to participate over a 2-week period. Surveys included questions on sociodemographic factors, crash involvement, road behaviours and road safety attitudes drawn from tools used in national surveys. The participation rate was high (69%–75%). Seat belt wearing rates were very high, particularly in the front of a car, although rear seat belt wearing rates in SA (77%) were substantially lower than in NSW (93%). Among drivers, 11% reported always or mostly driving 10 km/hour over the speed limit, and this was higher among drivers in SA (13.4%). Drivers aged 55 years and over and/or women were more likely to report that they do not drink at any time or restricted what they drank when driving. These results enable comparison with the Community Attitude to Road Safety survey conducted Australia-wide in 2013. This study confirms that Aboriginal and Torres Strait Islander people are inclined to report attitudes or road safety behaviours similar to the rest of the population however, rear restraint use was lower and self-reported speeding was higher. These issues are likely attributable to transport options and geography in remote communities, which can contribute to overcrowding and unsafe driving practices.
235 Evaluation of ‘Safe Home Safe Kids’: a home visiting program for Aboriginal Australian Children
Publisher: BMJ
Date: 09-2016
Efficacy and cultural appropriateness of psychosocial interventions for paediatric burn patients and caregivers
Publisher: Springer Science and Business Media LLC
Date: 04-03-2020
DOI: 10.1186/S12889-020-8366-9
Abstract: Paediatric burns are highly painful and traumatising injuries that are overrepresented among Aboriginal and Torres Strait Islander people. Paediatric burn patients’ pain remains poorly managed by pharmacological interventions, leading to increased anxiety, distress, and trauma in patients and their caregivers. Non-pharmacological psychosocial interventions have been suggested as effective in reducing pain and psychological morbidities among paediatric burn patients and their caregivers however, their degree of effectiveness and appropriateness for Aboriginal and Torres Strait Islander people is unclear. A non-date restricted systematic review was conducted through four databases. Studies published in English assessing psychosocial interventions on paediatric burn patients’ physical pain along with theirs and/or their caregiver’s anxiety, distress, or trauma symptoms were identified and included in this review. Included studies were assessed for their ability to reduce one of the outcomes of interests and for their reflection of Aboriginal and Torres Strait Islander peoples’ perspectives of health. Of the 3178 identified references, 17 were eligible. These include distraction based techniques ( n = 8), hypnosis/familiar imagery ( n = 2), therapeutic approaches ( n = 4), and patient preparation rocedural control ( n = 3). Distraction techniques incorporating procedural preparation reduced pain, while discharge preparation and increased ‘patient control’ reduced patient and caregiver anxiety and internet based Cognitive Behaviour Therapy reduced short-term but not long-term post-traumatic stress symptoms. No interventions reflected Aboriginal and Torres Strait Islander peoples’ perspectives of health and few targeted caregivers or focused on reducing their symptoms. The development and assessment of psychosocial interventions to appropriately meet the needs of Aboriginal and Torres Strait Islander paediatric burn patients is required.
Communities driving change: evaluation of an Aboriginal driver licensing programme in Australia
Publisher: Oxford University Press (OUP)
Date: 03-07-2018
Abstract: The Driving Change programme was developed to facilitate access to licensing in Aboriginal communities in Australia. This process evaluation aimed to explore whether Driving Change was implemented as intended and was addressing the needs of the communities. A mixed methods approach was used, with triangulation of client data (n = 984), semi-structured interviews (n = 18) and client discussion groups (n = 21). Descriptive and regression analyses of quantitative and thematic analysis of qualitative data were drawn together to develop an integrated understanding of implementation barriers and facilitators. The programme reached 984 clients, with the majority from the target age group 16-24 years (56-89%). In multivariate analysis, clients who had supervised driving practice were 2.4 times more likely to attain a licence (95% CI: 1.9-3.1) and clients who received a high level of case management were 1.8 times more likely to progress to attain a licence than those who received low levels of case management (95% CI: 1.3-2.6). Implementation was facilitated by community partnerships and this was attributed to local delivery, Aboriginal leadership, connections with community networks and community ownership of solutions. Driving Change is engaging communities and reaching clients with a high level of need for licensing support. The programme is working with communities, benefiting from the input of cultural values and sharing ownership of local solutions. Community partnerships were critical to successfully supporting clients to overcome challenging barriers to participation. The learnings from this programme are relevant to complex community programme implementation and evaluation, particularly with erse or hard to reach populations.
Indigenous Australians and Ageing: Responding to Diversity in Policy and Practice
Publisher: Springer New York
Date: 19-11-2016
Patient journey mapping to investigate quality and cultural safety in burn care for Aboriginal and Torres Strait Islander children and families – development, application and implications
Publisher: Springer Science and Business Media LLC
Date: 28-11-2022
DOI: 10.1186/S12913-022-08754-0
Abstract: Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden’s core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the in idual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.
Evaluating an Aboriginal community controlled residential alcohol and other drug services: Use of benchmarking to examine within treatment changes in wellbeing
Publisher: Wiley
Date: 02-2022
DOI: 10.1111/DAR.13432
Abstract: Aboriginal Community Controlled Organisations (ACCO) have an important role in the Australian health‐care sector. However, there has been a lack of research evaluating ACCOs in the treatment of alcohol and other drug (AOD) use. Using a benchmarking approach, the present study examined within treatment changes on measures of wellbeing for people attending a residential AOD ACCO. The study focused on The Glen, an AOD residential treatment service that is managed by the Ngaimpe Aboriginal Corporation ( n = 775). The Glen is a male‐only service and provides treatment to both Indigenous and non‐Indigenous men. The evaluation focused on measures of wellbeing (i.e. symptom distress and quality of life) collected at intake, 30 and 60 days during the person's stay. Comparative benchmarking was conducted with a cohort of men who were attending non‐ACCO residential AOD treatment services ( n = 4457). The Glen participants demonstrated statistically significant improvements on measures of wellbeing. The Glen participants were more likely to complete treatment than participants attending non‐ACCO services. Likewise, Indigenous people attending The Glen were more likely to complete treatment (compared to Indigenous people attending non‐ACCO services). Rates of reliable and clinically significant change suggested that changes in quality of life were largely equivalent between The Glen and non‐ACCO services, while participants attending The Glen tended to demonstrate larger reductions in symptom distress compared to the non‐ACCO services. The study provides further support for the important role that ACCOs play in supporting Indigenous people in their recovery.
Inequalities in hospitalized unintentional injury between aboriginal and non-aboriginal children in New South Wales, Australia
Publisher: American Public Health Association
Date: 05-2016
Abstract: Objectives. To quantify inequalities in rates of unintentional injury–related hospitalizations between Australian Aboriginal and non-Aboriginal children. Methods. We used linked hospital and mortality data to construct a retrospective whole-of-population birth cohort including 1 124 717 children born in the state of New South Wales, Australia, between July 1, 2000 and December 31, 2012. We adjusted hazard ratios (HRs) of first injury hospitalization for geographic clustering and in idual- and area-level factors. Results. Aboriginal children were 1.6 times more likely than were non-Aboriginal children to be hospitalized for an unintentional injury. The largest inequalities were for poisoning (HR = 2.7 95% CI = 2.4, 3.0) and injuries stemming from exposure to fire, flames, heat, and hot substances (HR = 2.4 95% CI = 2.1, 2.7). Adjustment reduced the inequality for all unintentional injury overall (HR = 1.4 95% CI = 1.3, 1.4) and within leading injury mechanisms. Conclusions. Australian Aboriginal children suffer a disproportionately high burden of unintentional injury.
Using systems thinking to assess the functioning of an “Age-Friendly City” governance network in Australia
Publisher: Oxford University Press (OUP)
Date: 08-2022
Abstract: Age-Friendly Cities (AFC) is a framework for promoting healthy ageing through local actions. We use systems thinking to assess potential outcomes of actions to support older people’s mobility, undertaken within an AFC commitment in Greater Sydney. Interviews with 20 informants involved in providing space, infrastructure, or services that affect how older people get around were analysed using causal loop diagrams (CLDs). Four approaches to support older people’s mobility were identified and situated to the Multiple Governance Framework: land use, open and public space, supplementary transport, and community transport. Analysis revealed potential for unwanted consequences associated with each, which can be generalised into three generic potential outcomes for other jurisdictions to consider. A recommendation from this research is for policy actors to examine feedback interactions between actions so that they can foresee a wider range of outcomes and take defensive action against those unwanted. By situating CLDs within the Multiple Governance Framework, this research not only identifies what to look for, in terms of potential outcomes, but also where to look, in terms of the level of decision-making. This research offers a new way to assess the functioning of AFC governance networks by their collective outcomes and challenges the standards for the evaluation of AFC.
The importance of context in logic model construction for a multi-site community-based Aboriginal driver licensing program
Publisher: Elsevier BV
Date: 08-2016
DOI: 10.1016/J.EVALPROGPLAN.2016.03.011
Abstract: Evidence indicates that Aboriginal people are underrepresented among driver licence holders in New South Wales, which has been attributed to licensing barriers for Aboriginal people. The Driving Change program was developed to provide culturally responsive licensing services that engage Aboriginal communities and build local capacity. This paper outlines the formative evaluation of the program, including logic model construction and exploration of contextual factors. Purposive s ling was used to identify key informants (n=12) from a consultative committee of key stakeholders and program staff. Semi-structured interviews were transcribed and thematically analysed. Data from interviews informed development of the logic model. Participants demonstrated high level of support for the program and reported that it filled an important gap. The program context revealed systemic barriers to licensing that were correspondingly targeted by specific program outputs in the logic model. Addressing underlying assumptions of the program involved managing local capacity and support to strengthen implementation. This formative evaluation highlights the importance of exploring program context as a crucial first step in logic model construction. The consultation process assisted in clarifying program goals and ensuring that the program was responding to underlying systemic factors that contribute to inequitable licensing access for Aboriginal people.
Challenges to driver licensing participation for Aboriginal people in Australia: A systematic review of the literature
Publisher: Springer Science and Business Media LLC
Date: 31-08-2016
Psychological distress in carers of Aboriginal children in urban New South Wales: findings from SEARCH (phase one)
Publisher: AMPCo
Date: 07-2016
DOI: 10.5694/MJA16.00111
Abstract: To examine the factors associated with psychological distress in parents and carers of Aboriginal children living in urban communities in New South Wales. Cross-sectional survey (phase one of the Study of Environment on Aboriginal Resilience and Child Health [SEARCH], November 2007 - December 2011). Primary care 589 parents and carers of Aboriginal children were recruited when attending one of the four Aboriginal Community Controlled Health Services (ACCHSs) in urban NSW that participated in SEARCH. Kessler Psychological Distress Scale (K10) scores a score of 22 or higher was deemed to indicate high levels of psychological distress. High levels of psychological distress were identified in 18% of our s le. The factors most strongly associated with this distress were functional limitations (v those with K10 scores under 22: adjusted odds ratio [aOR], 4.2 95% CI, 1.3-13.5), previous hospitalisation (aOR, 5.5 95% CI, 1.5-19.4) or other treatment for social and emotional wellbeing (aOR, 3.3 95% CI, 1.3-8.4), low satisfaction with feeling part of the community (aOR, 0.83 95% CI, 0.70-0.98) and low involvement in clubs and groups (aOR, 2.9 95% CI, 1.2-7.3). Clinicians should note that those with functional limitations or a history of treatment for mental health problems are at higher risk of psychological distress and may require additional support. Increased funding that allows ACCHSs to provide mental health services, and funding and promoting programs and activities that increase social connectedness should remain focuses for ACCHSs and policy makers.
Healthy ageing among older Aboriginal people
Publisher: BMJ
Date: 07-10-2020
DOI: 10.1136/INJURYPREV-2020-043915
Abstract: Older Aboriginal people have a strong leadership role in their community including passing on knowledge and teachings around culture and connections to Country. Falls significantly affect older people and are a growing concern for older Aboriginal people and their families. Regular participation in balance and strength exercise has been shown to be efficacious in reducing falls. A pilot study developed in partnership with Aboriginal communities, the Ironbark: Standing Strong and Tall programme, demonstrated high community acceptability and feasibility, and gains in balance and strength in Aboriginal participants. This cluster randomised controlled trial will assess the effectiveness of the programme in reducing the rate of falls in older Aboriginal people. We will examine the effectiveness and cost-effectiveness of the Ironbark group-based fall prevention programme compared with a group-based social programme, with Aboriginal people aged 45 years and older in three Australian states. The primary outcome is fall rates over 12 months, measured using weekly self-reported data. Secondary outcomes measured at baseline and after 12 months include quality of life, psychological distress, activities of daily living, physical activity, functional mobility and central obesity. Differences between study groups in the primary and secondary outcomes at 12 months will be estimated. This is the first trial to investigate the effectiveness and cost-effectiveness of a fall prevention programme for Aboriginal peoples aged ≥45 years. The study has strong cultural and community governance, including Aboriginal investigators and staff, and is guided by a steering committee that includes representatives of Aboriginal community-controlled services. ACTRN12619000349145.
Psychosocial factors associated with the mental health of indigenous children living in high income countries: A systematic review
Publisher: Springer Science and Business Media LLC
Date: 23-08-2017
Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health
Publisher: MDPI AG
Date: 23-10-2022
Abstract: Background: In Australia, Aboriginal people are underserved by the transport system and are less able to easily get to places they need to go than others. This is a part of a larger pattern of exclusion and inequity for Aboriginal people which affects their health, wellbeing, and social participation. Guided by a decolonising framework, this research explored how older Aboriginal people, whose pivotal roles in their families and communities require their mobility, experience the transportation system, providing an Indigenous-centred view of the accessibility of transportation options in society. Methods: Interviews drawing from the yarning technique were conducted with ten older Aboriginal people living in Greater Western Sydney and analysed qualitatively. Results: In addition to the cognitive labour required to decipher the rules of the transport system and organise commitments to match the scheduling of transport services, older Aboriginal people in this study experienced stigmatising attitudes and condescending treatment from service professionals and the public when traveling. Conclusions: This study suggests three potential ways that the current trajectory that underserves older Aboriginal people could be disrupted, relating to service design, the ersity and inclusion agenda, and the social determinants of Indigenous health.
Indigenous-led Intervention Research
Publisher: Queensland University of Technology
Date: 06-2011
Abstract: This article is based on a presentation to the 2011 Indigenous Studies Research Network and Faculty of Health Symposium Healthier Futures Thru Indigenous Led Research held at the Queensland University of Technology. It critically examines the proposition that, in the context of the current health reform in Australia, an Indigenous-led and -developed research agenda should be prioritised to inform Indigenous health policy and programs. I argue that such a strategy is the best way to bring about improved Indigenous health outcomes. I draw on my experience over 15 years of working as a member of multi-disciplinary teams in public health intervention and health services research in urban, regional and remote areas of New South Wales, Australia. I reflect on the ways in which Indigenous leadership has figured in my research in the field of injury prevention. Finally, I identify some of the challenges and opportunities for enhancing Indigenous research leadership capacity.
What are the factors associated with good mental health among Aboriginal children in urban New South Wales, Australia? Phase I findings from the Study of Environment on Aboriginal Resilience and Child
Publisher: BMJ
Date: 07-2016
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