ORCID Profile
0000-0002-5246-235X
Current Organisations
QUT
,
Queensland University of Technology
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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 | Aboriginal and Torres Strait Islander Cultural Studies | Information Systems | Studies of Aboriginal and Torres Strait Islander Society | Race and Ethnic Relations | Public Health and Health Services | Aboriginal and Torres Strait Islander Information and Knowledge Systems
ANZSRC Socio-Economic Objective (SEO)
Aboriginal and Torres Strait Islander Health - Determinants of Health | Expanding Knowledge through Studies of Human Society | Aboriginal and Torres Strait Islander Development and Welfare |
Related Links
Publications
Starting at strengths … an Indigenous early years intervention
Publisher: AMPCo
Date: 08-2009
“So we tell them”: articulating strong Black masculinities in an urban Indigenous community
Publisher: SAGE Publications
Date: 09-2019
Abstract: There is a growing literature on Indigenous masculinities written by scholars in North America, Hawai‘i and New Zealand which draws on a variety of approaches. While there are signs of scholarly interest in Aboriginal and Torres Strait Islander masculinities in Australia, this has yet to translate into a distinct body of work. This article is a potential opening onto such a future corpus, foregrounding and privileging how Aboriginal and Torres Strait Islander men understand themselves. Interviews with 13 men, ranging in age from young teenagers through to Elders—among whom were Traditional Owners, school pupils, university students, community workers, health professionals and retirees—yielded a conception of Indigenous masculinities not concerned with recovering a lost masculinity. Rather, what was presented to us is a distinct conception of Indigenous masculinities rooted in place a relationality motivated by an intergenerational sense of responsibility a nuanced idea of “acting hard.”
We don't tell people what to do: ethical practice and Indigenous health promotion
Publisher: Wiley
Date: 25-11-2015
DOI: 10.1071/HE15048
INFLATE: a protocol for a randomised controlled trial comparing nasal balloon autoinflation to no nasal balloon autoinflation for otitis media with effusion in Aboriginal and Torres Strait Islander children
Publisher: Springer Science and Business Media LLC
Date: 14-04-2022
DOI: 10.1186/S13063-022-06145-8
Abstract: Otitis media with effusion (OME) is common and occurs at disproportionately higher rates among Indigenous children. Left untreated, OME can negatively affect language, development, learning, and health and wellbeing throughout the life-course. Currently, OME care includes observation for 3 months followed by consideration of surgical ventilation tube insertion. The use of a non-invasive, low-cost nasal balloon autoinflation device has been found beneficial in other populations but has not been investigated among Aboriginal and Torres Strait Islander children. This multi-centre, open-label, randomised controlled trial will determine the effectiveness of nasal balloon autoinflation compared to no nasal balloon autoinflation, for the treatment of OME among Aboriginal and Torres Strait Islander children in Australia. Children aged 3–16 years with unilateral or bilateral OME are being recruited from Aboriginal Health Services and the community. The primary outcome is the proportion of children showing tympanometric improvement of OME at 1 month. Improvement is defined as a change from bilateral type B tympanograms to at least one type A or C1 tympanogram, or from unilateral type B tympanogram to type A or C1 tympanogram in the index ear, without deterioration (type A or C1 to type C2, C3, or B tympanogram) in the contralateral ear. A s le size of 340 children (170 in each group) at 1 month will detect an absolute difference of 15% between groups with 80% power at 5% significance. Anticipating a 15% loss to follow-up, 400 children will be randomised. The primary analysis will be by intention to treat. Secondary outcomes include tympanometric changes at 3 and 6 months, hearing at 3 months, ear health-related quality of life (OMQ-14), and cost-effectiveness. A process evaluation including perspectives of parents or carers, health care providers, and researchers on trial implementation will also be undertaken. INFLATE will answer the important clinical question of whether nasal balloon autoinflation is an effective and acceptable treatment for Aboriginal and Torres Strait Islander children with OME. INFLATE will help fill the evidence gap for safe, low-cost, accessible OME therapies. Australia New Zealand Clinical Trials Registry ACTRN12617001652369 . Registered on 22 December 2017. The Australia New Zealand Clinical Trials Registry is a primary registry of the WHO ICTRP network and includes all items from the WHO Trial Registration data set. Retrospective registration.
Randomised clinical trial research within Aboriginal and Torres Strait Islander primary health services: a qualitative study
Publisher: BMJ
Date: 12-2021
DOI: 10.1136/BMJOPEN-2021-050839
Abstract: To better understand how to undertake valuable, ethical and sustainable randomised controlled clinical trial (RCT) research within Aboriginal and Torres Strait Islander primary health services. In a qualitative approach, we utilised data collected between 2013 and 2020 during the planning and implementation of two RCTs. The data comprised agreed records of research meetings, and semistructured interviews with clinical trial stakeholders. The stakeholders were parents/carers of child participants, and site-based research officers, healthcare providers and community advisory groups. Our thematic analysis was informed by constructivist grounded theory. The RCTs investigated the management of otitis media in Aboriginal and Torres Strait Islander children, with the first RCT commencing recruitment in 2014 and the second in 2017. They took place in Aboriginal Medical Services (AMSs), large primary health services for Aboriginal and Torres Strait Islander people, based in urban and regional communities across two Australian states and one territory. We analysed data from 56 meetings and 67 interviews, generating themes on making research valuable and undertaking ethical and sustainable RCTs. Aboriginal and Torres Strait Islander leadership, and support of AMSs in their service delivery function were critical. The broad benefits of the trials were considered important to sustainability, including workforce development, enhanced ear healthcare and multidirectional research capacity building. Participants emphasised the long-term responsibility of research teams to deliver benefits to AMSs and communities regardless of RCT outcomes, and to focus on relationships, reciprocity and creating positive experiences of research. We identify principles and strategies to assist in undertaking ethical and sustainable RCTs within Aboriginal and Torres Strait Islander primary health services. Maintaining relationships with AMSs and focusing on mutual workforce development and capacity building creates opportunities for long-term benefits so that health research and RCTs work for Aboriginal and Torres Strait Islander peoples, services, communities and researchers. ACTRN12613001068752 (Pre-results) ACTRN12617001652369 (Pre-results).
Crossing Lines: Sport History, Transformative Narratives, and Aboriginal Australia
Publisher: Informa UK Limited
Date: 07-05-2015
More than a refresh required for closing the gap of Indigenous health inequality
Publisher: AMPCo
Date: 06-02-2020
DOI: 10.5694/MJA2.50498
Social capital meets identity - Aboriginality in an urban setting
Publisher: SAGE Publications
Date: 12-2006
Abstract: This article reports on a qualitative study of social capital within an urban Aboriginal and Torres Strait Islander context. Using data generated from 100 Aboriginal and Torres Strait Islander participants in focus group discussions and in-depth interviews collected by Aboriginal community development workers, this article describes two worlds of social capital available to Aboriginal and Torres Strait Islander people. The primary source of bonding social capital comes from family and wider Aboriginal and Torres Strait Islander community connections. In the context of an oppressive history and experiences of ongoing racism and discrimination, a second world of bridging social capital remains elusive to many Indigenous Australians. Our findings suggest that to understand the tensions between the two social capitals requires an engagement with the complexities of identity. We argue that it is vital to explore the texture of social capital, rather than just measure its volume.
'It had to be my choice' Indigenous smoking cessation and negotiations of risk, resistance and resilience
Publisher: Informa UK Limited
Date: 09-2012
“Now we say Black Lives Matter but … the fact of the matter is, we just Black matter to them”
Publisher: AMPCo
Date: 16-08-2020
DOI: 10.5694/MJA2.50727
“It puts a human face on the researched” – A qualitative evaluation of an Indigenous health research governance model
Publisher: Elsevier BV
Date: 04-2016
Abstract: To describe the Inala Aboriginal and Torres Strait Islander Community Jury for Health Research, and evaluate its usefulness as a model of Indigenous research governance within an urban Indigenous primary health care service from the perspectives of jury members and researchers. Informed by a phenomenological approach and using narrative inquiry, a focus group was conducted with jury members and key informant interviews were undertaken with researchers who had presented to the Community Jury in its first year of operation. The jury was a site of identity work for researchers and jury members, providing an opportunity to observe and affirm community cultural protocols. Although researchers and jury members had differing levels of research literacy, the jury processes enabled respectful communication and relationships to form, which positively influenced research practice, community aspirations and clinical care. The jury processes facilitated transformative research practice among researchers and resulted in transference of power from researchers to the jury members, to the mutual benefit of both. Ethical Indigenous health research practice requires an engagement with Indigenous peoples and knowledge at the research governance level, not simply as subjects or objects of research.
‘You cunts can do as you like’: the obscenity and absurdity of free speech to Blackfullas
Publisher: Informa UK Limited
Date: 04-07-2018
Urban Aboriginal and Torres Strait Islander children's exposure to stressful events: a cross‐sectional study
Publisher: AMPCo
Date: 07-2013
DOI: 10.5694/MJA12.11716
Abstract: To determine the frequency and types of stressful events experienced by urban Aboriginal and Torres Strait Islander children, and to explore the relationship between these experiences and the children's physical health and parental concerns about their behaviour and learning ability. Cross-sectional study of Aboriginal and Torres Strait Islander children aged ≤ 14 2013s presenting to an urban Indigenous primary health care service in Brisbane for annual child health checks between March 2007 and March 2010. Parental or carer report of stressful events ever occurring in the family that may have affected the child. Of 344 participating children, 175 (51%) had experienced at least one stressful event. Reported events included the death of a family member or close friend (40 23%), parental orce or separation (28 16%), witness to violence or abuse (20 11%), or incarceration of a family member (7 4%). These children were more likely to have parents or carers concerned about their behaviour (P < 0.001) and to have a history of ear (P < 0.001) or skin (P = 0.003) infections. Children who had experienced stressful events had poorer physical health and more parental concern about behavioural 1s than those who had not. Parental disclosure in the primary health care setting of stressful events that have affected the child necessitates appropriate medical, psychological or social interventions to ameliorate both the immediate and potential lifelong negative impact. However, treating the impact of stressful events is insufficient without dealing with the broader political and societal 1s that result in a clustering of stressful events in the Aboriginal and Torres Strait Islander population.
Using an Indigenist Framework for Decolonizing Health Promotion Research
Publisher: Springer Singapore
Date: 2017
Looking forward looking black: making the case for a radical rethink of strategies for success in Indigenous higher education
Publisher: Cambridge University Press (CUP)
Date: 09-09-2020
DOI: 10.1017/JIE.2020.13
Abstract: Abstract This study takes a retrospective look at the educational experiences of Indigenous health professionals who graduated from The University of Queensland's Indigenous Health Program between 1994 and 2005, to understand the enablers for growing an Indigenous health workforce capable of advancing the health of Indigenous peoples. Drawing on the qualitative accounts of 31 students and 9 staff members, this paper examines the enablers to educational success at this time, juxtaposed against current Indigenising agendas in higher education, of aspiration and capacity building alongside the task of embedding Indigenous knowledges within curricula. We look back not as a call to return to Indigenous-specific cohort courses but rather reconsider both the measures of and strategies for success in Indigenous higher education, within health and beyond, interrogating the ideological assumptions that inform them.
Black bodies and Bioethics: Debunking Mythologies of Benevolence and Beneficence in Contemporary Indigenous Health Research in Colonial Australia
Publisher: Springer Science and Business Media LLC
Date: 14-01-2021
Introduction to the special issue: critical conversations on higher education as an enabler to building an Indigenous health workforce
Publisher: Cambridge University Press (CUP)
Date: 12-2020
DOI: 10.1017/JIE.2020.12
A culture of ill health: public health or Aboriginality?
Publisher: AMPCo
Date: 07-2005
Beyond the pipeline: a critique of the discourse surrounding the development of an Indigenous primary healthcare workforce in Australia
Publisher: CSIRO Publishing
Date: 2019
DOI: 10.1071/PY19044
Abstract: A central strategy in addressing health disparities experienced by Indigenous people has been based on a concern with workforce improvement. In this paper, the Indigenous Australian healthcare workforce literature since 1977 is reviewed and its scope of concern, as being often limited to questions of ‘supply’, is critiqued. The pipeline metaphor, whether used explicitly or implied, regularly focuses attention on closing the gap on Indigenous representation within the health workforce. The exception though is the discourse concerning Indigenous Health Workers (IHWs), where questions concerning the legitimacy of the role continue to abound within a workforce hierarchy where community knowledge, though shown to be crucial to culturally safe health service provision, is trumped by the other health professions whose knowledges and legitimacy are not in question. This contrast exemplifies the need to examine the working of power not just ‘supply’. The pipeline metaphor is disrupted with concerns about a range of other ‘gaps’ – gaps in the recognition of Indigenous knowledges, in organisational structures, in governance and in self-awareness by the health professions of their whiteness. As the health system continues to measure workforce development in terms of pipeline capacity, our study questions what happens beyond the pipeline.
Talkin’ Down to the Black Woman
Publisher: Informa UK Limited
Date: 03-07-2019
Deadly Choices empowering Indigenous Australians through social networking sites
Publisher: Oxford University Press (OUP)
Date: 05-04-2018
Abstract: The potential for health promotion through social networking sites (SNSs) is widely recognized. However, while health promotion prides itself in focusing on the social determinants of health, its partiality for persuading in iduals to comply with health behaviours dominates the way health promotion utilizes SNSs. This paper contributes to an understanding of collaborative ways SNSs can work for health promotion agendas of self-determination and empowerment in an Indigenous Australia context. An ethnographic study was undertaken with Deadly Choices, an Indigenous-led health promotion initiative. The study involved participant observation of interactions on Deadly Choices SNSs between Deadly Choices and its online community members. Deadly Choices provides an ex le of SNSs providing a powerful tool to create a safe, inclusive and positive space for Indigenous people and communities to profile their healthy choices, according to Indigenous notions of health and identity. The study found five principles that underpin Deadly Choices' use of SNSs for health promotion. These are: create a dialogue build community online and offline incentivise healthy online engagement celebrate Indigenous identity and culture and prioritize partnerships. Deadly Choices SNSs empowers Indigenous people and communities to be health promoters themselves, which represents a power shift from health promotion practitioner to Indigenous people and communities and more broadly, an enactment of Indigenous self-determination on SNSs. Mainstream health promotion can learn from Indigenous health promotion practice regarding the use of SNSs for health promotion agendas.
Using an Indigenist framework for decolonizing health promotion research
Publisher: Springer Singapore
Date: 2019
The power of talk and power in talk: A systematic review of Indigenous narratives of culturally safe healthcare communication
Publisher: CSIRO Publishing
Date: 2018
DOI: 10.1071/PY17082
Abstract: The study aimed to explore Indigenous narrative accounts of healthcare access within qualitative research papers, to better understand Indigenous views on culturally safe healthcare and health communication represented in that literature. A systematic literature review of peer-reviewed academic qualitative studies identified 65 papers containing Indigenous respondents’ views on accessing healthcare. Analysis included all Indigenous voice (primary quotations) and author findings describing healthcare access across these studies. Healthcare communication, or ‘talk’, emerged as a key theme. Indigenous clients valued talk within healthcare interactions it was essential to their experience of care, having the power to foster relationships of trust, strengthen engagement and produce positive outcomes. By mediating the power differentials between health professionals and Indigenous clients, talk could either reinforce powerlessness, through judgmental down-talk, medical jargon or withholding of talk, or empower patients with good talk, delivered on the client’s level. Good talk is a critical ingredient to improving Indigenous accessibility and engagement with healthcare services, having the ability to minimise the power differentials between Indigenous clients and the healthcare system.
The socioemotional challenges and consequences for caregivers of Aboriginal and Torres Strait Islander children with otitis media: A qualitative study
Publisher: Wiley
Date: 16-03-2022
DOI: 10.1111/HEX.13476
Abstract: Living with ear disease can have extensive impacts on physical, emotional and social well‐being. This study explored otitis media (OM) and its management from the perspective of caregivers of Aboriginal and Torres Strait Islander children. Semi‐structured interviews were conducted from 2015 to 2020 with caregivers of Aboriginal and Torres Strait Islander children with OM. Thematic analysis of transcripts was undertaken using a constructivist grounded theory approach through the leadership and the cultural lens of an Aboriginal community‐based researcher. Caregivers described OM as having profound impacts on their child's physical, developmental, and emotional well‐being, with long waits for specialist treatment contributing to extra strain on families. Children's well‐being suffered when OM was mistaken for poor behaviour and children were punished, with caregivers subsequently experiencing strong feelings of guilt. Concerns were conveyed about the social implications of having a sick child. The variable nature of OM symptoms meant that caregivers had to monitor closely for sequelae and advocate for appropriate treatment. Success in navigating the diagnosis and treatment of OM can be strongly impacted by the relationship between caregivers and health professionals and the perceived access to respectful, collaborative and informative healthcare. OM may have substantial social and emotional consequences for children and their caregivers. A holistic understanding of the way in which OM impacts multiple facets of health and well‐being, as well as recognition of challenges in accessing proper care and treatment, will aid families managing OM and its sequelae. Governing boards, managers, staff and community members from five Australian Aboriginal Medical Services were involved in the approval, management and conduct of this study and the wider clinical trials. The caregivers of Aboriginal and Torres Strait Islander patients at these services informed the interview study and guided its purpose.
'I'm not sure it paints an honest picture of where my health's at' - identifying community health and research priorities based on health assessments within an Aboriginal and Torres Strait Islander community: a qualitative study.
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/PY16131
Abstract: Aboriginal and Torres Strait Islander health assessments are conducted annually in Australian primary care to detect risk factors, chronic diseases and implement preventive health measures. At the Inala Indigenous Health Service, health assessment data have also been used for research purposes. This research has been investigator-driven, which risks misinterpreting or ignoring community priorities compared with community-led research. The objective of this research was to learn about the Aboriginal and Torres Strait Islander community’s health priorities that could be translated into research themes, and investigate these using health assessment data. A thematic analysis of data was conducted from 21 semi-structured interviews with purposively selected key informants from an urban Aboriginal and Torres Strait Islander community. Key informants articulated an authoritative understanding of how interrelated, inter-generational, social, cultural and environmental determinants operated in a ‘cycle’ to influence the community’s health. Key informant views supported the inclusion of these determinants in health assessments, reinforced the importance of comprehensive primary healthcare and strengthened referral pathways to community resources. Some key informants were ambivalent about Aboriginal and Torres Strait Islander health assessments because of their biomedical emphasis. This research also revealed limitations of health assessment-based research and the biomedical emphasis of the health system more broadly.
Black to the Future: Making the Case for Indigenist Health Humanities
Publisher: MDPI AG
Date: 18-08-2021
Abstract: This paper outlines the development of Indigenist Health Humanities as a new and innovative field of research building an intellectual collective capable of bridging the knowledge gap that hinders current efforts to close the gap in Indigenous health inequality. Bringing together health and the humanities through the particularity of Indigenous scholarship, a deeper understanding of the human experience of health will be developed alongside a greater understanding of the enablers to building a transdisciplinary collective of Indigenist researchers. The potential benefits include a more sustainable, relational, and ethical approach to advancing new knowledge, and health outcomes, for Indigenous people in its fullest sense.
Strong in the City: towards a strength-based approach in Indigenous health promotion
Publisher: CSIRO Publishing
Date: 2004
DOI: 10.1071/HE04215
Closing the gap between rhetoric and practice in strengths-based approaches to Indigenous public health: a qualitative study
Publisher: Elsevier BV
Date: 04-2020
Abstract: To understand strengths-based practice as articulated by urban Indigenous community workers and to consider its application for public health approaches to Australian Indigenous health advancement. Semi-structured interviews with community workers from an urban Indigenous community. Interviews were video and audio recorded and transcribed verbatim. Data were analysed using thematic analysis, using an Indigenist research framework. For our participants (11 Indigenous and one non-Indigenous), a strengths-based approach was fundamental to their practice. This approach reconfigured the usual relationship of client and service provider to fellow community member. They understood the strength of Indigeneity that empowers in iduals and communities. They were not blinkered to the challenges in the community but resisted defining themselves, their community or their community practice by these deficits. Our participants had a sophisticated experiential understanding that a strengths-based practice is not simply a 'culturally acceptable' way for non-Indigenous peoples to work for Indigenous peoples, but rather it is the only way of working with Indigenous people. Implications for public health: Strengths-based practice requires a reconfiguring of relationships of power, of attending to structure over stereotypes, and privileging Indigenous ways of knowing, being and doing. This reconfiguration is an ethical prerequisite for an approach that is genuinely strengths-based.
‘Good in the Hood’ or ‘Burn It Down’? Reconciling Black Presence in the Academy
Publisher: Informa UK Limited
Date: 04-03-2019
A multi-centre open-label randomised non-inferiority trial comparing watchful waiting to antibiotic treatment for acute otitis media without perforation in low-risk urban Aboriginal and Torres Strait Islander children (the WATCH trial): study protocol for a randomised controlled trial
Publisher: Springer Science and Business Media LLC
Date: 03-03-2016
Related Organisations
Related Funding Activities
The Trouble With Culture: Rationalizing Indigenous Health Inequality
Start Date: 2018
End Date: 2020
Funder: Australian Research Council
View Funded ActivityDiscovery Early Career Researcher Award - Grant ID: DE180100090
Start Date: 03-2018
End Date: 02-2021
Amount: $386,831.00
Funder: Australian Research Council
View Funded ActivityDiscovery Indigenous - Grant ID: IN210100008
Start Date: 05-2021
End Date: 05-2026
Amount: $1,776,000.00
Funder: Australian Research Council
View Funded Activity