Validated and culturally specific screening tools and early response programs for the detection and prevention of eating disorders among First Nations peoples in Australia: a scoping review.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Mark John Castro, Zyana Gall, Alana Gall, Hilary Smith, Kanita Kunaratnam
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引用次数: 0

Abstract

Background: Eating disorders (EDs) are complex mental health conditions that can have severe health consequences, exacerbating the overall disease burden and causing significant economic impacts on healthcare systems. Globally, cultural and societal factors influence the presentation and management of these disorders, necessitating culturally specific approaches to screening and prevention. Among First Nations peoples in Australia, the intersection of historical, cultural, and social factors offers both context and strength in addressing EDs, while also presenting distinct challenges in identification and prevention.

Objective: This scoping review seeks to map and evaluate existing research on culturally specific and validated screening tools and early response programs tailored for the prevention and detection of EDs among the First Nations population in Australia. The goal is to acquire relevant information and identify gaps that need to be addressed in the literature to develop standardised screening tools and early response programs that are validated, effective, and culturally sensitive.

Design: A literature search was conducted through seven online academic databases (PubMed, MEDLINE, PsycINFO, Scopus, Web of Science, CINAHL, and Informit) and included publications from 2009 to 2024. The search strategy focused on ED prevention strategies among First Nations peoples in Australia, with emphasis on screening tools and early response programs.

Results: The scoping review found no culturally specific and validated screening tools and early response programs exist that have been specifically developed for First Nations peoples in Australia. After removing the cultural specificity criterion, seven studies were found that utilised six different screening tools and one early response program. Participant demographics across these studies were predominantly Caucasians or non-Indigenous, with First Nations individuals being underrepresented in sample sizes.

Conclusion: The findings reveal significant gaps in literature on culturally specific screening tools and early response programs for eating disorders among First Nations peoples in Australia. Existing studies often underrepresent these populations and rely on tools designed for non-Indigenous groups, questioning the generalisability of the effectiveness to First Nations peoples in Australia. This review emphasises the need for future research to adopt culturally competent methodologies led by First Nations peoples. Developing culturally specific tools and programs is crucial for improving health outcomes and achieving equitable mental health within Australian healthcare systems, ensuring that resources are justly distributed.

Abstract Image

Abstract Image

澳大利亚第一民族饮食失调的检测和预防的有效的文化特异性筛查工具和早期反应方案:范围审查。
背景:饮食失调(EDs)是一种复杂的精神健康状况,可产生严重的健康后果,加剧整体疾病负担,并对卫生保健系统造成重大经济影响。在全球范围内,文化和社会因素影响着这些疾病的表现和管理,因此需要采取具有文化特色的筛查和预防方法。在澳大利亚的原住民中,历史、文化和社会因素的交集为解决ed提供了背景和力量,同时也在识别和预防方面提出了独特的挑战。目的:本综述旨在绘制和评估针对澳大利亚原住民预防和检测ed的文化特异性和有效筛查工具和早期反应计划的现有研究。目标是获取相关信息并确定文献中需要解决的差距,以开发标准化的筛查工具和早期反应计划,这些工具和计划经过验证,有效且具有文化敏感性。设计:通过七个在线学术数据库(PubMed、MEDLINE、PsycINFO、Scopus、Web of Science、CINAHL和Informit)进行文献检索,包括2009年至2024年的出版物。搜索策略侧重于澳大利亚第一民族的ED预防策略,重点是筛查工具和早期反应计划。结果:范围审查发现,没有文化特异性和有效的筛选工具和早期反应方案是专门为澳大利亚的第一民族开发的。在去除文化特异性标准后,发现有七项研究使用了六种不同的筛选工具和一种早期反应计划。这些研究的参与者主要是高加索人或非土著居民,第一民族的个体在样本量中代表性不足。结论:研究结果表明,在澳大利亚原住民饮食失调的文化特异性筛查工具和早期反应计划方面,文献存在重大差距。现有的研究往往不足以代表这些人群,并且依赖于为非土著群体设计的工具,质疑对澳大利亚第一民族的有效性的普遍性。这篇综述强调,未来的研究需要采用由第一民族领导的具有文化竞争力的方法。开发具有文化特色的工具和项目对于改善健康结果和在澳大利亚医疗保健系统内实现公平的心理健康至关重要,确保资源得到公正分配。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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