First Nations Health and Wellbeing - The Lowitja Journal最新文献

{"title":"An Arrernte researcher’s perspective and reflection on collecting and analysing Aboriginal patient experiences in hospital in Mparntwe/Alice Springs","authors":"Colleen Hayes (Arrernte/Anmatyerre/Kaytetye)","doi":"10.1016/j.fnhli.2026.100126","DOIUrl":"10.1016/j.fnhli.2026.100126","url":null,"abstract":"<div><div>This Research Note provides an insight into research conducted in Central Australia from my perspective as an Arrernte woman communicating and engaging with Aboriginal liaison officers, Aboriginal patients and staff at Alice Springs Hospital. This paper presents my own cultural worldview, in everything I do, every day. It encompasses intricate layers of values, principles and Indigenous standpoint representing profound connections to Country and culture. It presents my reflections on relationship and kinship networks and on behaviours of each Aboriginal person. Such an approach allowed me to apply the critical first steps of engagement that include the rules, boundaries and protocols of Aboriginal communication. Much of the research approach was based on <em>Akangkwe-irreme</em> (a concept of Arrernte peoples about listening deeply to story) as told by Eastern Arrernte Elder, Mrs Kathleen Wallace.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding cultural safety in mainstream health services for Aboriginal and Torres Strait Islander children, young people and their families: A rapid review and thematic synthesis","authors":"Helen Milroy ,&nbsp;Hayley Jackson ,&nbsp;Thomas Betts ,&nbsp;Lisa Buckley-Kickett ,&nbsp;Louise Delane ,&nbsp;Gracie Cayley ,&nbsp;Rebekah Morrison ,&nbsp;Tamara Lipscombe ,&nbsp;Shraddha Kashyap ,&nbsp;Jemma Collova ,&nbsp;Ashleigh Lin ,&nbsp;Sean Hood ,&nbsp;Mathew Coleman ,&nbsp;Nita Alexander ,&nbsp;Jeneva Ohan","doi":"10.1016/j.fnhli.2026.100125","DOIUrl":"10.1016/j.fnhli.2026.100125","url":null,"abstract":"<div><h3>Purpose</h3><div>As in all colonised nations, Aboriginal and Torres Strait Islander children and young people face higher rates of mental health challenges and medical conditions than non-Indigenous youth. Strengthening cultural safety in healthcare services is increasingly being recognised as essential to addressing these disparities and improving service delivery. This rapid review sought to synthesise existing evidence on the components of culturally safe healthcare for Aboriginal and Torres Strait Islander children and young people aged 0 to 25 years.</div></div><div><h3>Methods</h3><div>PubMed, Web of Science, Embase, PsycINFO, CINAHL and ATSIHEALTH were searched to identify peer-reviewed articles published up to November 2024. Eligible studies explored characteristics of culturally safe health services from the perspectives of service users (Aboriginal and Torres Strait Islander children and young people aged 0 to 25 years), their families and Indigenous staff within these services. The quality of included studies was assessed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool, and thematic synthesis was used to develop themes.</div></div><div><h3>Main findings</h3><div>Twenty studies were included in the review. Six themes were identified. Cultural safety in healthcare requires culturally responsive communication and a capable, well-supported workforce that includes Aboriginal and Torres Strait Islander staff at all levels. Care must centre families and communities, acknowledging and embedding kinship systems and cultural values. Strong Indigenous governance and service-led community engagement are essential. While representations of culture in service environments are essential, true cultural safety requires integrating Aboriginal and Torres Strait Islander knowledges and healing practices throughout care.</div></div><div><h3>Principal conclusions</h3><div>The findings highlight the critical role of a capable and culturally responsive workforce and visible representations of culture in healthcare settings to foster safety. These efforts must be complemented by broader service-level and system-level reforms that formalise cultural governance, embed Aboriginal and Torres Strait Islander cultural values, and deliver care that is responsive to the strengths and needs of families.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100125"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding racism in healthcare and moving towards cultural safety and self-determination","authors":"Catherine Chamberlain (Trawlwoolway/Palawa) ,&nbsp;Waikaremoana Waitoki (Ngāti Hako, Ngāti Mahanga)","doi":"10.1016/j.fnhli.2026.100130","DOIUrl":"10.1016/j.fnhli.2026.100130","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100130"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148241163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the cultural, social and political determinants of health and their benefits for BlaQ self-determination","authors":"Jennifer Evans ,&nbsp;Péta Phelan","doi":"10.1016/j.fnhli.2025.100115","DOIUrl":"10.1016/j.fnhli.2025.100115","url":null,"abstract":"<div><h3>Purpose</h3><div>BlaQ people<span><span>¹</span></span> and communities face intersecting, multiple and compounding discrimination, which impacts BlaQ social and emotional wellbeing, and family, community and Country connections. BlaQ perspectives and lifeworlds are excluded in current cultural, social and political determinants of health domains, understandings and Indigenous wellbeing models. Self-determining rights of BlaQ peoples are limited as there is no treaty or convention that specifically focuses on the rights of BlaQ peoples. A preliminary model has been proposed for understanding and advancing the cultural, social and political determinants of health for BlaQ identifying people and the benefits it may bring for BlaQ self-determination and health and wellbeing.</div></div><div><h3>Methods</h3><div>A Queer Indigenous standpoint theoretical framework was used, and a critical and reflexive literature review and thematic analysis that prioritised BlaQ scholarship was used to create the preliminary BlaQ cultural, social and political determinants domains and their benefits for self-determination.</div></div><div><h3>Main findings</h3><div>A preliminary model for BlaQ cultural, social and political determinants domains has been proposed that centres the concept that BlaQ strong culture and health is enabled when cultural, social and political determinants are interconnected. This review and analysis demonstrated that the model has multiple benefits for BlaQ self-determination and can provide a preliminary model for action for BlaQ health justice, equity, safety and inclusion.</div></div><div><h3>Principal conclusions</h3><div>The model provides a preliminary approach to understanding and addressing health determinants for BlaQ people and communities. Future research is required to further consider the model and its potential application.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100115"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘We care about culture, connection, and making girls feel amazing': A program evaluation using the RE-AIM framework","authors":"Jenne Roberts ,&nbsp;Hayley Longbottom ,&nbsp;Cleone Wellington ,&nbsp;Sue Kildea ,&nbsp;Yu Gao ,&nbsp;Lynne Dooley ,&nbsp;Betty Smith ,&nbsp;Yvette Roe","doi":"10.1016/j.fnhli.2025.100099","DOIUrl":"10.1016/j.fnhli.2025.100099","url":null,"abstract":"<div><div>This study evaluated a health and wellbeing program for First Nations girls and young women implemented by an Aboriginal community-controlled health organisation. The evaluation used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.</div><div>In-depth, semi-structured interviews were conducted with 39 key informants, including program participants and implementers. The program reached 59% of the target group. The design and implementation were grounded in Indigenous philosophies of collective and relational flourishing. Through participation, individuals strengthened connections and established trusting relationships. Storytelling and yarning enabled participants to locate themselves in an ongoing narrative that mapped their family and community history. Schools with aspirations aligned with the program goals adopted it, although implementation was hampered by COVID-19 restrictions. The program applied a sophisticated understanding of strengths-based practice, relationality, and the role of resistance and resilience to meet the participants’ needs.</div><div>The evaluation provides evidence supporting the effectiveness of the program and highlights the factors contributing to its success. The findings highlight that effective programs for young women in urban settings embed connection to culture and identity at their core. It illustrates the value of Aboriginal community-controlled service delivery. When implementing or funding similar programs, two main insights should guide decisions. Firstly, the focus must be on cultural continuity and empowerment. Secondly, success depends on removing practical barriers and engaging participants through interactions that are affirming, fun and inspiring.</div><div>The leadership and knowledge of Aboriginal collaborators throughout the research and writing process were key to producing a rigorous and relevant evaluation.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating care through connection: How patient navigators strengthen the care experiences of Aboriginal and Torres Strait Islander peoples living with kidney failure","authors":"Matilda D’Antoine (Paakantyi) ,&nbsp;Isabelle Haklar ,&nbsp;Madison Cachagee (Mushkegowuk) ,&nbsp;Katie Cundale ,&nbsp;Samantha Bateman ,&nbsp;Stephen McDonald ,&nbsp;Janet Kelly ,&nbsp;Kim O’Donnell (Malyangapa, Barkindji) ,&nbsp;Shilpanjali Jesudason ,&nbsp;Isaac Brown (Yuin) ,&nbsp;Kynesha Temple (Ngarrindjeri, Narungga) ,&nbsp;Jampitjinpa Ross (Walpiri) ,&nbsp;David Croker (Anmatjere, Walpiri, Jingili) ,&nbsp;Neil Wilkshire (Warrumangu, Luritja) ,&nbsp;Peter Henwood (Muk Muk Maranrunggu) ,&nbsp;Cedrina Algy (Gurrindji) ,&nbsp;Rhanee Lester (Adnyamathanha) ,&nbsp;Kate Tyrell ,&nbsp;Heather Hall ,&nbsp;Michelle Misener ,&nbsp;Kelli Owen (Kaurna, Narungga and Ngarrindjeri)","doi":"10.1016/j.fnhli.2025.100101","DOIUrl":"10.1016/j.fnhli.2025.100101","url":null,"abstract":"<div><h3>Purpose</h3><div>Evidence suggests that patient navigators (PNs) can improve patient engagement, emotional wellbeing and clinical outcomes. This study explored how PNs influence the care experiences of Aboriginal and Torres Strait Islander peoples living with kidney failure, from the perspectives of patients and health service staff.</div></div><div><h3>Methods</h3><div>Qualitative data were collected through kidney journey mapping and yarning interviews across four kidney health services employing PNs in the Northern Territory and South Australia. Data were thematically analysed to understand patient care experiences with and without PN support.</div></div><div><h3>Main findings</h3><div>Patients reported challenges around inadequate communication, difficulty accessing appropriate services and support, poor cultural safety, and the emotional toll of treatment. Support included family and patient networks, positive relationships with health staff, and holistic models of care. PNs played a supportive role by sharing their kidney journey experiences, providing cultural connection, peer support and bridging systemic gaps.</div></div><div><h3>Principle conclusions</h3><div>PNs strengthened patient care experiences by addressing service gaps, improving cultural support and sharing from lived experience. Embedding PNs into standard kidney care is a critical step toward achieving culturally safe, equitable and responsive health systems.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aboriginal community researchers: A short report on the research training program and research experience with the Virtual Rural Generalist Service evaluation","authors":"Anna Thompson ,&nbsp;Andrew Carroll (Gamilaraay) ,&nbsp;Deborah Kenna OAM (Gamilaraay) ,&nbsp;Elizabeth Kennedy-Williams (Gamilaroi) ,&nbsp;Shirley-Ann Merritt (Wiradjuri) ,&nbsp;John Skinner ,&nbsp;Carmen Parter (Murri) ,&nbsp;Cara Cross (Worimi and Biripai) ,&nbsp;Georgina M. Luscombe ,&nbsp;Emily Saurman","doi":"10.1016/j.fnhli.2025.100102","DOIUrl":"10.1016/j.fnhli.2025.100102","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"4 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring resilience using Strong Souls in the Longitudinal Study of Indigenous Children: Evaluating psychometric properties using a Rasch measurement approach","authors":"Ella Gorman ,&nbsp;Roz Walker ,&nbsp;Helen Davis ,&nbsp;Carrington C.J. Shepherd ,&nbsp;Rhonda Marriott (Nyikina)","doi":"10.1016/j.fnhli.2024.100037","DOIUrl":"10.1016/j.fnhli.2024.100037","url":null,"abstract":"<div><h3>Purpose</h3><div>Rigorously evaluated psychometric instruments are necessary to measure constructs relevant to wellbeing, such as resilience. The availability of high-quality instruments for use with Aboriginal young people in Australia is growing but remains limited. This study used data from the Longitudinal Study of Indigenous Children (LSIC) to psychometrically evaluate the Resilience subscale from the social and emotional wellbeing (SEWB) instrument, Strong Souls, for a nationwide sample of Aboriginal adolescents, using alternative psychometric methods to previous research.</div></div><div><h3>Methods</h3><div>Using a Rasch measurement approach, cross-sectional data from Wave 9 of LSIC were used to ascertain the psychometric properties of the Resilience subscale from Strong Souls. Using the responses from 516 Aboriginal young people (age 11.5 to 13 years) to the 12-item scale, Rasch techniques were applied to determine item independence, response category adequacy, differential item functioning (DIF), person and item reliability, item fit and unidimensionality. Two versions of the instrument were evaluated: the full 12-item version, as completed by participants, and an 8-item version, as recommended for use by previous research based on different psychometric methods.</div></div><div><h3>Main findings</h3><div>Both versions of the instrument met several Rasch model requirements for reliable measurement, including demonstrations of unidimensionality (first off factor construct &lt; 2), item independence (all items Q_3∗ &lt; 0.30), and item fit statistics within an acceptable range (0.60 &lt; X &lt; 1.40). However, both instrument versions displayed less adequate person separation (PSI) and reliability (PRI) statistics (12-item scale: PSI = 1.18, PRI = 0.58; 8-item scale: PSI = 0.71, PRI = 0.33).</div></div><div><h3>Principal conclusions</h3><div>Using a Rasch measurement approach to psychometrically evaluate the Strong Souls Resilience subscale in a sample of Aboriginal young people from LSIC, this study provided novel evidence of the functioning of this popular instrument from an alternative psychometric perspective. With mixed results regarding meeting Rasch recommendations, these findings provide a strong evidence base for psychometric strengths as well as opportunities to improve the robustness of this instrument, and ultimately offer a tool that can more accurately inform services, policy and practice to effectively support resilience and wellbeing in Aboriginal young people.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Nations parents’ experiences of COVID-19 and associations with symptoms of complex post-traumatic stress disorder","authors":"Christina L. Heris ,&nbsp;Taylor Glover (Dharawal) ,&nbsp;Tess Bright ,&nbsp;Simon Graham (Narungga) ,&nbsp;Shannon K. Bennetts ,&nbsp;Kimberley A. Jones ,&nbsp;Michelle Kennedy (Wiradjuri) ,&nbsp;Caroline Atkinson (Bundjalung) ,&nbsp;Catherine Chamberlain (Trawlwoolway)","doi":"10.1016/j.fnhli.2025.100086","DOIUrl":"10.1016/j.fnhli.2025.100086","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine associations between First Nations parents’ experiences during the COVID-19 pandemic and symptoms of complex post-traumatic stress disorder (C-PTSD).</div></div><div><h3>Methods</h3><div>First Nations parents (<em>n</em> = 110) completed a 90-minute telephone interview between October 2021 and July 2022. Parents self-reported their PTSD or C-PTSD symptoms using the International Trauma Questionnaire (categorised as no/low vs. high levels), COVID-19 events (e.g. testing, diagnosis, isolation) and perceived socioemotional changes in life situation (e.g. quality of relationships) compared with before the pandemic. Logistic regression analysed associations between C/PTSD symptoms (outcome) and demographic factors, COVID-19 events, perceived socioemotional changes since COVID-19 (exposures).</div></div><div><h3>Main findings</h3><div>More than a quarter (27%) of parents reported high levels of C-PTSD/PTSD symptoms. Most (90%) reported at least one COVID-19 event. Parents who had experienced worsening racism and inequality since the pandemic (OR 0.29, 95% CI 0.11–0.79) or held a Health Care Card (OR 0.27, 95% CI 0.10–0.74) were significantly less likely to report no/low levels of C-PTSD/PTSD symptoms.</div></div><div><h3>Principal conclusions</h3><div>Financial stress, racism and inequality were associated with increased trauma symptoms, highlighting the importance of implementing trauma-informed public health emergency responses during a pandemic. Those who had fewer disruptions to cultural practices were more likely to be resilient to the stressors of the pandemic, reinforcing the need for a culturally-responsive, trauma-informed public health emergency framework for First Nations communities. Emergency responses that address these factors while optimising safe opportunities to maintain cultural obligations and social connection are essential.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"These mob here have integrity; they genuinely care about the people: Service users’ and care providers’ perspectives on enablers of good chronic disease care for Aboriginal and Torres Strait Islander peoples","authors":"Sarah Catherine Bourke (Gamilaroi, Jaru, Gidja) ,&nbsp;Deborah Wong ,&nbsp;Uday Narayan Yadav ,&nbsp;Andrea Timothy ,&nbsp;Chelsea Liu ,&nbsp;Abby-Rose Cox (Kija, Nimanburru) ,&nbsp;Rosemary Wyber","doi":"10.1016/j.fnhli.2025.100063","DOIUrl":"10.1016/j.fnhli.2025.100063","url":null,"abstract":"<div><div>Research about Aboriginal and Torres Strait Islander chronic disease management in primary healthcare services rarely considers the perspectives of service users in identifying what works. This research aimed to elevate the voices of clients and providers from high performing primary healthcare services (termed Lighthouse Services) around Australia about the successes and opportunities for improvement in chronic disease management for Aboriginal and Torres Strait Islander peoples. Seventy-five individuals, representing clients (<em>n</em> = 29), their carers (<em>n</em> = 7) and health providers (<em>n</em> = 39), from four Lighthouse Services participated in in-depth focus groups and interviews conducted by the researchers and local partners. The transcripts of these discussions were reviewed in NVivo 14 (<span><span>https://lumivero.com/products/nvivo/</span><svg><path></path></svg></span>) using reflexive thematic analysis to identify key themes representing their lived experiences.</div><div>Access, Communication, Systems, Hub and spokes, Relationships and Workforce were the six themes chosen to represent the range of personal experiences about what works for managing chronic disease at the primary healthcare level. Services that effectively employed a holistic patient-centred model of care, provided culturally safe spaces and were connected to and involved in the community were viewed as providing good care for their clients. The findings of this study support existing literature and make an important new contribution by focusing on the insights of clients, carers and service providers about what and why different aspects of chronic disease care work. It is suggested that this research approach would be beneficial across a range of other settings (e.g. non-Aboriginal community-controlled health organisations and urban services) and conditions (e.g. acute care, social and emotional wellbeing) to enhance Aboriginal and Torres Strait Islander health outcomes.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}