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

{"title":"Prioritising the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples receiving home-based aged care: An exploratory study","authors":"Odette Pearson (Kuku Yalanji & Torres Strait Islander) ,&nbsp;Jonathon Zagler ,&nbsp;Matilda D’Antoine (Paakantyi) ,&nbsp;Tina Brodie (Yawarrawarrka & Yandruwandha) ,&nbsp;Kate Smith ,&nbsp;Aunty Martha Watts (Arabana) ,&nbsp;Tameeka Ieremia (Arabana) ,&nbsp;Graham Aitken (Yankunytjatjara) ,&nbsp;Alex Brown (Wadi Wadi & Yuin) ,&nbsp;Adriana Parrella","doi":"10.1016/j.fnhli.2024.100021","DOIUrl":"https://doi.org/10.1016/j.fnhli.2024.100021","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore community and workforce perspectives on how the Home Care Package (HCP) program supports the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander peoples.</p></div><div><h3>Methods</h3><p>This qualitative design study included semi-structured interviews and a focus group with Aboriginal and Torres Strait Islander peoples receiving an HCP (<em>n</em> = 15) and aged care workers providing service coordination to Aboriginal and Torres Strait Islander peoples (<em>n</em> = 7) across metropolitan, rural and remote areas of South Australia. Semi-structured interviews and the focus group took place between March 2022 and February 2023. Data were analysed using thematic analysis.</p></div><div><h3>Main findings</h3><p>Twenty-two participants were involved in this study. Seven themes representing how the HCP program supports, or could better support, the SEWB of clients were identified: 1) maintaining independence, 2) supporting grief and loss, 3) facilitating social connections, 4) promoting choice and control, 5) assessment and funding, 6) cross-sectoral support and 7) strengthening the workforce.</p></div><div><h3>Principal conclusions</h3><p>The findings contribute to a deeper understanding of the unique SEWB needs of Aboriginal and Torres Strait Islander peoples accessing home-based aged care services and have significant implications for current and future aged care reforms in Australia.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100021"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840624000123/pdfft?md5=285c6eaf94192d2e61947e4eda563cab&pid=1-s2.0-S2949840624000123-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243334","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":"Learning from COVID-19 communication with speakers of First Nations languages in Northern Australia: Yolŋu have the expertise to achieve effective communication","authors":"Anne Lowell ,&nbsp;Rachel Dikul Baker ,&nbsp;Rosemary Gundjarranbuy ,&nbsp;Emily Armstrong ,&nbsp;Alice Mitchell ,&nbsp;Brenda Muthamuluwuy ,&nbsp;Stuart Yiwarr McGrath ,&nbsp;Michaela Spencer ,&nbsp;Sean Taylor ,&nbsp;Elaine Läwurrpa Maypilama","doi":"10.1016/j.fnhli.2024.100033","DOIUrl":"10.1016/j.fnhli.2024.100033","url":null,"abstract":"<div><h3>Purpose</h3><div>Achieving effective communication about COVID-19 was recognised as crucial from the earliest stages of the pandemic. In the Northern Territory, where most First Nations residents primarily speak an Aboriginal language and few health staff share their languages and cultural backgrounds, achieving effective communication is particularly challenging. It is imperative that speakers of First Nations languages, who best understand their challenges and solutions, inform future health communication policy and practice. This study was conducted with one First Nations language group – Yolŋu<span><span>¹</span></span>, from North-East Arnhem Land – to share their experiences of COVID-19 communication.</div></div><div><h3>Methods</h3><div>Through a culturally responsive qualitative approach, a team of Yolŋu and other researchers engaged with Yolŋu community members and educators, and with Balanda<span><span>²</span></span> (non-Indigenous) staff who were involved in communicating about COVID-19 with Yolŋu. Data collection included in-depth interviews with 37 participants (27 Yolŋu, 10 Balanda) in their preferred languages, collaborative critical review of COVID-19 resources in Yolŋu languages, and documented researcher observations and reflections. The design was informed by extensive previous collaborative work in this context using culturally congruent methods.</div></div><div><h3>Main findings</h3><div>This study identified grave limitations in communication about COVID-19 with Yolŋu. COVID-19 communication was dominated by outsider prepared messages shared through social media and radio, often focusing on directives about what to do without explaining why. Inadequate engagement of Yolŋu in planning and implementation contributed to communication failure. Participants also identified how effective communication can be achieved: engaging local leaders and knowledge authorities at the outset to identify and implement locally relevant and feasible solutions; collaborative development of in-depth explanations matched to what Yolŋu want and need to know to make informed decisions; and face-to-face, ongoing communication in local languages by local educators, using communication processes aligned with Yolŋu cultural protocols and preferences.</div></div><div><h3>Principal conclusions</h3><div>Yolŋu have cultural knowledge, authority and processes to respond to health crises and communication challenges. However, during the COVID-19 pandemic, dominant culture health communication processes and priorities were privileged. Persisting with communication approaches that are not informed by relevant and available evidence is unethical and ineffective. Sustained community led approaches to health communication, supported by health services and systems, are crucial to achieve effective health communication with speakers of First Nations languages beyond the COVID-19 pandemic.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100033"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660219","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":"Challenges and lessons learnt implementing longitudinal studies of Aboriginal and Torres Strait Islander children and young people: A qualitative study","authors":"Catherine Lloyd-Johnsen ,&nbsp;Anita D’Aprano ,&nbsp;Sharon Goldfeld ,&nbsp;Sandra Eades Noongar","doi":"10.1016/j.fnhli.2024.100029","DOIUrl":"10.1016/j.fnhli.2024.100029","url":null,"abstract":"<div><h3>Purpose</h3><p>Scant attention has been paid to the experiences of researchers engaged in cohort studies of minority populations such as Indigenous children and their families. This qualitative study aimed to explore the practical challenges, strategies and solutions used by researchers representing 10 prospective cohort studies of Australian Aboriginal and Torres Strait Islander children and young people.</p></div><div><h3>Methods</h3><p>Eighteen researchers, 44.5% of whom identified as Aboriginal, were interviewed. Reflexive thematic analysis was conducted.</p></div><div><h3>Main findings</h3><p>Four overarching themes were generated from the dataset: (1) getting things just right; (2) build and nurture connections with community and staff; (3) ‘sit and yarn with them’: approaches to recruitment and retention; and (4) great responsibility. These themes underline the importance of developing early community partnerships to guide the scope and direction of the research, building a solid team of local Aboriginal researchers with community connections, and prioritising two-way learning and feedback loops from the beginning.</p></div><div><h3>Principal conclusions</h3><p>It is imperative to take a flexible and pragmatic approach to longitudinal studies involving Aboriginal children and their families that minimises participant burden while respecting local needs and priorities. Lessons learnt will be useful to new researchers undertaking, or planning to undertake, longitudinal research with First Nations populations.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100029"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840624000202/pdfft?md5=4e2f2c7ddb81bfda428df2112f862843&pid=1-s2.0-S2949840624000202-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044555","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":"Kaumātua (Elders) insights into Indigenous Māori approaches to understanding and managing pain: A qualitative Māori-centred study","authors":"Eva Morunga Te Rarawa, Ngā Puhi ,&nbsp;Debbie J. Bean Pākehā/New Zealand European ,&nbsp;Korina Tuahine Ngati Kahungunu ki Wairoa ,&nbsp;Karlee Hohepa Ngāpuhi/Tainui ,&nbsp;Gwyn N. Lewis Pākehā/New Zealand European ,&nbsp;Donald Ripia Ngāi Tūhoe, Ngāpuhi ,&nbsp;Gareth Terry Pākehā/New Zealand European","doi":"10.1016/j.fnhli.2024.100025","DOIUrl":"10.1016/j.fnhli.2024.100025","url":null,"abstract":"<div><h3>Purpose</h3><p>Chronic pain/mamae is a major public health problem worldwide, and disproportionately affects Indigenous populations impacted by colonisation. In Aotearoa New Zealand, Indigenous Māori experience a greater burden of chronic pain than non-Māori. However, pain services based on Western models are unlikely to adequately meet the needs of Indigenous peoples. Little is published about traditional Māori views of, or approaches to, managing mamae/pain, knowledge that is traditionally held by Kaumātua/Elders. Therefore, this study aimed to understand Kaumātua (Māori Elder) views on the effects of pain, traditional pain management practices and mātauranga Māori (Māori knowledge) relating to managing pain.</p></div><div><h3>Methods</h3><p>Fourteen Kaumātua participated in individual interviews or a hui/focus group. Methods honoured tikanga (Māori protocol) and centralised whanaungatanga (relationships). Interviews and the hui/focus group were transcribed, and reflexive thematic analysis was conducted.</p></div><div><h3>Main findings</h3><p>Three themes were developed: 1. <em>The multidimensional aspects of pain</em>. Pain stretched beyond the physical and encompassed emotional and mental trauma, wairua/spiritual pain, grief from the loss of loved ones, contamination of the environment or breaches of tikanga/protocol. Some mamae/pain was described as everlasting, passing between people or generations. 2<em>.Whakawhanaungatanga/relationships: Healing through connection.</em> Healing of pain was seen to occur through strengthening connections with people, the spiritual realm, the natural world and with papakāinga (one’s ancestral homeland). 3.<em>Tino Rangatiratanga/self-determination: Strength to self-manage pain.</em> Self-reliance to manage pain and self-determination to make health decisions were critical, and a stoical approach to pain was described. Stoicism was noted to avoid perceptions of weakness and burdening whānau/family, but may inhibit emotional expression, connection and healing.</p></div><div><h3>Principal conclusions</h3><p>Mātauranga Māori/Māori knowledge emphasises that pain and its healing should be considered multidimensional, incorporating physical, mental and relational components, existing in the spiritual realm and incorporating links between people, places, the past and future. Individuals may approach pain with a stoical approach, which has both positive and negative features. Pain services may wish to incorporate this knowledge of the spiritual, social and psychological aspects of pain and pain management to provide more meaningful care for people with pain.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100025"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840624000160/pdfft?md5=cbd4c06c3f060593a38cd4e02347defb&pid=1-s2.0-S2949840624000160-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949607","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":"‘We know what our communities need’: What the Indigenous health sector reveals about pandemic preparedness in urban Indigenous communities in Australia","authors":"Bronwyn Fredericks ,&nbsp;Abraham Bradfield ,&nbsp;James Ward ,&nbsp;Shea Spierings ,&nbsp;Sue McAvoy ,&nbsp;Troy Combo ,&nbsp;Agnes Toth-Peter","doi":"10.1016/j.fnhli.2024.100019","DOIUrl":"https://doi.org/10.1016/j.fnhli.2024.100019","url":null,"abstract":"<div><h3>Purpose</h3><p>In 2021, during the height of the COVID-19 pandemic, researchers from the University of Queensland sought greater understanding of how responses to the pandemic impacted the spread or mitigation of virus in Indigenous communities in southeast Queensland, Australia. This article used a systems thinking methodology to critically unpack the strengths and challenges associated with pandemic responses during COVID-19 in urban Brisbane, Australia.</p></div><div><h3>Methods</h3><p>The findings from three Indigenous-led workshops held in 2020 with Indigenous and non-Indigenous stakeholders from the urban health sector were documented. By visually mapping the dynamics that influence the outcomes of health responses, this study found that holistic understandings of complex problems such as COVID-19 can be gained, and more effective policy implemented. Drawing on the insights provided by stakeholders from state, federal and community representative bodies, it discussed how infection rates, socioeconomic conditions, age-specific responses, Indigenous participation and treatment in the workforce, media and communications, and vaccinations are key determinants that shape positive or adverse outcomes during pandemics.</p></div><div><h3>Main findings</h3><p>This research found by addressing issues relating to mobility; incentivising protective behaviours; engaging in coordinated responses; improving cultural literacy; and limiting overcrowding that preparedness and responses to COVID-19 and future pandemics may improve.</p></div><div><h3>Principal conclusion</h3><p>This study, led by Indigenous scholars at the University of Queensland, examines the health and social outcomes of Indigenous peoples and health workers during pandemics in urban settings. The study incorporates systems thinking, emphasising new approaches to complex problems. The research highlighted systemic challenges in pandemic responses, emphasising the need for policy reform, particularly in areas like housing. However, applying these insights into practice remains challenging, and further investigation into the practical application of systems thinking in Indigenous health is needed.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100019"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294984062400010X/pdfft?md5=549e50cdf73c36ca5c63b335a47a8664&pid=1-s2.0-S294984062400010X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249898","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":"Pre-testing a culturally adapted developmental outcome measure for Aboriginal and Torres Strait Islander children","authors":"Anita D’Aprano ,&nbsp;Leah Lindrea-Morrison (Yorta Yorta) ,&nbsp;Emma Stubbs (Pitjantjatjara, Yankunytjatjara, Arabana and Adnyamathanha) ,&nbsp;Jodie Bisset (Arabana and Eastern Arrernte) ,&nbsp;Alison Wunungmurra (Dhalwangu Yolngu) ,&nbsp;Cassie Boyle (Walmarnpa and Warumungu) ,&nbsp;Charmaine Hull (Adnyamathanha) ,&nbsp;Jeannie Campbell (Anmatjere) ,&nbsp;Marjorie Naylon (Western Arrernte) ,&nbsp;Raelene Brunette (Warumungu and Garrawa) ,&nbsp;Sam Simpson ,&nbsp;Isabel Brookes","doi":"10.1016/j.fnhli.2024.100034","DOIUrl":"10.1016/j.fnhli.2024.100034","url":null,"abstract":"<div><h3>Purpose</h3><div>Early childhood is of critical importance in building a foundation for children’s lifelong development. Developmental outcome measures used within dominant Western cultures lack cultural appropriateness and validity in the Australian Aboriginal and Torres Strait Islander population. The Ages &amp; Stages Questionnaire-STEPS for Measuring Aboriginal Child Development (ASQ-STEPS) is a culturally adapted developmental outcome measure that is being developed for Australian Aboriginal and Torres Strait Islander children aged one to four years. This paper aimed to describe the pre-testing process for the ASQ-STEPS prototype; the functionality of the ASQ-STEPS prototype in practice; and the acceptability of the culturally adapted Ages &amp; Stages Questionnaires, Third Edition (ASQ-3) items and accompanying illustrations for caregivers and practitioners in two Australian Aboriginal and Torres Strait Islander communities.</div></div><div><h3>Methods</h3><div>The study was conducted in partnership with two Aboriginal community-controlled health services. Participants included practitioners who would administer the ASQ-STEPS, caregivers and their children aged 1 to 48 months. Study measures included the ASQ-STEPS pre-testing prototype, observation record, post-administration meeting record and focus group/semi-structured interviews.</div></div><div><h3>Main findings</h3><div>Three practitioners and 18 caregivers participated. Of the 18 caregivers, 15 provided feedback through focus groups or interviews. The findings showed that the ASQ-STEPS was acceptable to caregivers and practitioners. They reported that the ASQ-STEPS items were clear and easy to understand. The caregivers and practitioners made several important recommendations for modifications to the culturally adapted ASQ-STEPS. This has led to an improved prototype ready for validation.</div></div><div><h3>Principal conclusions</h3><div>This pre-testing study found that caregivers and practitioners made several important recommendations for modifications to the culturally adapted ASQ-STEPS. This step has led to an improved prototype that is ready for validation and highlights the value of engaging and consulting with partners in the pre-testing phase, to better understand the community needs and co-create the final tool. To date, there has been a scarcity of literature providing detailed accounts of the pre-testing process in the cultural adaptation of a child development screening tool or outcome measure. While some studies outside this area have provided a more detailed framework to follow, this study includes a detailed account of the pre-testing process in the Aboriginal and Torres Strait Islander context, incorporating strong Aboriginal and Torres Strait Islander governance, which can be used as an example for future research projects.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100034"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704667","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":"Volume 2: Reclaiming First Nations Narratives","authors":"Catherine Chamberlain (Trawlwoolway/Palawa)","doi":"10.1016/j.fnhli.2024.100039","DOIUrl":"10.1016/j.fnhli.2024.100039","url":null,"abstract":"","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743041","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":"Resisting the incarceration of Aboriginal and Torres Strait Islander children: A scoping review to determine the cultural responsiveness of diversion programs","authors":"Lorelle Holland ,&nbsp;Claudia Lee ,&nbsp;Maree Toombs ,&nbsp;Andrew Smirnov ,&nbsp;Natasha Reid","doi":"10.1016/j.fnhli.2024.100023","DOIUrl":"10.1016/j.fnhli.2024.100023","url":null,"abstract":"<div><h3>Purpose</h3><div>National and global resistance opposes the criminalisation and punitive punishment of Aboriginal and Torres Strait Islander children with complex needs, including harmful incarceration practices of children as young as 10 years of age. The aim of this scoping review is to understand the available evidence regarding culturally responsive diversion programs for Aboriginal and Torres Strait Islander children.</div></div><div><h3>Methods</h3><div>Six databases were searched (PuBMed, Informit, Embase, CINAHL, Web of Science and PsycINFO). Further evidence was retrieved from Google Scholar and state and territory youth justice websites. Studies met criteria if they were from Australia, were diversion programs and included Aboriginal and Torres Strait Islander children aged between 10 to 18 years of age. The cultural responsiveness of the included diversion programs was synthesised by applying a decolonised and Indigenist Social and Emotional Wellbeing (SEWB) Framework. Studies were assessed according to seven domains of the SEWB Framework.</div></div><div><h3>Main findings</h3><div>Thirty-one studies met inclusion criteria. Fifteen types of diversion programs were identified, and they varied widely in their cultural responsiveness. Ten studies were scored in the high range, 16 studies were scored in the medium range and five studies were scored in the low range in cultural responsiveness.</div></div><div><h3>Principal conclusions</h3><div>A range of different types of diversionary programs were evaluated. Culturally responsive programs were Indigenous-led, placed based, holistic, life-course, and healing and family centred.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100023"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846306","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":"Diabetes-related foot interventions to improve outcomes for Indigenous peoples in high-income countries: A scoping review","authors":"Michele Garrett ,&nbsp;Belinda Ihaka Te Aupōuri ,&nbsp;Rinki Murphy ,&nbsp;Timothy Kenealy","doi":"10.1016/j.fnhli.2024.100031","DOIUrl":"10.1016/j.fnhli.2024.100031","url":null,"abstract":"<div><h3>Purpose</h3><p>Indigenous peoples from high income countries experience health disparities attributable to the ongoing legacy of colonisation and racism, including higher rates of diabetes and associated complications, including diabetes foot disease, in comparison to the relevant resident population. Providing culturally safe care through well-organised diabetes foot interventions can improve outcomes. This scoping review describes the range of publications detailing diabetes foot interventions that incorporated Indigenous peoples.</p></div><div><h3>Methods</h3><p>This scoping review followed the PRISMA-Scoping Review guide. Indigenous Māori perspectives were included in all stages of the review. Eligible publications described diabetes foot interventions that included Indigenous peoples from high-income countries. Key study characteristics included country, Indigenous population, intervention description, foot-related outcomes, and alignment with the CONSIDER statement domains for reporting on Indigenous involvement in health research.</p></div><div><h3>Main findings</h3><p>A total of 32 publications met the eligibility criteria, with publications from Australia (n = 14), Canada (n = 6), USA (n = 6), New Zealand (n = 2), Greenland (n = 2) and Nauru (n = 2). Primary prevention interventions were predominant (n=20) with a focus on increasing foot screening rates (n=16). Other interventions included health promotion and education (n=4), comprehensive foot interventions (n=5), foot care services embedded in undergraduate podiatry education, a diabetic foot ulcer management protocol, and a service brokerage model. Only 2 studies of the 29 evaluated reported all the CONSIDER statement domains.</p></div><div><h3>Principal conclusions</h3><p>Few publications described improved outcomes for Indigenous peoples and most interventions for diabetes-related foot disease overlooked Indigenous perspectives and health beliefs concerning feet. The CONSIDER statement provides useful guidance for all stages of research with Indigenous peoples and our findings suggest reporting Indigenous engagement could be strengthened.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100031"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840624000226/pdfft?md5=5230ad3b44d7f5c1ebdd1d82989d4a4f&pid=1-s2.0-S2949840624000226-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048158","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":"Considering First Nations LGBTIQ+ identity in anti-racist healthcare: Relations between comfort in healthcare, microaggressions and wellbeing","authors":"Bep Uink (Noongar) ,&nbsp;Rebecca Bennett (non-Aboriginal) ,&nbsp;Sian Bennett (Gamilaroi) ,&nbsp;Dameyon Bonson (Aboriginal and Torres Strait Islander) ,&nbsp;Braden Hill (Nyungar Wardandi)","doi":"10.1016/j.fnhli.2024.100027","DOIUrl":"10.1016/j.fnhli.2024.100027","url":null,"abstract":"<div><p>First Nations scholars and practitioners have increasingly called for anti-racist healthcare to address disparate health outcomes between First Nations and non-First Nations Australians. However, these arguments largely miss the significant negative impact that colonial heterosexism and cisgenderism (i.e. discrimination and marginalisation of queer and transgender peoples) have on LGBTIQ+ (lesbian, gay, bisexual, transgender, intersex, queer/questioning) First Nations peoples’ wellbeing. To address this gap, survey data from 63 First Nations LGBTIQ+ adults in Western Australia were utilised to illustrate the impact of racism, heterosexism and cisgenderism in healthcare settings on First Nations LGBTIQ+ peoples’ wellbeing. This study examined relations between participant wellbeing and 1) their comfort in being asked about their LGBTIQ+ and First Nations identity by a health provider, and 2) their experiences of race-based and LGBTIQ+-based discrimination (microaggressions) in broader community settings. Higher comfort in being asked about LGBTIQ+ identity was associated with higher wellbeing, whereas experiencing LGBTIQ+-based microaggressions within First Nations communities was associated with lower wellbeing. These findings add to the literature by showing that First Nations LGBTIQ+ patients experience additional discrimination. This paper also discusses findings with reference to settler-colonial racism (i.e. the racism enacted against First Nations LGBTIQ+ peoples to maintain settler norms and control) and offers suggestions for updating anti-racist healthcare.</p></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"2 ","pages":"Article 100027"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949840624000184/pdfft?md5=f0ba581787110fa4cd9ce23d40b205bf&pid=1-s2.0-S2949840624000184-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048443","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}