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

{"title":"A methodological approach to generate local solutions that promote Aboriginal and Torres Strait Islander social and emotional wellbeing on Kaurna Country, Australia","authors":"Anna Dawson ,&nbsp;Eugene Warrior (Kokatha/Narungga) ,&nbsp;Odette Pearson (Kuku Yalanji/Torres Strait Islander) ,&nbsp;Mark Boyd ,&nbsp;Judith Dwyer ,&nbsp;Kim Morey (Anmatyerre/Eastern Arrernte) ,&nbsp;Tina Brodie (Yawarrawarrka/Yandruwandha) ,&nbsp;Kurt Towers (Wiradjuri) ,&nbsp;Sonia Waters (descendent of three generations of Stolen Generations women, with connection to Ooldea on the Far West Coast of South Australia) ,&nbsp;Cynthia Avila ,&nbsp;Courtney Hammond (Eastern Arrernte/Tanganekald) ,&nbsp;Katherine Lake ,&nbsp;Uncle Frank Lampard (Ngarrindjeri/Kaurna) ,&nbsp;Uncle Frank Wanganeen (Kaurna/Narungga) ,&nbsp;Olive Bennell (Wiradjuri) ,&nbsp;Darrien Bromley (Narungga/Adnyamathanha) ,&nbsp;Toni Shearing (Narungga/Kokatha) ,&nbsp;Nathan Rigney (Ngarrindjeri) ,&nbsp;Schania Czygan (Kuku Yalanji) ,&nbsp;Nikki Clinch (Badimia/Yamatji) ,&nbsp;Alex Brown (Yuin)","doi":"10.1016/j.fnhli.2025.100043","DOIUrl":"10.1016/j.fnhli.2025.100043","url":null,"abstract":"<div><div>Aboriginal and Torres Strait Islander communities are diverse, strong and faced with adverse social circumstances and unacceptable health and wellbeing outcomes wrought by colonisation. The need for strengths-based initiatives that tailor services according to local knowledges is well accepted, yet few studies have evaluated self-determined strategies to redress the social determinants of health. We describe a research approach where principles of Indigenous methodology guide application of implementation science methods to generate, implement and evaluate local solutions from the perspectives of Aboriginal and Torres Strait Islander peoples. Partnerships with local communities and service organisations are paramount. The co-design phase collected critical insights regarding community needs, challenges and service gaps, and identified shortfalls in local strategic policy. A co-designed theory of systems change articulates mechanisms to strengthen policy, optimise the health and social service system, and empower and connect communities. A developmental approach to the implementation and evaluation of individual, community and service system initiatives will generate new evidence regarding efforts to tackle social factors and promote wellbeing.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100043"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697482","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":"Empirical assessment of cultural safety within Australian hospitals highlights the impact of access to Aboriginal hospital liaison officers on the experiences of Aboriginal patients","authors":"Elissa Elvidge ,&nbsp;Steven L. Taylor ,&nbsp;Kiara Harvey ,&nbsp;Yeena Thompson ,&nbsp;Jessica Armao ,&nbsp;Geraint B. Rogers ,&nbsp;Amy Creighton ,&nbsp;Yin Paradies","doi":"10.1016/j.fnhli.2025.100061","DOIUrl":"10.1016/j.fnhli.2025.100061","url":null,"abstract":"<div><h3>Purpose</h3><div>Ensuring access to hospital services that are culturally safe is imperative for improving Aboriginal and Torres Strait Islander health outcomes. Addressing failings within existing services relies on the ability to prioritise areas for improvement in a methodologically robust manner that reflects the experiences of Indigenous service users. The construct and content validity of the Cultural Safety Survey, a mixed-methods questionnaire-based tool that captures the lived experiences of First Nations peoples attending hospital, was previously established. This study aimed to identify hospital and participant characteristics associated with positive or negative experiences of care.</div></div><div><h3>Methods</h3><div>Study sites included 49 hospitals in New South Wales, either through direct engagement with the hospital or opportunistic participant recruitment. A total of 413 participants took part in the study; 307 completed the whole survey and 298 of them had complete hospital and demographic data for analysis. Multivariable ordinal logistic regression was used to identify contributors to composite and domain-specific cultural safety scores. Assessed variables included respondent age, gender, distance travelled, attendance capacity (patient or visitor), hospital size, remoteness and socioeconomic status of location. Additional analysis assessing reported interaction with an Aboriginal hospital liaison officer (AHLO) on cultural safety scores was also performed.</div></div><div><h3>Main findings</h3><div>Of 413 participants, 298 provided complete demographic and hospital data, and confirmed informed consent. Responses related to 49 separate hospitals in New South Wales. Participant age and level of interaction with an AHLO showed a consistently positive association with cultural safety score. A unit increase in age was associated with 51.3% increased odds of a higher overall cultural safety score (<em>P</em> = .0012). Similarly, each unit increase in AHLO interaction was associated with 89.3% greater likelihood of a higher cultural safety score (<em>P</em> = .0031). Other variables – including higher socioeconomic advantage, female gender, and a shorter distance travelled – were positively associated with specific cultural safety domains. Respondent comments captured in the free text component of the questionnaire were consistent with quantitative findings.</div></div><div><h3>Principal conclusions</h3><div>The findings highlight the importance of access to an AHLO when visiting hospital. More generally, the ability to quantify the performance of hospital services based on the experiences of Indigenous end-users, and to identify factors that contribute to the nature of those interactions, provides a potential guide for impactful service reform.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169613","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":"First Nations perspectives about youth pregnancy and parenthood in Western Sydney, Australia: A qualitative study","authors":"Simon Graham (Narungga) ,&nbsp;Kacey Martin (Ngāti Pikiao) ,&nbsp;Kristy Gardner (Kamilaroi) ,&nbsp;Mitchell Beadman (Yuin and Wonnarua) ,&nbsp;Michael F. Doyle (Bardi) ,&nbsp;Reuben Bolt (Yuin, Wandandian, Ngarigo) ,&nbsp;Dean Murphy ,&nbsp;Stephen Bell ,&nbsp;Carla Treloar ,&nbsp;Annette J. Browne ,&nbsp;Peter Aggleton ,&nbsp;Karen Beetson (Mandandanji) ,&nbsp;Megan Brooks ,&nbsp;Jessica R. Botfield ,&nbsp;Ben Davis ,&nbsp;Jessica Wilms (Wiradjuri) ,&nbsp;Bronwyn Leece ,&nbsp;Linda Stanbury ,&nbsp;Joanne Bryant","doi":"10.1016/j.fnhli.2025.100047","DOIUrl":"10.1016/j.fnhli.2025.100047","url":null,"abstract":"<div><h3>Purpose</h3><div>Significant improvements have been made in Aboriginal and Torres Strait Islander peoples’ (First Nations) maternal and perinatal outcomes over the past decade, such as decreasing rates of smoking and preterm birth and increasing birthweights. In Australia, higher rates of adolescent pregnancy are reported among First Nations compared with non-First Nations people. Having a baby during adolescence (youth pregnancy) increases the risk of poorer maternal and perinatal outcomes, including social outcomes such as poverty and educational attainment. This study examined First Nations peoples’ perspectives about youth pregnancy and parenthood in Western Sydney, Australia.</div></div><div><h3>Methods</h3><div>Sixty-eight First Nations people aged ≥16 years living in Western Sydney, Australia were interviewed in 2019–20. Interview data were analysed using thematic analysis.</div></div><div><h3>Main findings</h3><div>Approximately half of the participants were aged ≥18 years. Most participants lived with family and around half were high school students. Four themes relating to youth pregnancy and parenthood were identified: 1) youth pregnancy was normalised (e.g. ‘There’s always some young person in [the] community pregnant, if not several… it’s celebrated as well. It’s not so much of a negative thing’); 2) a desire to avoid youth pregnancy (e.g. ‘I think young people try and avoid pregnancy because they don’t wanna be a teen mum’); 3) gendered experiences of youth pregnancy and parenthood (e.g. ‘I don’t think a teenage boy would have like time like for a baby’); and 4) perspectives of caring responsibilities within families (e.g. ‘I feel like within Aboriginal communities, it’s always seen as the oldest kid has to kind of help out the parent’).</div></div><div><h3>Principal conclusions</h3><div>Although youth parenthood was acceptable in communities, most participants wanted young people to avoid pregnancy and parenthood. There was a clear community approach to raising children, especially from the oldest children helping out with child raising.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100047"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684279","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":"The effectiveness of trauma-based therapies for Aboriginal and non-Aboriginal children and adolescents in out-of-home care","authors":"Debbie Haynes ,&nbsp;Sean A. Halpin ,&nbsp;Laurel Williams ,&nbsp;Bronwyn Chambers ,&nbsp;Frances Heritage Martin","doi":"10.1016/j.fnhli.2025.100070","DOIUrl":"10.1016/j.fnhli.2025.100070","url":null,"abstract":"<div><h3>Purpose</h3><div>Aboriginal and Torres Strait Islander children are more likely to enter out-of-home care (OOHC) in New South Wales (NSW), Australia, than non-Aboriginal children. In response to recommendations (<span><span>Tune 2015</span></span>) that asserted the need for culturally responsive programs designed to meet the cultural needs of children and adolescents in OOHC, the NSW government initiated a pilot project across two regions in NSW, Australia. The LINKS Trauma Healing Service was established to provide multidisciplinary services to children and adolescents in OOHC. The service has a particular focus on culturally responsive effectiveness of therapies delivered to Aboriginal and Torres Strait Islander children, adolescents and their families. Three earlier evaluations of the LINKS program have highlighted positive trends in outcomes for children and their families in NSW OOHC. This study aimed to further investigate the effectiveness of culturally responsive therapies for both Aboriginal and Torres Strait Islander and non-Aboriginal children and adolescents in OOHC in NSW, Australia.</div></div><div><h3>Methods</h3><div>An analysis was conducted on the LINKS data collected from 144 children and adolescents (70 Aboriginal/Torres Strait Islander children and 74 non-Aboriginal children) aged 3 to 16 years. Data were analysed using mixed measures analysis of variance (ANOVA), to investigate effectiveness of culturally adapted trauma therapies for Aboriginal and Torres Strait Islander children participating in the LINKS program. Data were analysed in unison with outcomes for non-Aboriginal children and young people.</div></div><div><h3>Main findings</h3><div>Data supported statistically significant reductions in difficulties and trauma symptoms for both Aboriginal/Torres Strait Islander and non-Aboriginal children and adolescents. Eye movement desensitisation and reprocessing and parent–child interaction therapy treatments were found to be most beneficial in reducing trauma symptoms overall. The results further indicate no significant differences in outcomes between Aboriginal and non-Aboriginal children, with comparable rates of improvement for both groups.</div></div><div><h3>Principal conclusions</h3><div>Trauma treatments utilised within the LINKS service show effectiveness in reducing difficulties and trauma symptoms for Aboriginal/Torres Strait Islander and non-Aboriginal children/adolescents in OOHC. This study provides some support for embedding culturally responsive approaches into mental health services delivered to children/adolescents in OOHC. It highlights the necessity for clinicians to align service delivery with the cultural values and needs of communities. Future research should address clinician cultural parity and incorporate control groups to strengthen the evidence base.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288776","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":"Cultural safety in practice: An evaluation of an online learning module series in preparing physiotherapy students for practice","authors":"Curtley Nelson,&nbsp;Allison Mandrusiak,&nbsp;Roma Forbes","doi":"10.1016/j.fnhli.2025.100065","DOIUrl":"10.1016/j.fnhli.2025.100065","url":null,"abstract":"<div><h3>Purpose</h3><div>Physiotherapists play an important role in the provision of safe and effective healthcare for First Nations Australians; however, little is known about how entry-level physiotherapy students can be supported to learn about cultural safety prior to engaging with First Nations Australians in professional healthcare settings. This study aimed to evaluate the effect of an online learning module in developing entry-level physiotherapy students’ cultural capabilities and awareness of cultural safety in preparation for professional practice and delivery of physiotherapy care for First Nations Australians.</div></div><div><h3>Methods</h3><div>This mixed methods study was implemented in a population of undergraduate and masters entry-level physiotherapy students at The University of Queensland, Australia. Participants engaged with a series of online modules, underpinned by constructivist pedagogical principles, integrated as a core component of their curriculum studies. Participants completed the Cultural Capability Measurement Tool (CCMT) before and after the intervention, and their perspectives on learning experiences were subsequently explored through qualitative focus group interviews, which were transcribed and subjected to reflexive thematic analysis.</div></div><div><h3>Main findings</h3><div>Total CCMT scores were significantly higher following completion of the online module series (<em>n</em> = 52; <em>P</em> &lt; .05) and statistically significant improvements were demonstrated across five individual items (items 5, 18, 19, 20 and 22). Three themes were generated from focus group data (<em>n</em> = 10): establishing a fundamental understanding of cultural safety in preparation for placement; online learning supports self-reflection; and seeking person-to-person reflection and experiences.</div></div><div><h3>Principal conclusions</h3><div>The results indicate that physiotherapy students’ cultural capabilities improved after completing the online learning module series. Participants highlighted that the module series developed their foundational knowledge of cultural safety and allowed them to engage in self-reflection prior to practical placement. Participants emphasised the desire to engage in person-to-person reflection following the self-paced online module series and expressed the need for additional opportunities to participate in immersive experiences with First Nations Australians to support their own cultural safety learning journey.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138429","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":"Reproductive injustice in action: The impact of the Supreme Court’s Dobbs decision on Indigenous and minority women","authors":"Margo Hill ,&nbsp;Frank Houghton ,&nbsp;Mary Ann Keogh Hoss","doi":"10.1016/j.fnhli.2024.100042","DOIUrl":"10.1016/j.fnhli.2024.100042","url":null,"abstract":"<div><div>The United States of America (USA) is a country founded upon an unholy trinity of genocide, slavery and ethnic cleansing. The impacts of this assault remain blatantly clear and can be seen across the whole country. A crucial insight into the state of USA society is afforded via its significant health inequities. Systemic and structural racism are widespread there, as are engrained racist attitudes and ideologies. One field in which this is particularly evident is maternal mortality. The racial dimensions of this iniquity are blatant and unacceptable. However, to compound an ongoing tragedy, the recent Supreme Court decision to roll back on abortion protections represents an assault that will have a highly disproportionate impact on Indigenous and minority pregnant women.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100042"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550474","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":"Exploring wellness and Wiidooktaadyang (we are helping one another) in Nipissing First Nation1","authors":"Cindy Peltier ,&nbsp;Louela Manankil-Rankin ,&nbsp;Karey McCullough ,&nbsp;Megan Paulin (Nipissing First Nation) ,&nbsp;Phyllis Anderson (Nipissing First Nation) ,&nbsp;Kanessa Hanzlik (Nipissing First Nation)","doi":"10.1016/j.fnhli.2025.100059","DOIUrl":"10.1016/j.fnhli.2025.100059","url":null,"abstract":"<div><h3>Purpose</h3><div>First Nations peoples have a long history of what it means to be well, but this perspective has not shaped their health and wellness experiences in Canadian healthcare systems. In response to calls for First Nation self-determination in health, this study provided one First Nation community with the opportunity to articulate what it means to be well. <em>Wiidooktaadyang</em>, meaning ‘we are helping each other’, describes a Nipissing First Nation (NFN) philosophy and a relational approach to realising wellness. From this relational approach, this research explored: 1) how NFN <em>debendaagziwaad</em> (NFN members) on reserve, off reserve and staff understood and experienced wellness; 2) what NFN <em>debendaagziwaad</em> perceived as the ‘appropriate kind of help’ to facilitate wellness; and 3) how understandings of wellness and helping can inform a community-owned service delivery model.</div></div><div><h3>Methods</h3><div>Designed with an NFN advisory committee, this study employed a qualitative design using a Two-Eyed Seeing theoretical and methodological approach, which paired participatory action research with Indigenous research methods. Ninety participants, grouped according to on reserve, off reserve or staff members, engaged in conversational interviews with community-based research assistants. Their stories were analysed using thematic analysis adhering to Indigenous research principles.</div></div><div><h3>Main findings</h3><div>The story of wellness of NFN <em>debendaagziwaad</em> comprised five themes: 1) Connectedness, 2) Living the Medicine Wheel, 3) Belonging, 4) Experiencing colonialism and 5) Reclaiming NFN ways. Graphic artists facilitated a process of graphical analysis to illustrate themes as conceptual models. This project moved knowledge into meaningful action by meeting with NFN leaders to describe how they could apply the wellness models to their service integration model.</div></div><div><h3>Principal conclusions</h3><div>This paper contributes to new knowledge by documenting NFN members’ stories of what it means to be well and their recommendations for reclaiming wellness. The knowledge helped to inform community service planning in a First Nations community. Particularly critical is that the models acknowledge First Nation peoples’ power to determine their health and wellness experiences.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100059"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271277","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 Participatory Action Research: Learnings from The Bigiswun Kid (adolescent) Project","authors":"Lauren J. Rice ,&nbsp;Emily Carter ,&nbsp;Emma Bear ,&nbsp;Mudge Bedford ,&nbsp;Cheyenne Carter ,&nbsp;Jadnah Davies ,&nbsp;Nikkita Rice ,&nbsp;Sue Thomas ,&nbsp;Fergus Wells ,&nbsp;Elizabeth J. Elliott","doi":"10.1016/j.fnhli.2025.100064","DOIUrl":"10.1016/j.fnhli.2025.100064","url":null,"abstract":"<div><h3>Purpose</h3><div>The Marninwarntikura Women's Resource Centre (MWRC) is an Aboriginal community-controlled organisation located in the remote Fitzroy Valley of Western Australia. At the request of Aboriginal community members, the MWRC partnered with the University of Sydney to conduct the Bigiswun Kid (Kimberley Kriol for adolescents) Project to understand and improve the health and wellbeing of young people living in the Fitzroy Valley. An Aboriginal participatory action research (APAR) approach guided the research design. This paper discusses the experience of implementing the APAR approach.</div></div><div><h3>Methods</h3><div>How the elements of the APAR approach were incorporated into the Bigiswun Kid Project are described and three key implementation components are detailed: Aboriginal leadership and governance; community consultation; and Aboriginal researchers/community navigators.</div></div><div><h3>Main findings</h3><div>The benefits of implementing the APAR approach included empowering the participants and communities, emphasising research in action and promoting knowledge translation. Five lessons from using this approach are also discussed.</div></div><div><h3>Principal conclusions</h3><div>The APAR approach empowered young people and community members to actively participate in the study, guiding the focus, design and tangible outcomes. The approach ensured that knowledge translation began while the research was conducted, to provide immediate and long-term outcomes for young people.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100064"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254836","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":"A network cross-cultural validation of the Parenting Sense of Competence Scale between Aboriginal and Torres Strait Islander and non-Aboriginal and Torres Strait Islander Australians","authors":"Pedro Henrique Ribeiro Santiago ,&nbsp;Alyssa Sawyer ,&nbsp;Joanne Hedges ,&nbsp;Michael Sawyer ,&nbsp;Lisa Jamieson","doi":"10.1016/j.fnhli.2025.100058","DOIUrl":"10.1016/j.fnhli.2025.100058","url":null,"abstract":"<div><h3>Purpose</h3><div>The Parenting Sense of Competence Scale (PSOC) is the most used instrument worldwide to measure parenting sense of competence. Considering that cultural differences influence parenting practices, an investigation of cross-cultural validity was required to ensure that PSOC scores can be compared between Aboriginal and Torres Strait Islander and non-Aboriginal and Torres Strait Islander Australians. To address this research gap, this study employed network psychometrics to investigate the cross-cultural validity of the PSOC between Aboriginal and Torres Strait Islander and non-Aboriginal and Torres Strait Islander Australians.</div></div><div><h3>Methods</h3><div>The study investigated the network psychometric properties of the PSOC instrument, specifically: (1) model estimation; (2) item redundancy; (3) dimensionality; (4) measurement invariance; (5) model fit; (6) criterion validity; and (7) reliability. The network model that was used was the Gaussian graphical model estimated with the graphical least absolute shrinkage and selection operator. Dimensionality was evaluated with exploratory graph analysis. Measurement invariance was evaluated via permutation testing. Data were from the South Australian Aboriginal Birth Cohort (n=178) and eMums study (n=107).</div></div><div><h3>Main findings</h3><div>The findings indicated that, after accounting for item redundancy, a revised 14-item version of the PSOC displayed the two theoretical dimensions of Efficacy and Satisfaction and was cross-culturally valid among Aboriginal and non-Aboriginal Australians.</div></div><div><h3>Principal conclusions</h3><div>The revised 14-item PSOC displayed excellent psychometric properties and is readily available to be used in Australia.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100058"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817651","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":"Exploring medicine exposure in whānau Māori reported to the Aotearoa New Zealand National Poisons Centre","authors":"Chloe Light (Ngati Porou, Te Atiawa) ,&nbsp;Eeva-Katri Kumpula (Tauiwi) ,&nbsp;Liza Edmonds (Ngāpuhi, Ngāti Whātua) ,&nbsp;Amber Young (Taranaki, Ngā Mahanga)","doi":"10.1016/j.fnhli.2025.100066","DOIUrl":"10.1016/j.fnhli.2025.100066","url":null,"abstract":"<div><h3>Purpose</h3><div>The Aotearoa New Zealand National Poisons Centre (NPC) advises the public and health professionals on the management of any substance exposure (poisoning), including exposure to medicines occurring in unintended ways, such as overdose or administration to the wrong patient. This study aimed to i) identify the top five medicines most frequently resulting in exposure reported to the NPC in whānau Māori (Māori extended families); ii) identify the reasons for exposure to medicines in whānau Māori in contact with the NPC and the sites of exposure incidents; and iii) characterise the advice provided by the NPC in these cases.</div></div><div><h3>Methods</h3><div>This retrospective study used de-identified data from contact with the NPC during 2019–23 where the patients were of Māori ethnicity, to identify the medicines most frequently resulting in exposure in Māori kaumātua (age 65 years and over), pakeke (age 20 to 64 years), rangatahi Māori (age 13 to 19 years) and tamariki Māori (age 0 to 12 years). The sites where these exposures occurred, the reasons for exposures, and advice provided by NPC were characterised.</div></div><div><h3>Main findings</h3><div>The NPC provided advice in 7,493 records of patients who identified as Māori ethnicity and who had been exposed to at least one medicine. Paracetamol and ibuprofen were the most frequently reported medicines in all age groups except kaumātua, whose exposure most frequently involved metoprolol, acetylsalicylic acid and paracetamol. A clear majority of records were due to unintentional exposure (3,967; 53%) or therapeutic error (2,057; 27%), occurring amongst tamariki Māori (4,686; 63%), in residential settings (7,141; 95%), and being advised to manage at home or that no treatment was needed (5,317; 71%). Intentional exposure increased in rangatahi Māori over the study period (from 0.4 to 1.3 records/1,000 person-years).</div></div><div><h3>Principal conclusion</h3><div>Given the numbers of whānau Māori using the NPC services, there is a need for systematic support for whānau about the potential harm of medicines and how to safely manage medication. This study highlights the importance of safe storage of medicines at home to prevent tamariki Māori and rangatahi Māori from gaining unsafe access. Future research needs to explore ways of whānau Māori-led solutions for safer medicine storage and to explore solutions to reduce intentional exposure, especially in rangatahi Māori, and reasons why this may be increasing over time.</div></div>","PeriodicalId":100532,"journal":{"name":"First Nations Health and Wellbeing - The Lowitja Journal","volume":"3 ","pages":"Article 100066"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230044","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}