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Sunderland N, Barry G, Graham P, Garvey D, Bartleet BL, Scarfe B, Apps K, Cooper R, Bracknell C, Hall K. Music Across Generations: Exploring Intergenerational First Nations Musical Practices as Cultural Determinants of Health. FAMILY & COMMUNITY HEALTH 2024; 47:294-303. [PMID: 39158176 DOI: 10.1097/fch.0000000000000413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/20/2024]
Abstract
This article reports on promising pilot research which indicates that intergenerational musical practices in diverse First Nations families and communities in Vanuatu and Australia can shape cultural determinants of health (CDoH). We contend that such strength- and culture-based approaches to health promotion may help to disrupt colonial and deficit constructions of First Nations People and our health and wellbeing. The pilot study used Indigenist yarning which prioritized First Nations ideas, concepts, and knowledges during informal and relational semi-structured interviews with 9 diverse First Nations musicians in Australia and Vanuatu. The pilot study underpins an ongoing international 3-year research project examining First Nations music as a determinant of health led by Griffith University, The University of the Sunshine Coast, The University of Queensland, and Edith Cowan University. Yarning interviews were analyzed using collaborative thematic analysis and Indigenous visual art responses. Major themes emerging from the data related to intergenerational music activity and transmission. Themes include Music as an intergenerational medium of cultures; Music as a bond between older and younger generations; Intergenerational musical activism and advocacy; and Musical lineages and strengths. Intergenerational musical practices in diverse First Nations families may provide protective cultural, social, economic, educative, and professional determinants of health. The study indicates that more research and new theory may unlock the potential of First Nations musical activities as protective and agentic cultural practices in our families and communities.
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Affiliation(s)
- Naomi Sunderland
- Creative Arts Research Institute (Dr Sunderland, Mr Barry, Drs Graham, and Bartleet, Ms Apps, and Dr Cooper), School of Health Sciences and Social Work (Dr Sunderland and Ms Apps), Queensland Conservatorium (Mr Barry and Dr Bartleet), Queensland College of Art and Design (Dr Cooper), and Office of Deputy Vice Chancellor, Indigenous, Diversity, Inclusion (Dr Hall), Griffith University, South Brisbane, Australia; School of Business and Creative Industries (Dr Graham), University of the Sunshine Coast, Sippy Downs, Australia; School of Public Health (Dr Garvey), The University of Queensland, Brisbane, Australia; Western Australian Academy of Performing Arts (Ms Scarfe) , Edith Cowan University, Mount Lawley, Australia; and Conservatorium of Music (Dr Bracknell), University of Western Australia, Perth, Australia
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Scarfe B, Apps K, Sunderland N, Graham P, Bartleet BL, Barry G, Garvey D, Cooper R, Bracknell C. Music as a determinant of health among First Nations people in Australia: A scoping narrative review. Health Promot J Austr 2024. [PMID: 38649338 DOI: 10.1002/hpja.865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 03/01/2024] [Accepted: 04/10/2024] [Indexed: 04/25/2024] Open
Abstract
ISSUE ADDRESSED While social determinants frameworks are still popular in research about First Nations health in Australia, a growing body of research prefers cultural determinants of health models. Cultural determinants models provide a holistic, strength-based framework to explain connections between health and contextual factors, including the potential role of music and its impact on social and emotional well-being. Given the growing international recognition of links between music, health, and wellbeing through bodies such as the World Health Organisation, this article examines whether and how music practices are acknowledged in First Nations determinants of health literature. METHODS We conducted a scoping narrative review of literature from five databases: Scopus, PsycInfo, CINAHL, PubMed and ProQuest Central. The search returned 60 articles published since 2017, which we analysed in NVivo for common themes. RESULTS Music was only explicitly identified as a determinant of health in two studies. Yet, participants in five studies identified music and song as directly impacting their social and emotional well-being. When we broadened our frame of analysis to include other forms of expressive cultural practice, one quarter of included studies empirically acknowledged the role of expressive cultural practice for social and emotional well-being. CONCLUSION While many recent studies identify the impact of First Nations' expressive practices broadly, they miss important features of First Nations music as a potentially unique cultural, social, political and ecological determinant of health. SO WHAT?: There is an opportunity for future research and health determinant modelling to explicitly examine the role of First Nations music and other creative practices for social and emotional well-being.
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Affiliation(s)
- Brigitta Scarfe
- Western Australian Academy of Performing Arts, Edith Cowan University, Mount Lawley, Western Australia, Australia
| | - Kristy Apps
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia
| | - Naomi Sunderland
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- School of Health Sciences and Social Work, Griffith University, Brisbane, Queensland, Australia
| | - Phil Graham
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- Office of the Deputy Vice-Chancellor, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Brydie-Leigh Bartleet
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- Queensland Conservatorium, Griffith University, Brisbane, Queensland, Australia
| | - Glenn Barry
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- Queensland Conservatorium, Griffith University, Brisbane, Queensland, Australia
| | - Darren Garvey
- School of Public Health, Faculty of Medicine, University of Queensland, St. Lucia, Queensland, Australia
| | - Rae Cooper
- Creative Arts Research Institute, Griffith University, Brisbane, Queensland, Australia
- Queensland College of Art, Griffith University, Brisbane, Queensland, Australia
| | - Clint Bracknell
- Conservatorium of Music, University of Western Australia, Crawley, Western Australia, Australia
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Reilly L, Adams M, Diamond B, Deemal P, Diamond J, Koometra C, Silove D, Rees S. Enabling dads and improving First Nations adolescent mental health: a pragmatic randomised controlled study. BMJ Open 2023; 13:e072202. [PMID: 37407043 DOI: 10.1136/bmjopen-2023-072202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/07/2023] Open
Abstract
INTRODUCTION There are few empirically supported social and emotional well-being programmes for First Nations adolescents, and we found none targeting those living in Aboriginal communities in remote areas of Australia. The dearth of social and emotional well-being programmes is concerning given that adolescents in remote Australia are at much greater risk of mental disorder and suicide. Our pragmatic community-based research intervention 'Enabling Dads and Improving First Nations Adolescent Mental Health' is designed by and for First Nations people living in remote communities to promote and support the parenting role and examine the interconnection between men's parenting knowledge and adolescent mental health. The aim is to improve adolescent mental health by strengthening the participating father's empowerment, parenting confidence and engagement in the parenting role. The words Aboriginal, First Nation and Indigenous are applied interchangeably, as appropriate, throughout the article. METHODS AND ANALYSIS The intervention is currently being conducted in five remote First Nations communities in Far North Queensland, Australia. The project is funded by the Medical Research Future (MRFF UNSW RG200484), and staff recruitment and training began in early December 2020. The aim is to recruit 100 men and dyad adolescents, that is, in each of the five community sites, we will recruit 20 men and adolescent dyads at baseline. To date, we have complete data collection in one community, and fieldwork will begin in the final community in September 2023.The intervention involves a pragmatic randomised controlled trial, using a novel and culturally designed and manualised parenting programme with men (Strong Fathers, SF). The comparison group is receiving a culturally congruent and familiar yarning/relaxation (YR) condition. The SF component focuses on reinforcing knowledge related to parenting adolescents, promoting father's empowerment, and increasing their confidence and engagement with the adolescent. The second component systematically measures and examines differences in adolescent social and emotional well-being before and after their father's involvement in either the SF or YR. The adolescent is blind to the father's group allocation. The outcome measures for the men include parenting knowledge, attitudes and beliefs; a First Nations measure for empowerment; the Harvard Trauma Questionnaire (Indigenous) used to assess post-traumatic stress disorder symptoms; and alcohol use. The adolescent mental health outcomes are measured by a culturally congruent social and emotional well-being measure. ETHICS AND DISSEMINATION Ethics approval was granted from the Aboriginal Health and Medical Research Council of Australia: Human Research Ethics Committee (1711/20). Results will be verbally shared at community meetings and conferences, and reports will be produced for community stakeholder use. Data will be available for community-controlled health services and stakeholders. Findings will also be published in peer-reviewed journals, and summaries will be provided to the funders of the study as well as male participants and adolescents.
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Affiliation(s)
- Lyndon Reilly
- University of New South Wales, Sydney, New South Wales, Australia
| | - Mick Adams
- University of New South Wales, Sydney, New South Wales, Australia
| | - Byron Diamond
- University of New South Wales, Sydney, New South Wales, Australia
| | - Preston Deemal
- University of New South Wales, Sydney, New South Wales, Australia
| | - Jordin Diamond
- University of New South Wales, Sydney, New South Wales, Australia
| | - Craig Koometra
- University of New South Wales, Sydney, New South Wales, Australia
| | - Derrick Silove
- University of New South Wales, Sydney, New South Wales, Australia
| | - Susan Rees
- Psychiatry and Mental Health, University of New South Wales Medicine & Health, Sydney, New South Wales, Australia
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
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Reid C, Bennetts SK, Nicholson JM, Amir LH, Chamberlain C. Rural primary care workforce views on trauma-informed care for parents experiencing complex trauma: A descriptive study. Aust J Rural Health 2023; 31:98-113. [PMID: 36083418 PMCID: PMC10947110 DOI: 10.1111/ajr.12922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 08/15/2022] [Accepted: 08/21/2022] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND An important service system for rural parents experiencing complex trauma is primary health care. AIM To investigate workforce knowledge, attitudes and practices, and barriers and enablers to trauma-informed care in rural primary health care. MATERIAL & METHODS This study used a descriptive, cross-sectional design. It involved an on-line survey conducted in 2021 in rural Victoria, Australia. Participants were the primary health care workforce. The main outcome measures were study-developed and included, a 21-item Knowledge, Attitudes and Practices tool, a 16-item Barriers and Enablers to Trauma-Informed Care Implementation tool, and three open-ended questions. RESULTS The 63 respondents were from community health (n = 40, 63%) and child and family services (n = 23, 37%). Many (n = 43, 78%) reported undertaking trauma-informed care training at some point in their career; with 32% (n = 20) during higher education. Respondents self-rated their knowledge, attitudes and practices positively. Perceived enablers were mainly positioned within the service (e.g. workforce motivation and organisational supports) and perceived barriers were largely external structural factors (e.g. availability of universal referral pathways, therapeutic-specific services). Open-ended comments were grouped into four themes: (1) Recognition and understanding; (2) Access factors; (3) Multidisciplinary and collaborative approaches; and (4) Strengths-based and outcome-focused approaches. DISCUSSION & CONCLUSION Primary health care is an important driver of population health and well-being and critical in rural contexts. Our findings suggest this sector needs a rural trauma-informed care implementation strategy to address structural barriers. This also requires policy and system development. Long-term investment in the rural workforce and primary care service settings is essential to integrate trauma-informed care.
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Affiliation(s)
- Carol Reid
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
| | - Shannon K. Bennetts
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
- Intergenerational Health Group, Murdoch Children's Research InstituteParkvilleVictoriaAustralia
| | - Jan M. Nicholson
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
| | - Lisa H. Amir
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
| | - Catherine Chamberlain
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityBundooraVictoriaAustralia
- NGANGK YIRA: Murdoch University Research Centre for Aboriginal Health and Social EquityMurdoch UniversityPerthWestern AustraliaAustralia
- Centre for Health EquityThe University of MelbourneMelbourneVictoriaAustralia
- The Lowitja InstituteMelbourneVictoriaAustralia
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Summerton J, Blunden S. Cultural interventions that target mental health and wellbeing for First Nations Australians: a systematic review. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2130026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Jaimi Summerton
- College of Psychology, Central Queensland University, Rockhampton, Australia
| | - Sarah Blunden
- College of Psychology, Central Queensland University, Rockhampton, Australia
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McBride-Henry K, Roguski M, Miller C, Van Wissen K, Saravanakumar P. Re-orientating health and nursing care: a qualitative study on indigenous conceptualisations of wellbeing. BMC Nurs 2022; 21:294. [PMID: 36324117 PMCID: PMC9628117 DOI: 10.1186/s12912-022-01063-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 10/07/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Health systems often fail to address the wellbeing needs of older Indigenous populations; this is attributed to a lack of knowledge of Indigenous health systems arising from a privileging of dominant western biomedical epistemologies. In Aotearoa/New Zealand, there is a dearth of nursing knowledge relating to Māori, which negatively impacts on the provision of holistic nursing care. This research explores insights and perspectives of older Māori adult's (pakeke) perceptions of wellbeing so nurses can provide culturally responsive care and support the wellbeing of Indigenous New Zealanders. METHODS An Indigenous kaupapa Māori methodology underpinned and directed this research project. Audio-recorded interviews were conducted face to face in participants' homes, marae (meeting house) and workplaces. Pakeke over the age of 55 participated in in-depth interviews. A total of 10 pakeke were interviewed and narratives were thematically analysed in accordance with meanings derived from Māori worldviews. RESULTS Wellbeing was attributed to the holistic interconnection and balancing of whānau (wider family), whanaungatanga (social connectedness), hinengaro (mental and emotional wellbeing), taha tinana (physical wellbeing) and wairua (spirituality). CONCLUSION The findings offer unique insights into how wellbeing is constructed for pakeke; the results are unique but consistent with international accounts of older Indigenous peoples. Pakeke wellbeing can be supported by acknowledging existing cultural and spiritual beliefs and peer-support initiatives. Nursing models of care should prioritise Indigenous ways of knowing; this research offers nursing-focused recommendations to improve care.
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Affiliation(s)
- Karen McBride-Henry
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | | | - Charissa Miller
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Kim Van Wissen
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Padmapriya Saravanakumar
- grid.117476.20000 0004 1936 7611School of Nursing & Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW Australia
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Smith P, Rice K, Schutte N, Usher K. Reflexivity: a model for teaching and learning cultural responsiveness in mental health. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2078648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Peter Smith
- School of Psychology, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
| | - Kylie Rice
- School of Psychology, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
| | - Nicola Schutte
- School of Psychology, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
| | - Kim Usher
- School of Health, Faculty of Medicine and Health, University of New England, Armidale, NSW, Australia
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Poirier BF, Hedges J, Smithers LG, Moskos M, Jamieson LM. Child-, Family-, and Community-Level Facilitators for Promoting Oral Health Practices among Indigenous Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1150. [PMID: 35162173 PMCID: PMC8834955 DOI: 10.3390/ijerph19031150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/17/2022] [Accepted: 01/18/2022] [Indexed: 11/29/2022]
Abstract
Despite the preventive nature of oral diseases and their significance for general wellbeing, poor oral health is highly prevalent and has unfavourable ramifications for children around the world. Indigenous children in Australia experience disproportionate rates of early childhood caries compared to their non-Indigenous counterparts. Therefore, this paper aims to collate parental experiences and generate an understanding of facilitators for Indigenous childhood oral health. This project aggregated stories from parents of Indigenous children across South Australia who were participants in an early childhood caries-prevention trial. This paper explores facilitators for establishing oral health and nutrition behaviours for Indigenous children under the age of three through reflexive thematic analysis. Fisher-Owens' conceptual model for influences on children's oral health is utilised as a framework for thematic findings. Child-level facilitators include oral hygiene routines and regular water consumption. Family-level facilitators include familial ties, importance of knowledge, and positive oral health beliefs. Community-level facilitators include generational teaching, helpful community resources, and holistic health care. Recommendations from findings include the following: exploration of Indigenous health workers and elder participation in oral health initiatives; inclusion of Indigenous community representatives in mainstream oral health discussions; and incorporation of child-level, family-level, and community-level facilitators to increase support for efficacious oral health programs.
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Affiliation(s)
- Brianna F. Poirier
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide 5000, Australia; (J.H.); (L.M.J.)
| | - Joanne Hedges
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide 5000, Australia; (J.H.); (L.M.J.)
| | - Lisa G. Smithers
- School of Public Health and the Robinson Research Institute, University of Adelaide, Adelaide 5000, Australia;
- School of Health and Society, University of Wollongong, Wollongong 2522, Australia
| | - Megan Moskos
- Future of Employment and Skills Research Centre, School of Economic and Public Policy, Faculty of the Professions, University of Adelaide, Adelaide 5000, Australia;
| | - Lisa M. Jamieson
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide 5000, Australia; (J.H.); (L.M.J.)
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Using participatory action research to co-design perinatal support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma. Women Birth 2021; 35:e494-e501. [PMID: 34961730 DOI: 10.1016/j.wombi.2021.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 12/07/2021] [Accepted: 12/17/2021] [Indexed: 11/20/2022]
Abstract
PROBLEM & BACKGROUND Support is important for all parents but critical for those experiencing complex trauma. The The Healing the Past by Nurturing the Future project uses participatory action research to co-design effective perinatal support for Aboriginal and Torres Strait Islander parents. AIM This research aims to identify and refine culturally appropriate support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma. DESIGN We presented our synthesised eight parent support goals and 60 strategies, collated from Elder and parent focus groups, previous participatory workshops, and evidence reviews, for discussion at a stakeholder workshop. Stakeholder perspectives were captured using a three-point agreement activity and, self- and scribe-recorded comments. Aboriginal and non-Aboriginal researchers analysised the qualitative data, to identify core factors which might facilitate or help enact the parenting related goals. FINDINGS Overall, stakeholders (n = 37) strongly endorsed all eight goals. Workshop attendees (57% Aboriginal) represented multiple stakeholder roles including Elder, parent and service provider. Four core factors were identified as crucial for supporting parents to heal from complex trauma: Culture (cultural traditions, practices and strengths), Relationality (family, individual, community and services), Safety (frameworks, choice and control) and Timing (the right time socio-emotionally and stage of parenting). DISCUSSION Context-specific support tailored to the Culture, Relationality, Safety, and Timing needs of parents is essential. These four factors are important elements to help enact or facilitate parenting support strategies. CONCLUSION Further work is now required to develop practical resources for parents, and to implement and evaluate these strategies in perinatal care to address cumulative and compounding cycles of intergenerational trauma.
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Smith P, Rice K, Usher K, Schutte N. Cultural responsiveness for mental health professionals working with Aboriginal and Torres Strait Islander clients: a concept analysis. AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1080/00050067.2021.1974281] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Peter Smith
- Faculty of Medicine and Health, School of Psychology, University of New England, Armidale, NSW, Australia
| | - Kylie Rice
- Faculty of Medicine and Health, School of Psychology, University of New England, Armidale, NSW, Australia
| | - Kim Usher
- Faculty of Medicine and Health, School of Health, University of New England, Armidale, Nsw, Australia
| | - Nicola Schutte
- Faculty of Medicine and Health, School of Psychology, University of New England, Armidale, NSW, Australia
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Brown A, Mensah F, Gee G, Paradies Y, French S, Waters L, Arabena K, Armstrong G, Nicholson J, Brown SJ, Hegarty K, Ritte R, Meiselbach K, Kelaher M. Evaluation of an Aboriginal and Torres Strait Islander strengths based coaching program: a study protocol. BMC Public Health 2021; 21:1451. [PMID: 34301227 PMCID: PMC8301731 DOI: 10.1186/s12889-021-11503-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 07/16/2021] [Indexed: 11/10/2022] Open
Abstract
Background Increasingly, strength-based approaches to health and wellbeing interventions with Aboriginal and Torres Strait Islander Australians are being explored. This is a welcome counter to deficit-based initiatives which can represent a non-Indigenous view of outcomes of interest. However, the evidence base is not well developed. This paper presents the protocol for evaluating a strengths-based initiative which provides life coaching services to Aboriginal and Torres Strait Islander community housing tenants. The study aims to evaluate the effect of life coaching on social and emotional wellbeing (SEWB) of tenants in three Victorian regions. Methods The More Than a Landlord (MTAL) study is a prospective cohort study of Aboriginal Housing Victoria tenants aged 16 years and over that embeds the evaluation of a life coaching program. All tenant holders in one metropolitan and two regional areas of Victoria are invited to participate in a survey of SEWB, containing items consistent with key categories of SEWB as understood and defined by Aboriginal and Torres Strait Islander peoples, and key demographics, administered by Aboriginal and Torres Strait Islander peer researchers at baseline, 6 and 18 months. Survey participants are then invited to participate in strengths based life coaching, using the GROW model, for a duration of up to 18 months. Indigenous life coaches provide tenants with structured support in identifying and making progress towards their goals and aspirations, rather than needs. The study aims to recruit a minimum of 200 survey participants of which it is anticipated that approximately 73% will agree to life coaching. Discussion The MTAL study is a response to Aboriginal and Torres Strait Islander community and organisational requests to build the evidence base for an initiative originally developed and piloted within an Aboriginal controlled organisation. The study design aligns with key principles for research in Indigenous communities in promoting control, decision making and capacity building. The MTAL study will provide essential evidence to evaluate the effectiveness of strengths-based initiatives in promoting SEWB in these communities and provide new evidence about the relationship between strengths, resilience, self-determination and wellbeing outcomes. Trial registration This trial was retrospectively registered with the ISRCTN Register on the 12/7/21 with the study ID:ISRCTN33665735.
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Affiliation(s)
| | - Fiona Mensah
- Murdoch Children's Research Institute and University of Melbourne, Melbourne, Australia
| | - Graham Gee
- Murdoch Children's Research Institute, Melbourne, Australia
| | | | | | - Lea Waters
- University of Melbourne, Melbourne, Australia
| | | | | | | | - Stephanie J Brown
- Murdoch Children's Research Institute and University of Melbourne, Melbourne, Australia
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Ponturo A, Kilcullen M. A systematic review of evidence-based psychological interventions and Aboriginal and Torres Strait Islander people. CLIN PSYCHOL-UK 2021. [DOI: 10.1080/13284207.2021.1934429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Ali Ponturo
- College of Healthcare Sciences , James Cook University, Townsville, Australia
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Bryant J, Bolt R, Botfield JR, Martin K, Doyle M, Murphy D, Graham S, Newman CE, Bell S, Treloar C, Browne AJ, Aggleton P. Beyond deficit: 'strengths-based approaches' in Indigenous health research. SOCIOLOGY OF HEALTH & ILLNESS 2021; 43:1405-1421. [PMID: 34145599 DOI: 10.1111/1467-9566.13311] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 03/11/2021] [Accepted: 05/14/2021] [Indexed: 05/12/2023]
Abstract
Health research concerning Indigenous peoples has been strongly characterised by deficit discourse-a 'mode of thinking' that is overly focused on risk behaviours and problems. Strengths-based approaches offer a different perspective by promoting a set of values that recognise the capacities and capabilities of Indigenous peoples. In this article, we seek to understand the conceptual basis of strengths-based approaches as currently presented in health research. We propose that three main approaches exist: 'resilience' approaches concerned with the personal skills of individuals; 'social-ecological' approaches, which focus on the individual, community and structural aspects of a person's environment; and 'sociocultural' approaches, which view 'strengths' as social relations, collective identities and practices. We suggest that neither 'resilience' nor 'social-ecological' approaches sufficiently problematise deficit discourse because they remain largely informed by Western concepts of individualised rationality and, as a result, rest on logics that support notions of absence and deficit. In contrast, sociocultural approaches tend to view 'strengths' not as qualities possessed by individuals, but as the structure and character of social relations, collective practices and identities. As such, they are better able to capture Indigenous ways of knowing and being and provide a stronger basis on which to build meaningful interventions.
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Affiliation(s)
- Joanne Bryant
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Reuben Bolt
- Charles Darwin University, Casuarina, Northern Territory, Australia
| | - Jessica R Botfield
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
- Family Planning NSW, Sydney, New South Wales, Australia
| | - Kacey Martin
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Michael Doyle
- Centre of Research Excellence in Indigenous Health and Alcohol, University of Sydney, Sydney, New South Wales, Australia
| | - Dean Murphy
- The Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia
| | - Simon Graham
- Department of Infectious Diseases, Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia
| | - Christy E Newman
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Stephen Bell
- UQ Poche Centre for Indigenous Health, The University of Queensland, St Lucia, Queensland, Australia
- School of Public Health, The University of Queensland, St Lucia, Queensland, Australia
| | - Carla Treloar
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Annette J Browne
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - Peter Aggleton
- Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia
- Centre for Gender and Global Health, Institute for Global Health, UCL, London, UK
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Ding H, Yu E. Strengths-Based Leadership and Employee Psychological Well-Being: A Moderated Mediation Model. JOURNAL OF CAREER DEVELOPMENT 2021. [DOI: 10.1177/08948453211018807] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Drawing upon ability-motivation-opportunity model, the present study attempts to inspect the association of strengths-based leadership with employee psychological well-being and the mediational role of employee strengths use and the moderating role of job autonomy in the linkage. Data were gathered using a three-wave survey from a sample of 308 employees working in a wide variety of organizations in China. Results of multiple regression analyses with bootstrapping procedure revealed that strengths-based leadership positively relates to employee psychological well-being even after controlling for employee core self-evaluation. In addition, employee strengths use was found to partially mediate the relationship of strengths-based leadership with employee psychological well-being, and this study demonstrated job autonomy to positively moderate the direct relationship of strengths-based leadership with strengths use of employee and the indirect association of strengths-based leadership with employee psychological well-being through employee strengths use. The present study advances strengths-based leadership and psychological well-being theories and research.
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Affiliation(s)
- He Ding
- School of Economics and Management, North China Electric Power University, Beijing, China
| | - Enhai Yu
- School of Economics and Management, North China Electric Power University, Beijing, China
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Trounson JS, Oppenheim RK, Shepherd S, Pfeifer JE. Social and emotional wellbeing among Indigenous Australian correctional officers. PSYCHIATRY, PSYCHOLOGY, AND LAW : AN INTERDISCIPLINARY JOURNAL OF THE AUSTRALIAN AND NEW ZEALAND ASSOCIATION OF PSYCHIATRY, PSYCHOLOGY AND LAW 2021; 29:223-240. [PMID: 35755149 PMCID: PMC9225687 DOI: 10.1080/13218719.2021.1904451] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The workplace challenges of correctional officers have been well documented. Yet little is known about how such stressors impact the wellbeing of correctional officers from minority cultural-subgroups. This study explored Indigenous Australian correctional officers' social and emotional wellbeing (SEWB) when managing workplace adversity. Specifically, the study sought to identify culturally-specific stressors, protective factors and associated response tendencies to gain a more robust understanding of the factors that impact Indigenous officers' wellbeing in the workplace. In total, 15 Indigenous Australian correctional officers from the Northern Territory participated in the study through focus groups or semi-structured interviews. Thematic analysis of participant data revealed that Indigenous correctional officers' SEWB is influenced by four broad categories: cultural connection, morale, social functioning and somatic health. Results are discussed in terms of common themes, future research and implications for assisting the SEWB of Indigenous officers.
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Affiliation(s)
- Justin S. Trounson
- Centre for Forensic Behavioural Science, Swinburne University of Technology, Fairfield, VIC, Australia
| | - Rebekah K. Oppenheim
- Centre for Forensic Behavioural Science, Swinburne University of Technology, Fairfield, VIC, Australia
| | - Stephane Shepherd
- Centre for Forensic Behavioural Science, Swinburne University of Technology, Fairfield, VIC, Australia
| | - Jeffrey E. Pfeifer
- Department of Psychological Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia
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Affiliation(s)
- Theoni Whyman
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Karen Adams
- Gukwonderuk Indigenous Unit, Monash University, Melbourne, Australia
| | - Adrian Carter
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Laura Jobson
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Australia
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A scoping review about social and emotional wellbeing programs and services targeting Aboriginal and Torres Strait Islander young people in Australia: understanding the principles guiding promising practice. BMC Public Health 2020; 20:1625. [PMID: 33121463 PMCID: PMC7596979 DOI: 10.1186/s12889-020-09730-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 10/19/2020] [Indexed: 11/15/2022] Open
Abstract
Background Multiple culturally-oriented programs, services, and frameworks have emerged in recent decades to support the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander (Aboriginal) people in Australia. Although there are some common elements, principles, and methods, few attempts have been made to integrate them into a set of guidelines for policy and practice settings. This review aims to identify key practices adopted by programs and services that align with the principles of the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017–2023. Methods A comprehensive review of electronic databases and organisational websites was conducted to retrieve studies of relevance. Twenty-seven publications were included in the review. Next, we identified promising practices through a collaborative review process. We then used the principles articulated in the above-mentioned framework as the basis to complete a framework analysis. This enabled us to explore the alignment between current scholarship about SEWB programs and services with respect to the principles of the framework. Results We found there was a strong alignment, with selected principles being effectively incorporated into most SEWB program and service delivery contexts. However, only one study incorporated all nine principles, using them as conceptual framework. Additionally, ‘capacity building’, ‘individual skill development’, and ‘development of maladaptive coping mechanisms’ were identified as common factors in SEWB program planning and delivery for Aboriginal people. Conclusion We argue the selective application of nationally agreed principles in SEWB programs and services, alongside a paucity of scholarship relating to promising practices in young people-oriented SEWB programs and services, are two areas that need the urgent attention of commissioners and service providers tasked with funding, planning, and implementing SEWB programs and services for Aboriginal people. Embedding robust participatory action research and evaluation approaches into the design of such services and programs will help to build the necessary evidence-base to achieve improved SEWB health outcomes among Aboriginal people, particularly young people with severe and complex mental health needs.
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Aboriginal and Torres Strait Islander people's domains of wellbeing: A comprehensive literature review. Soc Sci Med 2019; 233:138-157. [PMID: 31200269 DOI: 10.1016/j.socscimed.2019.06.004] [Citation(s) in RCA: 80] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 06/03/2019] [Accepted: 06/03/2019] [Indexed: 11/20/2022]
Abstract
There are significant health and social disparities between the world's Indigenous and non-Indigenous people on factors likely to influence quality of life (QOL) and wellbeing. However, these disparities in wellbeing are not captured in conventional QOL instruments, as they often do not include dimensions that are likely to be relevant to Indigenous people. The objective of this comprehensive literature review was to identify these wellbeing domains for Aboriginal and Torres Strait Islander people in Australia (hereafter, respectfully referred to collectively as Indigenous Australians). We searched PsycINFO, MEDLINE, Econlit, CINAHL, and Embase (from inception to June 2017, and updated in March 2019), and grey literature sources using keywords relating to adult Indigenous Australians' QOL and wellbeing. From 278 full-text articles assessed for eligibility, 95 were included in a thematic analysis. This synthesis revealed nine broad interconnected wellbeing dimensions: autonomy, empowerment and recognition; family and community; culture, spirituality and identity; Country; basic needs; work, roles and responsibilities; education; physical health; and mental health. The findings suggest domains of wellbeing relevant to and valued by Indigenous Australians that may not be included in existing QOL and wellbeing instruments, domains that may be shared with Indigenous populations globally. This indicates the need for a tailored wellbeing instrument that includes factors relevant to Indigenous Australians. Developing such an instrument will ensure meaningful, culturally-relevant measurement of Indigenous Australians' wellbeing.
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Intergenerational and early life influences on the well-being of Australian Aboriginal and Torres Strait Islander children: overview and selected findings from Footprints in Time, the Longitudinal Study of Indigenous Children. J Dev Orig Health Dis 2018; 10:17-23. [PMID: 29717680 DOI: 10.1017/s204017441800017x] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Footprints in Time: The Longitudinal Study of Indigenous Children (LSIC) is a national study of 1759 Australian Aboriginal and Torres Strait Islander children living across urban, regional and remote areas of Australia. The study is in its 11th wave of annual data collection, having collected extensive data on topics including birth and early life influences, parental health and well-being, identity, cultural engagement, language use, housing, racism, school engagement and academic achievement, and social and emotional well-being. The current paper reviews a selection of major findings from Footprints in Time relating to the developmental origins of health and disease for Australian Aboriginal and Torres Strait Islander peoples. Opportunities for new researchers to conduct further research utilizing the LSIC data set are also presented.
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