Macniven Rona, Elwell Michelle, Ride Kathy, Bauman Adrian, Richards Justin
Prevention Research Collaboration, School of Public Health, Sydney Medical School (6N52), Level 6 The Hub, Charles Perkins Centre (D17), University of Sydney, NSW 2006, Australia.
Australian Indigenous HealthNet, Edith Cowan University, 2 Bradford Street, Mount Lawley, WA 6050, Australia.
Health Promot J Austr. 2017 Dec;28(3):185-206. doi: 10.1071/HE16036.
Issue addressed Participation in physical activity programs can be an effective strategy to reduce chronic disease risk factors and improve broader social outcomes. Health and social outcomes are worse among Aboriginal and Torres Strait Islanders than non-Indigenous Australians, who represent an important group for culturally specific programs. The extent of current practice in physical activity programs is largely unknown. This study identifies such programs targeting this population group and describes their characteristics. Methods Bibliographic and Internet searches and snowball sampling identified eligible programs operating between 2012 and 2015 in Australia (phase 1). Program coordinators were contacted to verify sourced information (phase 2). Descriptive characteristics were documented for each program. Results A total of 110 programs were identified across urban, rural and remote locations within all states and territories. Only 11 programs were located through bibliographic sources; the remainder through Internet searches. The programs aimed to influence physical activity for health or broader social outcomes. Sixty five took place in community settings and most involved multiple sectors such as sport, health and education. Almost all were free for participants and involved Indigenous stakeholders. The majority received Government funding and had commenced within the last decade. More than 20 programs reached over 1000 people each; 14 reached 0-100 participants. Most included process or impact evaluation indicators, typically reflecting their aims. Conclusion This snapshot provides a comprehensive description of current physical activity program provision for Aboriginal and Torres Strait Islander people across Australia. The majority of programs were only identified through the grey literature. Many programs collect evaluation data, yet this is underrepresented in academic literature. So what? Capturing current practice can inform future efforts to increase the impact of physical activity programs to improve health and social indicators. Targeted, culturally relevant programs are essential to reduce levels of disadvantage experienced by Aboriginal and Torres Strait Islanders.
研究问题 参与体育活动项目可能是降低慢性病风险因素及改善更广泛社会成果的有效策略。原住民和托雷斯海峡岛民的健康及社会成果比非原住民澳大利亚人更差，而非原住民澳大利亚人是文化特定项目的重要群体。目前体育活动项目的开展程度在很大程度上尚不清楚。本研究确定了针对这一人群的此类项目并描述了其特征。方法 通过文献检索和互联网搜索以及滚雪球抽样，确定了2012年至2015年在澳大利亚开展的符合条件的项目（第一阶段）。联系项目协调员以核实所获取的信息（第二阶段）。记录每个项目的描述性特征。结果 在所有州和领地的城市、农村和偏远地区共确定了110个项目。仅通过文献来源找到11个项目；其余项目通过互联网搜索找到。这些项目旨在影响促进健康的体育活动或更广泛的社会成果。65个项目在社区环境中开展，大多数涉及体育、健康和教育等多个部门。几乎所有项目对参与者都是免费的，并且有原住民利益相关者参与。大多数项目获得了政府资金，并且是在过去十年内启动的。20多个项目每个项目覆盖人数超过1000人；14个项目覆盖0至100名参与者。大多数项目包括过程或影响评估指标，通常反映了它们的目标。结论 此概述全面描述了目前澳大利亚各地为原住民和托雷斯海峡岛民提供的体育活动项目。大多数项目仅通过灰色文献被确定。许多项目收集评估数据，但这在学术文献中未得到充分体现。那又如何？了解当前做法可为未来努力提供信息，以增强体育活动项目对改善健康和社会指标的影响。有针对性的、与文化相关的项目对于减少原住民和托雷斯海峡岛民所面临的不利程度至关重要。
