Williams Hayley M, Percival Nikki A, Hewlett Nicole C, Cassady Rahni B J, Silburn Sven R
Centre for Children's Burns and Trauma Research, University of Queensland, Child Health Research Centre, South Brisbane, QLD, Australia.
Wellbeing and Preventable Chronic Disease Division, Menzies School of Health Research, Spring Hill, QLD, Australia.
Health Promot J Austr. 2018 Apr;29(1):31-38. doi: 10.1002/hpja.8. Epub 2018 Jan 11.
Foetal Alcohol Spectrum Disorder (FASD) includes a range of life-long impairments caused by alcohol exposure in utero. Health professionals are vital to preventing FASD but many are hesitant to discuss FASD with clients due to their need for additional resources to aid the conversation. This scan sought to identify the scope and gaps in publicly available FASD prevention and health promotion resources, and assess their cultural appropriateness for use among five key groups of Indigenous Australian people including: (i) pregnant women, (ii) women of childbearing age, (iii) grandmothers and aunties, (iv) men, and (v) health professionals.
Relevant resources published 1995-2017 were identified through the Australian Indigenous HealthInfoNet, FASD organisation websites, grey literature, Google searches, and field experts. Results were screened by inclusion and cultural appropriateness criteria developed and piloted by the research team, and further screened by health professionals attending FASD training workshops.
115 of the 2146 identified resources were eligible. Relevant resources were found for all five key groups; however, no resources were specifically designed for men, grandmothers or aunties.
A range of high-quality, culturally appropriate resources were identified, however, health professionals attending the training workshops were not aware of their availability. Further resource development is suggested for men, grandmothers and aunties. SO WHAT?: Prioritisation of active dissemination and implementation strategies is suggested to increase awareness and use of future resource developments. The inclusion of a resource trial among health professionals is a recommended strategy to increase awareness and use of newly developed resources.
胎儿酒精谱系障碍(FASD)包括一系列因子宫内酒精暴露导致的终身损伤。卫生专业人员对于预防FASD至关重要,但许多人因需要额外资源来辅助相关谈话而不愿与客户讨论FASD。此次调查旨在确定公开可用的FASD预防和健康促进资源的范围与差距,并评估其在澳大利亚原住民五个关键群体中的文化适用性,这五个群体包括:(i)孕妇,(ii)育龄妇女,(iii)祖母和阿姨,(iv)男性,以及(v)卫生专业人员。
通过澳大利亚原住民健康信息网、FASD组织网站、灰色文献、谷歌搜索以及领域专家,确定了1995年至2017年期间发布的相关资源。研究团队制定并试行的纳入标准和文化适用性标准对结果进行了筛选,参加FASD培训研讨会的卫生专业人员进一步进行了筛选。
在2146份已识别的资源中,有115份符合条件。为所有五个关键群体都找到了相关资源;然而,没有专门为男性、祖母或阿姨设计的资源。
确定了一系列高质量、文化适用的资源,然而,参加培训研讨会的卫生专业人员并不知晓这些资源的存在。建议为男性、祖母和阿姨进一步开发资源。那又如何?建议优先考虑积极的传播和实施策略,以提高对未来资源开发的认识和使用。在卫生专业人员中开展资源试用是提高对新开发资源的认识和使用的推荐策略。