College of Public Health, Medicine and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University, 1 James Cook Drive, Townsville, Qld 4811, Australia; and Corresponding author. Email:
College of Public Health, Medical and Veterinary Sciences, James Cook University, 1 James Cook Drive, Townsville, Qld 4811, Australia.
Aust J Prim Health. 2020 Apr;26(2):95-103. doi: 10.1071/PY19078.
When addressing disparities in health status of Indigenous Australians, it is necessary to consult with Indigenous people to explore their health needs. The process of improving health outcomes is complex; it requires acknowledgement of underlying cultural and social determinants of health and active engagement of Indigenous people to define the issues and identify solutions. The aim of this study is to explore the most appropriate research methodologies to determine Australian Indigenous community members' perceptions of their health needs. A scoping review was conducted in BioMed Central, CINAHL, Informit Health, MEDLINE Ovid, ProQuest and Scopus databases and Google Scholar for all relevant literature published between 2009 and 2018. Extensive manual searches of reference lists were also undertaken. The limited number of articles relating to needs assessment with Indigenous community members prescribed broadening the scope of the review to include articles that describe methodologies to enhance Indigenous people's engagement in the research process. Twelve papers met the inclusion criteria. Three major themes emerged: (1) the imperative to develop and implement Indigenist research methodologies; (2) participatory action research (PAR) and community-based participatory research (CBPR) as appropriate methodologies to conduct research with Indigenous community members; and (3) yarning or storytelling as a culturally appropriate Indigenous method of data collection.
在解决澳大利亚原住民健康状况差异问题时，有必要与原住民协商，以探讨他们的健康需求。改善健康结果的过程很复杂；它需要承认健康的潜在文化和社会决定因素，并让原住民积极参与，以确定问题并找到解决方案。本研究旨在探讨确定澳大利亚原住民社区成员对其健康需求的看法的最合适的研究方法。在 2009 年至 2018 年期间，在 BioMed Central、CINAHL、Informit Health、MEDLINE Ovid、ProQuest 和 Scopus 数据库以及 Google Scholar 中对所有相关文献进行了范围综述。还广泛查阅了参考文献列表中的手工搜索。与原住民社区成员进行需求评估相关的文章数量有限，因此将综述范围扩大到包括描述增强原住民参与研究过程的方法的文章。符合纳入标准的有 12 篇论文。出现了三个主要主题：(1) 必须制定和实施本土主义研究方法；(2) 参与式行动研究 (PAR) 和社区参与式研究 (CBPR) 是与原住民社区成员进行研究的适当方法；(3) 作为一种文化上合适的原住民数据收集方法的 yarni 或讲故事。
