Central Australian Aboriginal Congress Aboriginal Corporation, Alice Springs, Northern Territory, Australia.
Telethon Kids Institute, Nedlands, Western Australia, Australia.
Health Promot J Austr. 2022 Jul;33(3):788-796. doi: 10.1002/hpja.547. Epub 2021 Nov 24.
Prevention approaches specific to prenatal alcohol exposure (PAE) and foetal alcohol spectrum disorder (FASD) have been identified as urgently needed in Australia, including in Aboriginal and Torres Strait Islander communities. However, very little work has aimed to describe and evaluate health promotion initiatives, especially those developed in rural and remote areas.
A series of television commercial scripts (scripts) were developed with health promotion staff at an aboriginal and Torres Strait Islander Community Controlled Health Service and piloted with 35 community members across six yarning sessions.
Scripts evoked responses in line with two predominant themes: "Strength" and "Community resonance." This process led to the development of a four-part television and radio campaign focusing on a life course approach to prevent prenatal alcohol exposure (PAE) - "Vision," "Future," "Cycle" and "Effect."
Intergenerational influences on PAE were key elements of scripts positively received by community members. Strengths of this work included a flexible approach to development, local aboriginal men and women coordinating the yarning sessions, and the use of local actors and familiar settings. SO WHAT?: Preventing PAE is extraordinarily complex. Initiatives that are culturally responsive and focus on collective responsibility and community action may be crucial to shifting prominent alcohol norms. Future work is necessary to determine the impact of this campaign.
在澳大利亚，包括在原住民和托雷斯海峡岛民社区，已经确定需要针对产前酒精暴露 (PAE) 和胎儿酒精谱系障碍 (FASD) 的特定预防方法，这是非常迫切的。然而，很少有工作旨在描述和评估健康促进举措，特别是在农村和偏远地区制定的举措。
一系列电视商业剧本（脚本）是与原住民和托雷斯海峡岛民社区控制的医疗服务机构的健康促进人员一起开发的，并在六个座谈会上对 35 名社区成员进行了试点。
脚本引起了与两个主要主题一致的反应：“力量”和“社区共鸣”。这一过程导致了一个四部分的电视和广播运动的发展，重点是预防产前酒精暴露 (PAE) 的生命周期方法——“愿景”、“未来”、“循环”和“影响”。
对 PAE 的代际影响是社区成员积极接受脚本的关键要素。这项工作的优势包括灵活的开发方法、当地的土著男女协调座谈会，以及使用当地演员和熟悉的场景。
所以呢？：预防 PAE 非常复杂。响应文化、关注集体责任和社区行动的举措对于改变突出的酒精规范可能至关重要。需要进一步的工作来确定这一运动的影响。
