Discipline of Exercise and Sport Science, School of Health Sciences, The University of Sydney, Sydney, New South Wales 2006, Australia.
School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.
Health Promot Int. 2023 Jun 1;38(3). doi: 10.1093/heapro/daac023.
Indigenous Standpoint Theory forms the epistemological foundation for this study and methodological choices were made within this theoretical framework to ensure culturally responsive research processes that engaged the Indigenous agenda of self-determination and rights. The objectives of this research were to determine: (i) Indigenous perceptions of the facilitators and barriers to exercise; (ii) The potential feasibility and sustainability of an exercise intervention. In this context, Participatory Action Research methods were used to design the data-gathering instrument for the study-a questionnaire, co-designed with the Noongar Aboriginal community of Perth, Western Australia. This self-administered questionnaire, distributed to participants by email, post and manual delivery, sought to elicit the factors that impact uptake and retention of regular exercise activities. Questionnaire data included individual demographic detail and specific question responses on labelled 5 point Likert Scales. Specific question responses were tabulated by Likert Scale label category and the response distribution for each question was enumerated. Simple descriptive statistics (measures of central tendency and variance) were used to characterize the data set and the Chi squared test was used to evaluate frequency differences between males and females. A total of 133 participants (71 females) completed the questionnaire. The results indicated that people valued exercise. The most common barriers indicated by participants were exercising with an injury (63%), changing diet (58%), finding time to exercise every day (55%) and exercising the next day with pain from exercising the day before (54%). A larger proportion of males (34%) than females (24%) reported greater ease in finding time to exercise every day (p < 0.05). Facilitators mainly related to the potential social and community benefits of exercising with other people, preferably in small groups, and the importance of a culturally secure venue. These findings shed light on what a culturally secure exercise programme might involve for the Noongar community. As this may have implications for other Aboriginal and Torres Strait Islander and international First Nations' Peoples, more focused research is needed on the place of traditional physical activities and the nature of culturally secure exercise programmes and spaces to enable wider application.
本土立场理论为这项研究提供了认识论基础，并在这一理论框架内做出了方法选择，以确保研究过程对文化敏感，并符合原住民自决和权利的议程。本研究的目的是确定：(i) 原住民对运动促进因素和障碍的看法；(ii) 运动干预的潜在可行性和可持续性。在这种情况下，参与式行动研究方法被用于设计研究的数据收集工具-一份问卷，与西澳大利亚珀斯的诺冈原住民社区共同设计。这份自我管理的问卷通过电子邮件、邮寄和手动交付分发给参与者，旨在了解影响定期运动活动参与和保留的因素。问卷数据包括个人人口统计细节和特定问题的 5 分李克特量表标签的回答。根据李克特量表标签类别对特定问题的回答进行制表，枚举每个问题的回答分布。使用简单的描述性统计（集中趋势和方差度量）来描述数据集，使用卡方检验来评估男性和女性之间的频率差异。共有 133 名参与者（71 名女性）完成了问卷。结果表明，人们重视运动。参与者表示最常见的障碍是运动时受伤（63%）、改变饮食（58%）、每天找到时间运动（55%）和前一天运动后第二天因疼痛而无法运动（54%）。与女性（24%）相比，男性（34%）报告每天更容易找到时间运动（p<0.05）。促进因素主要与与他人一起运动的潜在社会和社区利益相关，最好是在小团体中，以及在文化安全场所运动的重要性有关。这些发现揭示了一个文化安全的运动项目可能涉及到诺冈社区的哪些方面。由于这可能对其他原住民和托雷斯海峡岛民以及国际第一民族产生影响，因此需要对传统体育活动的地位以及文化安全的运动项目和空间的性质进行更有针对性的研究，以实现更广泛的应用。
