School of Health & Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW 2522, Australia.
Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW 2522, Australia.
Int J Environ Res Public Health. 2022 Jul 1;19(13):8112. doi: 10.3390/ijerph19138112.
The health inequities of Indigenous peoples compared with non-Indigenous peoples are significant and long-standing across many countries. Colonisation and dispossession of land and culture has led to profound and devastating consequences on the health of Indigenous peoples. A lack of trust and cultural security of health services remains a barrier to participation in health care services. Similarly, engagement in research activities is also hindered by a history of unethical research practices. Creating partnerships between researchers and Indigenous communities is key in developing research studies that are culturally appropriate, acceptable and relevant to the needs of Indigenous peoples. Baby Teeth Talk was a randomised controlled trial conducted with Indigenous children and their mothers in South Australia that tested an intervention involving dental care, anticipatory guidance on oral health and dietary intake, and motivational interviewing. The study was developed in consultation and partnership with local Indigenous communities in South Australia and overseen by the study's Aboriginal reference group. The recruitment and retention of participants in the study has been strong over numerous waves of follow-up. The purpose of this paper is to describe the strategies employed in the study that contributed to the successful and sustained engagement of the participants. These strategies included the establishment of an Aboriginal reference group, building relationships with organisations and community, flexibility of appointment scheduling and allocating adequate time, reimbursement for participant time, developing rapport with participants, encouraging participant self-determination, and adaptation of dietary data collection to better suit participants.
与非原住民相比，原住民在许多国家都存在着显著且长期的健康不平等现象。殖民和土地及文化的剥夺对原住民的健康造成了深远而毁灭性的影响。对卫生服务缺乏信任和文化安全仍然是参与卫生保健服务的障碍。同样，参与研究活动也因不道德的研究实践而受到阻碍。在研究人员和原住民社区之间建立伙伴关系是制定文化上适当、可接受和符合原住民需求的研究的关键。“Baby Teeth Talk”是在南澳大利亚的原住民儿童及其母亲中进行的一项随机对照试验，测试了一项涉及口腔保健、口腔健康和饮食摄入的预期指导以及动机访谈的干预措施。该研究是在与南澳大利亚当地原住民社区协商和合作的基础上制定的，并由研究的原住民参考小组监督。在多次随访中，该研究的参与者招募和保留情况都非常强劲。本文的目的是描述该研究中采用的策略，这些策略有助于参与者的成功和持续参与。这些策略包括建立原住民参考小组、与组织和社区建立关系、灵活安排预约和分配足够的时间、为参与者的时间报销、与参与者建立融洽关系、鼓励参与者的自我决定，以及调整饮食数据收集以更好地适应参与者。
