College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia
College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
BMJ Open. 2022 Dec 20;12(12):e067052. doi: 10.1136/bmjopen-2022-067052.
Colonisation has, and continues to, negatively impact the mental well-being of Australia's First Nations peoples. However, the true magnitude of the impact is not known, partially because clinicians have low levels of confidence in using many existing screening tools with First Nations clients. In addition, many authors have critiqued the use of tools designed for Western populations with First Nations peoples, because their worldview of health and well-being is different. Therefore, the aim of the overarching study is to develop an appropriate mental well-being screening tool(s) for older adults (aged 45 and over) living in the Torres Strait that can be used across primary health and geriatric settings. This protocol describes the first phase designed to achieve the overarching aim-yarning about social and emotional well-being (inclusive of mental well-being) in First Nations peoples living in the Torres Strait and Northern Peninsula Area of Australia.
The study will be guided by decolonising and participatory action research methodologies. Yarning is an Australian First Nations relational method that relies on storytelling as a way of sharing knowledge. Yarning circles will be conducted with community members and health and aged care workers living on six different island communities of the Torres Strait. Participants will be recruited using purposive sampling. Thematic analysis of the data will be led by Torres Strait Islander members of the research team.
The Far North Queensland, Human Research Ethics Committee (HREC) (HREC/2021/QCH/73 638-1518) and James Cook University HREC (H8606) have approved this study. Dissemination of study findings will be led by Torres Strait members of the research team through conferences and peer-reviewed publications.
殖民化对澳大利亚原住民的心理健康产生了负面影响,并将继续产生负面影响。然而,其影响的真实程度尚不清楚,部分原因是临床医生对使用现有的许多针对原住民客户的筛查工具缺乏信心。此外,许多作者批评了用西方人群设计的工具来评估原住民,因为他们的健康和幸福观是不同的。因此,该研究的总体目标是为居住在托雷斯海峡的老年人(45 岁及以上)开发适当的心理健康筛查工具,这些工具可以在初级卫生保健和老年保健环境中使用。本方案描述了旨在实现总体目标的第一阶段——探讨澳大利亚托雷斯海峡和北部半岛地区原住民的社会和情感福祉(包括心理健康)。
该研究将以去殖民化和参与式行动研究方法为指导。Yarning 是一种澳大利亚原住民关系方法,它依赖于讲故事作为分享知识的一种方式。将在六个不同的托雷斯海峡岛屿社区的社区成员和卫生与老年护理工作者中进行 Yarning 圈。将采用目的抽样法招募参与者。由研究团队的托雷斯海峡岛民成员领导对数据的主题分析。
北昆士兰人类研究伦理委员会(HREC)(HREC/2021/QCH/73 638-1518)和詹姆斯·库克大学 HREC(H8606)已批准该研究。研究结果的传播将由研究团队的托雷斯海峡岛民成员通过会议和同行评审出版物来主导。