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“这是研究,我们的投入能够增加”:与原住民和托雷斯海峡岛民社区共同确定健康研究重点——研究方案

"It's research, our input can grow": identifying health research priorities with Aboriginal and Torres Strait Islander communities-study protocol.

作者信息

Massi Luciana, Weatherall Loretta, Nielsen Christine, Toombs Maree, Fredericks Bronwyn, Rae Kym M

机构信息

Mater Research Institute, University of Queensland, Level 3, Aubigny Place, QLD, South Brisbane, Australia.

Sydney School of Public Health, University of Sydney, Camperdown, NSW, Australia.

出版信息

Res Involv Engagem. 2023 Jul 28;9(1):59. doi: 10.1186/s40900-023-00467-w.

Abstract

BACKGROUND

In Australia, Aboriginal and Torres Strait Islander (Indigenous) families have strong, cohesive, and nurturing cultural practices that contribute to effective family functioning and child rearing. These practices can lead to positive effects on children and communities, and include kinship relations, traditional knowledge systems, collective community focus, respect for Elders contributions, and spirituality. However, poor health and wellbeing outcomes exist across the lifespan for Indigenous Australians. Health programs, services and research that support Indigenous women, babies and their families are a critical investment to improve birthing and health outcomes and impact the life trajectories of Indigenous Australians.

AIM

The Indigenous Health Research Priorities study aims to identify the research priorities for families during the perinatal and early childhood period through a co-designed and collaborative process. This has been led by communities to determine the priorities identified with and for local Indigenous families in Queensland. This paper aims to report on engagement and involvement with Indigenous communities to identity health research priorities for families and presents preliminary findings of the research process including participants' demographic information and feedback on the yarning sessions, as part of the study protocol.

METHODS

The study protocol showcases the Participatory Action Research approach, yarning sessions with clients and staff of three community-controlled health services to date, and Delphi workshop methods to prioritise the health issues identified during the yarns with corresponding communities. The study will undertake qualitative data collection and analysis to identify and report on community and health service research priorities for Indigenous families in Queensland. A short survey was conducted to collect participants' demographic information. A feedback form with five open-ended questions was also administered to collect data on participants' views and satisfaction with the research process.

PRELIMINARY RESULTS

This protocol paper reports on the participant demographic information and feedback on the research process and reactions to participating in the yarning sessions. There have been 12 yarning sessions in Far North Queensland to date. The qualitative analysis of these will be reported on in future, with South East Queensland and further sites to follow. Feedback from 61 community members and health professionals has highlighted they valued sharing stories, being heard, and feeling hopeful. Preliminary findings will be reported.

DISCUSSION

Identification of health research priorities will allow each organisation and region of Queensland to develop research initiatives and the translational outcomes that are a focus for their community members.

摘要

背景

在澳大利亚,原住民和托雷斯海峡岛民(土著)家庭拥有强大、紧密且具有滋养性的文化习俗,这些习俗有助于家庭有效运作和养育子女。这些习俗能对儿童和社区产生积极影响,包括亲属关系、传统知识体系、集体社区关注、对长辈贡献的尊重以及精神信仰。然而,澳大利亚原住民在整个生命周期中都存在健康和福祉不佳的情况。支持土著妇女、婴儿及其家庭的健康项目、服务和研究是改善分娩和健康结果以及影响澳大利亚原住民生活轨迹的一项关键投资。

目的

土著健康研究重点研究旨在通过共同设计和协作过程确定围产期和幼儿期家庭的研究重点。这一过程由社区主导,以确定昆士兰州当地土著家庭认同的以及为其确定的重点。本文旨在报告与土著社区的参与和互动情况,以确定家庭健康研究重点,并展示研究过程的初步结果,包括参与者的人口统计学信息以及对交流座谈会的反馈,这是研究方案的一部分。

方法

研究方案展示了参与式行动研究方法、迄今为止与三个社区控制的健康服务机构的客户和工作人员进行的交流座谈会,以及德尔菲研讨会方法,以便对在与相应社区的交流中确定的健康问题进行优先排序。该研究将进行定性数据收集和分析,以确定并报告昆士兰州土著家庭的社区和健康服务研究重点。进行了一项简短调查以收集参与者的人口统计学信息。还发放了一份包含五个开放式问题的反馈表,以收集关于参与者对研究过程的看法和满意度的数据。

初步结果

本方案文件报告了参与者的人口统计学信息以及对研究过程的反馈和对参与交流座谈会的反应。迄今为止,在昆士兰州远北地区已举行了12次交流座谈会。对这些座谈会的定性分析将在未来报告,昆士兰州东南部及更多地点随后也会进行。61名社区成员和健康专业人员的反馈突出表明,他们重视分享故事、被倾听以及感到充满希望。将报告初步结果。

讨论

确定健康研究重点将使昆士兰州的每个组织和地区能够制定研究倡议以及转化成果,这些是其社区成员关注的重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f1/10386625/af5a09f57d0d/40900_2023_467_Fig1_HTML.jpg

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