College of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Appl Physiol Nutr Metab. 2024 May 1;49(5):599-613. doi: 10.1139/apnm-2023-0380. Epub 2024 Feb 6.
Historical factors including colonization and ongoing socioeconomic inequities impact Indigenous Peoples' ability to mitigate chronic disease risks such as achieving recommended physical activity (PA) levels. Reliably assessing, reflecting, and promoting PA participation among Indigenous Peoples may be impacted by a lack of culturally appropriate assessment methods and meaningful engagement with Indigenous communities throughout the research process. The objectives of this scoping review were to examine: (1) How PA research with Indigenous Peoples used community-specific PA measures developed with and/or for Indigenous Peoples in Canada, Australia, and New Zealand; and (2) How the studies utilized community-based participatory research (CBPR) principles to engage communities. A systematic search was conducted in four electronic databases (Web of Science, Medline, University of Saskatchewan Indigenous Portal, and ProQuest Dissertations and Theses Global). Thirty-one ( = 31) articles were identified and data extracted for narrative synthesis. Studies using community-specific PA measures have been increasing over time. Adapting questionnaires to traditional Indigenous activities such as cultural dances, ceremonies, and food-gathering activities were the most frequent adjustments undertaken to use community-specific measures. There are, however, gaps in research partnering with communities with only 6% of studies including all eight CBPR principles. Practical ways researchers can engage Indigenous communities and build capacity such as training and employing community members were highlighted. More needs to be done to facilitate community self-determination and develop long-term sustainable initiatives. Using culturally appropriate and relevant methodologies including partnering with Indigenous communities may help identification and implementation of culturally relevant and sustainable health-promoting initiatives.
历史因素，包括殖民和持续的社会经济不平等，影响了原住民减轻慢性病风险的能力，例如达到建议的身体活动水平。在评估、反映和促进原住民的身体活动参与方面，可能会受到缺乏文化上适当的评估方法以及在整个研究过程中与原住民社区缺乏有意义的接触的影响。本范围综述的目的是检查：(1)加拿大、澳大利亚和新西兰的原住民人群体特有的身体活动研究如何使用针对原住民人群体特有的、并由其开发的身体活动措施；(2)这些研究如何利用基于社区的参与式研究 (CBPR) 原则来让社区参与。在四个电子数据库（Web of Science、Medline、萨斯喀彻温大学原住民门户和 ProQuest Dissertations and Theses Global）中进行了系统搜索。确定了 31 篇文章，并对数据进行了叙述性综合提取。随着时间的推移，使用社区特有的身体活动措施的研究一直在增加。适应传统的原住民活动，如文化舞蹈、仪式和食物采集活动，是使用社区特有的措施最常见的调整。然而，与社区合作的研究存在差距，只有 6%的研究包括 CBPR 的所有 8 个原则。研究人员强调了一些与原住民社区建立联系和建立能力的实用方法，例如培训和雇用社区成员。需要做更多的工作来促进社区的自决和制定长期可持续的倡议。使用文化上适当和相关的方法，包括与原住民社区合作，可能有助于确定和实施文化上相关和可持续的促进健康的倡议。
