McCausland Kahlia, Thomas Elizabeth, Bullen Jonathan, Hill-Wall Trish, Norman Richard, Cowen Gill
Collaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Perth, Western Australia, Australia.
Centre for Clinical Research Excellence, Curtin University, Perth, Western Australia, Australia.
Health Promot J Austr. 2025 Jan;36(1):e892. doi: 10.1002/hpja.892. Epub 2024 Jul 11.
Concussion awareness and knowledge among Aboriginal and Torres Strait Islander peoples residing in Perth, Western Australia and factors preventing presentation at a health service for assessment after such an injury.
Qualitative study with participants aged between 18 and 65 years. Recruitment was by Facebook advertising and snowball sampling. A semi-structured topic yarning guide was used to guide conversations through 1:1, multi-person or group yarns. Yarns were audio-recorded, transcribed and thematically analysed.
Twenty-four participants were recruited. A good knowledge of modes of concussion injury was identified in these participants. However, they identified difficulty differentiating this injury from other injuries or medical conditions. Multiple factors contributed to a reluctance to seek assessment and further management of a potential concussion. Multiple strategies to enhance education and presentation for assessment were suggested by participants.
Aboriginal and Torres Strait Islander-owned and led concussion education is the first step in enhancing understanding of this condition. Education must be coupled with improvements in the cultural safety of healthcare services, as without this, patients will continue to fail to present for assessment and management. SO WHAT?: It is recommended that concussion education focuses on the differentiation of concussion as a diagnosis from other injuries. Information regarding where and when to seek medical assessment is recommended, and this must be in a culturally safe environment. Typical recovery and potential sequelae must be explored, in programs led and devised by Aboriginal and Torres Strait Islander peoples engaged with the community for which the education is proposed.
居住在西澳大利亚珀斯的原住民和托雷斯海峡岛民对脑震荡的认知情况，以及受伤后阻碍他们前往医疗服务机构进行评估的因素。
对年龄在18至65岁之间的参与者进行定性研究。通过脸书广告和滚雪球抽样进行招募。使用半结构化的主题访谈指南，通过一对一、多人或小组访谈来引导对话。访谈进行录音、转录并进行主题分析。
招募了24名参与者。这些参与者对脑震荡的损伤方式有较好的了解。然而，他们发现难以将这种损伤与其他损伤或病症区分开来。多种因素导致他们不愿寻求对潜在脑震荡的评估和进一步治疗。参与者提出了多种加强教育和促使人们前往评估的策略。
由原住民和托雷斯海峡岛民主导的脑震荡教育是增强对这种病症理解的第一步。教育必须与改善医疗服务的文化安全性相结合，否则患者将继续不前来进行评估和治疗。那又如何呢？建议脑震荡教育着重于将脑震荡作为一种诊断与其他损伤区分开来。建议提供有关何处以及何时寻求医疗评估的信息，并且这必须是在一个文化安全的环境中。在由参与所提议教育的社区的原住民和托雷斯海峡岛民主导和设计的项目中，必须探讨典型的恢复情况和潜在后遗症。
