Webb Torres, Meldrum Kathryn, Wapau Chenoa, Sagigi Betty, Quigley Rachel, Strivens Edward, Russell Sarah
College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
Queensland Health, Torres and Cape Hospital and Health Service, Thursday Island, Queensland, Australia.
Aust J Rural Health. 2024 Dec;32(6):1216-1226. doi: 10.1111/ajr.13196. Epub 2024 Nov 5.
This study was the first phase of a broader project designed to develop a new tool to screen social and emotional well-being (SEWB). Its objective was to identify words used by First Nations people living in the Torres Strait (Zenadth Kes) and Northern Peninsula Area (NPA) to describe and discuss SEWB. We pay our respects to Elders past and present. We acknowledge the First Nations peoples who took part in this project as holders of their cultural knowledge now and forevermore.
This study took place in community and primary health care settings located on islands of the Torres Strait and NPA of Australia.
Twelve yarns with 35 community members and health professionals were led by Torres Strait Islander members of the project team between August and December 2022.
This study employed a descriptive qualitative design. Yarning, an Australian First Nations relational method, was used to share stories about SEWB. All but one yarn was audio recorded and subsequently professionally transcribed. Inductive thematic analysis was used to analyse the yarns.
Worry, sad and stress were the words most often used by participants to describe feelings of low SEWB. Signs of low SEWB included behaviour change, particularly significantly reduced community engagement.
Worry is not a word that is used in Australian mainstream tools that screen for psychological distress. Findings of this study indicate that a question that asks about worries should be included when screening for low SEWB in Australian First Nations peoples living in the Torres Strait and NPA.
本研究是一个更广泛项目的第一阶段,该项目旨在开发一种用于筛查社会和情感幸福感(SEWB)的新工具。其目的是确定生活在托雷斯海峡(泽纳兹·凯斯)和北半岛地区(NPA)的原住民用来描述和讨论SEWB的词汇。我们向过去和现在的长者表示敬意。我们承认参与本项目的原住民是其文化知识的持有者,无论是现在还是永远。
本研究在澳大利亚托雷斯海峡岛屿和NPA的社区及初级卫生保健机构中进行。
2022年8月至12月期间,项目团队的托雷斯海峡岛民成员主持了12次与35名社区成员和卫生专业人员的交流活动。
本研究采用描述性定性设计。运用澳大利亚原住民的关系方法“交流”来分享有关SEWB的故事。除一次交流活动外,其他所有活动均进行了录音,随后进行了专业转录。采用归纳主题分析法对这些交流内容进行分析。
“担忧”“悲伤”和“压力”是参与者描述低SEWB感受时最常用的词汇。低SEWB的迹象包括行为改变,尤其是社区参与度显著降低。
“担忧”这个词在澳大利亚筛查心理困扰的主流工具中并未使用。本研究结果表明,在对生活在托雷斯海峡和NPA的澳大利亚原住民进行低SEWB筛查时,应包含一个询问担忧情况的问题。