Ishaque Sana, Ela Ola, Rissel Chris, Canuto Karla, Hall Kerry, Bidargaddi Niranjan, Briley Annette, Roberts Claire T, Perkes Sarah Jane, Dowling Anna, Bonevski Billie
College of Medicine and Public Health, Flinders University, Bedford Park, Australia.
First Peoples Health Unit, Griffith University, Brisbane, Australia.
JMIR Res Protoc. 2025 Jan 10;14:e53748. doi: 10.2196/53748.
There is limited evidence of high-quality, accessible, culturally safe, and effective digital health interventions for Indigenous mothers and babies. Like any other intervention, the feasibility and efficacy of digital health interventions depend on how well they are co-designed with Indigenous communities and their adaptability to intracultural diversity.
This study aims to adapt an existing co-designed mobile health (mHealth) intervention app with health professionals and Aboriginal and/or Torres Strait Islander mothers living in South Australia.
Potential participants include Aboriginal and/or Torres Strait Islander pregnant women and mothers of children aged 0-5 years, non-Aboriginal and/or Torres Strait Islander women who are mothers of Aboriginal and/or Torres Strait Islander babies, and health professionals who predominantly care for Aboriginal and/or Torres Strait Islander mothers and babies. Participants will be recruited from multiple Aboriginal and/or Torres Strait Islander-specific health services under the local health networks around metropolitan South Australia. In this study, data collection will be carried out via culturally safe, and family-friendly yarning circles, facilitated by Aboriginal research staff to collect feedback on the existing mHealth app from approximately 20 women and 10 health professionals, with the aim to achieve data saturation. This will inform the changes required to the mHealth app. All focus groups and interviews will be audio recorded and transcribed verbatim. Data will be inductively analyzed using realist epistemology via NVivo software (Lumivero). Themes about the mHealth app's cultural acceptability, usability, and appropriateness will be used to inform the changes applied to the app.
With the feedback received from participating women and health professionals, changes in the smartphone app will be made to ensure the intervention is supportive and meets the needs of Aboriginal and/or Torres Strait Islander mothers and families in South Australia. Participation of community members will promote ownership, community engagement, and implementation.
A co-designed, culturally sensitive, and effective digital health intervention is likely to support Indigenous mothers and their children facing health disparities due to the disruption of Indigenous culture by colaying a foundation for a potential clinical trial and wider implementation.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/53748.
针对原住民母亲和婴儿的高质量、可获取、文化安全且有效的数字健康干预措施的证据有限。与任何其他干预措施一样，数字健康干预措施的可行性和有效性取决于它们与原住民社区的共同设计程度以及对文化内部多样性的适应性。
本研究旨在与南澳大利亚的健康专业人员以及原住民和/或托雷斯海峡岛民母亲共同调整现有的共同设计的移动健康（mHealth）干预应用程序。
潜在参与者包括原住民和/或托雷斯海峡岛民孕妇以及0至5岁儿童的母亲、非原住民和/或托雷斯海峡岛民且其孩子为原住民和/或托雷斯海峡岛民的母亲，以及主要照顾原住民和/或托雷斯海峡岛民母亲和婴儿的健康专业人员。参与者将从南澳大利亚大都市周边当地卫生网络下的多个特定于原住民和/或托雷斯海峡岛民的卫生服务机构招募。在本研究中，数据收集将通过文化安全且家庭友好的交流圈进行，由原住民研究人员协助，以收集约20名女性和10名健康专业人员对现有移动健康应用程序的反馈，目标是实现数据饱和。这将为移动健康应用程序所需的更改提供信息。所有焦点小组讨论和访谈都将进行录音并逐字转录。数据将通过NVivo软件（Lumivero）使用现实主义认识论进行归纳分析。关于移动健康应用程序的文化可接受性、可用性和适宜性的主题将为应用于该应用程序的更改提供信息。
根据参与女性和健康专业人员的反馈，将对智能手机应用程序进行更改，以确保该干预措施具有支持性并满足南澳大利亚原住民和/或托雷斯海峡岛民母亲及家庭的需求。社区成员的参与将促进所有权、社区参与和实施。
通过为潜在的临床试验和更广泛的实施奠定基础，共同设计的、具有文化敏感性且有效的数字健康干预措施可能会支持因原住民文化受到破坏而面临健康差距的原住民母亲及其子女。
国际注册报告识别号（IRRID）：PRR1-10.2196/53748。
