Lederman Oscar, Moors-Mailei Amanda, Peacock Yvonne, McKeon Grace, Llana Alessandro, Burns David, Rosenbaum Simon, Caperchione Cristina M
Human Performance Research Centre, School of Sport, Exercise, and Rehabilitation, Faculty of Health, University of Technology Sydney (UTS), Moore Park Rd, Moore Park, Gadigal Land, Eora Nation, Sydney, New South Wales, 2021, Australia.
Nutrition, Exercise, and Social Equity (NExuS), Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, AGSM Building, Gate 11, Botany St, Kensington, Gadigal Land, Eora Nation, Sydney, New South Wales, 2052, Australia.
Health Promot Int. 2025 Jan 17;40(1). doi: 10.1093/heapro/daae197.
Pasifika communities in Western Sydney experience significant health disparities, particularly related to chronic diseases such as cardiovascular conditions and diabetes. Physical activity is known to improve both physical and mental health, yet access to culturally responsive physical activity programs for Pasifika communities is limited. This study leveraged expertise from an Advisory Committee to adopt community-based participatory research (CBPR) through Talanoa to co-design a physical activity program specifically tailored for Pasifika people in Western Sydney. Pasifika mothers were identified as a priority population due to their central role in family health and well-being. The co-design process followed the four stages of Engage, Gather, Understand and Improve, guided by the Fonofale Model of Health to ensure a culturally responsive approach. We report on each stage of the co-design process and the results gathered, highlighting key findings such as the need for culturally safe environments, flexible scheduling, ensuring programs are community-led and addressing key barriers including caregiving responsibilities, sociocultural expectations and health status. The results from this study will guide the implementation of a culturally tailored physical activity program that meets the unique needs and values of the Pasifika community in Western Sydney.
悉尼西部的太平洋岛民社区面临着显著的健康差距，尤其是与心血管疾病和糖尿病等慢性病相关的差距。众所周知，体育活动有助于改善身心健康，但太平洋岛民社区获得符合其文化需求的体育活动项目的机会有限。本研究借助咨询委员会的专业知识，通过塔拉诺阿对话采用基于社区的参与式研究（CBPR）方法，共同设计了一项专门为悉尼西部的太平洋岛民量身定制的体育活动项目。由于太平洋岛民母亲在家庭健康和福祉中起着核心作用，她们被确定为优先人群。共同设计过程遵循参与、收集、理解和改进四个阶段，以健康的福诺法莱模式为指导，确保采用符合文化需求应对方式。我们报告了共同设计过程的每个阶段以及收集到的结果，强调了一些关键发现，如需要文化安全的环境、灵活的日程安排、确保项目由社区主导以及解决包括照顾责任、社会文化期望和健康状况在内的关键障碍。本研究结果将指导实施一项符合文化需求的体育活动项目，以满足悉尼西部太平洋岛民社区的独特需求和价值观。
