Digital Commons Network^™

Developing A Community Rehabilitation And Lifestyle Service For A Remote Indigenous Community, Alice Cairns, Lynore Geia, Sylvia Kris, Elizabeth Armstrong, Amy O’Hara, Danielle Rodda, Robyn Mcdermott, Ruth Barker

Research outputs 2014 to 2021

Purpose

Community rehabilitation is an essential health service that is often not available to remote Australians. This paper describes the first cycle of a collaborative project, between local community members, allied health professionals and a university, to co-design a community rehabilitation and lifestyle service to support adults and older people to stay strong and age well in place.

Methods

An action research framework was used to develop the service for adults in two remote communities, one being a discrete Aboriginal community. The first cycle involved planning for, and trialling of a service, with observations, reflections and feedback from clients, community …

Breaking The Silence: Insights Into The Lived Experiences Of Wa Aboriginal/Lgbtiq+ People: Community Summary Report 2021, Braden Hill, Bep Uink, Jenny Dodd, Dameyon Bonson, Anne-Marie Eades, Sian Bennett

Research outputs 2014 to 2021

The ‘Breaking the Silence’ research project is one of the first to focus on the unique experiences of Aboriginal and/or Torres Strait Islander LGBTIQ+ people living in Western Australia. Research focusing on the intersection of Indigeneity and gender/sexual diversity is severely lacking in Australia. This is the first survey to comprehensively capture the experiences of Aboriginal and Torres Strait Islander LGBTIQ+ Western Australians. Previously, major research pertaining to LGBTIQ+ Australians rarely just focused on Aboriginal and Torres Strait Islander same sex attracted or gender variant individuals (Bonson, 2017; Dudgeon, et. al., 2017; Growing Up Queer, 2014; Hill, et. al., 2021; …

The Fringe Or The Heart Of Things? Aboriginal And Torres Strait Islander Musics In Australian Music Institutions, Clint Bracknell, Linda Barwick

Research outputs 2014 to 2021

Teetering on the fringe of Australian music scholarship and knowledge institutions, research and teaching of local Indigenous musics hold a marginal place, belying the positioning of Indigenous music-makers at the centre of international representations of Australian culture, and the dynamic local connections of Indigenous music-making to Australian landscapes and social realities. Music’s ubiquity and diversity worldwide show its potential as a tool to manage the changing world in societies of the past and present, yet this potential is largely neglected in contemporary Australia, and our theories and evidence base are limited by the narrow western focus within our knowledge institutions. …

The Development Of Aboriginal Brain Injury Coordinator Positions: A Culturally Secure Rehabilitation Service Initiative As Part Of A Clinical Trial, Elizabeth Armstrong, Kathy Mccoy, Rebecca Clinch, Maureen Merritt, Renee Speedy, Meaghan Mcallister, Kym Heine, Natalie Ciccone, Melanie Robinson, Julie Coffin

Research outputs 2014 to 2021

Brain injury, resulting from stroke and traumatic brain injury, is a common occurrence in Australia, with Aboriginal people affected at a significant rate and impact felt by individuals, families and communities. Access to brain injury rehabilitation services for Aboriginal people is reported to be often limited, with very little support outside the hospital environment. Our research involving Aboriginal brain injury survivors and their families to date has revealed that people often manage ‘on their own’ following such events. Following recommendations from survivors and their families, the Healing Right Way clinical trial, currently underway in Western Australia, has created the role …

The Knowledge, Attitudes And Beliefs Of Midwives On The Vaccination Coverage Rates In Perth’S Aboriginal Children, Rebecca Carman, Lesley Andrew, Amanda Devine

Research outputs 2014 to 2021

Background:

Midwives are well placed to promote vaccination awareness throughout a women’s pregnancy and strengthen childhood vaccination demand following hospital discharge. In Perth, Western Australia, Aboriginal children experience some of the lowest vaccination coverage rates across the nation. To identify factors preventing greater vaccination uptake amongst the target population, a theory-based study was conducted with midwives across two Perth maternity hospitals to explore behavioural attributes, knowledge, attitudes and beliefs surrounding vaccination provision and the vaccines administered to Aboriginal children.

Methods:

A purpose-designed questionnaire was distributed to midwives working in two Perth public maternity hospitals. The proximal constructs of The Theory …

“You Felt Like A Prisoner In Your Own Self, Trapped”: The Experiences Of Aboriginal People With Acquired Communication Disorders, Elizabeth Armstrong, Juli Coffin, Deborah Hersh, Judith M. Katzenellenbogen, Sandra C. Thompson, Natalie Ciccone, Leon Flicker, Deborah Woods, Colleen Hayward, Catelyn Dowell, Meaghan Mcallister

Research outputs 2014 to 2021

Purpose:

Aboriginal Australians are under-represented in brain injury rehabilitation services despite a high incidence of both stroke and traumatic brain injury in this population. This study aimed to explore the experiences of Aboriginal Australian adults with acquired communication disorders (ACDs) after brain injury for the first time to inform the development of accessible and culturally secure service delivery models.

Methods and materials:

Semi-structured interviews were undertaken with 32 Aboriginal people who had experienced a brain injury resulting in ACDs (aged 35–79 years) and 18 family members/carers across Western Australia. Thematic analysis identified common themes across participants.

Results:

Overall themes related …

Overview Of Aboriginal And Torres Strait Islander Health Status, 2020, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

The Overview of Aboriginal and Torres Strait Islander health status (the Overview) aims to provide a comprehensive outline of the most recent indicators of the health and current health status of Australia's Aboriginal and Torres Strait Islander people. The initial sections of the Overview provide information about the context of Aboriginal and Torres Strait Islander health, social determinants, the Aboriginal and Torres Strait Islander population and measures of population health status including births, mortality and hospitalisation...

Summary Of Aboriginal And Torres Strait Islander Health Status - Selected Topics 2020, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

The Summary of Aboriginal and Torres Strait Islander health status - selected topics 2020 is a useful source of the most recent national information for health workers and those studying in the field. It provides general information regarding the health status of Aboriginal and Torres Strait Islander people across the following topics:

• social and cultural determinants
• births and deaths
• hospitalisations
• chronic conditions (including CVD, cancer, diabetes and kidney health)
• sexually transmitted infections
• environmental health
• social and emotional wellbeing
• alcohol and other drug use.

The Summary is based on the Overview of Aboriginal and Torres Strait Islander health status 2020 and …

Summary Of Sexual Health Links With Chronic Disease In Aboriginal And Torres Strait Islander Males, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

This Summary is based on the Review of sexual health issues linked with cardiovascular disease and type 2 diabetes mellitus in Aboriginal and Torres Strait Islander males (the ‘Review’) ^[1] published by the Australian Indigenous HealthBulletin in 2021. It provides information about the male sexual health conditions of erectile dysfunction (ED) and low testosterone, and their links to chronic disease, specifically cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). It outlines:

• the causes and symptoms of ED and low testosterone
• how common ED and low testosterone are among the Australian male population (there are limited data available about Aboriginal …

Breaking The Silence: Insights From Wa Services Working With Aboriginal/ Lgbtiq+ People: Organisations Summary Report 2021, Braden Hill, Bep Uink, Jenny Dodd, Dameyon Bronson, Anne-Marie Eades, Sian Bennett

Research outputs 2014 to 2021

The ‘Breaking the Silence’ research project is one of the first to focus on the unique experiences of Aboriginal and/or Torres Strait Islander LGBTIQ+ people living in Western Australia. The report presents the first phase of a twopart research project that explores how a range of health, social support and education organisations respond to the needs of Aboriginal and/or Torres Strait Islander people, living in Western Australia and identifying as LGBTIQ+. This report presents the findings of focus groups, interviews and surveys with staff employed within a range of organisations that work closely with Aboriginal and/or LGBTIQ+ individuals. The discussion …

Summary Of Fetal Alcohol Spectrum Disorder (Fasd) Among Aboriginal And Torres Strait Islander People, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

Fetal Alcohol Spectrum Disorder (FASD) is a condition caused by alcohol exposure before birth. During pregnancy, alcohol freely crosses the placenta ^[1]. The baby cannot process the alcohol and this may result in damage to the baby’s brain and body. Not all babies exposed to alcohol during pregnancy will develop FASD, but there is no safe level of alcohol use during pregnancy ^{[2, 3]}. FASD is a lifelong condition that results in cognitive, physical and behavioural disabilities ^[2]. FASD occurs everywhere in Australia where people drink alcohol. Many women drink during pregnancy before they know they are …

Summary Of Aboriginal And Torres Strait Islander Health Status 2019, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

The Summary of Aboriginal and Torres Strait Islander health status 2019 (Summary) provides a brief and current overview of the health of Aboriginal and Torres Strait Islander people in Australia in a plain language and visual style. The Australian Indigenous HealthInfoNet has prepared the Summary as part of our contribution to support those in the Aboriginal and Torres Strait Islander workforce and those participating in research and working with Aboriginal and Torres Strait Islander people and their communities...

Summary Of Kidney Health Among Aboriginal And Torres Strait Islander People, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

No abstract provided.

Rebuilding As Research: Noongar Song, Language And Ways Of Knowing, Clint Bracknell

Research outputs 2014 to 2021

In Australia, language and song are integral to maintaining Aboriginal knowledge systems. British colonisation and ensuing Australian government policies of assimilation have adversely impacted these knowledge systems, at least partially by functioning to dramatically diminish the vitality of many Aboriginal languages and song traditions. As a Noongar researcher motivated by community-oriented goals, I employ a multidisciplinary approach to enhance the revitalisation of the endangered Noongar language and its song traditions in the south coast region of Western Australia. This work draws on established methods from ethnomusicology and linguistics, engaging with community knowledge-holders and archival records to rebuild repertoire while increasing …

Summary Of Nutrition Among Aboriginal And Torres Strait Islander People, Australian Indigenous Healthinfonet

Research outputs 2014 to 2021

No abstract provided.

A Review Of Nyoongar Responses To Severe Climate Change And The Threat Of Epidemic Disease—Lessons From Their Past, Francesca Robertson, Jason Barrow

Research outputs 2014 to 2021

Nyoongar people have lived in the South West of Western Australia for at least 50,000 years. During that time, they experienced significant climate change, including wide variations in temperature and rainfall, and hundreds of metres’ difference in sea levels. Nyoongar people have a long memory, and climate change is described in their stories and in the knowledge they hold about how life was lived in earlier times. There are artifacts and places that have been manipulated to be productive despite severe drought. COVID-19 disrupted the writing of this article, and the authors felt it appropriate to include Nyoongar responses to …

The Emotional Business Of Noongar Song, Clint Bracknell

Research outputs 2014 to 2021

This article explores connections between history, emotion and Aboriginal song in the south of Western Australia. Songs performed in the Noongar language in the 19th and early 20th centuries provide insight into the emotional worlds of Western Australia’s past. Historical documentation reveals how Noongar sang to deal with rapid changes associated with colonisation, with song acting as a conduit for cultural resilience. Today, the Noongar language is endangered, and few people remember the old songs. Community aspirations to claim, consolidate and enhance cultural heritage have driven a collaborative process of translating, interpreting and revitalising some of this repertoire. Listening to …

Aboriginal People With Chronic Hcv: The Role Of Community Health Nurses For Improving Health-Related Quality Of Life, Amineh Rashidi, Peter Higgs, Susan Carruthers

Research outputs 2014 to 2021

Introduction: There is a lack of knowledge about Health-Related Quality of Life (HRQL) of Aboriginal Australians with self-reported hepatitis C infection in Western Australia. This marginalised group of people is disproportionally affected by the hepatitis C virus (HCV) for which there is no preventative vaccine. This study provides data that help understand the long-term consequences of living with HCV infection within the Aboriginal community. It outlines opportunities for nursing interventions for hepatitis care that focus on supporting mental health and drug and alcohol issues within this population. Methods: We surveyed 123 Aboriginal people living with HCV in a community setting. …

The Uluru Statement: A First Nations Perspective Of The Implications For Social Reconstructive Race Relations In Australia, Jesse John Fleay, Barry Judd

Research outputs 2014 to 2021

From every State and Territory of Australia, including the islands of the Torres Strait over 200 delegates gathered at the 2017 First Nations National Constitutional Convention in Uluru, which has stood on Anangu Pitjantjatjara country in the Northern Territory since time immemorial, to discuss the issue of constitutional recognition. Delegates agreed that tokenistic recognition would not be enough, and that recognition bearing legal substance must stand, with the possibility to make multiple treaties between Aboriginal peoples and Torres Strait Islanders and the Commonwealth Government of Australia. In this paper, we look at the roadmap beyond such a potential change. We …

Ever-Widening Circles: Consolidating And Enhancing Wirlomin Noongar Archival Material In The Community, Clint Bracknell, Kim Scott

Research outputs 2014 to 2021

Returning archival documentation of endangered Indigenous languages to their community of origin can provide empowering opportunities for Indigenous people to control, consolidate, enhance and share their cultural heritage with ever-widening, concentric circles of people, while also allowing time and space for communities to recover from disempowerment and dislocation. This process aligns with an affirming narrative of Indigenous persistence that, despite the context of colonial dispossession, can lead to a positive, self-determined future. In 2007, senior Noongar of the Wirlomin clan in the south coast region of Western Australia initiated Wirlomin Noongar Language and Stories Inc., an organisation set up to …

Predictors Of Pneumococcal Carriage And The Effect Of The 13-Valent Pneumococcal Conjugate Vaccination In The Western Australian Aboriginal Population, Deirdre A. Collins, Anke Hoskins, Thomas Snelling, Kalpani Senasinghe, Jacinta Bowman, Natalie A. Stemberger, Amanda J. Leach, Deborah Lehmann

Research outputs 2014 to 2021

Background

The 7-valent pneumococcal conjugate vaccine (PCV7) was introduced to prevent invasive pneumococcal disease (IPD) in Western Australian (WA) Aboriginal people in 2001. PCV13 replaced PCV7 in July 2011, covering six additional pneumococcal serotypes; however, IPD rates remained high in Aboriginal people in WA. Upper respiratory tract pneumococcal carriage can precede IPD, and PCVs alter serotype distribution.

Methods

To assess the impact of PCV13 introduction, identify emerging serotypes, and assess risk factors for carriage, nasopharyngeal swabs and information on demographic characteristics, health, medication and living conditions from Aboriginal children and adults across WA from August 2008 to November 2014 were …

Aboriginal Health Worker Perceptions Of Oral Health: A Qualitative Study In Perth, Western Australia, Angela Durey, Dan Mcaullay, Barry Gibson, Linda Slack-Smith

Research outputs 2014 to 2021

Background:

Improving oral health for Aboriginal Australians has been slow. Despite dental disease being largely preventable, Aboriginal Australians have worse periodontal disease, more decayed teeth and untreated dental caries than other Australians. Reasons for this are complex and risk factors include broader social and historic determinants such as marginalisation and discrimination that impact on Aboriginal people making optimum choices about oral health. This paper presents findings from a qualitative study conducted in the Perth metropolitan area investigating Aboriginal Health Workers’ (AHWs) perceptions of barriers and enablers to oral health for Aboriginal people.

Methods:

Following extensive consultation with Aboriginal stakeholders, …

Improving Access To Primary Care For Aboriginal Babies In Western Australia: Study Protocol For A Randomized Controlled Trial, Dan Mcaullay, Kimberley Mcauley, Rhonda Marriott, Glenn Pearson, Peter Jacoby, Chantal Ferguson, Elizabeth Geelhoed, Juli Coffin, Charmaine Green, Selina Sibosado, Barbara Henry, Dorota Doherty, Karen Edmond

Research outputs 2014 to 2021

Background:

Despite a decade of substantial investments in programs to improve access to primary care for Aboriginal mothers and infants, more than 50 % of Western Australian Aboriginal babies are still not receiving primary and preventative care in the early months of life. Western Australian hospitals now input birth data into the Western Australian electronic clinical management system within 48 hours of birth. However, difficulties have arisen in ensuring that the appropriate primary care providers receive birth notification and clinical information by the time babies are discharged from the hospital. No consistent process exists to ensure that choices about primary …

Principles Of Practice In Mental Health Assessment With Aboriginal Australians, Yolonda Adams, Neil M. Drew, Roz Walker

Research outputs 2014 to 2021

In this chapter, concepts and history of assessment and testing in the context of Aboriginal and Torres Strait Islander social and emotional wellbeing and mental health are discussed. Importantly, recently revised diagnostic guidelines and the National Practice Standards for the Mental Health Workforce 20131 and their appropriateness for meeting the distinctive needs of Aboriginal people are reviewed. Various assessment tools and measures that have been validated or proved appropriate for use with particular Aboriginal populations, i.e. youth, women and older people, are described. We conclude that practitioners need to be critically reflective in their role in assessment, and position themselves …