A prospective evaluation of first people’s health promotion program design in the goulburn-murray rivers region
| Autor: | Tui Crumpen, Margaret Cargo, Julie Calleja, Kevin G. Rowley, Therese Riley, Sharon Atkinson-Briggs, Petah Atkinson, Rachel Reilly, Joyce Doyle, Bradley Firebrace |
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| Přispěvatelé: | Doyle, Joyce, Atkinson-Briggs, Sharon, Atkinson, Petah, Firebrace, Bradley, Calleja, Julie, Reilly, Rachel, Cargo, Margaret, Riley, Therese, Crumpen, Tui, Rowley, Kevin |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Native Hawaiian or Other Pacific Islander Victoria health promotion Culture Ecological Health Promotion Community Based 03 medical and health sciences 0302 clinical medicine Nursing Rivers ecological medicine Health Services Indigenous Humans 030212 general & internal medicine Social determinants of health Healthy Lifestyle Prospective Studies community based Indigenous Peoples Aboriginal and Torres Strait Islander people Evaluation Exercise Health policy indigenous peoples HRHIS evaluation business.industry 030503 health policy & services Health Policy Public health lcsh:Public aspects of medicine International health lcsh:RA1-1270 15. Life on land Public relations Health promotion Occupational health nursing Health education Female 0305 other medical science business Research Article Program Evaluation Sports |
| Zdroj: | BMC Health Services Research, Vol 16, Iss 1, Pp 1-13 (2016) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-016-1878-4 |
| Popis: | Background: Aboriginal Community Controlled Organisations (ACCOs) provide community-focussed and culturally safe services for First Peoples in Australia, including crisis intervention and health promotion activities, in a holistic manner. The ecological model of health promotion goes some way towards describing the complexity of such health programs. The aims of this project were to: 1) identify the aims and purpose of existing health promotion programs conducted by an alliance of ACCOs in northern Victoria, Australia; and 2) evaluate the extent to which these programs are consistent with an ecological model of health promotion, addressing both individual and environmental determinants of health. Methods: The project arose from a long history of collaborative research. Three ACCOs and a university formed the Health Promotion Alliance to evaluate their health promotion programs. Local community members were trained in, and contributed to developing culturally sensitive methods for, data collection. Information on the aims and design of 88 health promotion activities making up 12 different programs across the ACCOs was systematically and prospectively collected. Results: There was a wide range of activities addressing environmental and social determinants of health, as well as physical activity, nutrition and weight loss. The design of the great majority of activities had a minimal Western influence and were designed within a local Aboriginal cultural framework. The most common focus of the activities was social connectedness (76 %). Physical activity was represented in two thirds of the activities, and nutrition, weight loss and culture were each a focus of about half of the activities. A modified coding procedure designed to assess the ecological nature of these programs showed that they recruited from multiple settings; targeted a range of individual, social and environmental determinants; and used numerous and innovative strategies to achieve change. Conclusion: First Peoples' health promotion in the Goulburn-Murray Rivers region encompasses a broad range of social, cultural, lifestyle and community development activities, including reclaiming and strengthening cultural identity and social connectedness as a response to colonisation. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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