Using community‐led development to build health communication about rheumatic heart disease in Aboriginal children: a developmental evaluation
| Autor: | Carolyn Coleman, Abigail Carter, Laurie Guraylayla, B. Remenyi, Stanley Djalarra Rankin, Jane E. Francis, Gideon Djorlom, Alistair Djalolba James, Cindy Jinmarabynana, Alice G. Mitchell, Mason Scholes, Joseph Diddo, Emma Haynes, Jennifer Yan |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Community-Based Participatory Research medicine.medical_specialty Native Hawaiian or Other Pacific Islander Adolescent 030309 nutrition & dietetics education Indigenous Knowledges Indigenous 03 medical and health sciences 0302 clinical medicine Collaborative leadership Sovereignty developmental evaluation Prevalence medicine Health Services Indigenous Humans Mass Screening Narrative community‐led development 030212 general & internal medicine Traditional knowledge Child Health communication 0303 health sciences Medical education Public health Australia Community Participation Rheumatic Heart Disease Public Health Environmental and Occupational Health Culturally Competent Care Health Communication Action (philosophy) Echocardiography Public aspects of medicine RA1-1270 Psychology |
| Zdroj: | Australian and New Zealand Journal of Public Health, Vol 45, Iss 3, Pp 212-219 (2021) |
| ISSN: | 1326-0200 |
| DOI: | 10.1111/1753-6405.13100 |
| Popis: | Objective: A high prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) among Aboriginal children in northern Australia is coupled with low understanding among families. This has negative impacts on children's health, limits opportunities for prevention and suggests that better health communication is needed. Methods: During an RHD echocardiography screening project, Aboriginal teachers in a remote community school created lessons to teach children about RHD in their home languages, drawing on principles of community‐led development. Access to community‐level RHD data, previously unknown to teachers and families, was a catalyst for this innovative work. Careful, iterative discussions among speakers of four Aboriginal languages ensured a culturally coherent narrative and accompanying teaching resources. Results: The evaluation demonstrated the importance of collective work, local Indigenous Knowledge and metaphors. As a result of the lessons, some children showed new responses and attitudes to skin infections and their RHD treatment. Language teachers used natural social networks to disseminate new information. A community interagency collaboration working to prevent RHD commenced. Conclusions and implications for public health: Action to address high rates of RHD must include effective health communication strategies that value Indigenous Knowledge, language and culture, collaborative leadership and respect for Indigenous data sovereignty. |
| Databáze: | OpenAIRE |
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