Biomaterial Database

Finding a pathway and making it strong: Learning from Yolŋu about meaningful health education in a remote Indigenous Australian context. 2021

Anne Lowell, and Elaine Läwurrpa Maypilama, and Rosemary Gundjarranbuy

Northern Institute, Charles Darwin University, Darwin, Australia.

OBJECTIVE Access to meaningful health information is limited in remote regions of Australia where Indigenous languages and culture are strong but the prevalence of chronic conditions is extremely high. This qualitative study aimed to support and understand the evolution of an educational approach to improve communication about chronic conditions for Yolŋu (Aboriginal people of Northeast Arnhem Land). METHODS Within a culturally responsive research design, data were gathered through participant observation and semi-structured interviews with educators and community members. An iterative and continuous process of data collection and inductive analysis, exploring key elements of the process as it evolved, supported the Project Team to modify and refine their approach as the project progressed. RESULTS A high level of community participation and control was a critical element of the project. Collaboration between Yolŋu educators and community experts, with culturally competent support from others, enabled Yolŋu to share health information in ways that could not be achieved by outsiders. Yolŋu and biomedical knowledges were integrated to build and share meaningful, in-depth (not simplified or directive) oral explanations in local languages using culturally responsive communication processes. The urgent need for ongoing, sufficient and meaningful health education was a consistent and recurring theme in this context where chronic conditions are having a devastating impact. CONCLUSIONS Sustained and equitable access to meaningful information, using a culturally responsive approach led by community educators, is crucial to improve health literacy and to enable genuinely informed decisions in prevention and management of chronic conditions. Long-term funding is needed to support ongoing programs. These findings may have relevance for others who do not share the culture and language of the majority population. SO WHAT?: Equity of access to meaningful health information through sustained support for community-led education processes is essential to improve First Nations health outcomes.

UI	MeSH Term	Description	Entries
D007802	Language	A verbal or nonverbal means of communicating ideas or feelings.	Dialect,Dialects,Languages
D006266	Health Education	Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.	Community Health Education,Education, Health,Education, Community Health,Health Education, Community
D006303	Health Services, Indigenous	Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.	Indigenous Health Services,Indigenous Services, Health,Services, Indigenous Health,Health Indigenous Service,Health Indigenous Services,Health Service, Indigenous,Indigenous Health Service,Indigenous Service, Health,Service, Health Indigenous,Service, Indigenous Health,Services, Health Indigenous
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001315	Australia	The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.	Canton and Enderbury Islands,Christmas Island,Christmas Island (Australia)
D044468	Native Hawaiian or Other Pacific Islander	A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands (https://www.federalregister.gov/documents/1997/10/30/97-28653/revisions-to-the-standards-for-the-classification-of-federal-data-on-race-and-ethnicity). In the United States it is used for classification of federal government data on race and ethnicity. Race and ethnicity terms are self-identified social construct and may include terms outdated and offensive in MeSH to assist users who are interested in retrieving comprehensive search results for studies such as in longitudinal studies.	Pacific Island Americans,Native Hawaiians,Pacific Islander Americans,Hawaiian, Native,Native Hawaiian,Pacific Island American,Pacific Islander American
D036301	Qualitative Research	Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)	Research, Qualitative