A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region

Joyce Doyle, Sharon Atkinson-Briggs, Petah Atkinson, Bradley Firebrace, Julie Calleja, Rachel Reilly, Margaret CARGO, Therese Riley, Tui Crumpen, Kevin Rowley

Research output: Contribution to journalArticle

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Abstract


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.
Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalBMC Health Services Research
Volume16
DOIs
Publication statusPublished - 2016
Externally publishedYes

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Health Promotion
Rivers
Weight Loss
Insurance Pools
Social Determinants of Health
Crisis Intervention
Social Planning
Social Identification
Environmental Health
Victoria
Life Style
Organizations
Health
Research

Cite this

Doyle, J., Atkinson-Briggs, S., Atkinson, P., Firebrace, B., Calleja, J., Reilly, R., ... Rowley, K. (2016). A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region. BMC Health Services Research, 16, 1-13. https://doi.org/10.1186/s12913-016-1878-4
Doyle, Joyce ; Atkinson-Briggs, Sharon ; Atkinson, Petah ; Firebrace, Bradley ; Calleja, Julie ; Reilly, Rachel ; CARGO, Margaret ; Riley, Therese ; Crumpen, Tui ; Rowley, Kevin. / A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region. In: BMC Health Services Research. 2016 ; Vol. 16. pp. 1-13.
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abstract = "BackgroundAboriginal 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.MethodsThe 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.ResultsThere 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.ConclusionFirst 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.",
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Doyle, J, Atkinson-Briggs, S, Atkinson, P, Firebrace, B, Calleja, J, Reilly, R, CARGO, M, Riley, T, Crumpen, T & Rowley, K 2016, 'A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region', BMC Health Services Research, vol. 16, pp. 1-13. https://doi.org/10.1186/s12913-016-1878-4

A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region. / Doyle, Joyce; Atkinson-Briggs, Sharon; Atkinson, Petah; Firebrace, Bradley; Calleja, Julie; Reilly, Rachel; CARGO, Margaret; Riley, Therese; Crumpen, Tui; Rowley, Kevin.

In: BMC Health Services Research, Vol. 16, 2016, p. 1-13.

Research output: Contribution to journalArticle

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T1 - A prospective evaluation of first people's health promotion program design in the goulburn-murray rivers region

AU - Doyle, Joyce

AU - Atkinson-Briggs, Sharon

AU - Atkinson, Petah

AU - Firebrace, Bradley

AU - Calleja, Julie

AU - Reilly, Rachel

AU - CARGO, Margaret

AU - Riley, Therese

AU - Crumpen, Tui

AU - Rowley, Kevin

PY - 2016

Y1 - 2016

N2 - BackgroundAboriginal 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.MethodsThe 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.ResultsThere 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.ConclusionFirst 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.

AB - BackgroundAboriginal 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.MethodsThe 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.ResultsThere 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.ConclusionFirst 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.

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DO - 10.1186/s12913-016-1878-4

M3 - Article

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JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

ER -