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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
REVIEW (Open Access)

Recommended methodologies to determine Australian Indigenous community members’ perceptions of their health needs: a literature review

Rosetta Lillian Smith A E , Sue Devine B and Robyn Preston C D
+ Author Affiliations
- Author Affiliations

A College of Public Health, Medicine and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University, 1 James Cook Drive, Townsville, Qld 4811, Australia.

B College of Public Health, Medical and Veterinary Sciences, James Cook University, 1 James Cook Drive, Townsville, Qld 4811, Australia.

C College of Medicine and Dentistry, James Cook University, Townsville, Qld 4811, Australia.

D School of Health, Medical and Applied Sciences, Central Queensland University, Townsville, Qld 4811, Australia.

E Corresponding author. Email: rosetta.smith@my.jcu.edu.au

Australian Journal of Primary Health 26(2) 95-103 https://doi.org/10.1071/PY19078
Submitted: 16 April 2019  Accepted: 28 October 2019   Published: 17 February 2020

Journal Compilation © La Trobe University 2020 Open Access CC BY-NC-ND

Abstract

When addressing disparities in health status of Indigenous Australians, it is necessary to consult with Indigenous people to explore their health needs. The process of improving health outcomes is complex; it requires acknowledgement of underlying cultural and social determinants of health and active engagement of Indigenous people to define the issues and identify solutions. The aim of this study is to explore the most appropriate research methodologies to determine Australian Indigenous community members’ perceptions of their health needs. A scoping review was conducted in BioMed Central, CINAHL, Informit Health, MEDLINE Ovid, ProQuest and Scopus databases and Google Scholar for all relevant literature published between 2009 and 2018. Extensive manual searches of reference lists were also undertaken. The limited number of articles relating to needs assessment with Indigenous community members prescribed broadening the scope of the review to include articles that describe methodologies to enhance Indigenous people’s engagement in the research process. Twelve papers met the inclusion criteria. Three major themes emerged: (1) the imperative to develop and implement Indigenist research methodologies; (2) participatory action research (PAR) and community-based participatory research (CBPR) as appropriate methodologies to conduct research with Indigenous community members; and (3) yarning or storytelling as a culturally appropriate Indigenous method of data collection.

Additional keywords: colonisation, community-based participatory research, data collection, decolonise, Indigenist, participatory action research, storytelling, yarning.


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