Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians
A scoping review
Bibliographic Data
| ID | 22067052 |
|---|---|
| Authors | Hannah Woodall (0000-0002-1731-4677, Griffith University, corresponding author), Sarah Larkin (0000-0002-7561-3202, James Cook University), Janani Pinidiyapathirage (0000-0003-2947-3015, Griffith University), Raelene Ward (0000-0002-6248-7921, University of Southern Queensland), Rebecca Evans (0009-0005-3230-6746, James Cook University) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1462410-1462410 |
| Publication date | 2025-01-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1462410 |
| PMID | 39916707 |
| OpenAlex | W4406774702 |
| Language | EN |
| References cited | 33 |
Objectives To assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined. Methods Scoping review of peer-reviewed evaluations of chronic disease interventions for Aboriginal and Torres Strait Islander patients, in which cultural safety is an outcome. Searches included Scopus, Informit, OVID Medline, Emcare and CINAHL including all articles published until September 2023. Results Searches identified 2,225 articles. 1,854 articles underwent title and abstract screening, with 97 progressing to full text review. Twenty articles met the inclusion criteria. 75% ( n = 15) of articles determined cultural safety based solely on Aboriginal and Torres Strait Islander peoples’ perspectives, with community acceptance as the most common means of determining cultural safety. In the analysed studies, elements contributing to cultural safety included practitioner behaviour ( n = 15), knowledge ( n = 6), skills ( n = 1) and attitudes ( n = 4), partnership with community ( n = 4) and culturally safe services ( n = 5), and graphics and artwork ( n = 6). The inconsistent terminology and lack of definitions made comparison of studies challenging. Conclusion This review underscores the importance of adopting the Australian Health Practitioner Regulation Agency (AHPRA) definition of cultural safety to standardise terminology and explore the many elements of cultural safety. It is recommended that cultural safety is defined by the community targeted by the intervention. Identification of elements of cultural safety will guide future interventions and reduce reliance on community acceptance as an indirect measure of cultural safety. If chronic diseases interventions are to effectively impact health equity, it is vital to understand cultural safety within these settings
CINAHL · Cultural safety · Health care · Political science · Psychological intervention · Terminology · Cultural Competency in Health Care · Indigenous Health, Education, and Rights · Interpreting and Communication in Healthcare · Medicine · Nursing
Quality assessment with diverse studies (QuADS)
Indigenous health part 1
Assessing the quality of health research from an Indigenous perspective
Burden of disease and injury in Aboriginal and Torres Strait Islander Peoples
Why cultural safety rather than cultural competency is required to achieve health equity
Updated methodological guidance for the conduct of scoping reviews
Racism as a Determinant of Health
Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019
Enhancing the get healthy information and coaching service for Aboriginal adults
Suicide story
Using thematic analysis in psychology
Intercultural communications in remote Aboriginal Australian communities
Development and Validation of a Questionnaire to Measure Attitude change in Health Professionals after Completion of an Aboriginal Health and Cultural Safety Training Programme
| Citation velocity | historical |
|---|---|
| Highly cited | No |