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Empowering Voice through the Creation of a Safe space: An experience of Aboriginal Women in Regional Queensland.

ABSTRACT: BACKGROUND:Sharing stories creates a space for respectful conversation and contributes to both knowledge and a sense of fellowship. This paper reflects on the experience of the research team in supporting a group of Aboriginal women to create safe spaces and to share their stories of healing, social and emotional wellbeing. METHODS:Secondary data of a study exploring community perceptions about cancer were analysed using the holistic model of Indigenous Wellbeing developed by the Rumbalara Aboriginal Cooperative (2008). Qualitative data were collected during yarning sessions with a group of Aboriginal women while creating a quilt. RESULTS:Four elements of the Indigenous Wellbeing model were identified: connectedness, sense of control, threats and relationship with the mainstream. The yarning sessions promoted dialogue, identified needs and supported the voices of the participants. A duality of forces (positive and negative) influencing community wellbeing was identified. CONCLUSION:This project highlights the need for spaces that support people and the community to express concerns, identify needs, propose solutions and begin a dialogue that encourages empowerment. Community-driven conversation and the identification of safe and empowering spaces can serve to empower social and emotional wellbeing.

SUBMITTER: M Bernardes C

PROVIDER: S-EPMC7084899 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Empowering Voice through the Creation of a Safe space: An experience of Aboriginal Women in Regional Queensland.

M Bernardes Christina C C Valery Patricia P Arley Brian B Pratt Gregory G Medlin Linda L Meiklejohn Judith A JA

International journal of environmental research and public health 20200225 5

<h4>Background</h4>Sharing stories creates a space for respectful conversation and contributes to both knowledge and a sense of fellowship. This paper reflects on the experience of the research team in supporting a group of Aboriginal women to create safe spaces and to share their stories of healing, social and emotional wellbeing.<h4>Methods</h4>Secondary data of a study exploring community perceptions about cancer were analysed using the holistic model of Indigenous Wellbeing developed by the ...[more]

PMID: 32106502

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Project description:BackgroundAboriginal and Torres Strait Islander Community-Controlled Health Organisations (ACCHOs) provides culturally appropriate primary care for Aboriginal and Torres Strait Islander people in Australia. The population of North Queensland has a higher proportion of Aboriginal and Torres Strait Islander people, a greater population coverage of ACCHOs, and higher cervical screening participation than the Rest of Queensland. The association between regional differences in the use of ACCHOs for cervical screening and variations in screening participation among Aboriginal and Torres Strait Islander women is currently unknown.MethodsThis is a population-based study of 1,107,233 women, aged 20-69 years who underwent cervical screening between 2013 and 2017. Of these women, 132,972 (12%) were from North Queensland, of which 9% were identified as Aboriginal and Torres Strait Islander women (2% Rest of Queensland) through linkage to hospital records. Regional differentials in screening by Aboriginal and Torres Strait Islander status were quantified using participation rate ratios (PRRs) with 95% confidence intervals (CIs) from negative binomial regression models. Logistic regression was used to identify factors associated with Aboriginal and Torres Strait Islander women being screened at ACCHOs.ResultsAboriginal and Torres Strait Islander women from North Queensland (versus) Rest of Queensland had higher odds of screening at ACCHOs after adjusting for age and area-level variables. After adjustment for non-ACCHO variables, the regional differential in screening among Aboriginal and Torres Strait Islander women was significantly higher (PRR 1.28, 95% CI 1.20-1.37) than that among other Australian women [PRR = 1.11 (1.02-1.18)], but was attenuated on further adjustment for ACCHO variables, [PRR = 1.15, (1.03-1.28)] to become similar to the corresponding point estimate for other Australian women [PRR = 1.09, (1.01-1.20)]. However, the significant interaction between Aboriginal and Torres Strait Islander status and region (p < 0.001) remained, possibly reflecting the large cohort size. Screening participation increased with better access to health services for all women.ConclusionsImproving access to primary health care for Aboriginal and Torres Strait Islander women, especially through ACCHOs, may reduce existing disparities in cervical screening participation. Further gains will require greater levels of local community engagement and understanding of the experiences of screened Aboriginal and Torres Strait Islander women to inform effective interventions.

Project description:The floor plan layout of museum exhibition spaces is the skeleton network of the museum, which determines the internal circulation and spatial form of the museum. This paper studies the method and practice of using artificial intelligence technology to assist in the space design of exhibition halls in urban cultural museums. First, it introduces the limitations of traditional space design methods for exhibition halls in urban cultural museums and the superiority and application prospects of the CGAN (conditional generative adversarial network) model in space design. Second, the principle and training process of the CGAN model are explained in detail, and the experimental results and analysis are given. By learning 100 floor plans of exhibition halls of urban culture museums, the CGAN model can generate a new floor plan design for an exhibition hall, which provides a new idea and innovative method for this design task. Finally, the limitations and future research directions of the CGAN model in the space design of urban cultural museum exhibition halls are discussed. The study shows that using the CGAN model to learn the floor plans of exhibition halls of urban cultural museums can effectively improve the innovation and practicability of space design and has the following advantages: (1) It can quickly generate a large number of exhibition hall floor plans, shorten the design cycle, and improve design efficiency. (2) The generated floor plan designs of the exhibition hall are diverse and personalized, meeting the design requirements of different scenarios and needs. (3) The method promotes the deep integration of space design and artificial intelligence technology and provides new possibilities and ideas for space design. These conclusions provide new ideas and methods for the space design of exhibition halls of urban cultural museums and provide a reference and inspiration for space design and intelligent applications in other fields, such as office space design, home decoration space design, landscape space design, and historical arcade and building renovation design.

Project description:BackgroundPutting patients' needs and priorities at the forefront of healthcare initiatives and medical product development is critical to achieve outcomes that matter most to patients. This relies on the integration of early, meaningful patient engagement (PE) to learn what is important to patients, and collection of representative patient experience data (PXD). The increased number of PE/PXD efforts across global regulatory, health technology assessment, and healthcare systems is an important step forward to deliver improved health outcomes for patients. However, these initiatives are fragmented and lack integration, which is necessary to maximize efforts and reduce burden on patients. To overcome these challenges, the Global Patient Experience Data Navigator has been co-created by Patient Focused Medicines Development to provide practical resources that can facilitate and optimize PXD generation, collection, analysis, and dissemination for patient benefit and aims to be applicable across all therapeutic areas for all stakeholders.MethodsCo-creation of the Navigator took place through an iterative process of validation and formalization driven by a diverse, multi-stakeholder working group with individuals who have varying knowledge/experience in PE/PXD.ResultsA series of workshops took place to conduct a gap analysis, develop a taxonomy model, and integrate existing frameworks. The collective insights led to the development of the Navigator consisting of four specific tools in the form of downloadable templates, which can be used to: (1) prioritize outcomes that matter most to patients and their caregivers; (2) select appropriate measurement methods for these outcomes; (3) identify when and why PXD is used throughout the product development cycle for each stakeholder; (4) identify when and why PXD is used throughout the healthcare process for each stakeholder. A public consultation was carried out to collect user feedback before the Navigator was made publicly available in December 2022.ConclusionTo our knowledge, the Global Patient Experience Data Navigator is the only publicly available toolkit developed with a multi-stakeholder and disease-agnostic approach providing taxonomically grouped resources to optimize the collection and collation of PXD for patient benefit. Future work will aim to further engage patients by adding a PE dimension to the Navigator.

Project description:BackgroundIn previous studies, an in-group advantage in emotion recognition has been demonstrated to suggest that individuals are more proficient in identifying emotions within their own culture than in other cultures. However, the existing research focuses mainly on the cross-cultural variations in vocal emotion recognition, with limited attention paid to exploring intracultural differences. Furthermore, there is little research conducted on the ability of adolescents to recognize the emotions conveyed by vocal cues in various cultural settings. To fill these research gaps, three experiments were conducted in this study to explore the differences among different regions within a culture.MethodsThe study involved three experiments. In Experiment 1, a within-subjects design of 2 (language: Mandarin vs. English) × 4 (emotion: anger vs. fear vs. happiness vs. sadness) was used to establish whether adolescents exhibit a similar in-group advantage in vocal emotion recognition with adults. As an expansion of Experiment 1, Experiment 2 incorporated the Shaoxing dialect to assess the ability of adolescents to identify the emotions in voices across different cultural regions of a nation. In Experiment 3, the regional variation was extended by substituting the Shaoxing dialect with Tibetan to explore the disparities in vocal emotion recognition among adolescents.ResultsAs indicated by the results of Experiment 1, Mandarin-speaking adolescents performed well in recognizing emotions in Mandarin compared to English. In Experiment 2, the results of Experiment 1 were replicated to reveal that Shaoxing-speaking adolescents performed better in emotion recognition of Mandarin in comparison to the Shaoxing dialect and English. As indicated by Experiment 3, both Mandarin-speaking adolescents and Tibetan-speaking adolescents possessed a higher capacity of vocal emotion recognition within their own language groups.ConclusionChinese adolescents demonstrated a stronger ability to recognize vocal emotions within their own cultural group compared to other regional cultures, an advantage that became more pronounced as the cultural differences between groups increased. These findings underscore the significance of cultural factors in adolescent emotional recognition research, indicating the directions of cross-cultural interventions.

Project description:The genital microbiomes of women varies with racial background. Preterm birth and early-onset neonatal sepsis are two outcomes associated with genital infections during pregnancy. The rate of preterm birth in Aboriginal Australian mothers is high, as is the rate of early-onset sepsis in their infants. To date, no studies have been conducted to investigate genital microbiome taxa associated infection in this group of women. A prospective cohort study to characterize the vaginal and placental microbiomes of a group of these women from the Pilbara region was conducted at the Hedland Health Campus in Western Australia. Included in the study were gravidae Aboriginal (n = 23) and Non-aboriginal (n = 27) women in labor or for planned lower uterine segment Caesarean section. Employing sterile swabs, vaginal samples were obtained under sterile conditions immediately prior to vaginal delivery or planned Caesarean section; and placental samples were obtained under the same conditions during labor. Taxa present in the samples were identified by 16S rRNA amplicon sequencing (V4 region, 515F-806R). Taxon identity and abundance were established from Operational Taxonomic Unit (OTU) counts. Statistical analyses combining clinical metadata and sequencing results were employed to determine associations of taxa with racial background. The findings of this work served to enhance the current understanding of microbiota associated with health and disease in Aboriginal and Non-Aboriginal women. Differences were found between the vaginal and placental microbiomes of Aboriginal and Non-aboriginal women during pregnancy, as well as notable differences between the abundance of specific taxa in each racial group. The relative abundances of specific taxa were significantly different between participants with clinical signs of infection and those with healthy pregnancies. This work will contribute to understanding the causes of differences in rates of infection-driven preterm birth in various racial populations.

Dataset Information

Empowering Voice through the Creation of a Safe space: An experience of Aboriginal Women in Regional Queensland.

Publications

Empowering Voice through the Creation of a Safe space: An experience of Aboriginal Women in Regional Queensland.

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