First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study
Background: Recognition of the role of structural, cultural, political and social determinants of health is increasing. A key principle of each of these is self-determination, and according to the United Nations (2007), this is a right of Indigenous Peoples. For First Nations Australians, opportunit...
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ftlatrobeunivfig:oai:figshare.com:article/20388180 2023-05-15T16:14:12+02:00 First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study A E. Stearne Kylie Lee S Allsop A Shakeshaft M Wright 2022-07-28T02:10:07Z https://doi.org/10.26181/20388180.v1 https://figshare.com/articles/journal_contribution/First_Nations_Australians_self-determination_in_health_and_alcohol_policy_development_a_Delphi_study/20388180 unknown doi:10.26181/20388180.v1 https://figshare.com/articles/journal_contribution/First_Nations_Australians_self-determination_in_health_and_alcohol_policy_development_a_Delphi_study/20388180 CC BY 4.0 CC-BY Sociology Aboriginal and Torres Strait Islander Health Public Health and Health Services not elsewhere classified Aboriginal and Torres Strait Islander Policy Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services First Nations Australians Australia Self-determination Policy development Rights Alcohol INDIGENOUS PEOPLES DECLARATION QUALITY IMPACT Delphi Technique Humans Native Hawaiian or Other Pacific Islander Personal Autonomy Public Policy Text Journal contribution 2022 ftlatrobeunivfig https://doi.org/10.26181/20388180.v1 2022-08-03T23:05:04Z Background: Recognition of the role of structural, cultural, political and social determinants of health is increasing. A key principle of each of these is self-determination, and according to the United Nations (2007), this is a right of Indigenous Peoples. For First Nations Australians, opportunities to exercise this right appear to be limited. This paper explores First Nations Australian communities’ responses to reducing alcohol-related harms and improving the health and well-being of their communities, with a focus on understanding perceptions and experiences of their self-determination. It is noted that while including First Nations Australians in policies is not in and of itself self-determination, recognition of this right in the processes of developing health and alcohol policies is a critical element. This study aims to identify expert opinion on what is needed for First Nations Australians’ self-determination in the development of health- and alcohol-related policy. Methods: This study used the Delphi technique to translate an expert panel’s opinions into group consensus. Perspectives were sought from First Nations Australians (n = 9) and non-Indigenous Peoples (n = 11) with experience in developing, evaluating and/or advocating for alcohol interventions led by First Nations Australians. Using a web-based survey, this study employed three survey rounds to identify and then gain consensus regarding the elements required for First Nations Australians’ self-determination in policy development. Results: Twenty panellists (n = 9 First Nations Australian) participated in at least one of the three surveys. Following the qualitative round 1 survey, six main themes, 60 subthemes and six examples of policy were identified for ranking in round 2. In round 2, consensus was reached with 67% of elements (n = 40/60). Elements that did not reach consensus were repeated in round 3, with additional elements (n = 5). Overall, consensus was reached on two thirds of elements (66%, n = 43/65). Conclusions: ... Other Non-Article Part of Journal/Newspaper First Nations La Trobe University (Melbourne): Figshare Pacific |
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Sociology Aboriginal and Torres Strait Islander Health Public Health and Health Services not elsewhere classified Aboriginal and Torres Strait Islander Policy Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services First Nations Australians Australia Self-determination Policy development Rights Alcohol INDIGENOUS PEOPLES DECLARATION QUALITY IMPACT Delphi Technique Humans Native Hawaiian or Other Pacific Islander Personal Autonomy Public Policy |
spellingShingle |
Sociology Aboriginal and Torres Strait Islander Health Public Health and Health Services not elsewhere classified Aboriginal and Torres Strait Islander Policy Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services First Nations Australians Australia Self-determination Policy development Rights Alcohol INDIGENOUS PEOPLES DECLARATION QUALITY IMPACT Delphi Technique Humans Native Hawaiian or Other Pacific Islander Personal Autonomy Public Policy A E. Stearne Kylie Lee S Allsop A Shakeshaft M Wright First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
topic_facet |
Sociology Aboriginal and Torres Strait Islander Health Public Health and Health Services not elsewhere classified Aboriginal and Torres Strait Islander Policy Science & Technology Life Sciences & Biomedicine Health Policy & Services Health Care Sciences & Services First Nations Australians Australia Self-determination Policy development Rights Alcohol INDIGENOUS PEOPLES DECLARATION QUALITY IMPACT Delphi Technique Humans Native Hawaiian or Other Pacific Islander Personal Autonomy Public Policy |
description |
Background: Recognition of the role of structural, cultural, political and social determinants of health is increasing. A key principle of each of these is self-determination, and according to the United Nations (2007), this is a right of Indigenous Peoples. For First Nations Australians, opportunities to exercise this right appear to be limited. This paper explores First Nations Australian communities’ responses to reducing alcohol-related harms and improving the health and well-being of their communities, with a focus on understanding perceptions and experiences of their self-determination. It is noted that while including First Nations Australians in policies is not in and of itself self-determination, recognition of this right in the processes of developing health and alcohol policies is a critical element. This study aims to identify expert opinion on what is needed for First Nations Australians’ self-determination in the development of health- and alcohol-related policy. Methods: This study used the Delphi technique to translate an expert panel’s opinions into group consensus. Perspectives were sought from First Nations Australians (n = 9) and non-Indigenous Peoples (n = 11) with experience in developing, evaluating and/or advocating for alcohol interventions led by First Nations Australians. Using a web-based survey, this study employed three survey rounds to identify and then gain consensus regarding the elements required for First Nations Australians’ self-determination in policy development. Results: Twenty panellists (n = 9 First Nations Australian) participated in at least one of the three surveys. Following the qualitative round 1 survey, six main themes, 60 subthemes and six examples of policy were identified for ranking in round 2. In round 2, consensus was reached with 67% of elements (n = 40/60). Elements that did not reach consensus were repeated in round 3, with additional elements (n = 5). Overall, consensus was reached on two thirds of elements (66%, n = 43/65). Conclusions: ... |
format |
Other Non-Article Part of Journal/Newspaper |
author |
A E. Stearne Kylie Lee S Allsop A Shakeshaft M Wright |
author_facet |
A E. Stearne Kylie Lee S Allsop A Shakeshaft M Wright |
author_sort |
A E. Stearne |
title |
First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
title_short |
First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
title_full |
First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
title_fullStr |
First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
title_full_unstemmed |
First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study |
title_sort |
first nations australians’ self-determination in health and alcohol policy development: a delphi study |
publishDate |
2022 |
url |
https://doi.org/10.26181/20388180.v1 https://figshare.com/articles/journal_contribution/First_Nations_Australians_self-determination_in_health_and_alcohol_policy_development_a_Delphi_study/20388180 |
geographic |
Pacific |
geographic_facet |
Pacific |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
doi:10.26181/20388180.v1 https://figshare.com/articles/journal_contribution/First_Nations_Australians_self-determination_in_health_and_alcohol_policy_development_a_Delphi_study/20388180 |
op_rights |
CC BY 4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.26181/20388180.v1 |
_version_ |
1766000029268443136 |