Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review
ObjectivesTo assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined.MethodsScoping review of peer-reviewed evaluations of chronic disease interventions for Aboriginal and Torres Strait Islander patients,...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1462410/full |
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| author | Hannah Woodall Hannah Woodall Hannah Woodall Sarah Larkins Janani Pinidiyapathirage Janani Pinidiyapathirage Raelene Ward Rebecca Evans |
| author_facet | Hannah Woodall Hannah Woodall Hannah Woodall Sarah Larkins Janani Pinidiyapathirage Janani Pinidiyapathirage Raelene Ward Rebecca Evans |
| author_sort | Hannah Woodall |
| collection | DOAJ |
| description | ObjectivesTo assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined.MethodsScoping 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.ResultsSearches 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.ConclusionThis 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. |
| format | Article |
| id | doaj-art-ff00d5a64098461191225c5ec2467628 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-ff00d5a64098461191225c5ec24676282025-01-23T06:56:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14624101462410Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping reviewHannah Woodall0Hannah Woodall1Hannah Woodall2Sarah Larkins3Janani Pinidiyapathirage4Janani Pinidiyapathirage5Raelene Ward6Rebecca Evans7Research Office, Rural Medical Education Australia, Toowoomba, QLD, AustraliaCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, AustraliaRural Clinical School, Griffith University, Gold Coast, QLD, AustraliaCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, AustraliaResearch Office, Rural Medical Education Australia, Toowoomba, QLD, AustraliaRural Clinical School, Griffith University, Gold Coast, QLD, AustraliaFuture Drought Fund Hub (Research), University of Southern Queensland, Toowoomba, QLD, AustraliaCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, AustraliaObjectivesTo assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined.MethodsScoping 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.ResultsSearches 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.ConclusionThis 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.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1462410/fullcultural safetychronic diseaseAboriginal and Torres Strait Islander healthscoping reviewintervention |
| spellingShingle | Hannah Woodall Hannah Woodall Hannah Woodall Sarah Larkins Janani Pinidiyapathirage Janani Pinidiyapathirage Raelene Ward Rebecca Evans Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review Frontiers in Public Health cultural safety chronic disease Aboriginal and Torres Strait Islander health scoping review intervention |
| title | Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review |
| title_full | Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review |
| title_fullStr | Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review |
| title_full_unstemmed | Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review |
| title_short | Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians: a scoping review |
| title_sort | determining the cultural safety of chronic disease interventions for aboriginal and torres strait islander australians a scoping review |
| topic | cultural safety chronic disease Aboriginal and Torres Strait Islander health scoping review intervention |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1462410/full |
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