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Summary

Culturally safe programs for Aboriginal older people were co-designed using Aboriginal ways of knowing, being, and doing. This process ensured relevance and incorporated Elders' perspectives for community-led initiatives.

Keywords:
Aboriginal and Torres Strait Islandersageingcommunity-based interventionolder peopleparticipatory action research

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Area of Science:

  • Indigenous Health
  • Community Program Development
  • Gerontology

Background:

  • Culturally safe and relevant programs are crucial for Aboriginal older people.
  • Successful programs are often Aboriginal-specific, group-based, and co-designed.
  • Developing such programs requires deep engagement with Aboriginal communities and stakeholders.

Purpose of the Study:

  • To describe the co-design process of the Ironbark: Healthy Community program.
  • To ensure the program is culturally safe and relevant for Aboriginal older people.
  • To integrate Aboriginal ways of knowing, being, and doing into program development.

Main Methods:

  • Utilized Aboriginal ways of knowing, being, and doing, and yarning conversational methods.
  • Conducted a desktop review of group characteristics and stakeholders.
  • Engaged stakeholders and gathered views from Aboriginal Elders through yarning circles, employing a grounded theory approach.

Main Results:

  • Engaged with 13 community stakeholders across three Australian states.
  • Held three yarning circles with 24 Aboriginal Elders from diverse locations.
  • Identified six key themes (Knowing, Being, Doing) reflecting Elders' needs and preferences for culturally safe, community-controlled programs.

Conclusions:

  • A co-designed community program, featuring weekly yarning circles and social activities, was developed through stakeholder feedback and Elders' perspectives.
  • Co-design, guided by Aboriginal principles, is effective in creating relevant programs for Aboriginal people.
  • The Ironbark: Healthy Community program was finalized with stakeholder and steering committee approval.