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'Better together': codesign of Aboriginal unintentional child injury prevention programme
Nellie Pollard-Wharton1, Amy Townsend2,3, B J Newton4
1School of Population Health, University of New South Wales, Sydney, New South Wales, Australia n.pollard-wharton@unsw.edu.au.
Insights
This study details the co-design of an Aboriginal unintentional child injury prevention programme. The community-led approach ensured culturally tailored safety strategies for water, road, and home environments.
Area of Science:
- Public Health
- Indigenous Health
- Injury Prevention
Background:
- Child injury remains a significant public health concern, particularly in Aboriginal communities.
- Existing prevention programs may not adequately address the specific cultural contexts and needs of Indigenous populations.
- Partnership with Aboriginal Medical Services is crucial for developing effective and culturally appropriate health interventions.
Purpose of the Study:
- To describe the co-design process of an Aboriginal unintentional child injury prevention programme.
- To develop a culturally tailored and community-led injury prevention strategy in partnership with Walgett Aboriginal Medical Service.
- To demonstrate the feasibility of co-design in creating community-based health programs.
Main Methods:
- An iterative co-design process incorporating Indigenous research methodologies.
- Development of a programme logic model with input from injury experts and stakeholders.
- Utilisation of yarning, stakeholder interviews, and a co-design approach for programme development, piloting, and evaluation.
Main Results:
- A comprehensive injury prevention programme and manual were co-designed by the community, for the community.
- Key safety areas identified and addressed included water safety, road safety, and home safety.
- The programme included complementary initiatives such as swim lessons, car restraint fittings, and home safety collaborations.
Conclusions:
- Co-designing an injury prevention programme with Aboriginal Medical Services and experts yielded a culturally tailored and effective community response.
- The study demonstrates the feasibility and value of co-designed processes for developing community-based injury prevention programmes.
- This approach ensures that interventions meet the specific needs and priorities of the community.
Objective:
To describe the co-design of an Aboriginal unintentional child injury prevention programme in partnership with Walgett Aboriginal Medical Service.
Methods:
An iterative codesign process using Indigenous research methodology and development of a programme logic model was employed with oversight from a panel of injury experts and key stakeholders. Yarning, stakeholder interviews and a codesign approach to programme development, piloting and evaluation were used. Informed by family and community priority setting, an unintentional child injury prevention programme was designed and delivered through a locational supported playgroup in an Aboriginal community-controlled medical service.
Results:
Through an Aboriginal-led codesign approach, a comprehensive injury prevention programme and accompanying manual was developed by the community, for the community. Informed and guided by participants, the researcher's areas of child injury considered of high value within their community were addressed within the developed programme. The key safety areas identified were water safety, road safety and safety around the home. Data collected throughout the iterative design process shaped the delivery of the programme to ensure it met community needs. In addition to the creation of the manuals, the programme included complementary initiatives to support the delivery. Water safety included mums and bubs swim lessons/water familiarisation. Road safety included car restraint fittings. Home safety included a Goonimoo open day collaboration with KidSafe New South Wales with safety promotion information and resources.
Conclusions And Public Health Implications:
Codesigning an injury prevention programme with staff at an Aboriginal Medical Service and injury experts provided a culturally tailored response to the needs of the community and partners. This process and approach has demonstrated the feasibility of the use of codesigned processes for the development of community-based injury prevention programmes.
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