Aboriginal and Torres Strait Islander Health Promotion programs for the prevention and management of chronic diseases: a scoping review

Karla J Canuto, Edoardo Aromataris, Teresa Burgess, Carol Davy, Andrea McKivett, Kate Schwartzkopff, Kootsy Canuto, Catalin Tufanaru, Craig Lockwood, Alex Brown

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

Issue addressed: Non-communicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia. 

Methods: Databases PubMed, CINAHL, Informit (Health Collection and Indigenous Peoples Collection), Scopus, Trove, and relevant websites and clearing houses were searched for eligible studies until June 2015. To meet the inclusion criteria the program had to focus on modifying one of the SNAPS risk factors and the majority of participants had to identify as being of Aboriginal and/or Torres Strait Islander heritage. 

Results: The review identified 71 health promotion programs, described in 83 publications. Programs were implemented across a range of health and community settings and included all Australian states and territories, from major cities to remote communities. The SNAPS factor addressed most commonly was nutrition. Some programs included the whole community, or had multiple key audiences, whilst others focused solely on one sub-group of the population such as chronic disease patients, pregnant women, or youth. Fourteen of the programs reported no outcome assessments. 

Conclusions: Health promotion programs for Aboriginal and Torres Strait Islander people have not been adequately evaluated. The majority of programs focused on the development of individual skills and changing personal behaviours without addressing the other health promotion action areas, such as creating supportive environments or re-orienting health care services. 

So what: This scoping review provides a summary of the health promotion programs that have been delivered in Australia for Aboriginal and Torres Strait Islander people to prevent or manage chronic disease. These programs, although many are limited in quality, should be used to inform future programs. To improve evidence-based health promotion practice, health promotion initiatives need to be evaluated and the findings published publicly.

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Health Promotion
Chronic Disease
Health
Life Expectancy
Population Groups
PubMed
Alcohol Drinking
Health Services
Publications
Pregnant Women
Smoking
Outcome Assessment (Health Care)
Databases
Exercise
Delivery of Health Care

Cite this

@article{233301bfd84f45a58440fe5ea106a951,
title = "Aboriginal and Torres Strait Islander Health Promotion programs for the prevention and management of chronic diseases: a scoping review",
abstract = "Issue addressed: Non-communicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia. Methods: Databases PubMed, CINAHL, Informit (Health Collection and Indigenous Peoples Collection), Scopus, Trove, and relevant websites and clearing houses were searched for eligible studies until June 2015. To meet the inclusion criteria the program had to focus on modifying one of the SNAPS risk factors and the majority of participants had to identify as being of Aboriginal and/or Torres Strait Islander heritage. Results: The review identified 71 health promotion programs, described in 83 publications. Programs were implemented across a range of health and community settings and included all Australian states and territories, from major cities to remote communities. The SNAPS factor addressed most commonly was nutrition. Some programs included the whole community, or had multiple key audiences, whilst others focused solely on one sub-group of the population such as chronic disease patients, pregnant women, or youth. Fourteen of the programs reported no outcome assessments. Conclusions: Health promotion programs for Aboriginal and Torres Strait Islander people have not been adequately evaluated. The majority of programs focused on the development of individual skills and changing personal behaviours without addressing the other health promotion action areas, such as creating supportive environments or re-orienting health care services. So what: This scoping review provides a summary of the health promotion programs that have been delivered in Australia for Aboriginal and Torres Strait Islander people to prevent or manage chronic disease. These programs, although many are limited in quality, should be used to inform future programs. To improve evidence-based health promotion practice, health promotion initiatives need to be evaluated and the findings published publicly.",
author = "Canuto, {Karla J} and Edoardo Aromataris and Teresa Burgess and Carol Davy and Andrea McKivett and Kate Schwartzkopff and Kootsy Canuto and Catalin Tufanaru and Craig Lockwood and Alex Brown",
year = "2019",
month = "11",
day = "14",
doi = "10.1002/hpja.307",
language = "English",
journal = "Health Promotion Journal of Australia",
issn = "1036-1073",
publisher = "Australian Health Promotion Association",

}

Aboriginal and Torres Strait Islander Health Promotion programs for the prevention and management of chronic diseases : a scoping review. / Canuto, Karla J; Aromataris, Edoardo; Burgess, Teresa; Davy, Carol; McKivett, Andrea; Schwartzkopff, Kate; Canuto, Kootsy; Tufanaru, Catalin; Lockwood, Craig; Brown, Alex.

In: Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 14.11.2019.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Aboriginal and Torres Strait Islander Health Promotion programs for the prevention and management of chronic diseases

T2 - Health Promotion Journal of Australia

AU - Canuto, Karla J

AU - Aromataris, Edoardo

AU - Burgess, Teresa

AU - Davy, Carol

AU - McKivett, Andrea

AU - Schwartzkopff, Kate

AU - Canuto, Kootsy

AU - Tufanaru, Catalin

AU - Lockwood, Craig

AU - Brown, Alex

PY - 2019/11/14

Y1 - 2019/11/14

N2 - Issue addressed: Non-communicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia. Methods: Databases PubMed, CINAHL, Informit (Health Collection and Indigenous Peoples Collection), Scopus, Trove, and relevant websites and clearing houses were searched for eligible studies until June 2015. To meet the inclusion criteria the program had to focus on modifying one of the SNAPS risk factors and the majority of participants had to identify as being of Aboriginal and/or Torres Strait Islander heritage. Results: The review identified 71 health promotion programs, described in 83 publications. Programs were implemented across a range of health and community settings and included all Australian states and territories, from major cities to remote communities. The SNAPS factor addressed most commonly was nutrition. Some programs included the whole community, or had multiple key audiences, whilst others focused solely on one sub-group of the population such as chronic disease patients, pregnant women, or youth. Fourteen of the programs reported no outcome assessments. Conclusions: Health promotion programs for Aboriginal and Torres Strait Islander people have not been adequately evaluated. The majority of programs focused on the development of individual skills and changing personal behaviours without addressing the other health promotion action areas, such as creating supportive environments or re-orienting health care services. So what: This scoping review provides a summary of the health promotion programs that have been delivered in Australia for Aboriginal and Torres Strait Islander people to prevent or manage chronic disease. These programs, although many are limited in quality, should be used to inform future programs. To improve evidence-based health promotion practice, health promotion initiatives need to be evaluated and the findings published publicly.

AB - Issue addressed: Non-communicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia. Methods: Databases PubMed, CINAHL, Informit (Health Collection and Indigenous Peoples Collection), Scopus, Trove, and relevant websites and clearing houses were searched for eligible studies until June 2015. To meet the inclusion criteria the program had to focus on modifying one of the SNAPS risk factors and the majority of participants had to identify as being of Aboriginal and/or Torres Strait Islander heritage. Results: The review identified 71 health promotion programs, described in 83 publications. Programs were implemented across a range of health and community settings and included all Australian states and territories, from major cities to remote communities. The SNAPS factor addressed most commonly was nutrition. Some programs included the whole community, or had multiple key audiences, whilst others focused solely on one sub-group of the population such as chronic disease patients, pregnant women, or youth. Fourteen of the programs reported no outcome assessments. Conclusions: Health promotion programs for Aboriginal and Torres Strait Islander people have not been adequately evaluated. The majority of programs focused on the development of individual skills and changing personal behaviours without addressing the other health promotion action areas, such as creating supportive environments or re-orienting health care services. So what: This scoping review provides a summary of the health promotion programs that have been delivered in Australia for Aboriginal and Torres Strait Islander people to prevent or manage chronic disease. These programs, although many are limited in quality, should be used to inform future programs. To improve evidence-based health promotion practice, health promotion initiatives need to be evaluated and the findings published publicly.

U2 - 10.1002/hpja.307

DO - 10.1002/hpja.307

M3 - Review article

JO - Health Promotion Journal of Australia

JF - Health Promotion Journal of Australia

SN - 1036-1073

ER -