Results suggest the Aboriginal advertisement resonated with Aboriginal and Torres Strait Islander people and impacted knowledge about the sugar content of SSBs, particularly in Victoria where the campaign originated. SO WHAT?: This study highlights the importance of Aboriginal and Torres Strait Islander-led health promotion campaigns and tailoring health messages to the local Aboriginal and/or Torres Strait Islander community.
By increasing confidence and opportunities for safe discussion, Community of Practice appears to be a useful model of Continuing Professional Development to support dietitians working in Aboriginal health.
As the oldest continuous living civilizations in the world, Aboriginal and Torres Strait Islander peoples have strength, tenacity, and resilience. Initial colonization of the landscape included violent dispossession and removal of people from Country to expand European land tenure and production systems, loss of knowledge holders through frontier violence, and formal government policies of segregation and assimilation designed to destroy ontological relationships with Country and kin. The ongoing manifestations of colonialism continue to affect food systems and food knowledges of Aboriginal peoples, and have led to severe health inequities and disproportionate rates of nutrition-related health conditions. There is an urgent need to collaborate with Aboriginal and Torres Strait Islander peoples to address nutrition and its underlying determinants in a way that integrates Aboriginal and Torres Strait Islander peoples’ understandings of food and food systems, health, healing, and well-being. We use the existing literature to discuss current ways that Australian Aboriginal and Torres Strait Islander peoples are portrayed in the literature in relation to nutrition, identify knowledge gaps that require further research, and propose a new way forward.
There is limited understanding of effective strategies to enhance the competence of practising health professionals. Communities of Practice have been proposed as strategy, yet little is known about their ability to develop cultural competency and practice. This small, yet unique pilot evaluation aimed to measure the impact of a Community of Practice on the self-perceived cultural competency and change to practice of dietitians working in Aboriginal health. A mixed-method evaluation including a 16-item cultural-competency self-assessment tool (completed at baseline and after 12 months of participation) together with the most significant change technique were used to evaluate. Data from competency assessment and interviews were compared together for congruence and difference. All 13 participants completed the cultural competency-self assessment and interview. The Community of Practice was found to increase confidence for their work in Aboriginal health through improved cultural competence in understanding factors related to the impact of history, culture and utilisation of resources on service delivery, appropriate communication strategies, effective relationships and managing conflict. This pilot evaluation suggest that formalised and structured Communities of Practice may be an effective workforce development strategy to influence the practice of health professionals working in Aboriginal health.
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