
Yvonne Cadet-James- James Cook University
Yvonne Cadet-James
- James Cook University
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105
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Introduction
Skills and Expertise
Current institution
Publications
Publications (105)
The stillbirth rate of Australian Aboriginal and Torres Strait Islander infants remains almost twice the rate for non-Indigenous infants. There is a paucity of research giving voice to Aboriginal and Torres Strait Islander women and families experiences pregnancy loss and stillbirth. This qualitative study aimed explored the experiences of five Aus...
Objective
To develop and validate two age‐specific, strength‐based measures of social and emotional well‐being (SEWB) for Aboriginal and Torres Strait Islander children and youth.
Methods
Following development of a conceptual framework comprising six domains of SEWB and identification of existing SEWB tools, an iterative process of item refinement...
This paper aimed to reflect on how Rigney's model of Indigenist research informed the research design of a project which explored community‐led solutions to improve food security in remote Aboriginal and Torres Strait Islander communities. The project was conducted in partnership with two Aboriginal Community Controlled Health Organisations (ACCHOs...
The right to food security has been recognised internationally, and nationally in Australia by Aboriginal Community Controlled Health Organisations. This study aims to explore food (in)security and solutions for improvement of food security in remote Aboriginal and/or Torres Strait Islander communities in Australia, from the perspective of caregive...
Introduction
Adolescents face challenges associated with unprecedented environmental, social and technological changes. The impacts of colonisation, intergenerational trauma, racism and socioeconomic disadvantage intensify these challenges for many Aboriginal and Torres Strait Islander adolescents. However, Aboriginal and Torres Strait Islander ado...
Background
Empowerment is an internationally recognised concept commonly incorporated in First Nations and in this instance Aboriginal and Torres Strait Islander health and wellbeing programs. The Family Wellbeing Program is an empowerment program developed in partnership with Aboriginal and Torres Strait Islander peoples that has been widely deliv...
Introduction
Cerebral palsy (CP) is the most common childhood physical disability with rates approximately 50% higher in First Nations Australian children. This study aims to evaluate a culturally-adapted parent-delivered early intervention programme for First Nations Australian infants at high risk of CP (Learning through Everyday Activities with...
Background
Primary healthcare services have principal responsibility for providing child and youth wellbeing and mental health services, but have lacked appropriate measurement instruments to assess the wellbeing of Indigenous children and youth or to evaluate the effectiveness of programs and services designed to meet their needs. This review asse...
Despite long histories of traditional food security, Indigenous peoples globally are disproportionately exposed to food insecurity. Addressing this imbalance must be a partnership led by Indigenous peoples in accordance with the UN Declaration of the Rights of Indigenous Peoples. We report the co-design process and resulting design of a food securi...
Concerns about the complexity, fragmentation and inefficiency of Australia’s current youth mental health service systems have led policy makers to seek improvements through a shift to community-based solutions. However, there is little evidence of how communities can make this shift. This paper examines the efforts of one Aboriginal and Torres Stra...
Background: Empowerment is a concept commonly incorporated into Aboriginal and Torres Strait Islander health and wellbeing programs. The Family Wellbeing Program is an empowerment program developed in partnership with Aboriginal and Torres Strait Islander peoples that has been widely delivered to Aboriginal and Torres Strait Islander communities ac...
Background
Primary healthcare services have principal responsibility for providing child and youth wellbeing and mental health services, but they have lacked appropriate measurement instruments to assess the wellbeing of Indigenous children and youth or to evaluate the effectiveness of programs and health service initiatives designed to address the...
Background
An Aboriginal-developed empowerment and social and emotional wellbeing program, known as Family Wellbeing (FWB), has been found to strengthen the protective factors that help Indigenous Australians to deal with the legacy of colonisation and intergenerational trauma. This article reviews the research that has accompanied the implementati...
Background: An Aboriginal-developed empowerment and social and emotional wellbeing program, known as Family Wellbeing (FWB), has been found to strengthen the protective factors that help Indigenous Australians to deal with the devastating legacy of colonisation and intergenerational trauma. This article reviews the research that has accompanied the...
Background:
The stillbirth rate for Australian Aboriginal and Torres Strait Islander infants remains higher than non-Indigenous rates. Risks for stillbirth include maternal factors such as ethnicity, age, geographic location, and physical health. Fetal risk factors include gestational age, birthweight and congenital anomalies. The total stillbirth...
Indigenous research leadership can enhance research benefits to Indigenous communities. Our research investigates how Aboriginal and Torres Strait Islander (henceforth Indigenous) leadership is expressed in the context of academic research, and how Indigenous leadership is supported or constrained in such context. This exploratory study includes se...
Introduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women's Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomized, cluster stepped-...
Background:
Child abuse and Youth Sexual Violence and Abuse (YSVA) are persistent social issues across the globe. The development and implementation of effective prevention strategies are a common focus for those working at the coalface. The Cairns Child Protection Investigation Unit of the Queensland Police Service (QPS) developed and implemented...
Background:
The stillbirth rate for Australian Aboriginal and Torres Strait Islander infants is twice that for non-Indigenous infants. Autopsy is the gold standard for fetal investigation; however, parental consent is low. There is little research investigating the drivers of parents' decision-making for autopsy after stillbirth.
Aims:
The curre...
Objectives This study aimed to examine the impact of the ‘ICAN QUIT in Pregnancy’ intervention on individual health providers (HPs) smoking cessation care (SCC) knowledge, attitudes and practices in general, and specifically regarding nicotine replacement therapy (NRT) prescription. Design Step-wedge clustered randomised controlled study. HPs answe...
Researchers worldwide are increasingly reporting the societal impact of their research as part of national research productivity assessments. However, the challenges they encounter in developing their impact case studies against specified government assessment criteria and how pitfalls can be mitigated are not reported. This paper examines the key...
Introduction
Young people who have contact with the youth justice system are distinguished by a high prevalence of complex, co-occurring health problems, including known risk factors for preventable mortality. However, almost nothing is known about health outcomes for these young people after separation from the youth justice system.
Objectives an...
Aim
To gather Aboriginal women’s stories of smoking and becoming pregnant to identify the barriers in accepting smoking cessation support during pregnancy.
Methods
Qualitative data were collected through use of yarning methodology between August 2015 and January 2016 by an Aboriginal Researcher with experience in social and community services. A s...
Objective
One in two Indigenous Australian pregnant women smoke, yet little is known about their trajectory of smoking. This study aimed to explore Aboriginal women's narratives from starting smoking through to pregnancy.
Methods
A female Aboriginal Researcher conducted individual face-to-face interviews with 20 Aboriginal women from New South Wal...
Addressing the continued health disparities between Australia's Indigenous and non-Indigenous peoples requires a multi-sector approach in which the discipline of psychology has a central role. These disparities are partially driven by a lack of culturally appropriate methods of health delivery. This study aimed to explore urban Aboriginal and Torre...
In Australia and internationally, universities are preparing students for the twenty-first century through building the competencies fundamental for both social sustainability and wellbeing. However, there is little evidence on how these competencies can be fostered in curricula. This article presents the findings of a mixed-methods pilot of an Abo...
Introduction: Several approaches to the management of smoking in pregnancy exist, including the 5As (Ask, Advice, Assess, Assist, Arrange); and the AAR (Ask, Advice, Refer). There is lack of data on current practices of Australian physicians, which would help guide the development of interventions for improving smoking cessation care (SCC) in pregn...
In a recent Lancet Article, Ian Anderson and colleagues1
recommended that governments develop national policies with
sustainable health targets focused on health service delivery, access,
and Indigenous data systems. Smart policy and practice decisions can be informed by research evidence about what works; however, Indigenous people worldwide have...
This study aims to privilege the voices of Aboriginal women, smokers and ex-smokers, from regional New South Wales, collecting their experiences of smoking and becoming smoke-free during pregnancy so we may collaborate and find effective solutions to enhance the health and wellbeing of Aboriginal mothers and babies.
Introduction: Several approaches to the management of smoking in pregnancy exist, including the 5As (Ask, Advice, Assess, Assist, Arrange); and the AAR (Ask, Advice, Refer). There is lack of data on current practices of Australian physicians, which would help guide the development of interventions for improving smoking cessation care (SCC) in pregn...
Introduction
This paper examines the process of developing a Research for Impact Tool in the contexts of general fiscal constraint, increased competition for funding, perennial concerns about the over-researching of Aboriginal and Torres Strait Islander issues without demonstrable benefits as well as conceptual and methodological difficulties of ev...
Recently, many programs have been funded to tackle Indigenous Australian smoking. This study assessed what challenges and unexpected responses could occur when developing anti-tobacco messages for Indigenous communities. A cross-sectional telephone survey of organizations involved in making anti-tobacco messages for the target population was conduc...
Smoking rates are slow to decline among pregnant Indigenous women. One in two pregnant Indigenous Australian women is a tobacco smoker compared with one in eight in the non-Indigenous population. The National Close the Gap strategy ambitiously aims to reduce Indigenous smoking prevalence to half by 2018, but this goal is unlikely to be achieved. Ev...
Objectives
Smoking prevalence is slow to reduce among Indigenous Australians of reproductive age. We analysed the relationships between age of smoking initiation, recalled initiation influences and self-assessment of smoking risks in Aboriginal smokers.
Design, setting and participants
A community-based cross-sectional survey of Aboriginal smokers...
Quality mental health care is based on the integration of care across organisations and disciplines. The aims of this study were, first, to assess the extent, characteristics and reported outcomes of publications concerned with youth mental health service integration in Australia and internationally; and second, to investigate the study design qual...
Objective
It has been acknowledged that the mental health of Aboriginal and Torres Strait Islander people has been “bedeviled” by the inappropriate application of non‐Indigenous models of mental health. To enhance Indigenous health and well‐being it is necessary for non‐Indigenous practitioners to find a culturally safe way to enter the negotiated...
Background: 49% of Indigenous pregnant women are smokers compared to 12% of their non-Indigenous counterparts. Tobacco smoking in pregnancy is the most important preventable risk factor for poor maternal and infant health outcomes, including higher lifetime risk of cancer. Pregnancy is an important window of opportunity for general practitioners’ (...
A cross-sectional survey to explore GPs’ and Obstetricians’ knowledge, attitudes and practices of managing smoking in pregnant women.
A national self-administered cross sectional survey was sent to two samples: 1. Online survey sent to a random sample of 500 GPs, members of the Royal Australian College of General Practitioners National Faculty of Aboriginal and Torres Strait Islander Health. 2. Paper survey send as an insert in the O&G magazine to 5700 GPs and O&G specialists fro...
Background:
The aim of the study is to reduce the high prevalence of tooth decay in children in a remote, rural Indigenous community in Australia, by application of a single annual dental preventive intervention. The study seeks to (1) assess the effectiveness of an annual oral health preventive intervention in slowing the incidence of dental cari...
Background
There remains a concern that Indigenous Australians have been over-researched without corresponding improvements in their health; this trend is applicable to most Indigenous populations globally. This debate article has a dual purpose: 1) to open a frank conversation about the value of research to Indigenous Australian populations; and...
To assess the predictors of intentions to quit smoking in a community sample of Aboriginal smokers of reproductive age, in whom smoking prevalence is slow to decline.
A cross-sectional survey involved 121 Aboriginal smokers, aged 18-45 years from January to May 2014, interviewed at community events on the Mid-North Coast NSW. Qualitative and quanti...
Objective
To validate, for the first time, the Risk Behaviour Diagnosis (RBD) Scale for Aboriginal Australian tobacco smokers, based on the Extended Parallel Process Model (EPPM). Despite high smoking prevalence, little is known about how Indigenous peoples assess their smoking risks.
Methods
In a cross-sectional study of 121 aboriginal smokers age...
Background: Smoking rates in Aboriginal Australians are gradually reducing in some age groups, but not for people in the peak reproductive years.1 Smoking cessation is vital for cancer prevention.2 Many regional programs avoid the use of threat messages when targeting Australian Aboriginal smokers.3
Aim: To assess, for the first time, the response...
Background: Smoking prevalence in Indigenous Australians is staring to decline, but not for some subgroups of reproductive age. This is the first study to use the validated Risk Behaviour Diagnosis (RBD) scale in Indigenous smokers globally, as far as authors are aware.
Aim: To assess associations between intentions to quit smoking and perceived...
Risk Behaviour Diagnosis Scale and associated scales.
Background
Smoking rates in Aboriginal and Torres Strait Islander peoples are high at 41%.
Aims
This study examined responses from organisations about their challenges for developing anti-tobacco messages for the target populations.
Methods
A cross-sectional survey of Australian organisations involved in making anti-tobacco messages for Aborigin...
Introduction:
Tobacco smoking is a very significant behavioural risk factor for the health of Australian Aboriginal and Torres Strait Islanders, and is embedded as a social norm. With a focus on women of childbearing age, and men of similar age, this project aims to determine how Aboriginal and Torres Strait Islander smokers assess smoking risks a...
This study aimed to assess the impact of a complex community-based tobacco control program in eight remote north Queensland Indigenous communities with high rates of tobacco use. A community-based tobacco intervention trial was conducted over one year in five intervention sites and three control sites in far north Queensland with predominantly Abor...
Smoking rates in Australian Aboriginal and Torres Strait Islander peoples remain high, with limited impact of government measures for many subgroups. The aim of this cross-sectional study was to investigate differences in organisational practice for developing anti-tobacco messages for these target populations.
Telephone interviews were conducted w...
Participatory Action Research (PAR) has a long history of use with disadvantaged groups in order to assist them to improve their living conditions, however its use with Information and Communications Technology (ICT) projects is less well known. This paper examines a case study where PAR was tied with the use of a technology probe by an Aboriginal...
In this chapter the element of agency within the Aboriginal Family Wellbeing model of empowerment is presented. Here people take action toward making their lives, and those of others, better.
Skills and knowledge provide the tools for empowerment. This chapter presents the skills and knowledge which inform the Aboriginal Family Wellbeing model of empowerment.
This chapter presents the research approach that underpins the Aboriginal Family Wellbeing model of Empowerment. The study sits within a broader Empowerment Research Program. The constructivist grounded theory methodology used in this study is described.
This final chapter reflects on the significance of the Aboriginal Family Wellbeing model of empowerment as an evidence based framework for policy and practice. The opportunity Family Wellbeing provides for operationalising empowerment is highlighted.
This chapter presents the Family Wellbeing empowerment program which aims to enable people to take greater control over the conditions influencing their lives. It discusses the program development and the program spread.
The chapter presents the Aboriginal Family Wellbeing Model of Empowerment. The model incorporates four interconnected central elements: beliefs and attitudes; skills and knowledge; agency; and outcomes. All of these elements occur within a social context. The relationships between the four elements and the social context are described.
Beliefs and attitudes have a major impact on the life you come to lead. This chapter presents the beliefs and attitudes which inform the Aboriginal Family Wellbeing model of empowerment.
This chapter looks at the ‘outcomes’ element of the Aboriginal Family Wellbeing model of empowerment. Here the changes people achieved through a process of empowerment are presented.
Background:
This paper identifies the latent opportunities and challenges inherent in the formative stages of a project that was resumed after partial completion by other on-the-ground research teams.
Methods:
Grounded theory methods were used to analyse project documentation from previous research teams and to generate new process-oriented data...
Background:
Smoking prevalence in Aboriginal and Torres Strait Islander pregnant women is quadruple that of non-Indigenous counterparts, impacting on the health of babies and children.
Aims:
To explore attitudes and experiences related to prenatal tobacco smoking by Aboriginal women and household smoking, and to provide recommendations for cultu...
Introduction
Cannabis use and dependence is a serious health and criminal justice issue among incarcerated populations internationally. Upon abrupt, enforced cessation of cannabis, prisoners may suffer irritability and anger that can lead to threatening behaviour, intimidation, violence, sleep disturbances and self-harm. Cannabis withdrawal syndrom...
Tobacco smoking is a major health issue for Indigenous Australians, however there are few interventions with demonstrated efficacy in this population. The Transtheoretical Model may provide a useful framework for describing smoking behaviour and assessing readiness to quit, with the aim of developing better interventions. Interviews were conducted...
Many Aboriginal Australians report a diminished sense of wellbeing in their everyday activities due to racism and separation from their traditional lands and culture. Our research sought to discover whether access and use of culturally appropriate Information and Communication Technology's (ICTs), could have an ameliorative benefit, enhancing parti...
Grandmothers have reported negative social pressures that have affected their psychological and social functioning in their roles as primary carers. As grandmothers who are raising their grandchildren are in effect addressing and interrupting the intergenerational transfer of trauma and distress, it is critical to support the grannies who take up t...
It has been acknowledged that the mental health of Aboriginal and Torres Strait Islander people has been 'bedevilled' by the inappropriate application of non-Indigenous models of mental health. Given that more than 35% of admissions to the neonatal unit at The Townsville Hospital are neonates of Aboriginal or Torres Strait Islander decent, it is ne...
Identity has been argued to be a 'pre-requisite' for mental health. The aim of this study was to explore factors affecting mental health and cultural identity of urban Australian Aboriginal and Torres Strait Islander people in North Queensland, Australia.
Methods: A qualitative research design was conducted with a sample of 19 Australian Aborigin...
Social workers seeking to address the relative disadvantage experienced by Indigenous Australians frequently find themselves working with complex social realities, including working in transdisciplinary teams with people of differing cultural backgrounds, values, and levels of education. Managing these complexities is critical to change, yet can be...
It has been argued that identity is a pre-requisite for mental health for Indigenous people. Indeed, having a strong cultural identity has been identified as a protective mechanism for mental health. In order to maintain health and wellbeing, it is critical to understand the factors that impact upon cultural identity. Culture, like cultural identit...
Empowerment is a complex process of psychological, social, organizational and structural change. It allows individuals and groups to achieve positive growth and effectively address the social and psychological impacts of historical oppression, marginalization and disadvantage. The Growth and Empowerment Measure (GEM) was developed to measure change...
The evident and unresolved health disparity between Aboriginal and other Australians is testament to a history of systematic disenfranchisement. Stigma, lack of appropriate services and the expense of delivering services in remote settings make it impossible to adequately address mental health needs, including suicide, solely using a mainstream med...
Indigenous men's support groups are designed to empower men to take greater control and responsibility for their health and wellbeing. They provide health education sessions, counselling, men's health clinics, diversionary programs for men facing criminal charges, cultural activities, drug- and alcohol-free social events, and advocacy for resources...
This paper employs a thematic qualitative analysis to synthesise seven discrete formative evaluation reports of an Indigenous Australian family empowerment programme across four study settings in Australia’s Northern Territory and Queensland between 1998 and 2005. The aim of the study, which involved a total of 148 adult and 70 school children part...
Introduction
One dimension of social work's contribution to tackling health inequalities is to focus on preventive interventions which both build and build on the resources of disadvantaged local communities to benefit their health. This chapter offers three contrasting examples of this kind of intervention drawn from very different social contexts...
The poorer health of Aboriginal and Torres Strait Islanders is well documented across physical, social, and mental health. In amongst the heath statistics however, there is an almost invisible yet resilient group. A grandparent raising their grandchildren is not a new phenomenon in this community. However the factors contributing to the children co...
As psychologists, we have been encouraged to interact with Aboriginal and Torres Strait Islanders in a different way than other community members. Differences between communities are highlighted in order to outline the uniqueness of the Indigenous experience. While much can be learned from exploring uniqueness, it is important to recognise similari...
Collaboration-intensive research is increasingly becoming the norm in the humanities and social science arenas. eResearch tools such as online repositories offer researchers the opportunity to access and interact with data online. For the last 20 years video has formed an important part of humanities research, although dealing with multimedia in an...
This paper describes a research program that has operationalized the links between empowerment at personal/family, group/organizational and community/structural levels and successful mechanisms to address Indigenous social and emotional wellbeing issues such as family violence and abuse, suicide prevention and incarceration.
A two-pronged approach,...
Relative powerlessness resulting from colonial dispossession and associated passive welfare policies has long been recognised as a critical factor influencing the health and wellbeing of Indigenous Australians, yet it is hard to find well-evaluated health and social interventions that take an explicit empowerment approach. This paper presents the f...
What this paper is about The vision of Indigenous men has been to take greater responsibility themselves to improve the status of men's health and play their rightful role as leaders, fathers, uncles, husbands and grandfathers (Briscoe 1999). They have adopted a diverse range of strategies, including discrete men's clinics; men's programs within Ab...
To adapt the Family Wellbeing empowerment program, which was initially designed to support adults to take greater control and responsibility for their decisions and lives, to the needs of Indigenous school children living in remote communities.
At the request of two schools in remote Indigenous communities in far north Queensland, a pilot personal...
This paper examines the potential contribution of empowerment through life skills development in building effective primary health Care (PHC) systems in Indigenous Australia. More specifically, it assesses the effectiveness of a Family Wellbeing (FWB) empowerment program as a tool for "engaging" Aboriginal people of Cape York to take greater contro...
Life expectancy for Indigenous Australians is approximately 20 years less than that of other Australians, and endemic family violence is a causal factor. This article discusses evaluation data gathered from an Indigenous empowerment program aimed at increasing personal empowerment in order to improve individual and social wellbeing. Our analysis of...
Since 2001 a team of academic researchers and medical practitioners have been collaborating with Yarrabah Men 's Health Group leaders to implement a participatory action research (PAR) process designed to support the men to (in their own words) "take their rightful place" in contemporary Australian society. The formative stages of the PAR process a...
To evaluate the pilot phase of a tobacco brief intervention program in three Indigenous health care settings in rural and remote north Queensland.
A combination of in-depth interviews with health staff and managers and focus groups with health staff and consumers.
The tobacco brief intervention initiative resulted in changes in clinical practice am...
The experience in research activities of a person is presented from Indigenous perspective as an individual, a tertiary student, a health professional and an academic. He describes the importance of structural issues and the critical role of protocol, appropriate process, and establishing enduring linkages in advancing health research
Many technologies afford functionalities that may be relevant to the daily lives of diverse groups of people but that does not neces-sarily mean that in all communities they are mundane. Indeed our construction of domestication may reflect power relations and existing inequalities and its influence in design may exacerbate exclusion. We introduce a...