Intercultural communications in remote Aboriginal Australian communities: What works in dementia education and management?

Abstract

Dementia education and management is a major challenge nationally. However in the remote Aboriginal context, where the prevalence of dementia is five times greater than the national rate, the challenge is made more complex by cultural and linguistic differences between providers and consumers.

This paper presents findings from the evaluation of a targeted dementia awareness resource piloted in three Aboriginal languages as well as English. It focuses on the intercultural communication aspects of the evaluation adding to the limited body of knowledge about communications with speakers of Australian Aboriginal languages.

It identifies elements of effective intercultural communication in dementia education, implications for health literacy and considers the difference that culturally safe intercultural communication can make to a single issue such as dementia awareness.

Authors

Kerry Taylor
Center for Remote Health, Flinders University, Alice Springs NT

Melissa Lindeman
Centre for Remote Health, Flinders University, Alice Springs NT

Kylie Stothers
Centre for Remote Health, Flinders University; O'Keefe House, Katherine District Hospital, Katherine NT

Karen Piper
Flinders Prevention, Promotion and Primary Health Care, Flinders Aboriginal Health Research Unit, Flinders University, Alice Springs NT

Pim Kuipers
Centre for Functioning and Health Research, Queensland Health & Griffith Health Institute, Griffith University, Nathan QLD

References

Australian Government Department of Families Housing Community Services and Indigenous Affairs. (2008). Closing the gap on Indigenous disadvantage: The challenge for Australia. Canberra, ACT: Commonwealth of Australia.

Australian Human Rights Commission. (2008). A statistical overview of Aboriginal and Torres Strait Islander peoples in Australia. Canberra, ACT: Australian Human Rights Commission.

Cass, A., Lowell, A., Christie, M., Snelling, P. L., Flack, M., Marrnganyin, B., et al. (2002). Sharing true stories: Improving communication between Aboriginal patients and healthcare workers. The Medical Journal of Australia, 176(10), 466-470.

Cloutterbuck, J., & Mahoney, D. F. (2003). African American dementia caregivers: The duality of respect. Dementia, 2(2), 221-243.

Connell, R. (2007). Southern theory. Crows Nest, NSW: Allen & Unwin.

Connell, R. (2011). Southern bodies and disability: Rethinking concepts. Third World Quarterly, 32(8), 1369-1381.

Cramer, J. (2005). Sounding the alarm. Nedlands, WA: UWA Press.

Garvey, G., Simmonds, D., Clements, V., O'Rourke, P., Sullivan, K., Gorman, D., et al. (2011). Making sense of dementia: Understanding amongst Indigenous Australians. International Journal of Geriatric Psychiatry, 26, 649-656.

Ingram, S. (2007). Defining the distinctive communication tools and styles to enable increased effectiveness in health education and promotion amongst Aboriginal people who speak English as their everyday language: A literature review and web appraisal of evidence based practice. Aboriginal and Islander Health Worker Journal, 31(2), 32-35.

Irvine, F. E., Roberts, G. W., Jones, P., Spencer, L. H., Baker, C. R., & Williams, C. (2006). Communicative sensitivity in the bilingual healthcare setting: A qualitative study of language awareness. Issues and Innovations in Nursing Practice, 53(4), 422-434.

Jolly, M. (2008). The south in southern theory: Antipodean reflections on the Pacific. Australian Humanities Review, 44 (March), 75-99.

Lowell, A., Brown, I., Marranyin, B., Flack, M., Christie, M., Snelling, P., et al. (2005). Sharing the true stories, improving communication between health staff and Aboriginal patients, STAGE 1 report. Darwin, NT: Cooperative Research Centre for Aboriginal Health.

Mancuso, J. (2008). Health literacy: A concept/dimensional analysis. Nursing and Health Sciences, 10, 248-255.

McGrath, P., & Phillips, E. (2008). Western notions of informed consent and Indigenous cultures: Australian findings at the interface. Bioethical Inquiry, 5, 21-31.

Nguyen, H. T. (2008). Patient centred care: Cultural safety in Indigenous health. Australian Family Physician, 32(12), 990-994.

Patton, M. Q. (2002). Qualitative evaluation and research methods (3rd ed.). London, England: Sage.

Prince, M., Graham, N., Brodaty, H., Rimmer, E., Varghese, M., Chiu, H., et al. (2004). Alzheimer disease international's 10/66 Dementia Research Group - One model for action research in developing countries. International Journal of Geriatric Psychiatry, 19(2), 178-181.

Smith, K., Flicker, L., Lautenschlager, N., Almeida, O., Atkinson, D., Dwyer, A., et al. (2008). High prevalence of dementia and cognitive impairment in Indigenous Australians. Neurology, 71(19), 1470-1473.

Taylor, K. (2011). Intercultural communication in Central Australian Indigenous health care. Adelaide, SA: Flinders University.

Taylor, K., & Guerin, P. (2010). Health care and Indigenous Australians: Cultural safety in practice. Melbourne, VIC: Palgrave Macmillan.

Trudgen, R. (2003). Why warriors lie down and die. Adelaide, SA: Openbook Print.

Walsh, M. (2007). Indigenous languages of Australia. In O. Miyaoka, O. Sakiyama, & M. Krauss (Eds.), The vanishing languages of the Pacific rim (pp. 221-234). New York, NY: Oxford University Press.

Williamson, T. (2008). Dementia out of the shadows. London, England: Alzheimer's Society.

Keywords

dementia awareness; dementia education; sociology; Aboriginal; Indigenous; intercultural communication; remote health

Meta

PP: 208 - 219


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