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Journal article
Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care
Primary health care research & development, Vol.26, e66
2025
Abstract
Background:
Effective mental health primary prevention and early detection strategies targeting perinatal mental healthcare settings are vital. Poor maternal mental health places the developing foetus at risk of lasting cognitive, developmental, behavioural, physical, and mental health problems. Indigenous women endure unacceptably poor mental health compared to all other Australians and disproportionately poorer maternal and infant health outcomes. Mounting evidence demonstrates that screening practices with Indigenous women are neither effective nor acceptable. Improved understanding of their perinatal experiences is necessary for optimizing successful screening and early intervention. Achieving this depends on adopting culturally safe research methodologies.
Methodology:
Decolonizing translational research methodologies are described. Perspectives of Australian Indigenous peoples were centred on leadership in decision-making throughout the study. This included designing the research structure, actively participating throughout implementation, and devising solutions. Methods included community participatory action research, codesign, and yarning with data analysis applied through the cultural lenses of Indigenous investigators to inform culturally meaningful outcomes.
Discussion:
The Indigenous community leadership and control, maintained throughout this research, have been critical. Allowing time for extensive community collaboration, fostering mutual trust, establishing strong engagement with all stakeholders and genuine power sharing has been integral to successfully translating research outcomes into practice. The codesign process ensured that innovative strengths-based solutions addressed the identified screening barriers. This process resulted in culturally sound web-based perinatal mental health and well-being assessment with embedded potential for widespread cultural adaptability.
Details
- Title
- Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care
- Authors/Creators
- Jayne Kotz - Murdoch UniversityCorinne Reid - University of EdinburghMelanie Robinson - Murdoch UniversityRoz Walker - Murdoch UniversityTracy Reibel - Murdoch UniversityAlison Bairnsfather-Scott - Murdoch UniversityRhonda Marriott - Murdoch University
- Publication Details
- Primary health care research & development, Vol.26, e66
- Publisher
- Cambridge University Press
- Number of pages
- 9
- Identifiers
- 991005798049207891
- Copyright
- © The Author(s), 2025
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 6 Social Sciences
- 6.11 Education & Educational Research
- 6.11.2787 Qualitative Inquiry
- Web Of Science research areas
- Primary Health Care
- ESI research areas
- Clinical Medicine