Skip to main content
Top
Published in: International Journal for Equity in Health 1/2017

Open Access 01-12-2017 | Research

Interplay wellbeing framework: a collaborative methodology ‘bringing together stories and numbers’ to quantify Aboriginal cultural values in remote Australia

Authors: Sheree Cairney, Tammy Abbott, Stephen Quinn, Jessica Yamaguchi, Byron Wilson, John Wakerman

Published in: International Journal for Equity in Health | Issue 1/2017

Login to get access

Abstract

Background

Wellbeing has been difficult to understand, measure and strengthen for Aboriginal people in remote Australia. Part of the challenge has been genuinely involving community members and incorporating their values and priorities into assessment and policy. Taking a ‘shared space’ collaborative approach between remote Aboriginal communities, governments and scientists, we merged Aboriginal knowledge with western science – by bringing together stories and numbers. This research aims to statistically validate the holistic Interplay Wellbeing Framework and Survey that bring together Aboriginal-identified priorities of culture, empowerment and community with government priorities including education, employment and health.

Method

Quantitative survey data were collected from a cohort of 842 Aboriginal people aged 15-34 years, recruited from four different Aboriginal communities in remote Australia. Aboriginal community researchers designed and administered the survey.

Results

Structural equation modeling showed good fit statistics (χ/df = 2.69, CFI = 0.95 and RMSEA = 0.045) confirming the holistic nature of the Interplay Wellbeing Framework. The strongest direct impacts on wellbeing were ‘social and emotional wellbeing’ (r = 0.23; p < 0.001), ‘English literacy and numeracy’ (r = 0.15; p < 0.001), ‘Aboriginal literacy’ (r = 0.14; p < 0.001), ‘substances’ (lack thereof; r = 0.13; p = 0.003), ‘work’ (r = 0.12; p = 0.02) and ‘community’ (r = 0.08; p = 0.05). Correlation analyses suggested cultural factors have indirect impacts on wellbeing, such as through Aboriginal literacy. All cultural variables correlated highly with each other, and with empowerment and community. Empowerment also correlated highly with all education and work variables. ‘Substances’ (lack thereof) was linked with positive outcomes across culture, education and work. Specific interrelationships will be explored in detail separately.

Conclusion

The Interplay Wellbeing Framework and Survey were statistically validated as a collaborative approach to assessing wellbeing that is inclusive of other cultural worldviews, values and practices. New community-derived social and cultural indicators were established, contributing valuable insight to psychometric assessment across cultures. These analyses confirm that culture, empowerment and community play key roles in the interplay with education, employment and health, as part of a holistic and quantifiable system of wellbeing. This research supports the holistic concept of wellbeing confirming that everything is interrelated and needs to be considered at the ‘whole of system’ level in policy approaches.
Literature
6.
go back to reference Abbott T, Cairney S. Collaboration and capacity development through the employment of Aboriginal community-based researchers: examples from the Interplay project. J Aust Indig Issues. 2014;17(4):164–7. Abbott T, Cairney S. Collaboration and capacity development through the employment of Aboriginal community-based researchers: examples from the Interplay project. J Aust Indig Issues. 2014;17(4):164–7.
12.
go back to reference NAHS Working Party. National Aboriginal health strategy. National Aboriginal Health Strategy Working Party, editors. Canberra: Commonwealth of Australia; 1989. NAHS Working Party. National Aboriginal health strategy. National Aboriginal Health Strategy Working Party, editors. Canberra: Commonwealth of Australia; 1989.
16.
go back to reference Angell B, Muhunthan J, Eades A, Cunningham J, Garvey G, Cass A, Howard K, Ratcliffe J, Eades S, Jan S. The health-related quality of life of Indigenous populations: a global systematic review. Qual Life Res. 2016;25:2161–78.CrossRefPubMed Angell B, Muhunthan J, Eades A, Cunningham J, Garvey G, Cass A, Howard K, Ratcliffe J, Eades S, Jan S. The health-related quality of life of Indigenous populations: a global systematic review. Qual Life Res. 2016;25:2161–78.CrossRefPubMed
17.
go back to reference Newton D, Day A, Gillies C, Fernandez E. A review of evidence-based evaluation of measures for assessing social and emotional Well-being in Indigenous Australians. Aust Psychol. 2015;50:40–50.CrossRef Newton D, Day A, Gillies C, Fernandez E. A review of evidence-based evaluation of measures for assessing social and emotional Well-being in Indigenous Australians. Aust Psychol. 2015;50:40–50.CrossRef
18.
go back to reference Martin KE. Please Knock Before You Enter: Aboriginal Regulation of Outsiders and the Implications for Researchers. Post Pressed; Teneriffe, QLD. 2008:168. Martin KE. Please Knock Before You Enter: Aboriginal Regulation of Outsiders and the Implications for Researchers. Post Pressed; Teneriffe, QLD. 2008:168.
19.
go back to reference Marika R, Dayngawa N, Leon W. "Always together, yaka gäna: Participatory research at Yirrkala as part of the development of a Yolngu education." Convergence. 1992;25:23. Marika R, Dayngawa N, Leon W. "Always together, yaka gäna: Participatory research at Yirrkala as part of the development of a Yolngu education." Convergence. 1992;25:23.
20.
go back to reference Marika R, Yunupingu Y, Marika-Mununggiritj R, Muller S. Leaching the poison–the importance of process and partnership in working with Yolngu. J Rural Stud. 2009;25(4):404–13. Marika R, Yunupingu Y, Marika-Mununggiritj R, Muller S. Leaching the poison–the importance of process and partnership in working with Yolngu. J Rural Stud. 2009;25(4):404–13.
21.
go back to reference MacDowall L. Introduction: Making Culture Count. In: MacDowall L, Badham M, Blomkamp E, Dunphy K, editors. Making Culture Count. London: Palgrave Macmillan UK; 2015. p. 1–5. MacDowall L. Introduction: Making Culture Count. In: MacDowall L, Badham M, Blomkamp E, Dunphy K, editors. Making Culture Count. London: Palgrave Macmillan UK; 2015. p. 1–5.
22.
go back to reference Taylor J. Indigenous peoples and indicators of well-being: Australian perspectives on United Nations global frameworks. Soc Indic Res. 2008;87(1):111–26.CrossRef Taylor J. Indigenous peoples and indicators of well-being: Australian perspectives on United Nations global frameworks. Soc Indic Res. 2008;87(1):111–26.CrossRef
23.
go back to reference Prout S. Indigenous wellbeing frameworks in Australia and the quest for quantification. Soc Indic Res. 2011;109(2):317–36.CrossRef Prout S. Indigenous wellbeing frameworks in Australia and the quest for quantification. Soc Indic Res. 2011;109(2):317–36.CrossRef
24.
25.
go back to reference Cairney S, Abbott T. Aboriginal Wellbeing in a red dirt eceonomy. J Aust Indig Issues. 2014;17:1–23. Cairney S, Abbott T. Aboriginal Wellbeing in a red dirt eceonomy. J Aust Indig Issues. 2014;17:1–23.
26.
go back to reference Banks J. Storytelling to access social context and advance health equity research. Prev Med. 2011;55(5):394–7.CrossRefPubMed Banks J. Storytelling to access social context and advance health equity research. Prev Med. 2011;55(5):394–7.CrossRefPubMed
27.
go back to reference McIntyre A. Participatory action research. Sage Publications; Thousand Oaks, California. 2008:79. McIntyre A. Participatory action research. Sage Publications; Thousand Oaks, California. 2008:79.
29.
go back to reference Bentler PM, Chou CC. Practical issues in structural modeling. Sociol Methods Res. 1987;16(1):78–117.CrossRef Bentler PM, Chou CC. Practical issues in structural modeling. Sociol Methods Res. 1987;16(1):78–117.CrossRef
34.
go back to reference Thomas A, Cairney S, Gunthorpe W, Paradies Y, Sayers S. Strong Souls: development and validation of a culturally appropriate tool for assessment of social and emotional well-being in Indigenous youth. Aust NZ J Psych. 2010;44(1):40–8. Thomas A, Cairney S, Gunthorpe W, Paradies Y, Sayers S. Strong Souls: development and validation of a culturally appropriate tool for assessment of social and emotional well-being in Indigenous youth. Aust NZ J Psych. 2010;44(1):40–8.
35.
go back to reference Haswell MR, Kavanagh D, Tsey K, Reilly L, Cadet-James Y, Laliberte A, Wilson A, Doran C. Psychometric validation of the Growth and Empowerment Measure (GEM) applied with Indigenous Australians. Aust N Z J Psychiatry. 2010;44(9):791–99.CrossRefPubMed Haswell MR, Kavanagh D, Tsey K, Reilly L, Cadet-James Y, Laliberte A, Wilson A, Doran C. Psychometric validation of the Growth and Empowerment Measure (GEM) applied with Indigenous Australians. Aust N Z J Psychiatry. 2010;44(9):791–99.CrossRefPubMed
36.
go back to reference Chenhall RD, Senior K, Cole D, Cunningham T, O'Boyle C. Individual quality of life among at risk Indigenous youth in Australia. Appl Res Qual Life. 2010;5(3):171–83.CrossRef Chenhall RD, Senior K, Cole D, Cunningham T, O'Boyle C. Individual quality of life among at risk Indigenous youth in Australia. Appl Res Qual Life. 2010;5(3):171–83.CrossRef
38.
go back to reference Burgess CP, Johnston F, Berry H, McDonnell J, Yibarbuk D, Gunabarra C, et al. Healthy country, healthy people: the relationship between Indigenous health status and ‘caring for country’. Med J Aust. 2009;190(10):567–72.PubMed Burgess CP, Johnston F, Berry H, McDonnell J, Yibarbuk D, Gunabarra C, et al. Healthy country, healthy people: the relationship between Indigenous health status and ‘caring for country’. Med J Aust. 2009;190(10):567–72.PubMed
39.
go back to reference Burgess CP, Berry HL, Gunthorpe W, Bailie RS. Development and preliminary validation of the ‘Caring for Country’ questionnaire: measurement of an Indigenous Australian health determinant. Int J Equity Health. 2008;7:26.CrossRefPubMedPubMedCentral Burgess CP, Berry HL, Gunthorpe W, Bailie RS. Development and preliminary validation of the ‘Caring for Country’ questionnaire: measurement of an Indigenous Australian health determinant. Int J Equity Health. 2008;7:26.CrossRefPubMedPubMedCentral
43.
go back to reference Marmot M. Social determinants and the health of indigenous Australians. Med J Aust. 2011;194(10):512–3.PubMed Marmot M. Social determinants and the health of indigenous Australians. Med J Aust. 2011;194(10):512–3.PubMed
44.
go back to reference Dockery AM. Culture and wellbeing: the case of indigenous Australians. Soc Indic Res. 2010;99(2):315–32.CrossRef Dockery AM. Culture and wellbeing: the case of indigenous Australians. Soc Indic Res. 2010;99(2):315–32.CrossRef
45.
go back to reference Biddle N, Swee H. The Relationship between Wellbeing and Indigenous Land, Language and Culture in Australia. Aust Geogr. 2012;43(3):215–32.CrossRef Biddle N, Swee H. The Relationship between Wellbeing and Indigenous Land, Language and Culture in Australia. Aust Geogr. 2012;43(3):215–32.CrossRef
46.
go back to reference Stafford Smith M. The 'desert syndrome' - causally-linked factors that characterise outback Australia. Rangelands J. 2008;30:3–14. Stafford Smith M. The 'desert syndrome' - causally-linked factors that characterise outback Australia. Rangelands J. 2008;30:3–14.
47.
go back to reference Yap M, Yu E. Operationalising the capability approach: developing culturally relevant indicators of indigenous wellbeing – an Australian example. Oxford Dev Stud. 2016;44(3):315–31.CrossRef Yap M, Yu E. Operationalising the capability approach: developing culturally relevant indicators of indigenous wellbeing – an Australian example. Oxford Dev Stud. 2016;44(3):315–31.CrossRef
48.
go back to reference Priest N, Mackean T, Davis E, Briggs L, Waters E. Aboriginal perspectives of child health and wellbeing in an urban setting: Developing a conceptual framework. Heal Sociol Rev. 2012;21 (2):180–95. Priest N, Mackean T, Davis E, Briggs L, Waters E. Aboriginal perspectives of child health and wellbeing in an urban setting: Developing a conceptual framework. Heal Sociol Rev. 2012;21 (2):180–95.
49.
go back to reference Tsey K, Wilson A, Haswell-Elkins M, Whiteside M, McCalman J, Cadet-James Y, et al. Empowerment-based research methods: a 10-year approach to enhancing Indigenous social and emotional wellbeing. Australas Psychiatry. 2007;15(s1):S34–8. Tsey K, Wilson A, Haswell-Elkins M, Whiteside M, McCalman J, Cadet-James Y, et al. Empowerment-based research methods: a 10-year approach to enhancing Indigenous social and emotional wellbeing. Australas Psychiatry. 2007;15(s1):S34–8.
50.
go back to reference Whiteside M, Tsey K, Earles W. Locating empowerment in the context of Indigenous Australia. Aust Soc Work. 2011;64(1):113–29.CrossRef Whiteside M, Tsey K, Earles W. Locating empowerment in the context of Indigenous Australia. Aust Soc Work. 2011;64(1):113–29.CrossRef
Metadata
Title
Interplay wellbeing framework: a collaborative methodology ‘bringing together stories and numbers’ to quantify Aboriginal cultural values in remote Australia
Authors
Sheree Cairney
Tammy Abbott
Stephen Quinn
Jessica Yamaguchi
Byron Wilson
John Wakerman
Publication date
01-12-2017
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2017
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-017-0563-5

Other articles of this Issue 1/2017

International Journal for Equity in Health 1/2017 Go to the issue