TY - JOUR
AU - J. Kotz
AU - C. Reid
AU - M. Robinson
AU - R. Walker
AU - T. Reibel
AU - A. Bairnsfather-Scott
AU - R. Marriott
A1 - 
AB - 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.
AD - Ngangk Yira Institute for Change, Murdoch University, Murdoch, WA, Australia.; Global Health Academy and Academy of Sport, The University of Edinburgh, Edinburgh, United Kingdom.; Aboriginal Health Child and Adolescent Health Service, WA, Australia.; School of Indigenous Knowledges, Murdoch University, Murdoch, WA, Australia.; Kids Institute Australia, Nedlands, Australia.
AN - 40734621
BT - Prim Health Care Res Dev
C5 - Healthcare Disparities
DA - Jul 30
DO - 10.1017/s1463423624000665
DP - NLM
ET - 20250730
JF - Prim Health Care Res Dev
LA - eng
N2 - 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.
PY - 2025
SN - 1463-4236 (Print); 1463-4236
SP - e66
ST - Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care
T1 - Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care
T2 - Prim Health Care Res Dev
TI - Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care
U1 - Healthcare Disparities
U3 - 10.1017/s1463423624000665
VL - 26
VO - 1463-4236 (Print); 1463-4236
Y1 - 2025
ER -